AUTHOR=Tshuma Ndumiso , Elakpa Daniel Ngbede , Moyo Clinton , Soboyisi Melikhaya , Moyo Sehlule , Mpofu Sihlobosenkosi , Chadyiwa Martha , Malahlela Mokgadi , Tiba Caroline , Mnkandla David , Ndhlovu Tshepo M. , Moruthoane Tsenolo , Mphuthi David D. , Mtapuri Oliver 

TITLE=The Transformative Impact of Community-Led Monitoring in the South African Health System: A Comprehensive Analysis

JOURNAL=International Journal of Public Health

VOLUME=69

YEAR=2024

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2024.1606591

DOI=10.3389/ijph.2024.1606591

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> Community-led monitoring (CLM) is an emerging approach that empowers local communities to actively participate in data collection and decision-making processes within the health system. The research aimed to explore stakeholder perceptions of CLM data and establish a CLM Data Value Chain, covering data collection and its impact.</p><p><bold>Methods:</bold> Qualitative data were collected from stakeholders engaged in health programs in South Africa. Data analysis involved a collaborative workshop that integrated elements of affinity diagramming, thematic analysis, and the systematic coding process outlined in Giorgi’s method. The workshop fostered joint identification, co-creation of knowledge, and collaborative analysis in developing the data value chain.</p><p><bold>Results:</bold> The findings showed that CLM data enabled community-level analysis, fostering program advocacy and local collaboration. It enhanced program redesign, operational efficiency, and rapid response capabilities. Context-specific solutions emerged through the CLM Data Value Chain, promoting sustainable and efficient program implementation.</p><p><bold>Conclusion:</bold> CLM is a powerful tool for improving program implementation, quality, and advocacy in South African healthcare. It strengthens accountability, trust, and transparency by involving local communities in data-driven decision-making. CLM addresses context-specific challenges and tailors interventions to local needs.</p>