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Table 2 Local contextual factors analysis conceptual model

From: Understanding the local context and its possible influences on shaping, implementing and running social accountability initiatives for maternal health services in rural Democratic Republic of the Congo: a contextual factor analysis

Enabling elements

Socio-cultural characteristics

Legal and regulatory framework and Governance context

Socio-economic conditions

Association

- Existence of social structures supportive of community participation

- Existence of actors involved in maternal health issues in local settings

- Existence of community network, organizations or groups

- Existing local experience of participation or of citizen engagement

- Women’s status /Gender barriers

- Level of women participation in communities’ activities

- Existing political system

- Existing of national/local political context supportive of community participation

- Freedom of association

- Existing recognition and accreditation policies and practices related to the freedom of association, of information, of convening meetings

- Socio-economic characteristics of population

- Impact of local economy on members’ contribution, on association autonomy and advocacy

- Impact on contribution by members and cost of convening meetings

- Cost of legal registrations and accreditation

Resources

- Social mobilization capacity within the community

- Co-memberships

- Existence of a history of community mobilization or social/citizen engagement

- History of interactions between associations/groups

- Decision making process within groups

- The individual capacity to collective action (social mobilization)

- Decentralization

- Availability of basic services such as water supply, electricity/Infrastructures

- Main occupations of the population/Earning potential of the population/ Size of and stresses in the economy unemployment

Voice

- Existing media/Access to media/ Communication practices in local settings (use of media by different social groups)

- Level of political control of means of expression/media

- Freedom of expression

- Media related laws

- Cost associated with expressing views in media

Information

- Access to Information

- Information network

- Literacy

- Freedom of information

- Rights to access public information/Ability to demystify information

- Cost for access to information

Negotiation

- Existing social values and hierarchies

- Distribution of ethnicity and tribes

- Existence of excluded or marginalized population/social inclusion

- Existing social structures in place that enable women to actively participate

- Social capital/social pressures capacity/capacity of actors or groups to negotiate change

- Level of women’s participation in decision making

- Existence of legally established dialogue spaces such as referendum or forum in local level/Existence of health committee

- Level of trust officials have in the demand or the organization mobilizing citizen action

- Local government authorities’ capacities to engage

- Bargaining power

- Impact of economic constraints in autonomy and advocacy