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Table 2 Areas of suggested integration of VAPAR into routine provincial health systems in Mpumalanga Province

From: Collective reflections on the first cycle of a collaborative learning platform to strengthen rural primary healthcare in Mpumalanga, South Africa

Level

Function

Integration

Provincial

Annual performance plan

Implied through collaborative district involvement, through a “bottom-up” approach

District

District health plan

Attend district health management team meetings, to present data and process. Participate in development of the district health plan

Subdistrict

PHC management

VAPAR to have a slot in the quarterly subdistrict PHC meeting to present programme to all PHC and operational managers and shared learning from Agincourt “pilot” facilities

PHC facility

Operational management

Skills exchange and capacity-building with operational managers. Operational managers to participate in VAPAR with a focus on analysing, planning and acting on community evidence into service organization and delivery

Community

Outreach teams

Skills exchange and capacity-building with CHWs. CHWs to participate in VAPAR, with a focus on the community engagement element