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There Is Much to Learn When You Listen: Exploring Citizen Engagement in High- and Low-Income Countries
Moriah E Ellen1, Ruth Shach2, Maryse C Kok3
1Department of Health Systems Management, Guilford Glazer Faculty of Business and Management and Faculty of Health Sciences, Ben-Gurion University of the Negev Beer-Sheva, Israel; Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON; McMaster Health Forum, McMaster University Hamilton, ON.
Abstract:
The need for engaging citizens in healthcare policy making is critical, and different approaches are gaining traction internationally. However, citizen engagement seems more difficult to implement in low- and middle-income countries because of political, practical and cultural reasons. Despite this, countries such as India, Malawi, Tanzania, Ethiopia, Rwanda, Mozambique, Egypt have initiated community engagement initiatives, which are contextually unique, and can be used as examples to learn from for the future. Overall, community voices need to play a bigger role in forming policy; they hold the key to improve health and forward growth. Evidence needs to move out of communities and districts through broader communication and knowledge translation avenues to influence and shape national and global level policies and strategies.
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