Date: September 2017
Authors: Victoria Boydell, Jonathan Fox, Sarah Shaw
Publication type: Learning Exchange Report
Published by: Accountability Research Center, International Planned Parenthood Federation, Reproductive Health Supplies Coalition
This June 2016 Learning Exchange held at American University in Washington, D.C. convened over 40 practitioners and researchers to discuss potential contributions from the field of Transparency, Participation and Accountability (TPA) to the performance of reproductive health (RH) delivery systems.
The conversation focused on how strategic citizen oversight initiatives can facilitate monitoring of reproductive health systems and promote more accountable health systems. The main themes that emerged through the panel presentations and subsequent discussions were:
- Include multiple perspectives: Bridge political and technical analysis, the first mile, and downward accountability
- Re-politicize RH supply chains: Map power, identify incentives and collective action opportunities
- Integrate research and practice across TPA and RH: Implementation science and action research
- Anticipate challenges of applying TPA principles to RH delivery systems
The Learning Exchange culminated with discussion on possible areas of relevant collaborative research. The Learning Exchange and this document are intended to spur cross-field collaboration, practice and learning.
“While great progress has been made in placing the women at the center and delivering rights based RH services, there is still something missing if women are still perceived as ‘recipients’ or ‘beneficiaries.’ A more comprehensive definition of the ‘last mile’ as ‘first mile’ would reemphasize downward accountability—from donors, governments and providers to the women they are responsible for serving, recognizing the role of choice, agency and empowerment in contraceptive choice.”
-Learning Exchange Participant