The observation survey assesses the functionality of the clinic based on number of people waiting, size, space, condition & cleanliness, & whether required procedures & information is visibly on display.
Patient Survey
The patient survey assesses waiting times, staffing, staff attitudes, stockouts, TB infection control. For PLHIV we assess ARV refill length, service quality, privacy & confidentiality, & viral load understanding.
Facility Manager Survey (Long)
The Facility Manager survey assesses facility manager perspectives about staffing, infrastructure & space, HIV linkage & retention, TB services, & programmes that target key populations, youth & men.
Ritshidze Activist Guide 2020
The Ritshidze Activist Guide provides step-by-step instructions on how to conduct community-led clinic monitoring in South Africa.
Facility Manager Survey (Short)
The short Facility Manager survey includes a subset of questions taken in alternating quarters with the long survey. They assess areas that change regularly e.g. staffing, filing, HIV service quality.
Medicines Survey
The medicines survey assesses the frequency and type of stockouts and/or shortages of medicines, vaccines, and dry stock at the clinic.
Adherence Club Facilitator Survey
The adherence club facilitator survey assesses clubs to understand if they are functional: including # of clubs, ratio of facilitators & nurses to PLHIV decanted, & topics covered.
Adherence Club Member Survey
The adherence club member survey assesses the functionality of clubs. Do the clubs make it quicker to collect ARVs? Do members get peer support? Do they give treatment literacy information?
Reflection Form
The reflection form begins the process of data analysis. It is completed immediately after monitoring. It helps us get a sense of the most important things that happened during monitoring.

Ritshidze Project to monitor HIV services in 400 clinics across SA
The theme of this year’s World AIDS Day is “Communities make the difference”, an idea that underpins a new model of community-led clinic monitoring in South Africa — “Ritshidze” has been developed by people living with HIV and activists to hold both the South African government and international donors accountable to improve overall HIV and TB service delivery.