Daniel Amoun Louis

Ashoka Fellow
Fellow Since 2016


This profile was prepared when Daniel Amoun Louis was elected to the Ashoka Fellowship in 2016.
The New Idea
The idea behind "The Community Monitor for Health Service Quality" is to promote active citizenship and social accountability through continuous community monitoring of health service provision in Egypt. The idea is unique and distinctive in the way it promotes community monitoring of services in general and the healthcare service in specific, in addition to the heavy emphasis that it places on social accountability, citizen engagement, community organization/ co operatives, and youth empowerment within the healthcare framework. Regarding social accountability, the bias of the government being both the "evaluated" and the "evaluator" makes unbiased assessments virtually impossible, thereby hindering improvement of service quality. Daniel's project, being managed and operated by unbiased community members, tackles this issue by restoring the accountability chain to the main stakeholders of the services, namely the citizens. Furthermore, citizen engagement and community participation are the main prerequisites that ensure success of any intervention. Amplifying the input of the citizen and magnifying its impact on the service quality will stimulate more active engagement and contribution to the development process. As such, the role of the citizens should not stop at involvement in concept design but should extend to participation in implementation and its monitoring. By empowering non-expert citizens to lead the changes they want to see in their healthcare system, and by opening channels of direct communication and feedback provision, citizens become a motor in the process instead of an obstacle that needs confrontation. They become more aware of the available resources and more vigilant to poor quality and waste of resources. Moreover, the project also promotes youth empowerment. It mainly targets the youth population by attempting to enhance and promote their active participation in monitoring and guarding the civil and social rights of their societies. Trainings that involve capacity building activities will prepare the participants for local, national and international experiences and will enable them to apply their learnt values in different fields of public work.

The objectivity of the monitoring process is what enables the idea to impose a systemic and structural change upon the healthcare system in Egypt as it addresses the problems pertaining to corruption influences, government biases as well as quality of health care data and services. Moreover, enunciating a basic set of expectation and standards according to the level of quality provides a strong foundation for reestablishing trust between the patients and the hospitals.

The idea tackles the healthcare system from a new perspective. It allows the monitoring process to be community/patient based. Management of public hospitals has to be done by a set of patient based indicators and the patient's ranking for the services and quality of health care. Accordingly, this new framework empowers patients to make informed decisions about their choice of health service providers while also enforcing the preference of community assessors. Moreover, the project also aims to recruit and equip ordinary citizens with a set of basic tools to assess hospital care and service quality. (i.e. monitors or assessors do not necessarily have to be doctors or have experience in the health sector.

It must also be noted that Daniel’s idea is not associated with technology, talent or money. The important issue that Daniel is more concerned with is for the patients to focus on the quality of care, accountability and transparency. Creating a system that can be transparent, accountable and informative to patients will ultimately create a paradigm shift by allowing citizens to put pressure on the system.
The Problem
The Strategy
The Person

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