Ghana Integrity Initiative Project
COMMUNITY AND PROVIDER-DRIVEN SOCIAL ACCOUNTABILITY INTERVENTION – (CaPSAI)
Community and Health Provider driven Social Accountability Intervention (CaPSAI) is a study aiming at assessing how social accountability mechanism can influence contraceptive uptake and use in family program/services. The project is being implemented in two countries (Ghana and Tanzania) in partnership with the Evidence project. Ghana Integrity Initiative (intervention) and Population Council (research) are implementing the project in Ghana while Sikika(intervention) and Ifakara Health Institute (research) are implementing the project in Tanzania.
The continuing burden of unmet need for family planning and contraceptives (FP/C) services and information remains a challenge. Often, contraceptive services and supplies remain inaccessible for many women and girls, and men and boys because they are simply not available and they are not affordable. For women and girls who do have access to FP/C services, they can face informal fees, disrespectful staff, few methods offered, and may lack knowledge and information about contraception. The research project builds on and contributes to a growing, but limited work that aims to better understand how social accountability and participatory processes in the context of FP/C programmes/services contributes to the greater achievement of sexual and reproductive health and improves quality of care and contraceptive uptake in FP/C services.
The research project will show how a social accountability process in the context of FP programs/services influences contraceptive uptake and use. Two objectives have been identified:
• Describe and examine how social accountability processes are implemented and operationalized with a focus on understanding behaviours, decision-making processes, and the barriers and facilitators of change, with a view to generalizability;
• Develop more responsive quantitative measures for social accountability and show the relationship between social accountability and uptake of contraceptives and use and other family planning behaviours.
The proposed study scales up a Community and Health Provider driven Social Accountability Intervention (CaPSAI) where services users and providers assess the quality of local FP services and jointly identify ways to improve the delivery and quality of such services. The eight standard steps informing the CaPSAI builds on a community scorecards (CSC), citizen voice and accountability projects and citizen hearings which have been implemented and evaluated by other organisations as well as the formative phase of the UPTAKE and Evidence Projects.
This standardized approach implemented across 8 facilities will result in findings related to social accountability intervention as a part of FP programmes.
Prior to the implementation of the start of project activities a number of activities will need to take place to set up the study. A range of activities under the pre implementation phase include hiring project coordinator and local project staff (facilitators), training staff, developing promotional materials, among others. Since the coordinator and 8 facilitators wererecently recruited, there is the need to proceed to training them for a successful implementation of the project. The training workshop will afford the new recruits an overview of the project and understand the role they are required to play. It will also benefit the implementation team as these recruits share their experience in CSC and make inputs for the success of the project.
Overall the training workshop seeks to build the capacity of project coordinator and facilitators for an effective project implementation.The specific objectives of the workshop are:
1. To provide participants with an overview of the CaPSAI study
2. To enhance participants understanding of their role as facilitators of the project
3. To provide participants with knowledge and skills on community scorecard
4. To provide participants with a brief understanding of the research component
5. To enhance participants understanding of social harm and how to handle them when identified
It is expected that at the end of the workshop:
1. Eight facilitators and the Project Coordinator have received knowledge on the CaPSAI study
2. Eight facilitators received training on community scorecard process
3. Participants are sensitized on the research component of the CaPSAI study
4. Participants knowledge on social harm and how to handle them enhanced.