Schneider, HelenMukinda, Fidele Kanyimbu2021-07-162024-11-072021-07-162024-11-072021https://hdl.handle.net/10566/19210Philosophiae Doctor - PhDThe value of accountability as a key feature of strengthening health systems and reducing maternal, newborn and child mortality is increasingly emphasised globally, nationally and locally. Frontline health professionals and managers play a crucial role in promoting maternal, newborn and child health (MNCH) services in an equitable and accountable manner. They are at the interface between higher-level health system management and communities, facing demands from both sides and often expected to perform beyond their available means. Although accountability is a central topic in the governance of MNCH literature, it has mostly been approached at global and national levels, with little understanding of how accountability is integrated into the routine functioning of local health systems.enAccountabilityAccountability ecosystemCollaborationDistrict health systemsFrontline health professionalsGert Sibande DistrictSouth AfricaUniversity of Western Cape