Informal social accountability in maternal health service delivery: A study in Northern Malawi.

ABSTRACT: Despite the expansion of literature on social accountability in low-and middle-income countries, little is known about how health providers experience daily social pressure and citizen feedback. This study used a narrative inquiry approach to explore the function of daily social accountability relations among maternal health care workers in rural Malawi. Through semi-structured interviews with 32 nurses and 19 clinicians, we collected 155 feedback cases allowing the identification of four main strategies social actors use to express their opinion and concerns about maternal health services. We found that women who used delivery care express their appreciation for successful deliveries directly to the health worker but complaints, such as on absenteeism and poor interpersonal behaviour, fol

SUBMITTER: Lodenstein E 

PROVIDER: S-EPMC5895061 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature