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Table 3 Description of Namati cases studied

From: ‘We all have the same right to have health services’: a case study of Namati’s legal empowerment program in Mozambique

Cate-gory

Case No.

Case Descriptions

Medicine

1

Stock out of a TB drug

2

Stock out of cotrimoxazole syrup (antibiotic used chiefly as prophylactic treatment for opportunistic infections among HIV+ children)

3

Stock out of a malaria drug

4

Stock out of injectable antibiotics

5

Stock out of a TB drug (expired drugs on site)

6

Stock out of cotrimoxazole

Infrastructure

7

Lack of appropriate space for TB services

8

Overflowing clinical waste pit at health facility (staff continued to dispose waste there even though full; terrible smell)

9

Lack of warehouse for drugs

10

Facility doors do not have locks, windows do not have screens, broken glass; threat of theft of medicines & lack of security in maternity ward

11

Toilet broken in men’s ward

Performance

12

Mobile clinic interrupted service for 4+ months w/out explanation to community

13

Pharmacist told patient seeking ART drugs to come back the next day

14

Government-employed HIV activist breached confidentiality by disclosing the health status of ART patients to others when drunk

15

Clinician only observed & gave paracetamol, would not administer malaria test to a sick child

16

Pharmacist seemingly discriminated against certain patients, not giving them medications; underlying issue was stock out of required drugs.

17

Clinician told patient seeking wound dressing that facility was too busy & that she should come back at noon

18

Client not recommended for rapid flow ART even though eligible

19

Clinician requested bribes for labor and delivery services

20

Clinician made ART patients wait while allowing other patients (family/friends) to skip the queue

21

Untrained service agent in maternity attending births b/c nurse on duty did not know how

22

Patients on hospital beds w/out sheets b/c technician was tired of changing sheets

23

Mother left alone on a bed w/ no sheets after delivering in the middle of the night

24

Clinician left a laboring woman alone in the maternity ward; she delivered w/only her mother-in-law & a service agent (not a qualified provider) present, & w/out proper hygiene (gloves)