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Table 3 Roles and influence of different stakeholders

From: Sowing the seeds of transformative practice to actualize women’s rights to respectful maternity care: reflections from Kenya using the consolidated framework for implementation research

Stakeholders

Role

Level of Influence

Heshima Project Members

Population Council (The Council)

Led the consortium, designed the research, coordinated intervention. Long-term presence in Kenya (since 1960s). Respected by MOH (both as an institution - evidence for policy and individual staff). Engaged MOH prior to and during proposal development. Institutional knowledge existing maternal health research /evidence; Member of national technical working groups, support national policy, strategy and guidelines development. Rights-based approach to reproductive health services.

High

Federation of Women’s Lawyers - FIDA

Promotes women’s rights through advocacy

Medium

Build on work on meditation for inheritance, land disputes and documenting abuses to women.

Contributed to policy and community component

National Nurses Association of Kenya- Midwifery Chapter

Empower health providers to provide quality care

Medium

Support health facility interventions: training in values clarification and attitude transformation, quality improvement teams, supervision with MOH

Steering Committee

Kenya Obstetric/ Gynecological Society. University of Nairobi: Depts: Nursing, ObGyn. School of Public Health; WHO, UNICEF, MOH-Dept. of Nursing, Division of Reproductive Health, Nursing Council of Kenya

Policy level mechanism to provide feedback on study design and implementation process

Medium (as a group)

Review /develop study instruments and design and monitoring of intervention

MOH/public sector

MOH headquarters

Director of Public Health launched/supported project. Director of Medical Services committed throughout.

Medium

Nursing Council of Kenya

Semi-autonomous institution - legislative responsibility for Nursing/ midwifery training curriculum and examining board. Introduced revised regulatory standards, scope of practice and ethical code in 2013

High

Dept. of Nursing

Technical support /design of intervention/supervision

Medium

Division of Reproductive Health

Technical support and policy guidance: participated in IR process, design and monitoring of intervention

High

Department of Human Resources

Project results used to support health sector reforms to address drivers of mistreatment including provider accountability

Low

County health management teams

Oversee policy implementation provide direction for implementation and monitoring result utilization.

Medium

Facility/maternity unit managers

Oversee policy implementation and provide supportive environment for frontline providers and community

Medium –High

Service providers: nurses doctors, midwives

Beneficiaries of training/Implement interventions

High

Parliamentarians

Advocacy

Low

Media

Advocacy

Medium

International NGOs

Reproductive health/ MNH partners: Jhpiego, IPAS, FCI, FHI360

Contributed to development of RMC resource package (training guide for facilitators, participants and communities) and advocacy.

Medium

Community

Community health extension workers

Linkage between facility and community. Oversee and train CHVs facilitate alternative dispute resolution

Medium

Community health volunteers/Legal aid officers

Sensitize communities on universal rights, obligations for childbearing women and other rights issues.

Medium

Sensitize how to demand for health rights and report incidents of mistreatment and help coordinate alternative resolution meetings

Community members

Perceptions of disrespect and abuse, awareness of rights at baseline and endline beneficiaries

Low

Women

Perceptions of men extent of male involvement and how to support women

Men

 

Mothers who have delivered in facilities

Perceptions and experiences at baseline and endline

Low

Private sector/ Faith based Institutions

Civil society organizations CSOs:

Participate in policy discussions and dissemination

Low

Private /faith based providers

Implementers of intervention

 

Reproductive Health Rights Alliance

Steering committee member

Low

Development partners

USAID /Washington and Kenya

Funded Heshima through TRAction Project (USAID/W) steering committee member (USAID Kenya)

Medium

UNICEF - Kenya

Steering committee member

Low

WHO –Kenya

Steering committee member

Low