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Table 2 Local contextual factors analysis conceptual model

From: Understanding the local context and its possible influences on shaping, implementing and running social accountability initiatives for maternal health services in rural Democratic Republic of the Congo: a contextual factor analysis

Enabling elements Socio-cultural characteristics Legal and regulatory framework and Governance context Socio-economic conditions
Association - Existence of social structures supportive of community participation
- Existence of actors involved in maternal health issues in local settings
- Existence of community network, organizations or groups
- Existing local experience of participation or of citizen engagement
- Women’s status /Gender barriers
- Level of women participation in communities’ activities
- Existing political system
- Existing of national/local political context supportive of community participation
- Freedom of association
- Existing recognition and accreditation policies and practices related to the freedom of association, of information, of convening meetings
- Socio-economic characteristics of population
- Impact of local economy on members’ contribution, on association autonomy and advocacy
- Impact on contribution by members and cost of convening meetings
- Cost of legal registrations and accreditation
Resources - Social mobilization capacity within the community
- Co-memberships
- Existence of a history of community mobilization or social/citizen engagement
- History of interactions between associations/groups
- Decision making process within groups
- The individual capacity to collective action (social mobilization)
- Decentralization
- Availability of basic services such as water supply, electricity/Infrastructures
- Main occupations of the population/Earning potential of the population/ Size of and stresses in the economy unemployment
Voice - Existing media/Access to media/ Communication practices in local settings (use of media by different social groups) - Level of political control of means of expression/media
- Freedom of expression
- Media related laws
- Cost associated with expressing views in media
Information - Access to Information
- Information network
- Literacy
- Freedom of information
- Rights to access public information/Ability to demystify information
- Cost for access to information
Negotiation - Existing social values and hierarchies
- Distribution of ethnicity and tribes
- Existence of excluded or marginalized population/social inclusion
- Existing social structures in place that enable women to actively participate
- Social capital/social pressures capacity/capacity of actors or groups to negotiate change
- Level of women’s participation in decision making
- Existence of legally established dialogue spaces such as referendum or forum in local level/Existence of health committee
- Level of trust officials have in the demand or the organization mobilizing citizen action
- Local government authorities’ capacities to engage
- Bargaining power
- Impact of economic constraints in autonomy and advocacy