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Table 4 Typical processes for resolving cases

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

Type of Case

Example

Medicine

- A Health Committee member reported a stock-out of cotrimoxazole syrup for children

- The Health Advocate met with the head nurse, facility director, and head of pharmacy, and was told the facility had a stock of the tablet form of cotrimoxazole and had requested supply of syrup form from the district and province

- The facility received a supply of cotrimoxazole syrup from the district

- A community member was assigned to oversee the stock at the facility

Infrastructure

- A client reported an overflowing clinical waste pit at a facility

- The Health Advocate met with the VHC and facility management to discuss the problem, and the health facility management contacted the municipality

- When there was no response, the Advocate worked with the VHC to draft and submit a petition to the municipality

- The Advocate continued to follow up with the municipality until they sent an excavator to dig a new waste pit

- The old waste pit was closed and the VHC began monitoring the facility to ensure waste was being disposed in the new pit

Performance

- A client reported that a provider was prioritizing family and friends over other patients awaiting treatment

- The Health Advocate and VHC met with the provider

- When the behavior continued, the Advocate and VHC met with facility management and recommended escalating the case to district management

- The Advocate and VHC drafted and submitted a formal letter to district management

- District management met with the provider

- The provider was transferred to a different post and reportedly monitored more closely in the new post