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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