Table 3 Intervention activities in each study country
Step | Ghana | Tanzania |
|---|---|---|
1. Introduction of the intervention to the community | • Consultative meetings with key regional and district health stakeholders to secure buy-in • Consulted the District Social Welfare Department to ensure inclusion • Consultative meetings with facility and community stakeholders, e.g., Chiefs, Assemblymen • Identified and met with local partners, including local non-governmental organizations, community-based organizations, or self-help groups, to get buy-in | • Introduction meeting with local leaders (Ward Development committee (WADC) members, influential/religious leaders, Health Facility Governing Committee (HFGCs) and village leaders, and health facility meetings |
2. Mobilization of participants for the intervention | • Facilitators and community partners with implementation staff convened (announcement, key speakers, prepare slides, etc.), held eight community meetings (including health providers) across the three districts to introduce the project, its approach, and arranged for rights and civic education activities • Selected five members for a Project Advisory Committee (PAC) at the district (facility/community) level for each district • Facilitators and community partners mobilized the community for the next step | • Meeting with women's groups, youth's groups, people with disabilities, pastoralist communities, community-based organizations, etc • Community meetings—recruitment of Social Accountability Monitoring (SAM) Team members (maximum of 20 SAM team members based on the criteria developed) • Health facility meetings – participant recruitment • Peer-to-peer mobilization of local organizations, women's groups • Distribution of fliers and other promotional materials to target groups |
3. Health, rights, and civic education with community participants | • Facilitators and community partners convened the meeting, and family planning expert and GII staff conducted eight trainings across the three districts on the family planning standards, good governance and accountability in Ghana (Clients and service providers). Lasted four to six hours and was conducted on the same day as community card scoring | • A 3-day training for the participants (SAM cycle, health rights and civic education) • Field verification – health facilities/Community visit |
4. Prioritization meeting with community | • Facilitators and community partners held prioritization workshop per district on family planning standards, good governance for service users and discussed existing services as against right-based standards • Separated participants into smaller groups (e.g. young women, men etc.) to identify issues • Collectively consolidated indicators for prioritized issues • Collectively ranked issues and agreed on the score • Talked about the next steps, including nominating people to speak at interface meeting | • Group discussions in each ward/health facility attended by SAM Team and community members to prioritize issues • Compilation and merging of priorities from discussion into one document (by the representative from each group) • Feedback on consolidated priorities to the bigger group (Health facility/ward) |
5. Prioritization meeting with duty bearers | • Implementation staff, a family planning expert, and facilitators held dialogue meetings in all districts on standards, good governance with service providers to discuss existing services as against rights-based standards • Identified issues (e.g., in a group or individual basis or some combination) • Agreed on indicators for prioritized issues • Ranked the issues and agreed on the scores • Talked about the next steps, including arrangements for pre-interface meeting | • Training of the health workers on family planning standards and Rights • Group meeting with health facility and facilitators to assess the provision of FP services at the health facilities • Discussion and scoring of the priorities/issues • Compilation and merging priorities to be shared in the interface meetings |
6. Interface meeting and joint action planning | • Coordinated the eight interface meetings with providers and users and other relevant officials shortly after the prioritization meeting facilitated by implementation team staff, facilitators, and community partners • Groups developed joint action plans for the next three months and six months • Agreed that community members will monitor implementation | • Presentation of the priority lists from the two groups • Discussion and scoring of the combined list • Development of an action plan (jointly) •Share Action Plan with community participants, Service Providers, local government authorities (LGA) leaders, and Executives • Interface meetings conducted in each district |
7. First follow-up meeting with community and duty bearers at three months | • Convened follow-up interface meeting with service providers and users to assess changes in the scores and follow up progress on the action plan and make any changes • Regular monthly phone calls conducted with community monitors • A tool for capturing data to track changes occurring in behaviour at facility with service providers and service users was developed and used by community monitors | • Monitor the progress of the agreed Action Point monthly • SAM Task force team conducting community feedback meeting on the progress • Share the progress of the Action Plan with the LGA executives |
8. Second follow-up meeting with community duty bearers at six months | • Convened follow-up interface meeting with service providers and users to assess changes in the scores and follow up progress on the action plan and make any changes • Continued monitoring using tool by community monitors and follow-ups with duty bearers at district level | • Monitor the progress of the agreed Action Point monthly • SAM Task force team conducting community feedback meeting on the progress • Share the progress of the Action Plan with the LGA executives |