Child led Social Accountability

Project TitleChild led Social Accountability Framework for Health and Education
Provision in Bangladesh
Overall GoalThe overall objective is to contribute to the realisation of children’s rights to health and education through increased accountability and responsiveness of primary health and education service delivery in Bangladesh.
Project Results/ ObjectiveResult 1 Effective, equitable and accountable service delivery and allocation of resources by education and health service providers and local authorities at project locations.
Result 2: Target group children and adolescents empowered as citizens individually and collectively to understand their rights and to engage with local decision makers.
Result 3 : Evidence generated to enable advocacy with the government and other key players to lobby for social sector services to have in-built social accountability mechanisms at the primary service delivery point, and include a strong element of child and youth-led interventions.
Result 4 : Strengthened national level child-led advocacy on effective, equitable and accountable service delivery and allocation of resources.
Result 5 : A new culture of learning and reflection nurtured among local officials, implementing partners, involved CBOS, NCTF and learning promotes improvement in social accountability framework
Duration2016-2018
Funded ByUk-AID
Supported BySCI
Geographical CoverageDNCC, Ward no- 2,3,and 5
Budget3104977 Bdt
Target Beneficiaries1300 children from 26 health and education institution
Target GroupsChildren, youth, Service provider
Strategic PartnersCity Corporation,Directorate of Primary and Mass Education, Directorate of Secondary and Higher Education, and Directorate of Health.
Main Components/ Interventions of the ProjectPROJECT COMPONENTS TO ACHIEVE THE OBJECTIVES
• Stakeholder mobilisation
◦ Introducing the project to the key stakeholders (including local government officials and representatives, service providers, youth, and children) and encouraging them to participate.
◦ This lays the groundwork for the project – explaining the need for an accountability intervention, and building a relationship with communities and service providers.
• Service assessments & Interface
◦ Information: Children are informed of their rights and entitlements, pertaining to education and health facilities.
◦ Social accountability tools: Children, service providers, and local government representatives co-design social accountability tools to monitor service delivery.
• Accountability for service improvement
◦ Action Plans
◦ Follow-up on Action Plans
◦ Refresher trainings on Social accountability tools

RIGOROUS RESEARCH AND TESTING
Randomized Controlled Trial (RCT)
The project has a Randomized Controlled Trial (RCT) embedded into implementation. The RCT design provides a valid and reliable estimate of the impact of the Accountability process, separated from the impact of Information alone.
• RCTs are globally regarded as the gold-standard of program evaluation – the best-known technique – enabling a rigorous assessment of impacts.

The 62 facilities working with the project have been randomly assigned to two groups: Treatment and Control
• Treatment Group components
◦ All components mentioned in previous section
• Control Group components
◦ Stakeholder mobilisation
◦ Information

Digital Process Monitoring
We have put in place a digital data collection system to enable accurate documentation of every program activity.Our Digital process monitoring system allows us to continuously update andimprove the project – Data on project activities is systematically stored and analysed.
Project in briefThe overall objective is to contribute to the realization of children’s rights to health and education through increased accountability and responsiveness of primary health and education service delivery in Bangladesh.
a. Child/adolescent monitors (Participation groups)
One part of Stakeholder Mobilisation i.e. identifying children who are willing to track service delivery, through a participatory process. A “participation group” is simply a group of these child monitors. These groups are formed at the facility-level, so there is a distinct participation group for each of the 62 facilities working with the project. Broadly, the process is as follows:
• Children are given background information on the project, and encouraged to participate in the project.
• Those children who volunteer to participate are registered as a part of the “participation group” for that particular facility.
• Given resource considerations, it was decided that a maximum of 50 children may sign up to be a part of this group for any particular facility.
• In case more than 50 children express the desire to join the group, 50 children will be selected on a first-come-first-serve basis.
• Simply put: For any facility, the first 50 children who volunteer, form the participation group for that facility.
For education facilities, school students form the participation group. For health facilities, children living in the vicinity of clinics/hospitals/dispensaries form the participation group.

b. “Revolving door” participation (Roster groups)
As mentioned above, for each facility, there is a group of 50 “children/adolescent monitors”. These 50 children will be randomly split into 3 groups, which will take turns to monitor and track service delivery. Each group will participate for a maximum of 4 months. And to ensure coherence and continuity, only after one roster group’s ends, will another roster group’s participation begin.

This “revolving door” system ensures that a greater number of children are able to engage closely with service providers.

Assistance Specifically Needed form the Directorate of Health
• The foremost assistance is to get the directorate involvement directly with the project
• Redress the problems sorted by the children, youth and service providers by the directorate
• To have intermittent visit in the intervening area by the directorate officials
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