{"id":"https://openalex.org/W3012256165","doi":null,"title":"Divergences, dissonances and disconnects : implementation of community-based accountability in India\u2019s national rural health mission","display_name":"Divergences, dissonances and disconnects : implementation of community-based accountability in India\u2019s national rural health mission","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3012256165","mag":"3012256165"},"language":"en","primary_location":{"id":"pmh:oai:DiVA.org:umu-167590","doi":null,"is_oa":true,"landing_page_url":"http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167590","pdf_url":null,"source":{"id":"https://openalex.org/S4306400361","display_name":"DiVA at Ume\u00e5 University (Ume\u00e5 University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I90267481","host_organization_name":"Ume\u00e5 University","host_organization_lineage":["https://openalex.org/I90267481"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167590","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090060821","display_name":"Rakhal Gaitonde","orcid":"https://orcid.org/0000-0003-4046-8380","observed_orcids":["https://orcid.org/0000-0003-4046-8380"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Rakhal Gaitonde","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-4046-8380","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5090060821"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.7583000063896179,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.7583000063896179,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.13099999725818634,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.03420000150799751,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/national-rural-health-mission","display_name":"National Rural Health Mission","score":0.9459999799728394},{"id":"https://openalex.org/keywords/national-health-mission","display_name":"National Health Mission","score":0.8379999995231628},{"id":"https://openalex.org/keywords/policy-implementation","display_name":"policy implementation","score":0.5509999990463257},{"id":"https://openalex.org/keywords/health-system-governance","display_name":"health system governance","score":0.7429999709129333},{"id":"https://openalex.org/keywords/communitization","display_name":"communitization","score":0.8240000009536743},{"id":"https://openalex.org/keywords/health-systems-strengthening","display_name":"health system strengthening","score":0.7599999904632568},{"id":"https://openalex.org/keywords/policy-divergence","display_name":"policy divergence","score":0.5090000033378601},{"id":"https://openalex.org/keywords/collective-sensemaking","display_name":"collective sensemaking","score":0.8399999737739563},{"id":"https://openalex.org/keywords/institutional-conflict","display_name":"institutional conflict","score":0.4779999852180481},{"id":"https://openalex.org/keywords/tamil-nadu","display_name":"Tamil Nadu","score":0.6899999976158142},{"id":"https://openalex.org/keywords/india","display_name":"India","score":0.43799999356269836}],"concepts":[{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.8606856465339661},{"id":"https://openalex.org/C192209626","wikidata":"https://www.wikidata.org/wiki/Q190909","display_name":"Focus (optics)","level":2,"score":0.5045598745346069},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.48600777983665466},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.47918760776519775},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.44598498940467834},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.34144800901412964},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.331127792596817},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.19907572865486145},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.17232930660247803},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.13221824169158936},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:DiVA.org:umu-167590","doi":null,"is_oa":true,"landing_page_url":"http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167590","pdf_url":null,"source":{"id":"https://openalex.org/S4306400361","display_name":"DiVA at Ume\u00e5 University (Ume\u00e5 University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I90267481","host_organization_name":"Ume\u00e5 University","host_organization_lineage":["https://openalex.org/I90267481"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},{"id":"mag:3012256165","doi":null,"is_oa":false,"landing_page_url":"https://www.diva-portal.org/smash/record.jsf?pid=diva2:1390255","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:DiVA.org:umu-167590","doi":null,"is_oa":true,"landing_page_url":"http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167590","pdf_url":null,"source":{"id":"https://openalex.org/S4306400361","display_name":"DiVA at Ume\u00e5 University (Ume\u00e5 University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I90267481","host_organization_name":"Ume\u00e5 University","host_organization_lineage":["https://openalex.org/I90267481"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","score":0.8046000003814697,"display_name":"Peace, justice, and strong institutions"},{"id":"https://metadata.un.org/sdg/10","score":0.7307999730110168,"display_name":"Reduced