| 1. Collective sense-making |
The staff can now enter their own data on the DHMIS in the facility. So, as I sit here in my office now, if I turn on my laptop and at a click of a button, I know what is happening over there (facility) and monitor them so far as they key in into the DHMIS (District Director, Ghana). |
| 2. Cognitive participation |
They should put regulations on how it will be used. And tell people its use. And maybe they should give us people who trained in that area to come and educate us and the nurses. So that we know how to keep it well and safe (Community member, Uganda). |
| 3. Collective action |
LCIII is the leader. Imagine, if you bring it and you don’t involve LCIII, what will happen, who will go talking about the project? He will advocate for its repair and maybe find someone who can repair it (Mother, Uganda).
I make sure that I pass at the health facility every evening on my way home from the nearby town center. What I want to make sure is whether the health facility has been lighted up. Every member is concerned, and we all guard the facility (Local leader, Uganda).
in a way client’s privacy too has also been compromised because of the impact of the community members charging their phones in the facility […] Some clients want their privacy but because of the charging, other community members may see them coming for care, especially family planning services, which are private… (District Director, Ghana).
That would need a project committee to take care of it, and that would help to sustain it. There needs to be a sub-committee in the HFMC, including health workers and sub-county members, to ensure project maintenance (HFMC chairman, Uganda).
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| 4. Reflexive monitoring |
[…]. Even this PC I have in front of me is part of the things they gave us for expert training … it is internet based so that we can monitor while sitting here in the office what is happening over there in the health facilities in terms of electricity reliability (Clinical Engineer, Ghana).
We have been monitoring to ensure that everything is working well. I have even noticed that one of the bulbs was showing a sign that it had developed a problem and so we called the contractor and told him. […] he said it is not a major problem and so they will be coming into the community in two months to check that (Committee member, Ghana).
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