Journal of Clinical Images and Medical Case Reports

ISSN 2766-7820
Case Report - Open Access, Volume 2

Social accountability in the well-being framework

Hamnah Tayyab1*; Aima Javaid2; Aminah Tayyab1; Kainat Zulqadar1; Alina Abbas1

1 Department of Medicine, King Edward Medical University, Lahore, Pakistan.

2 Department of Medicine, Fatima Jinnah Medical University, Lahore, Pakistan.

*Corresponding Author: Hamnah Tayyab
Bachelor of Medicine and Bachelor of Surgery, Department of Medicine, King Edward Medical University, Lahore, Pakistan.
Email: [email protected]

Received : Oct 30, 2021

Accepted : Dec 13, 2021

Published : Dec 20, 2021

Archived :

Copyright : © Tayyab H (2021).

Citation: Tayyab H, Javaid A, Tayyab A, Zulqadar K, Abbas A. Social accountability in the Well-being framework. J Clin Images Med Case Rep. 2021; 2(6): 1492.

Social accountability

Social responsibility in the wellbeing area has been elevated as a methodology to work on the quality and execution of wellbeing suppliers in low and medium pay nations. Aggregate activity by residents who request more noteworthy accountability for negligence in community services is frequently alluded to as ‘social responsibility’ or ‘outer responsibility’ [1,2].

How to fortify the execution of social accountability framework

An exhaustive wellbeing framework reaction ought to be the drawn out objective for all nations. Fortifying the limit of essential medical care and upgrades in wellbeing framework execution can be accomplished through reinforcing the vision of ‘wellbeing past medical services frameworks’. The Alma-Ata Declaration (1978) further examines the current gross disparity in the wellbeing status of individuals especially when comparing industrialised and emergent nations and also the inequity in between those nations is strategically, socially and monetarily inadmissible and is, thusly, of normal worry to all nations.

The 1993 World Development Report (WDR): Investing in Health, considered fortifying responsibility as one of the essential components of change in the wellbeing area. This lighted a pattern to consolidate support and responsibility as a component of the arranging system for well being areas, and has been built up by different players of the community, respective and multilateral givers, and state run administrators towards a dream of a more viable, productive and impartial admittance to medical care.

The CORE Group (advocating for community’s well being all around the world) requested contributions from accomplices who utilise social responsibility approaches in their day-to-day work. Three models that are utilising a social responsibility framework to deal with increment responsibility and further development in the wellbeing include: Citizen Voice and Action, carried out by World Vision; Partnership Defined Quality, executed by Save the Children; and the Community Score Card, executed by the community’s and the government’s joint effort.

Role of NGOs and local residents

Besides, international NGOs show a drive towards a social responsibility approach in different areas and at various levels including local, regional, and public levels to build up responsibility and further enhance the wellbeing outcomes. Some worldwide non-legislative associations (NGOs), for instance, take an interest in projects and exercises aimed at including the public NGOs and local residents in some friendly responsibility cycles to reinforce the unity of government and non-government entertainers.

In addition, the worldwide strategy for social responsibility gives a system for the state’s commitments to addressing, advancing, satisfying medical care commitments (preventive and therapy benefits), and tending to the hidden necessities of wellbeing for all individuals, free from any disparity. It likewise gives a way to the NGOs to assist the state in explaining arrangements, setting up projects, and holding legislatures responsible.

Residents’ support in wellbeing arrangements and administration delivery is getting more consideration as a component of endeavours to foster more people-centred wellbeing frameworks, thus bringing us closer towards our objective of advancing wellbeing past emergency clinics. (Sheik et al. 2014; WHO 2015).

The United States Agency for International Development (USAID) underlines the significance of investment and incorporation of residents in wellbeing administration and highlights its importance in its strategy on Democracy, Human Rights, and Governance, with a solid spotlight on residents’ commitment and responsibility.

How might we guarantee wellbeing past clinic and medical care offices at our local level; is the requirement for now. This should be possible by first fortifying our own solitary levels through cumulative activity and local area strengthening. Besides ensuring quality and availability of the administrations, permitting more contribution of the local wellbeing supplier should also be guaranteed. As a consequence, we as clinical understudies should zero in on more developed health administrations, and work on wellbeing improvement as a result. This load of endeavours to further develop medical care offices is not restricted to local level; it also extends to state, sub provincial, national and international levels.

