Dissonances and disconnects: the life and times of community based accountability in the national rural health mission in Tamilnadu, India.

ABSTRACT: BACKGROUND:There are increasing calls for developing robust processes of community-based accountability as key components of health system strengthening. However, implementation of these processes have shown mixed results over time and geography. The Community Action for Health (CAH) project was introduced as part of India's National Rural Health Mission (now National Health Mission) to strengthen community-based accountability through community monitoring and planning. In this study we trace the implementation process of this project from its piloting, implementation and abrupt termination in the South Indian state of Tamil Nadu. METHODS:We framed CAH as an innovation introduced into the health system. We use the framework on integration of innovations in complex systems developed by Atun

SUBMITTER: Gaitonde R 

PROVIDER: S-EPMC7003366 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature