Social Accountability in Practice: Breathing and Weaving Together to Build Relationships and Transform Rural Health Services
Keywords:Partnership, Partnership Pentagram Plus, Health system transformation, First Nations
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.
How to Cite
Copyright (c) 2022 Ray Markham, Scott Graham, Megan Hunt, Georgia Betkus, Bob Woollard, David Snadden, Daniel Harper, Kim Williams (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Social Innovations Journal permits the Creative Commons License:
Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0)
Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
- You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
- No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material
Copyright and Publishing Rights
For the licenses indicated above, authors retain the copyright and full publishing rights without restrictions.