Aid, social capital and local collective action: attitudes towards community-based health funds and village organizations in Rushan, Tajikistan

Jacobs, Eelco; Hofman, Irna

doi:10.1093/cdj/bsz005

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…In the two districts of this study however, the primary focus of the community-based organisations that have been formed, particularly in the GBAO district, is not on promoting active decision-making with state authorities. The degree to which they can enforce providers to be answerable appears to depend largely on 'weak' or 'bridging' social capital ties [53] that some community representatives manage to establish or nurture to voice their expectations and concerns [32], whilst information asymmetry between providers and citizens hampers the ability of the latter to do so. The in-kind 'payments' or support provided to local rural health facilities, in the GBAO district particularly, can be interpreted as a token in the creation of a social bond, or debt, with an obligation to reciprocate, as elaborated by Mauss and others [54], or as a limited form of co-production [55].…”

Section: Discussionmentioning

confidence: 99%

“…The only participatory governance structure that citizens perceived to play a functional role in their lives is the mahalla, or neighbourhood council. In the absence of effective formal channels of citizen participation, the mahallas and AKDN's community-based organisations in some cases function as a channel to voice needs and concerns towards and mobilise citizens collectively pool or provide resources for healthcare provision or financing, as documented elsewhere [32].…”

Section: Statecitizensmentioning

confidence: 99%

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Local health governance in Tajikistan: accountability and power relations at the district level

Jacobs

Camargo

2020

Int J Equity Health

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Background: Relationships of power, responsibility and accountability between health systems actors are considered central to health governance. Despite increasing attention to the role of accountability in health governance a gap remains in understanding how local accountability relations function within the health system in Central Asia. This study addresses this gap by exploring local health governance in two districts of Tajikistan using principal-agent theory. Methods: This comparative case study uses a qualitative research methodology, relying on key informant interviews and focus group discussions with local stakeholders. Data analysis was guided by a framework that conceptualises governance as a series of principal-agent relations between state actors, citizens and health providers. Special attention is paid to voice, answerability and enforceability as crucial components of accountability. Results: The analysis has provided insight into the challenges to different components making up an effective accountability relationship, such as an unclear mandate, the lack of channels for voice or insufficient resources to carry out a mandate. The findings highlight the weak position of health providers and citizens towards state actors and development agents in the under-resourced health system and authoritarian political context. Contestation over resources among local government actors, and informal tools for answerability and enforceability were found to play an important role in shaping actual accountability relations. These accountability relationships form a complex institutional web in which agents are subject to various accountability demands. Particularly health providers find themselves to be in this role, being held accountable by state actors, citizens and development agencies. The latter were found to have established parallel principal-agent relationships with health providers without much attention to the role of local state actors, or strengthening the short accountability route from citizens to providers. Conclusion: The study has provided insight into the complexity of local governance relations and constraints to formal accountability processes. This has underlined the importance of informal accountability tools and the political-economic context in shaping principal-agent relations. The study has served to demonstrate the use and limitations of agency theory in health governance analysis, and points to the importance of entrenched positions of power in local health systems.

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Section: Discussionmentioning

confidence: 99%

Section: Statecitizensmentioning

confidence: 99%

Local health governance in Tajikistan: accountability and power relations at the district level

Jacobs

Camargo

2020

Int J Equity Health

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“…Communities with a strong social capital level have a faster response in the short term to recover from a disaster or pandemic (Pitas and Ehmer, 2020). In addition, according to Jacobs and Hofman (2020), the existence of social capital in society is also seen as capable of forming a strong social cohesion and can encourage collective action. This is in response to the community's and village government's extraordinary response to the handling of Covid-19 in their village, which is manifested in the form of collective action.…”

Section: Structural Equation Modeling (Sem)mentioning

confidence: 99%

“…Mutiara et al (2020), contend that owned social capital and social values should significantly benefit when the situation calls for it. The concept of social capital is perceived to foster strong social cohesion and facilitate collective action (Jacobs and Hofman, 2020). This collaborative action can undoubtedly be used to improve the community's socio-economic conditions.…”

Section: Introductionmentioning

confidence: 99%

Social Capital of the Pujon Kidul Tourism Village Community in Facing the Covid-19 Pandemic

DEWI¹,

Prayitno²,

Dinanti³

2021

GTG

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The purpose of this study is to analyze the factors and variables that have the most influence on the formation of social capital, analyze the relationship between variables, and describe the condition of community social capital in the face of the Covid-19 pandemic. There are three social capital variables used, including trust, social norms, and social networks. Confirmatory Factor Analysis (CFA), Structural Equation Modeling (SEM), and a literature review were used in this study. The CFA results show that community social capital is formed from 9 factors, where the most influential variable is the trust variable with a value of 0.81 or 66.3%. The results of the SEM analysis show that the relationship of social capital is described through the trust variable, which directly influences social networks and social norms, which will then also affect social networks. Based on the community's social capital and its willingness to collaborate in the fight against the Covid-19 pandemic, we can conclude that the programs developed by the community and the government to combat the Covid-19 outbreak will go off without a hitch.

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“…Social capital and social values that have been owned must be a solid grip to restore conditions like this [11]. Social capital is seen as forming solid social cohesion and can encourage the collective action of society [12]. Society's high social capital is valued to contribute to the success of collective action [13,14].…”

Section: Introductionmentioning

confidence: 99%

Social Capital of Pujon Kidul Communities in Supporting the Development of the COVID-19 Resilience Village

Prayitno¹,

Dinanti²,

Efendi³

et al. 2022

IJSDP

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Well-implement social capital can affect the bounce-up rate to improve the quality of life. Currently, Pujon Kidul Village is being affected by the COVID-19 pandemic. Recently community social capital has been seen as the main component to strengthen and function a community, particularly in supporting the COVID-19 Resilience Villages. Therefore, it is necessary to analyze the influence of social capital on decisions to take collective action and identify the condition of community social capital in supporting the development of the COVID-19 Resilience Villages. The approach used is a quantitative-qualitative approach by conducting questionnaires to 275 respondents and interviews with ten informants to dig deeper into the conditions of Pujon Kidul Village during the COVID-19 pandemic. The results of the questionnaires and interviews were then processed using CFA (Confirmatory Factor Analysis), SEM (Structural Equation Modeling), and descriptive analysis. The results of the analysis show that the social capital of the Pujon Kidul Village community has a direct influence on decisions to take collective action. In addition, the community's social capital already has a good condition and is based on a high sense of trust, involvement, and cooperation of the society. This is then considered to contribute to the success of the COVID-19 Resilience Village program.

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Aid, social capital and local collective action: attitudes towards community-based health funds and village organizations in Rushan, Tajikistan

Cited by 5 publications

References 30 publications

Local health governance in Tajikistan: accountability and power relations at the district level

Local health governance in Tajikistan: accountability and power relations at the district level

Social Capital of the Pujon Kidul Tourism Village Community in Facing the Covid-19 Pandemic

Social Capital of Pujon Kidul Communities in Supporting the Development of the COVID-19 Resilience Village

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