After the meeting, I meet Francinah, a 24-year-old district environmental health technician. In a soft voice, she tells me that as part of the QIL program, she worked with her own hospital and with the nearby Xhosa clinic to address the issue of waste management. With help from the support team, they convinced the government department in charge of construction to build a shelter to protect household and medical waste bins from the elements, curious people, and animals before it could be safely disposed of.
Earlier that morning, she received confirmation that the department was procuring materials to build the shelter.
Meanwhile, the clinic has sourced fencing and roofing materials to construct a temporary shelter. Later that afternoon, I visit the clinic to see the temporary shelter; it serves the purpose for now, but needs to be upgraded.
I observe in sympathy as a staff member hesitates over the electronic planning and monitoring tool that the support team suggests to him. He admits that it would make work easier for him but he is clearly more comfortable with his hand written notes on a notepad. I speculate that perhaps his reluctance is due to uncertainty about using the technology, and perhaps a slow typing speed. I am hopeful that by the end of the accreditation process, he will be confidently using all the tools and technology.