Citizen participation in the health sector in rural Bangladesh: Perceptions and reality
Citizen participation in the health sector in rural Bangladesh: Perceptions and reality
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DOI：
10.1111/j.1759-5436.2004.tb00116.x
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发表时间：
2004-04-01
影响因子：
0.7
通讯作者：
Mahmud, S
中科院分区：
文献类型：
--
作者：
Mahmud, S
公民参与机构和政策过程，通过赋予公民和国家义务，赋予公民的意义以形式和内容，并有助于将国家与公民之间的抽象关系扎根于人们的意识之中。参与不仅满足了对公民“声音”的关注，也满足了对公民代理的关注。本文探讨了人们对参与孟加拉国公共卫生保健服务系统内新开放空间的看法和现实。实证结果表明，社区团体作为参与空间和提供发展参与能力手段的有效性和能力是有限的，受到贫困、社会不平等和依赖关系、隐形、低自尊和缺乏政治影响力的限制。这些群体也未能培养社区意识，因为人们对能力和责任方面的贫富差异的看法仍然很强烈。
Citizen engagement with institutions and policy processes gives shape and content to the meaning of citizenship by placing obligation on both citizens and state, and helps to ground the abstract relationship between state and citizen within the consciousness of people. Participation meets the concern not only for citizen 'voice' but also for citizen agency. This article explores people's perceptions and reality about participation in newly opened spaces within the Bangladesh public health care delivery system. The empirical findings suggest that the effectiveness and ability of community groups to function as spaces for participation and provide the means for developing capabilities to participate is limited, being constrained by poverty social inequality and dependency relationships, invisibility, low self-esteem and absence of political clout. Neither have these groups been able to foster a sense of community, since perceptions of rich-poor differences in capabilities and responsibility remain strong.