Table 4 Recommendations for future VAPAR learning-and-action cycles

Government, NGO and community stakeholders participating in individual discussions

Include local municipal managers during all stages of prospective action-learning cycles

Convene stakeholders at the end of each VAPAR cycle for collective reflection and learning

Provincial DOH workshop participants

PHC clinic operational managers and CHWs to be included at all stages of the next action-learning cycle of the programme, with a focus on skills exchange

VAPAR representatives to participate in routine district and subdistrict planning and reporting processes, including development of the district health plan and quarterly performance review

Alignment/integration of VAPAR programme into existing health structures at critical levels of engagement, primarily at household/community (CHW/ward-based primary healthcare outreach team) and subdistrict (clinic operational managers, PHC supervisors) level

Focus on community participation and contemporary priorities—support strengthening the management model of PHC facility manager, and consider other programmatic priorities such as adolescent and mental health

National workshop participants

Refinement of VA with regard to place of death/circumstances of mortality construct

Continued engagement with CoMMiC to report on progress and inform future development/application and feeding up into national learning