Power and positionality in the practice of health system responsiveness at sub-national level: insights from the Kenyan coast
Our findings illuminate the structures and mechanisms that contribute to weak health system responsiveness even in contexts where it is prioritised in policy documents. Supporting inclusion and participation of the public in feedback mechanisms can strengthen receipt of public feedback; however, measures to enhance public agency to participate are also needed. In addition, an organisational environment and culture that empowers health managers to respond to public inputs is required.
Authors
- Lucy Gilson (ORCID: https://orcid.org/0000-0002-2775-7703)
- Nancy Kagwanja (ORCID: https://orcid.org/0000-0002-4411-4961)
- Eleanor Whyle (ORCID: https://orcid.org/0000-0002-4795-0703)
- Benjamin Tsofa (ORCID: https://orcid.org/0000-0003-1000-1771)
- Sassy Molyneux (ORCID: https://orcid.org/0000-0001-9522-416X)
- Hassan Leli
Institutions
- Western Cape Department of Health (ZA)
- University of Cape Town (ZA)
- Kenya Medical Research Institute (KE)
- University of Oxford (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Wellcome Trust (GB)
Publication Details
- Journal
- International Journal for Equity in Health
- Published
- 2024-09-02
- DOI
- https://doi.org/10.1186/s12939-024-02258-5
- Citations
- 2
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 2.22
Funders
- Wellcome Trust
- Government of the United Kingdom
- UK Research and Innovation
- New Partnership for Africa's Development
- African Academy of Sciences
- Alliance for Health Policy and Systems Research
- Medical Research Council
- Alliance for Accelerating Excellence in Science in Africa