Community and Health Provider-driven Social Accountability Intervention (CaPSAI)
The aim of the CaPSAI project is 2-fold:
- Describe and examine how social accountability processes are implemented and operationalized with a focus on understanding behaviours, decision-making processes, and the barriers and facilitators of change, with a view to generalizability;
- Develop more responsive quantitative measures for social accountability and show the relationship between social accountability and uptake of contraceptives and use and other family planning behaviours.
The continuing burden of unmet need for family planning and contraceptives (FP/C) services and information remains a challenge. Often, contraceptive services and supplies remain inaccessible for many women and girls, and men and boys because they are simply not available and they are not affordable. For women and girls who do have access to FP/C services, they can face informal fees, disrespectful staff, few methods offered, and may lack knowledge and information about contraception. The research project builds on and contributes to a growing, but limited work that aims to better understand how social accountability and participatory processes in the context of FP/C programmes/services contributes to the greater achievement of sexual and reproductive health and improves quality of care and contraceptive uptake in FP/C services.
- Sessions on health, rights and civic education were conducted in communities.
- Accountability issues were prioritised with community members and health providers.
- Interface meetings were held with community members and service providers alongside the development of action plans.
- Continuous follow-up of issues in the action plans.
- Cost of family planning services has been standardised to wave out illicit charges by the health providers from the clients.
- Health goods have been regulated by the Department of Health.
- Community members are more enlightened to hold healthcare duty bearers accountable.
- Dissatisfied client or patient can channel grievances to health authorities authorities.
- Community Steering Committees have been instituted to liaise between communities and health facilities to ensure effective flow of information (e.g. on healthcare rights).