Frontline health workers, working conditions and social accountability
Themes | Subthemes | Tags: Health care system; accountability | Health Human resources
Duration: November 2018 onwards
Team: A civil society network initiative. Sunita Sheel (2018 onwards) contributes to this work and represents FMES.
Funding support: None
Product/s delivered and expected:
- Collaboratively conceptualized and organized thematic sessions under the theme titled, ‘Health care workers and community: forging alliance’ comprising one of the five strands at the COPASAH Global Symposium (COPGS) on Citizenship, Governance and Accountability in Health during Oct 14-18, 2019, New Delhi.
- Organised a webinar titled, ‘Being at the frontline of COVID 19: Conversations with grassroots health care workers’. Co-hosted by Azim Premji University (APU), Bangalore; Health, Ethics and Law Institute (HEaL Institute)-Forum for Medical Ethics Society (FMES), Mumbai, Innovative Alliance for Public Health (IAPH), India; Seher, Center for Health and Social Justice (CHSJ), and Community of Practitioners and on Accountability and Social Action in Health (COPASAH) on May 29, 2020.
- Mishra, A., Bandewar, S., Gautam, S. (2020, July 15). Being at the frontline of COVID 19: Conversations with grassroots health care workers [Web log post]. Retrieved from https://fmesinstitute.org/blogs/
- Submission to the National Human Rights Commission (NHRC) on behalf of Hub5 (HEaL Institute, APU, Seher-CHSJ, and IAPH) – COPASAH on human rights issues confronted by ASHAS and ANMs during the Covid-19 pandemic | Aug 7, 2020
Overview: There have been some efforts to ensure a level of continuity in the discourses around health care for the poor through a focus on approaches like Universal Health Coverage, Universal Access to Health Care, MDGs and SDGs. However, despite these advances alienation of communities has continued and governments with their eye on commercial interests have pursued policies that are undermining the gains of the Alma Ata. Further, States have not enough to ensure citizens participation in planning, budgeting, implementation and oversight of the health services resulting in real needs and priorities of citizens especially poor and vulnerable communities being left out. In health systems, social accountability implies that political and governmental actors, including public service providers, are held to account for their actions and decisions by citizens. The notions of transparency, participation and accountability are closely linked to the idea and processes of social accountability emphasised by different approaches to accountability. In this initiative, we focus on health care workers (HCWs), their engagement with the state on one hand and with the communities they serve, on the other hand. The objectives are two-fold. (a) To locate them in the system characterized by power hierarchies.; (b) To appreciate the ongoing efforts and strategies of HCWs [including Auxiliary Nurse Midwives (ANMs), Accredited Social Health Activists (ASHAs) and other community-level health workers (CHWs)] while demanding accountability from the state and to provide HCWs with all the support needed to help deliver on their commitments to communities by building and maintaining trust based relationships with communities. The underlying philosophy is to enable HCWs to be the change agents, rather than mere service providers.
- Iyer, Aditi; & Jesani, Amar. Barriers to the Quality of Care: The Experience of Auxiliary Nurse-Midwives in Rural Maharashtra. : In Improving Quality of Care in India’s Family Welfare Programme edited by Michael A. Koenig and M.E. Khan. Population Council. 1999. p.210-237. ISBN 0-87834-099-8.