1. The Role of Parliament in Active Citizenry: Insights and Lessons from Black Sash's CMAP Project Tuesday 14 August 2012 – Townhouse Hotel, Cape Town Elroy Paulus – CMAP Manager, Black Sash

2. What is CMAP? Supported by the European Union and the Open Society Foundation of South Africa –combines the actions of monitoring and advocacy to help build a culture of accountability – rights with responsibilities – within communities and government. Based on principle that people are not passive users of public services but active holders of fundamental rights. * 270+ MOU’s - hundreds of monitors – maintain a regular and disciplined presence at public service delivery points in all nine of the country’s provinces.

3. Which instruments do we use? Example: Primary Health Care - questionnaires

4. Which instruments do we use? – Primary Health Care - questionnaires Which instruments to acquire information about services do we use? Basic Services questionnaires SASSA Primary Health Care Dept Home Affairs

5. What is the sample population of questionnaires at present? – 10 August 2012 Huge provincial variation – driven by needs, interest, access and blockages Kinds of questionnaires - returned are based on priorities identified by local CMAP monitoring organisations Formal permission granted by SASSA, but locally brokered with other departments Here is where Parliamentary legislatures can be so instrumental – can demand answers around service standards and norms – and facilitate access to information – influence interventions

8. Started Feb 2012 – massive effort in collecting basic services and health questionnaires Significant work done re Home Affairs – constant stream of questionnaires Low totals – various factors, vast distances for CMAP monitors to cover – e.g. Dpt HomeAffairs Significant interventions, strong support provided – in a huge province

9. How does CMAP engage with State Institutions? CMAP Monitors NW presenting report to SASSA NorthWest Exec CMAP Monitoring at Tweefontein - SASSA payouts by Empulweni Mpumalanga

10. Ad Hoc Committee on Coordinated Oversight on Service DeliveryAd Hoc Committee on Coordinated Oversight on Service Delivery Feb 2010 Frontline service delivery monitoring – Presidency Aug 2011 and response SASSA SASSA (national) – several engagements NHI Conference – Dec 2011 SASSA (provincial) – several engagements Attempts to gain permission to monitor, meetings with ward councillors, presentations to municipality – CMAP Monitors - ongoing CORMSA, Oxfam, SAHRC – de Doorns – Xenophobic Violence Submission to SAHRC WC Provincial Hearings – March 2012 270+ CBO’s and NGO’s – submitting thousands of questionnaires and engaging the State in several ways CMAP - attempts and formal engagements with State Instruments 2010-2012

11. Typical limitations and benefits of CMAP reports Not statistically significant - but real data Slow turnaround time of written reports – but pilot being rolled out in KZN and Gauteng – using HIV 911’s cell phone platform for rating of services Formal permission by SASSA but not other govt departments – limitation. Strong resistance from Dept Home Affairs Legislatures can be hugely influential (++) to realise Constitutional mandates – e.g. Civil society perspectives on Annual Performance Plans, answers to Parliamentary questions, and many other options...

12. Presentation on the National Primary Health Care Draft and Basic Services Draft Reports

13. Lack of Refuse removal in poor areas impact directly on health Breede Vallei Municipality (De Doorns) – Refuse management – violating norms and standards of Integrated Waste Management Plan of their own municipality Has direct impact on diarrhoeal disease of children etc.

14. Questions and discussion Please Tweet/ email or call us with a specific question, comment if we are not directly able to answer your question More reading www.blacksash.org.za/index.php/sash-in-action/community- monitoring-and-advocacy-programme www.blacksash.org.za/index.php/sash-in-action/community- monitoring-and-advocacy-programme Follow us on Twitter @ Black_sash and @EE_Paulus and and Facebook – search for CMAP

15. More reading CMAP - www.blacksash.org.za/index.php/sash-in-action/community-monitoring- and-advocacy-programme CMAP - www.blacksash.org.za/index.php/sash-in-action/community-monitoring- and-advocacy-programme Community Based Monitoring and Accountability – The Presidency - http://www.psppd.org.za/Documents/Workshop%20report_29%20August%20201 1_Scoping%20an%20approach%20for%20community%20based%20monitoring%2 0and%20accountability.pdf http://www.psppd.org.za/Documents/Workshop%20report_29%20August%20201 1_Scoping%20an%20approach%20for%20community%20based%20monitoring%2 0and%20accountability.pdf HIV 911’s – Impilo Project – currently piloted in KZN and Gauteng – see http://www.hiv911.org.za http://www.hiv911.org.za People’s Global Health Assembly - www.phmovement.org/en/pha3/programmewww.phmovement.org/en/pha3/programme Community of Practitioners on Accountability and Social Action in Health http://www.copasah.net/ Community of Practitioners on Accountability and Social Action in Health http://www.copasah.net/

16. UNICEF Progress of Nations Report (1998) "The day will come when nations will be judged not by military or economic strength, nor by the splendour of their capital cities and public buildings, but by the well-being of their people: by, among other things, their opportunities to earn a fair reward for their labour, their ability to participate in the decisions that affect their lives; by the respect that is shown for their civil and political liberties; by the provision that is made for those who are vulnerable and disadvantaged” 16

17. Thank you!