In this article published in the International Journal for Equity in Health (Volume 19, Article number 111, 2020), Gita Sen examines the role of power dynamics in shaping accountability strategies for sexual and reproductive health and rights (SRHR). The text discusses how SRHR intersects with structural power relations, exploring the practical implementation of performance, legal, and social accountability approaches.

Through global case studies, the publication maps a spectrum of accountability outcomes, ranging from the reinforcement of the status quo to open contestation. The article outlines an analytical framework based on four questions: identifying the sources of power being challenged, examining how power is embedded within a strategy’s design, analysing behavioural incentives, and evaluating ultimate outcomes. The text discusses how this framework can be used to navigate dominant structures and support marginalised groups in claiming their rights.