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

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....

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Main Authors: K Govender, N Rambau, P Barron, B Setshogelo, K Vallabhjee, M Nyathi, H Schneider, S Xaba, N Mpofu, A Yawa
Format: Article
Language:English
Published: South African Medical Association 2024-05-01
Series:South African Medical Journal
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Online Access:https://samajournals.co.za/index.php/samj/article/view/2043
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author K Govender
N Rambau
P Barron
B Setshogelo
K Vallabhjee
M Nyathi
H Schneider
S Xaba
N Mpofu
A Yawa
author_facet K Govender
N Rambau
P Barron
B Setshogelo
K Vallabhjee
M Nyathi
H Schneider
S Xaba
N Mpofu
A Yawa
author_sort K Govender
collection DOAJ
description 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.
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institution Kabale University
issn 0256-9574
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language English
publishDate 2024-05-01
publisher South African Medical Association
record_format Article
series South African Medical Journal
spelling doaj-art-cd455f6743e2487aa56a2912e164d9152025-02-10T12:26:02ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-05-01114610.7196/SAMJ.2024.v114i6.2043Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South AfricaK Govender0N Rambau1P Barron2B Setshogelo3K Vallabhjee4M Nyathi5H Schneider6S Xaba7N Mpofu8A Yawa9School of Public Health, University of the Western Cape, Cape Town, South AfricaProject Co-ordinator, Ritshidze, South AfricaSchool of Public Health, University of the Witwatersrand, Johannesburg, South AfricaProject Officer, RitshidzeClinton Health Access Initiative, South AfricaProject Officer, RitshidzeSchool of Public Health, University of the Western Cape, Cape Town, South AfricaProject Officer, RitshidzePolicy, Communications and Research Manager, Treatment Action Campaign (TAC), Johannesburg South AfricaGeneral Secretary, Treatment Action Campaign (TAC), Johannesburg, South Africa 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. https://samajournals.co.za/index.php/samj/article/view/2043Community-led monitoringsocial accountabiityprimary health care
spellingShingle K Govender
N Rambau
P Barron
B Setshogelo
K Vallabhjee
M Nyathi
H Schneider
S Xaba
N Mpofu
A Yawa
Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa
South African Medical Journal
Community-led monitoring
social accountabiity
primary health care
title Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa
title_full Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa
title_fullStr Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa
title_full_unstemmed Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa
title_short Community-led monitoring and the role of Ritshidze in improving the quality of primary healthcare in South Africa
title_sort community led monitoring and the role of ritshidze in improving the quality of primary healthcare in south africa
topic Community-led monitoring
social accountabiity
primary health care
url https://samajournals.co.za/index.php/samj/article/view/2043
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