COMPLUS Community Voices in Health Governance, funded by @NIHRGlobal and @NIHRresearch, is a research initiative taking place in South Africa, Brazil, and India

South Africa, Brazil, India
Joined February 2023
At the 18th World Congress on Public Health held in Cape Town in Sep 2026, COMPLUS partners also made paper presentations.
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Natasha also made an oral presentation titled "Equity Beyond Access: Community Participation and Power in Health Committees in Cape Town”.
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Andiswa, of UCT COMPLUS team made an oral presentation where she presented the research findings on community participation in Nelson Mandela bay.
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The COMPLUS team presented at the World Congress on Public Health Conference 2026 in Cape Town this month. Partners presented individual country context initiatives as well as made joint presentations on the work of enhancing community participation in pluralistic health systems.
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The 4 COMPLUS partners also presented a combined overview of our shared research and action around “ Strengthening health sector governance and equity in plural health systems through community participation” Action and perspectives from all 6 cities were presented
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The Brazilian team also presented on their work with the councils on creating "a practical guide to citizen-centred evaluation for more equitable and responsive health systems’ sharing experiences around co-developing a citizen-centred evaluation methodology with health councils
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On 3rd Dec 2025, SPARC's COMPLUS team organised a symposium of all health committees to meet each other and share and exchange knowledge around the issues that they are facing and are working with the city to address them. Here are a few glimpses of the event.
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With the support of Salzburg Global and the RWJ Foundation, the COMPLUS team at CEBRAP convened a group of researchers committed to the promotion of citizen-centred evaluation in health, to counter the traditional dominance of professionals in assessing health system performance.
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As part of the process of developing their work, @cebrap hosted webinars on 22 and 30 September and 14 October, where research was presented with a discussed between experts in the evaluation and public health field
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As part of the project "Evaluation and Participation in Primary Health Care: A Study in the Public System of the Municipality of São Paulo"; conducted by @cebrap , the research team began a series of technical visits to Civil Society Organizations (CSOs) in September 2025.
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The conversations with the leaders of five important organizations—Projeto Arrastão, NCI Maria Mãe da Igreja, Instituto Pilar, Associação Santa Cecília, and Estrela Nova—were extremely productive. They revealed both common and specific challenges in the access to health services.
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Key issues included the difficulties faced by the elderly with digital appointment scheduling and public transportation, the lack of services and motivation that keeps young people away from primary care clinics (UBS), and a feeling of helplessness among vulnerable mothers
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As part of its work in Fortaleza, @cebrap had meetings at the Municipal Health Secretariat of Fortaleza with the new admin, the coordinator of CORAPP, and members of the Research Center of the Municipal School of Health to present the research and discuss joint follow-up actions.
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COMPLUS continues to invest into capacity building of its teams and partners. We bring glimpses of training and capacity building of community members and committee members from two different groups from Khayelitsha #NIHRCEI
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COMPLUS capacity building sessions on community participation in health governance and the NHI. Training held on 22-24 August 2025 included health committee members and community members from Khayelitsha in the Western Cape, South Africa
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COMPLUS capacity building sessions continue in South Africa focusing on community participation in health governance and the NHI. Training held on 29-31 August 2025 included clinic committee members and community members from Khayelitsha in the Western Cape
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