Social Accountability in Practice: Breathing and Weaving Together to Build Relationships and Transform Rural Health Services

Authors

  • Ray Markham Rural Coordination Centre of British Columbia (RCCbc)
  • Scott Graham First Nations Health Authority (FNHA)
  • Megan Hunt First Nations Health Authority (FNHA)
  • Georgia Betkus University of Northern British Columbia (UNBC) / Rural Coordination Centre of BC (RCCbc)
  • Bob Woollard University of British Columbia
  • David Snadden University of British Columbia, Northern Medical Program
  • Daniel Harper RCCbc
  • Kim Williams Rural Coordination Centre of British Columbia (RCCbc)

Keywords:

Partnership, Partnership Pentagram Plus, Health system transformation, First Nations

Abstract

Rural and First Nations populations bring valuable lived experiences and perspectives to health reform efforts that serve as a powerful form of specialized insight and grassroots knowledge. To address the issue of inadequate and inconsistent inclusion of these populations in health reform planning and decision-making processes in British Columbia, Canada, the Rural Coordination Centre of BC (RCCbc) has adopted Boelen’s (World Health Organization 2000) Partnership Pentagram model for socially accountable health systems. This article illustrates Markham and colleagues’ (2021)innovative adaptation of the model—the Partnership Pentagram Plus (PP+)—in practice, through the design and delivery of a provincial-level dialogue and deliberation gathering that centered rural and First Nations voices for health system change. In doing so, it highlights four key features: Co-creation, Honouring Indigenous Ways of Knowing and Being, Appreciative Inquiry, and ‘Breathing and Weaving’. It also reports on the key outcomes of the meeting: relationship formation and long-term commitments to change.

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Published

2022-08-10

How to Cite

Markham, R., Graham, S., Hunt, M., Betkus, G., Woollard, B., Snadden, D., Harper, D., & Williams, K. (2022). Social Accountability in Practice: Breathing and Weaving Together to Build Relationships and Transform Rural Health Services. Social Innovations Journal, 14(4). Retrieved from https://socialinnovationsjournal.com/index.php/sij/article/view/2151