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CRC: Bangalore Maternity Homes. Issue: Services provided by the Maternity Homes run by the Bangalore Municipal Corporation (used by low income women and children). Examples of findings: 70% of patients had to pay for medicine disposable syringes used in 52% of cases
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CRC: Bangalore Maternity Homes • Issue: Services provided by the Maternity Homes run by the Bangalore Municipal Corporation (used by low income women and children). • Examples of findings: • 70% of patients had to pay for medicine • disposable syringes used in 52% of cases • 43% of toilets clean and usable • Examples of suggested solutions: • Set up a board of visitors (5 - 7 persons doing quarterly review of services • Establish a patient charter (services offered, fees, patient rights, etc)
Issue: Health service organisation and delivery in Lanarkshire (Scotland) • Examples of findings: • patients do not receive sufficient information on prescription of cheaper, generic drugs. • existing feedback mechanisms not suitable nor well used • patients have either not seen the Patients’ Charter or do not believe it has much meaning. • Examples of suggested solutions: • Patient information needs can be addressed by a system of social audits • Patients prefer some kind of stakeholder involvement to a formal statement of intent (Patients’ Charter) Social Audit: Primary Health Care in Scotland
Issue: Delivery and performance of provincial health services in three South African provinces. • Examples of findings: • 77% of respondents satisfied with services for children under the age of six, but only 44% satisfied with services for abused women and children. • two main factors associated with inability to access health services: unemployment and female-headed households. • 44% of respondents have not received free government condoms. • Examples of suggested solutions: • Revise the communications strategy to reach out to those left out by print-dependent strategies. • Establish and reinforce community consultation mechanisms. Social Audit: South African Health Services