Significance of social accountability incorporation in the well-being framework

To create a practical medical services framework and keep Singaporeans healthy, the Ministry of Health (MOH) declared three critical changes in medical services at its Committee of Supply banter on March 9, 2017. They are Beyond Healthcare to Health, Beyond Hospital to Community, and Beyond Quality to Value. So the significance of wellbeing past emergency clinics is one of the social determinants of a practical and responsible medical services framework.

Development of a medical care labor force

We should cooperate to establish a solid framework for preventive considerations. Along these lines, we will foster a sustainable medical care labor force of great quality and worth across all settings, particularly for the local area.

With each day cruising by, we as clinical understudies should make ourselves useful enough to contribute our efforts towards a specific objective of improving our medical services framework.

Being in an emergent nation where you don’t have access to all the essential medical services offices; the need of the hour is that we should have the option to work past the medical services framework to guarantee greatest cooperation at our own part. This should be possible by coordinating our insight, examination and instruction towards the recognition, control and avoidance of the multitude of transmissible and non-transmissible diseases which are predominant at our own local levels.

Cooperation should be guaranteed for the improvement of the medical care framework at territorial as well as worldwide levels. We, as clinical professionals, should be sufficiently capable to address the crucial needs of wellbeing of our community’s most vulnerable individuals. In addition to our goal of achieving a sustainable health care system, we should also have the option to guide our endeavours so that the underserved individuals have access to the wellbeing services they need.

The need of the hour in developing countries

In developed nations, advancement of the medical services framework is evolving and promising practices are being adopted and refined. Opportunities abound in Pakistan to promote health and a solid backing society can help drive the strategies towards a superior medical services framework and implement them at the local or state level.

As we plan ahead for a wellbeing strategy in Pakistan, combined community efforts, an informed and facilitated strategy and cross-area assistance to address medical problems are required.

For a Healthy Future; we should anticipate collaborating with one another to identify opportunities, increase promising practices and contribute our insight, training and exploration across areas to further develop wellbeing.

A comprehension of the structure of the wellbeing administration, both local and public, is the key to understanding the system within which to apply the board and authority abilities.

Every clinical understudy and clinical expert has a commitment to know about the standards of powerful administration and to work effectively in multidisciplinary groups. They should have the option to draw upon an assortment of assets, assume a part in establishing and creating needs, and take the lead in working on the arrangement of medical services inside their training.

In a new series of centre gatherings, the Canadian Medical Association (CMA) asked its individuals for their perspectives on administration, and whether there was a need to foster innovations in medicine. As per the outcomes, there is both a demand and a deficit to give the sort of administration required in the today’s complex medical care climate. It was expressed that there is a requirement for abilities not gained during one’s clinical training, and to stand up for medical problems, and this consequently sets medical trainees in a place of evident authority on immediate medical problems as well as on determinants of wellbeing.

Having a mutual perspective and a common vision, we need to move from individual to frameworks contemplating the effect of our choices and our work beyond individual settings. Almost definitely, the collective endeavours of an array of clinical understudies at a; levels should have the ability to have an effect and make a change.


  1. Cornwall A Gaventa J. 2000. From users and choosers to makers and shapers: repositioning participation in social policy. IDS Bulletin 31: 50–62.
  2. Cleary SM Molyneux S Gilson L. 2013. Resources, attitudes and culture: an understanding of the factors that influence the functioning of accountability mechanisms in primary health care settings. BMC Health Services Research 13: 320.
  3. Mathis Larry L. The Mathis Maxims: Lessons in Leadership. Leadership Press; Houston, Texas: 2001.
  4. Heifetz RA. Leadership without easy answers. Cambridge, MA: Harvard University Press; 1994.
  5. Hoffmann, K.D. The Role of Social Accountability in Improving Health Outcomes: Overview and Analysis of Selected International NGO Experiences to Advance the Field. June 2014. Washington, DC: CORE Group.