These findings are used in
joint health service-civil committees or meetings to discuss
the measures needed to enhance health service performance in
In Pakistan, for example, accountability
or vigilance committees have been set up in some districts to
ensure health service accountability on publicly defined quality
et al., 2000).
surveys of perceived quality have been used to link user charges
to health service performance as perceived by communities.
In these processes, civil society
acts as an important intermediary between individual clients
and their grievances. It can mediate, too, between the collective
and institutional frameworks that are used to raise and resolve
these issues. Given the usefulness of such community surveys,
it may be useful to carry these out regularly as periodic sentinel
site surveys on community preferences and views on quality of