Each month, we shine a spotlight on partners who are using budget advocacy to bring transformational change to their communities. This month, we talked with Nomfundiso Joseph, coordinator of Small Projects Foundation, in South Africa.
Q: Describe your organization’s role in Asivikelane Health project.
A: My organization, Small Projects Foundation (SPF), is an NGO operating nationally throughout South Africa, particularly in the Eastern Cape province. We monitor the availability and delivery of basic health services to residents in informal settlements and rural areas. We collect anonymous feedback from 10 patients each month about the quality of services they received, after which the answers are analyzed and the results shared with each clinic.
Q: What are the main challenges faced by residents of the informal settlements you reach out to?
A: Rural areas often suffer from a lack of access to healthcare, and the healthcare needs of individuals living in rural informal settlements are different from those living in urban areas. Informal settlements are densely populated and have inadequate access to clean water and sanitation. Individuals have to walk long distances to reach health services, and a clinic often serves 6-7 villages, resulting in long queues and sometimes a shortage of medications. Rural areas have critical shortages of all health care providers and professionals, particularly primary care professionals.
Q: Describe how your partnership with IBP is yielding results in providing access to healthcare for excluded informal communities.
A: SPF’s partnership with IBP gives us access to a wider range of strategic connections and facilitates meetings with the Department of Health, key government stakeholders, and community members. We use these meetings to emphasize the importance of data accuracy and analysis. Giving feedback to health facilities is the most crucial step because it helps improve the delivery of health services.
Q: Is there a specific focus or consideration for women and girls in these communities as a target for government intervention?
A: Discrimination against women and girls occurs in many forms through gender-based violence, economic discrimination, reproductive health inequities, and harmful traditional practices such as child marriage, to name just a few. Women and girls of all ages have a right to live with dignity, free of cultural oppression. Empowered women generally choose to have smaller families, which benefits the health and productivity of whole communities and improves the prospects for both people and the environment. Asivikelane Health assists communities to learn more about the health services available to them like family planning and the prevention of HIV/AIDS. It is important to target women with these educational interventions.
Q: What are the key strategies that you employ in galvanizing these communities to advocate for inclusion in government spending?
A: We give feedback to health facilities and work with stakeholders to improve access to health services. We also draw on community engagement strategies to share knowledge directly with communities so they are better equipped to manage their health and to evaluate the quality of the health services they receive. We also emphasize that measures to achieve inclusive health services must include training of health care professionals on the rights of persons with disabilities and marginalized groups.
Q: What does the future look like for these communities?
A: The future looks bright if communities are included in health service delivery and are educated about the benefits and facilities available to them. The future looks positive if communities are mobilized and empowered to take control of their health. It goes a long way when clinic committees take part in community meetings and listen to what communities need.