Table 4 Social accountability elements targeted by project activities

An informed, aware and engaged citizenry

• Data collected at health facility level

• HMIS data and data from QUIC assessments packaged into dashboards, colour-coded scorecards and fact sheets in local languages to be shared with citizens at community bwalos

• Radio Listening Clubs

• Broadcast of RMNCAH content 3 times per week on YFM

• Training of the community by Cultural Theatre Troupe

• Edutainment theatre performances

• ToRs developed by national CSO task force for engaging citizens

A platform/platforms in which aware citizens can engage in meaningful, multi-directional communication with decision-makers and service-providers

• Community bwalos linking citizens to health facilities

• District bwalos linking citizens to district-level officials

• Radio Listening Clubs contributing to programming for YFM (although unclear whether relevant decision-makers listened to these programmes)

An environment in which decision-makers, having heard the concerns of citizens, respond to them, and are compelled to and have the capacity to take action

• Councillors and DHMTs trained on health budget analysis and tracking

• Dashboards, scorecards and health budget analysis assisted district teams to determine their performance on key RMNCAH indicators

• Monthly, quarterly and annual advocacy meetings held with parliamentary health committee, cabinet ministers and other key players

• Community and district bwalos provided decision-makers with an opportunity to engage with citizens and service providers, and to hear and respond to their concerns

• CSO Task Force mapped social accountability activities and provided a framework for coordinating efforts at the district and national levels