Poorly functioning health systems and local health systems barriers affect many women giving birth in low- and middle-income countries.
The district clinical specialist teams in South Africa are uniquely positioned to provide facilitation and mentoring during interventions for
improving the weak primary healthcare system. To ensure success, four key principles should be considered during scale-up of interventions:
systems thinking and awareness of contexts and barriers; a focus on sustainability; harnessing factors known to enhance scalability; and
respect for human rights and equity. Asking the right questions about the responsibilities of health systems at the micro-, meso- and macrolevels
will benefit scale-up processes and sustain innovative pathways to high-quality obstetric care in communities.
This publication is part of the PhD studies of the first author, SJO.