It was a textbook global health project: community-based, empowering the beneficiaries, focusing on women and children.
The key informant interviews and focus groups for both CCWs and beneficiaries focused on current service provision and strategies to engage NGOs and CCWs in collaborative TB/HIV activities, notably which core activities to provide within households.
The discussion with mothers who are the program's primary beneficiaries focused on barriers to service utilization [ 25, 26], opinions regarding the proposed intervention, how the intervention can successfully be integrated into existing structures, potential implementation challenges and sustainability strategies.
Their key take-away was that they would have to decide which beneficiary to focus on.
Apart from in-depth semi-structured interviews with akimat representatives, schools principals, academia and beneficiary mothers, focus groups and discussion groups with professionals, members of inter-agency commissions, teachers, children, parents NGOs and media were also organised to capture the perspective of as many stakeholders as possible in their quality of duty-bearers or rights-holders.
Bergman was the beneficiary of a focus that his grandmother had not been able to lavish on Karin, and that Karin, in turn, could not provide for her son.
Rudy was the beneficiary of Washington focusing on helping cities. Rudy was the beneficiary of some demographic trends.
For those that do deliver services, increased accountability to beneficiaries and a focus on measurable results will change the financial planning and management landscape.
Our framework is constructed around standard health system goals and places intended users and beneficiaries in central focus, against the context of the proposed mHealth service package.
Almost all beneficiaries in the focus groups seemed to know that when a child is malnourished, they should go to the CHW, and if the problem was serious, the CHW would accompany the child to the health centre and follow up on progress afterwards.
