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Table 1 CSO intervention strategies

From: A strategic approach to social accountability: Bwalo forums within the reproductive maternal and child health accountability ecosystem in Malawi

Organisation

Tool

Level

Features

Purpose

PACHI

MNCH dashboards

Health facility

• Utilised existing Health Management Information System (HMIS) data

Data visualisation

• Data collected by District Implementation Teams (DITs)

• Data validated by District Health Management Teams (DHMTs)

• Data packaged into ‘dashboards’

QUIC survey assessments

Health facility

• Conducted at Basic Emergency Obstetric and Newborn Care (BEmONC) facilities

• Data collection to assess facility readiness

• Data visualisation

• Data collected by DITs

• Data validated by DHMTs

• Data packaged into QUIC ‘scorecards’

Community bwalo

Community

• Meeting based on traditional method of dialogue

Citizen feedback and dialogue (linking citizens to health facility)

• Held quarterly

• Interface between citizens and health facility

District bwalo

District

• Meeting based on traditional method of dialogue

Citizen feedback and dialogue (linking citizens to district-level representatives)

• Held per month or per quarter

• Interface between citizens and district-level officials

CSO Task Force (member)

National

(see below)

(see below)

YONECO

Radio Listening Club

Community

• 10 per district

Citizen empowerment

• Contributed programming to YONECO FM (YFM)

Theatre for Development

Community

• Community trained by Cultural Theatre Troupe

Citizen empowerment

• Edutainment through drama

YONECO Radio (YFM)

National

• RMNCAH content broadcast three times per week

Data dissemination

• Segments called ‘The Meeting Point on Health’

• Broadcasts conducted in local languages, Chichewa and Tumbuka

CSO Task Force (member)

National

(see below)

(see below)

MHEN

Health budget analysis, tracking and training

District

• Trained councillors, CSO representatives, DHMTs

• Increase budget transparency

• Inform District Implementation Plan process

Health budget analysis

National

• Desk review of 2017 health budget

Analyse for RMNCAH financial gaps

Meetings with Parliamentary Health Committee, cabinet ministers, etc.

National

• Monthly, quarterly and annual meetings

• Highlight key findings from budget analysis

• RMNCAH advocacy using project data

CSO Task Force (Chair)

National

• Developed Terms of Reference (ToRs) for engaging citizens

National-level platform for social accountability stakeholders to share experiences and lessons learned

• Six meetings held per year (one every 2 months)

• Multiple INGOs and CSOs included in proceedings

  1. Abbreviations: BEmONC Basic Emergency Obstetric and Newborn Care, CSO Civil Society Organisation, DHMT District Health Management Team, DIT District Implementation Team, HMIS Health Management Information System, INGO International Non-Governmental Organisation, MHEN Malawi Health Equity Network, MNCH Maternal, Newborn and Child Health, PACHI Parent and Child Health Initiative, QUIC Quality Of Institutional Care, RMNCAH Reproductive, Maternal, Newborn, Child and Adolescent Health, ToR Terms of Reference, YFM YONECO FM, YONECO Youth Net and Counselling