Table 3.
Roles and influence of different stakeholders
| Stakeholders | Role | Level of Influence | |
|---|---|---|---|
| Heshima Project Members | Population Council (The Council) | Led the consortium, designed the research, coordinated intervention. Long-term presence in Kenya (since 1960s). Respected by MOH (both as an institution - evidence for policy and individual staff). Engaged MOH prior to and during proposal development. Institutional knowledge existing maternal health research /evidence; Member of national technical working groups, support national policy, strategy and guidelines development. Rights-based approach to reproductive health services. | High |
| Federation of Women’s Lawyers - FIDA | Promotes women’s rights through advocacy | Medium | |
| Build on work on meditation for inheritance, land disputes and documenting abuses to women. | |||
| Contributed to policy and community component | |||
| National Nurses Association of Kenya- Midwifery Chapter | Empower health providers to provide quality care | Medium | |
| Support health facility interventions: training in values clarification and attitude transformation, quality improvement teams, supervision with MOH | |||
| Steering Committee | Kenya Obstetric/ Gynecological Society. University of Nairobi: Depts: Nursing, ObGyn. School of Public Health; WHO, UNICEF, MOH-Dept. of Nursing, Division of Reproductive Health, Nursing Council of Kenya | Policy level mechanism to provide feedback on study design and implementation process | Medium (as a group) |
| Review /develop study instruments and design and monitoring of intervention | |||
| MOH/public sector | MOH headquarters | Director of Public Health launched/supported project. Director of Medical Services committed throughout. | Medium |
| Nursing Council of Kenya | Semi-autonomous institution - legislative responsibility for Nursing/ midwifery training curriculum and examining board. Introduced revised regulatory standards, scope of practice and ethical code in 2013 | High | |
| Dept. of Nursing | Technical support /design of intervention/supervision | Medium | |
| Division of Reproductive Health | Technical support and policy guidance: participated in IR process, design and monitoring of intervention | High | |
| Department of Human Resources | Project results used to support health sector reforms to address drivers of mistreatment including provider accountability | Low | |
| County health management teams | Oversee policy implementation provide direction for implementation and monitoring result utilization. | Medium | |
| Facility/maternity unit managers | Oversee policy implementation and provide supportive environment for frontline providers and community | Medium –High | |
| Service providers: nurses doctors, midwives | Beneficiaries of training/Implement interventions | High | |
| Parliamentarians | Advocacy | Low | |
| Media | Advocacy | Medium | |
| International NGOs | Reproductive health/ MNH partners: Jhpiego, IPAS, FCI, FHI360 | Contributed to development of RMC resource package (training guide for facilitators, participants and communities) and advocacy. | Medium |
| Community | Community health extension workers | Linkage between facility and community. Oversee and train CHVs facilitate alternative dispute resolution | Medium |
| Community health volunteers/Legal aid officers | Sensitize communities on universal rights, obligations for childbearing women and other rights issues. | Medium | |
| Sensitize how to demand for health rights and report incidents of mistreatment and help coordinate alternative resolution meetings | |||
| Community members | Perceptions of disrespect and abuse, awareness of rights at baseline and endline beneficiaries | Low | |
| Women | Perceptions of men extent of male involvement and how to support women | ||
| Men | |||
| Mothers who have delivered in facilities | Perceptions and experiences at baseline and endline | Low | |
| Private sector/ Faith based Institutions | Civil society organizations CSOs: | Participate in policy discussions and dissemination | Low |
| Private /faith based providers | Implementers of intervention | ||
| Reproductive Health Rights Alliance | Steering committee member | Low | |
| Development partners | USAID /Washington and Kenya | Funded Heshima through TRAction Project (USAID/W) steering committee member (USAID Kenya) | Medium |
| UNICEF - Kenya | Steering committee member | Low | |
| WHO –Kenya | Steering committee member | Low | |