inequalities"},{"id":"https://metadata.un.org/sdg/3","score":0.4043000042438507,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":45,"referenced_works":["https://openalex.org/W4371184","https://openalex.org/W127302367","https://openalex.org/W579523688","https://openalex.org/W1524291326","https://openalex.org/W1527311855","https://openalex.org/W1529144820","https://openalex.org/W1540808441","https://openalex.org/W1605824561","https://openalex.org/W1735617816","https://openalex.org/W1869181570","https://openalex.org/W1964024110","https://openalex.org/W1977912056","https://openalex.org/W1978411729","https://openalex.org/W1979290264","https://openalex.org/W1988171708","https://openalex.org/W2004016117","https://openalex.org/W2008055354","https://openalex.org/W2008251417","https://openalex.org/W2016546390","https://openalex.org/W2021803718","https://openalex.org/W2031728131","https://openalex.org/W2036219106","https://openalex.org/W2036372355","https://openalex.org/W2041215718","https://openalex.org/W2043156186","https://openalex.org/W2052585246","https://openalex.org/W2054041284","https://openalex.org/W2067516463","https://openalex.org/W2067620163","https://openalex.org/W2085053208","https://openalex.org/W2099362014","https://openalex.org/W2100030359","https://openalex.org/W2101419153","https://openalex.org/W2143333618","https://openalex.org/W2147945592","https://openalex.org/W2157863915","https://openalex.org/W2162322205","https://openalex.org/W2165227439","https://openalex.org/W2170816415","https://openalex.org/W2206758711","https://openalex.org/W2306592406","https://openalex.org/W2425746615","https://openalex.org/W2783660431","https://openalex.org/W2789102605","https://openalex.org/W2941327943"],"related_works":["https://openalex.org/W3012742999","https://openalex.org/W2724885473","https://openalex.org/W2941327943","https://openalex.org/W4412101512","https://openalex.org/W2035789792","https://openalex.org/W6901999871","https://openalex.org/W6921308122","https://openalex.org/W6958142948","https://openalex.org/W6958468405","https://openalex.org/W4402478135"],"abstract_inverted_index":{"Accountability":[0],"of":[1,51,60,64,88,93,98,110,121,167,176,212,216,231,297,313,321,344,349,356,362],"health":[2,21,41,90,112,183],"systems":[3,35,42,53,113],"to":[4,27,33,39,82,106,156,191,200,236,245,279,294,366,390,394],"the":[5,49,58,61,68,76,89,94,99,108,111,115,145,158,165,174,181,194,202,213,224,227,232,242,256,271,280,289,295,301,305,311,316,328,332,347,357,360,384],"individuals":[6],"and":[7,136,170,173,198,275,285,351,364],"communities":[8,38,116],"they":[9,117],"serve":[10],"is":[11,330,371],"increasingly":[12],"recognized":[13],"as":[14],"a":[15,28,123,209,341],"key":[16,96,257],"aspect":[17],"in":[18,80,133,149,180,185,196,219,260,282,304,334,338,353],"efforts":[19,32],"at":[20,346,383],"system":[22,184],"strengthening.":[23],"This":[24,103,152],"has":[25,54],"led":[26],"greater":[29],"focus":[30],"on":[31,164,223,253,300],"evolve":[34],"that":[36,162,268,318,331,373],"enable":[37,319],"hold":[40],"accountable.":[43],"In":[44,234,359],"parallel":[45],"with":[46,378],"this":[47,122],"change,":[48],"governance":[50,171],"public":[52,182],"been":[55],"transformed":[56],"under":[57],"influence":[59],"neo-liberal":[62],"paradigm":[63],"governance.":[65],"India":[66],"introduced":[67,377],"flagship":[69],"National":[70,77],"Rural":[71],"Health":[72,78,129],"Mission":[73],"(presently":[74],"termed":[75],"Mission)":[79],"2005,":[81],"bring":[83],"about":[84],"an":[85],"architectural":[86],"correction":[87],"system.":[91],"One":[92],"five":[95],"components":[97],"mission":[100],"was":[101,131],"\u2018Communitization\u2019.":[102],"component":[104],"aimed":[105],"increase":[107],"ownership":[109],"by":[114],"serve.":[118],"As":[119],"part":[120],"programme":[124],"called":[125],"Community":[126],"Action":[127],"for":[128,204],"(CAH)":[130],"piloted":[132],"nine":[134],"states":[135],"then":[137],"rolled":[138],"out":[139,193],"nationally.":[140],"The":[141,324],"implementation":[142,166,197,336],"diverged":[143],"from":[144,270,288,327,381],"originally":[146],"envisaged":[147],"process":[148],"different":[150,354],"states.":[151],"PhD":[153],"research":[154,329],"aims":[155],"understand":[157,201],"institutional":[159],"level":[160,230,343,348],"influences":[161],"impact":[163],"community-based":[168],"accountability":[169,254],"mechanisms":[172],"potential":[175],"integrating":[177],"such":[178],"processes":[179,225,320,365],"India.":[186],"I":[187,207,221,247],"used":[188],"qualitative":[189],"methods":[190],"map":[192],"divergences":[195,333],"sought":[199],"reasons":[203],"these.":[205],"Next,":[206],"conducted":[208],"case":[210],"study":[211],"southern":[214],"state":[215],"Tamil":[217],"Nadu,":[218],"which":[220,241,283],"focused":[222],"within":[226,315],"apex":[228],"administrative":[229,386],"state.":[233],"addition":[235],"mapping":[237],"two":[238],"dimensions":[239],"along":[240],"policy":[243,335],"seemed":[244],"diverge,":[246],"also":[248],"documented":[249],"three":[250,266],"distinct":[251],"perspectives":[252,299,352],"among":[255],"actors":[258],"involved":[259],"implementing":[261],"CAH.":[262],"Overall":[263],"there":[264],"were":[265],"constructs":[267],"emerged":[269],"research:":[272],"\u2018Divergences\u2019,":[273],"\u2018Dissonances\u2019":[274],"\u2018Disconnects\u2019.":[276],"Divergences":[277],"refer":[278],"way":[281],"policies":[284],"programmes":[286],"shift":[287],"original":[290],"conceptualization.":[291],"Dissonances":[292],"points":[293],"presence":[296],"multiple":[298],"same":[302,306],"concept":[303],"organizational":[307],"setting.":[308],"Disconnects":[309],"represents":[310],"lack":[312],"spaces":[314,363],"organization":[317],"collective":[322,368],"sensemaking.":[323],"emergent":[325],"understanding":[326],"may":[337],"fact":[339],"reflect":[340],"deeper":[342],"conflict":[345],"belief":[350],"layers":[355],"administration.":[358],"absence":[361],"facilitate":[367],"sense-making,":[369],"it":[370],"likely":[372,389],"policies,":[374],"even":[375],"when":[376],"significant":[379],"commitment":[380],"policymakers":[382],"higher":[385],"layers,":[387],"are":[388],"require":[391],"systematic":[392],"effort":[393],"sustain.":[395]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2020-03-23T00:00:00"}
