Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.

<h4>Background</h4>Downward accountability, defined as being answerable to beneficiaries for actions and giving affected populations influence in aid processes, remains unstandardized and underinvested across the humanitarian sector. Currently, numerous accountability mechanisms are bein...

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Main Authors: Elizabeth Noble, Dina Moinul, Oumou Khairy Djim Sylla, Sophia Friedmann, Kristen Amick, Nehal Rowhani, Rashi Dua, Nowshin Mannan, Cathleen Seaman, Omobolanle Ayo, Shubhra Pant, Oluwatimilehin Osoko, Srija Gogineni, Carly Malburg, Chris Dickey, Emmanuel Peprah
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0324098
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author Elizabeth Noble
Dina Moinul
Oumou Khairy Djim Sylla
Sophia Friedmann
Kristen Amick
Nehal Rowhani
Rashi Dua
Nowshin Mannan
Cathleen Seaman
Omobolanle Ayo
Shubhra Pant
Oluwatimilehin Osoko
Srija Gogineni
Carly Malburg
Chris Dickey
Emmanuel Peprah
author_facet Elizabeth Noble
Dina Moinul
Oumou Khairy Djim Sylla
Sophia Friedmann
Kristen Amick
Nehal Rowhani
Rashi Dua
Nowshin Mannan
Cathleen Seaman
Omobolanle Ayo
Shubhra Pant
Oluwatimilehin Osoko
Srija Gogineni
Carly Malburg
Chris Dickey
Emmanuel Peprah
author_sort Elizabeth Noble
collection DOAJ
description <h4>Background</h4>Downward accountability, defined as being answerable to beneficiaries for actions and giving affected populations influence in aid processes, remains unstandardized and underinvested across the humanitarian sector. Currently, numerous accountability mechanisms are being utilized by humanitarian non-governmental organizations (NGOs) in low- and middle-income countries (LMICs). However, the different mechanisms have varying degrees of effectiveness in providing true accountability to affected populations due to significant barriers or strengths in implementation.<h4>Objective</h4>To conduct a qualitative systematic review investigating the various downward accountability mechanisms employed by non-governmental organizations in LMICs, and to assess the effectiveness of these mechanisms in delivering downward accountability for populations in low-resource settings.<h4>Results</h4>We searched 10 databases, including PubMed, Medline, Embase, Ovid, Web of Science, Global Health, EBSCO SocINDEX, ABI/INFORM, ALNAP, and Sociological Abstracts from 2008-2023. Grey literature was searched on Google Scholar. To capture any additional articles, the search was updated in November 2024. Our search produced 1521 articles. After applying our exclusion criteria and screening, 38 articles comprised our final dataset. Each article reported on the effectiveness of five downward accountability mechanisms, including participation, ownership, transparency, program auditing, and social auditing. Associated barriers to accountability included implementation, power asymmetry, and fragmentation within the humanitarian sector.<h4>Conclusions</h4>There are significant gaps in research on the effectiveness of downward accountability mechanisms amongst humanitarian NGOs in LMICs. This research deficit adversely affects the sustainability of local development initiatives and, on a broader scale, undermines overall organizational effectiveness. Implementing balanced accountability mechanisms that promote equality in power dynamics is pivotal to achieving meaningful outcomes for affected populations.
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spelling doaj-art-c216473cfee9443389ac84ec2b0a97c02025-08-20T02:23:15ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01205e032409810.1371/journal.pone.0324098Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.Elizabeth NobleDina MoinulOumou Khairy Djim SyllaSophia FriedmannKristen AmickNehal RowhaniRashi DuaNowshin MannanCathleen SeamanOmobolanle AyoShubhra PantOluwatimilehin OsokoSrija GogineniCarly MalburgChris DickeyEmmanuel Peprah<h4>Background</h4>Downward accountability, defined as being answerable to beneficiaries for actions and giving affected populations influence in aid processes, remains unstandardized and underinvested across the humanitarian sector. Currently, numerous accountability mechanisms are being utilized by humanitarian non-governmental organizations (NGOs) in low- and middle-income countries (LMICs). However, the different mechanisms have varying degrees of effectiveness in providing true accountability to affected populations due to significant barriers or strengths in implementation.<h4>Objective</h4>To conduct a qualitative systematic review investigating the various downward accountability mechanisms employed by non-governmental organizations in LMICs, and to assess the effectiveness of these mechanisms in delivering downward accountability for populations in low-resource settings.<h4>Results</h4>We searched 10 databases, including PubMed, Medline, Embase, Ovid, Web of Science, Global Health, EBSCO SocINDEX, ABI/INFORM, ALNAP, and Sociological Abstracts from 2008-2023. Grey literature was searched on Google Scholar. To capture any additional articles, the search was updated in November 2024. Our search produced 1521 articles. After applying our exclusion criteria and screening, 38 articles comprised our final dataset. Each article reported on the effectiveness of five downward accountability mechanisms, including participation, ownership, transparency, program auditing, and social auditing. Associated barriers to accountability included implementation, power asymmetry, and fragmentation within the humanitarian sector.<h4>Conclusions</h4>There are significant gaps in research on the effectiveness of downward accountability mechanisms amongst humanitarian NGOs in LMICs. This research deficit adversely affects the sustainability of local development initiatives and, on a broader scale, undermines overall organizational effectiveness. Implementing balanced accountability mechanisms that promote equality in power dynamics is pivotal to achieving meaningful outcomes for affected populations.https://doi.org/10.1371/journal.pone.0324098
spellingShingle Elizabeth Noble
Dina Moinul
Oumou Khairy Djim Sylla
Sophia Friedmann
Kristen Amick
Nehal Rowhani
Rashi Dua
Nowshin Mannan
Cathleen Seaman
Omobolanle Ayo
Shubhra Pant
Oluwatimilehin Osoko
Srija Gogineni
Carly Malburg
Chris Dickey
Emmanuel Peprah
Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.
PLoS ONE
title Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.
title_full Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.
title_fullStr Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.
title_full_unstemmed Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.
title_short Downward accountability mechanism effectiveness by non-governmental organizations in low- and middle-income countries: A qualitative systematic review.
title_sort downward accountability mechanism effectiveness by non governmental organizations in low and middle income countries a qualitative systematic review
url https://doi.org/10.1371/journal.pone.0324098
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