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"The spectrum of approaches, mechanisms and practices used by the stakeholders concerned with public services to ensure a desired level and type of performance."

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Scope of Power

How much do committee members have power over actual management of services, versus informing health organizations of community needs.. i.e. Pagoda management of equity fund, reminds me a bit of self-determination theory in which motivation can stem from empowering leadership, etc.

Another interesting aspect was how organizations, and their staff, work with community members for accountability, and their openness and receptiveness/willingness for feedback. Balancing, sharing and taking many perspectives that all go into health work, is really important for people I think to build trust and respect in terms of how to give feedback but also how to use feedback and be willing for community members to be leaders.

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Participation Selection/ Representation
the issue of representation in terms of how communities are selected and engaged in the committees really differed among empirical studies. volunteer based participation versus selection based on family/social networks.

also the level of time commitment and structure of the committees impacts how successfully people can be involved in volunteering.

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Some ISDs in my area have used the report card method to determine effectiveness oc nursing services provided in the schools.

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^Direct engagement of the public, citizens or communities may be via "exit" or "voice" strategies:

"Exit" : ability to access other services and therefore apply pressure for orgs to meet needs of public, citizens and communities.

"voice": impacting services through participation.
short-term involvement defined as monitoring services through public or community committees, feedback opportunities; income of service providers dependent upon service quality.
long-term: policy change/social change, involving government and citizens

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One example I thought of during the reading is the Healthy Equality Index: https://www.hrc.org/resources/healthcare-equality-index

This is a national scoring "report card" that administers a survey to healthcare organizations across the country, to examine and assess LGBTQ+ inclusivity in healthcare policies and practices.

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In its 15th year, the Healthcare Equality Index (HEI) is the national LGBTQ+ benchmarking tool that evaluates healthcare facilities' policies and practices related to the equity and inclusion of their LGBTQ+ patients, visitors and employees. The HEI 2022 evaluates more than 2,200 healthcare facilities nationwide.
A record 906 healthcare facilities actively participated in the HEI 2022 survey.

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In its 15th year, the Healthcare Equality Index (HEI) is the national LGBTQ+ benchmarking tool that evaluates healthcare facilities' policies and practices related to the equity and inclusion of their LGBTQ+ patients, visitors and employees. The HEI 2022 evaluates more than 2,200 healthcare facilities nationwide.

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Citizen Report Card & Community Score Card

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Citizen Report Card & Community Score Card

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Definition of Citizen Report Card: World Bank Document

Citizen Report Card (CRC) - A powerful social audit tool (civilsocietyacademy.org)
Community Score Card: Community Score Cards - a powerful tool to improve public services (civilsocietyacademy.org)
Citizen Report Card Vs. The Community Score Card
Slide 1 (internationalbudget.org)
CARE: Community Score Card - Citizen-Driven Accountability - CARE

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Citizen Report Card (CRC) - A powerful social audit tool

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A Citizen Report Card or CRC is a participatory social audit tool based on user feedback on public service delivery. CRC is a tool that engages citizens in...

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Topic: Diabetes awareness in Black/Brown communities (Sunnyside).
1.  Commence community leaders.
2. Collect data sending education pamphlets to certain streets in 2 week intervals. In the Pamphlets will be a QR code or a 5 question survey that could be mailed or retrieved by a community liaison.
3. Pull the communities data report.
4.  Select an intervention and dietary recipes to help modify complex carbohydrates and salt.
5. Invite community to be apart of starting a community association.

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Food Insecurity addressed through community-clinical linkages. Creating a committee with stakeholders (CHWs, community members, organizational representatives, researchers) to identify infrastructural barriers to access food assistance and work towards solutions.

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Current community accountability:  The need for every individual to get vaccinated against COVID-19 to inhibit transmission. (Un-related to the article)

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1. Community & Groups
2. Public Report Cards
3. Patient's right charters

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Public accountability can be defined as the direct involvement of clients or the general public in healthcare messaging or delivery.

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San Antonio’s COVID19 Community Response Committee (CRC): Comprised of CHWs, researchers, practitioners, clinicians, and community members. The committee was formed to create appropriate COVID-19 messaging tailored to Bexar County community members.

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Committees and community groups- to identify, assist, and/or address health problems/solutions

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"the essence of answerability between sets of actors in relation to specific activities or interventions"

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Select a public health topic and share ideas for how you would apply community accountability, considering the example mechanisms cited in Molyneaux et al.  

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Select a public health topic and share ideas for how you would apply community accountability, considering the example mechanisms cited in Molyneaux et al.  

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What are current and applied examples of community accountability?

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What are current and applied examples of community accountability?

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What are examples of community accountability mechanisms?

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What are examples of community accountability mechanisms?

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What is community (public) accountability? 

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What is community (public) accountability? 