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Table 3 RMNCAH issues raised at community-level bwalos and their resolution or referral to a higher level

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

 

District

Dowa

Zomba

Nkhata Bay

Dedza

Issues identified

Poor referral system

Poor access to RMNCAH services

Poor WASH facilities

Inadequate staff

 

Inadequate or no supply of electricity

 

Harmful cultural/religious practicesa

  

Low capacity of local government

   

Chronic shortage of drugs / supplies

  

Limited space in health facilities

  

 

No. of issues identified

39

32

16

20

No. of issues resolved at community level

11

6

3

4

No. of issues resolved at district level

14

11

4

4

No. of issues referred to national level

5

5

5

5

  1. Abbreviations: RMNCAH Reproductive, Maternal, Newborn, Child and Adolescent Health, WASH Water, Sanitation and Hygiene
  2. a Issues identified as ‘harmful cultural/religious practices’ were locally specific but included topics such as child marriage and adolescent pregnancy