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Table 1 MANIFEST stakeholders from community to district levels

From: Unlocking community capabilities for improving maternal and newborn health: participatory action research to improve birth preparedness, health facility access, and newborn care in rural Uganda

Actors involved

Description

Community

 Local council I chairperson

• Elected village leader

• Lowest level in the administrative system

 Village Health Team (VHT)

• A team of community health volunteers

 Local transporters

• Drivers and vehicle owners who can provide transportation from villages to health facilities

 Savings groups

• Support small scale savings and provide credit

 Households

• Pregnant women and their spouses

Parish

 Local council II chairperson

• Elected village leader

• Second level in the administrative system

 Super VHT

• Supervises and supports the VHTs in a parish villages (approximately 5–10 villages per parish)

Sub county (Implementation committee)

 Local council III chairperson

• Third level in the administrative system

• Political head of the sub county

• Supervisory role at sub county level

 Health assistant

• Responsible for prevention and control of diseases in the community

• Overall supervisor of VHTs

 Sub-county chief (Senior assistant secretary)

• Manages and coordinates the implementation of government policies, programmes, projects and laws at the sub county level

• Sub county level coordinator

 Community development officer (CDO)

• Responsible for facilitating and empowering communities for community development

• Supports the saving groups within a sub county

 Facility in charge of health center III

• Nurse or Clinical Officer

• Responsible for providing leadership at the health facility to ensure health services are provided according to government regulations

 Religious leader

• To provide leadership to religious group and encourage good morals

• Mobilise communities to participate in health activities

District Implementation committee

 District political leadership

• Local council V chairperson Fourth and highest level in the administrative system

• Resident District Commissioner. Representative of the president in the district

• Supervisory and oversight role

 District health team

• Comprised of nursing officers, health education specialist, facility managers, district health officers

• Responsible for overseeing health services at district level

 District administrative team

• Chief Administrative Officer, Chief Financial officer, District Community development officer and District Commercial Officer

• Supervisory and oversight role