Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa

Autor: K Govender, N Rambau, P Barron, B Setshogelo, K Vallabhjee, M Nyathi, H Schneider, S Xaba, N Mpofu, A Yawa
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: South African Medical Journal, Vol 114, Iss 6 (2024)
Druh dokumentu: article
ISSN: 0256-9574
2078-5135
DOI: 10.7196/SAMJ.2024.v114i6.2043
Popis: Community-led monitoring (CLM) of health services is a mechanism of community participation and accountability that is increasingly advocated across the globe. In South Africa (SA), a large-scale community-led monitoring initiative called Ritshidze (‘saving our lives’) was established in 2019. Steered by a coalition of civil society organisations representing people living with HIV, Ritshidze monitors just over 400 primary healthcare (PHC) facilities in 8 provinces on a quarterly basis. In this piece we describe the purposes and design features and the five-step approach to CLM of the Ritshidze model. We also highlight some of the positive changes achieved, and reflect on possible reasons for successes. In doing so, we aim to draw attention to this significant national initiative and its potential as a mechanism of social accountability in SA.
Databáze: Directory of Open Access Journals