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Social Accountability in the Health Sector Programme (SAHS) Applied Political Economy Analysis (Baseline)

Russel Pepe and Kapil Ghimire

Publisher: Pact


As part of a core set of analytical products to be developed for DFID and its implementers for the Social Accountability in the Health Sector (SAHS) programme, Pact conducted an Applied Political Economy Analysis (APEA) to examine a cross-section of institutional factors and underlying incentives that affect prospects for promoting SA within the health sector. The APEA is the foundational activity of SAHS’s implementation period and follows a baseline Situation Analysis conducted during the inception phase. The Situation Analysis provided a broad review of key initiatives, mechanisms, and stakeholders engaged in promoting SA within the health sector, as well as limited discussion of accountability initiatives in other sectors. While the Situation Analysis took stock of what is taking place within the SA space, the APEA builds on that analysis to understand the underlying reasons why SA initiatives and key actors engage as they do. This involves deliberately investigating the constraints and opportunities faced by those pushing for an accountable and responsive health sector.

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