After we gather evidence through community-led monitoring, we then engage with facility staff to try to resolve challenges at the clinic. Where challenges cannot be addressed at a clinic level, or there is resistance from clinics to fix them, we escalate the issues to duty bearers at district, provincial or even national level. The first stage is district level.
We analyse the challenges found through monitoring clinics in the district and generate solutions for cross cutting issues across the district as a whole, or for individual sites in the district that need targeted attention. Ritshidze ground teams then engage with district health departments in order to feedback what we have learnt and potential solutions to fix the challenges. Below are links to several district reports looking at data collected between October and December 2020 that have been presented to the district health teams.
City of Johannesburg: https://ritshidze.org.za/wp-content/uploads/2021/04/COJ-District-06.02.2021.pdf