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Evaluation report : Implemention science report : Promoting participatory action dialogue to build shared responsibility in addressing gender dimensions in health service delivery through participatory evaluation in Makoni District, Zimbabwe
  • Published Date:
    April 2015
  • Language:
Filetype[PDF-1.06 MB]

  • Description:
    The aim of the evaluation was to generate community based information about factors contributing to women’s access to health in Makoni district through community dialogue process and to promote government and community partnerships in addressing women’s access to health services. Not much research has been conducted in this field. The researcher wanted to provide a learning platform for local engagement around women’s health in Makoni District as well as to inform the development of prototype initiatives to address priority local issues related to women’s health in Makoni District particularly in Ward 20 and 22. In this evaluation, relevant literature and legislative frameworks were reviewed. From the literature review, it was evident that regarding the priority health concerns of women, there are prerequisites for the service delivery having essentials like drugs, non-obsolete or unavailable equipment, good conduct of health personnel coupled with positive attitudes by patrons to seek medical help. Collective local action through collective learning, as well as government citizen, partnership should be and are the driving force for a quality health service delivery system. As such, all stakeholders have a role to play including traditional, local and political leaders together with the communities at large.In order to build a vibrant health service delivery system, there is urgent need to share responsibilities among the key stakeholders. Prioritizing local issues with a cross section of government officials, health officials, community leaders and community members proved to be of great importance. The data collection instruments used, were questionnaires, interviews, case clinics, world café, dialogue walks, focus group discussions and observation. In order to achieve the objectives, questionnaires were distributed to the participants and interviews were conducted as well as the case clinics, world cafes, dialogue walks. The key results from the evaluation process included the effectiveness government-citizenship partnership, collective community action and awareness of rights, policies and frameworks in place within the health sector for the citizens at large. After analysing the data, the researcher formulated conclusions due to the positive community action and government-citizen engagement results in the Makoni wards 20 and 22. From those conclusions, some recommendations were made which promote the continued engagement and action between the governed and those who govern as well the proper implementation of already existing frameworks within the health sector under the Ministry of Health and Child Care and its partners. Report compiled by the: Women in Politics Support Unit (WiPSU) in the – Zimbabwe Gender Challenge Initiative (GCI). This project has been supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through Cooperative between the Centers for Disease Control and Prevention (CDC) and the Research Triangle Institute (RTI) under the terms of Cooperative Agreement Number: 1U2GPS003118-01 CDC-18_WiPSU Final Report.pdf
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