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The article explores the global overview of M&E from the ancient governance perspective that has been ignored by the modern government in the African contest. African M&E approach is required in the local rural municipalities due to its complex and diverse set of problems. These problems are as a result of leadership dichotomy which is witnessed between Amakhosi and municipal authorities. Amakhosi have a role to hold municipal authorities accountable from a Citizen-Based Approach.  The underlying philosophy of the article is not about the discourse of the modernists and traditionalists around the evolution of M&E, but is how and in what ways M&E should be designed and planned for the implementation of a successful relevant M&E approach for local rural municipalities. The article made use of secondary data, gathered from various sources. Case studies of the international countries were also sourced through desktop to ascertain their best practice on M&E. The article concludes that the lack of M&E approach for the local government in the rural municipalities requires the Participatory Monitoring and Evaluation (PM&E) approach to allow stakeholders, including Amakhosi to assess the performance ofthe rural municipalities. The study is significant to the local and internal public scholarship of public administration since it bring approaches in M&E policy in the field of public administration. For example, indigenous African knowledge is critical in knowledge management.

Background: The South African public sector still faces numerous challenges of public accountability and corruption 26 years post the establishment of a democratic government and a free society. These challenges are mainly found in the local sphere of government which is the heart of where service delivery takes place.Aim: This article aimed to examine the public accountability strategies and mechanisms being used at the Buffalo City Metropolitan Municipality in the Eastern Cape province whilst giving a conceptual view of how corruption and maladministration adversely affected the municipality and province.Setting: This study was conducted at the Buffalo City Metropolitan Municipality in the Eastern Cape province, South Africa.Method: The study adopted an explanatory sequential design based on a mixed-methods approach where data was collected through questionnaires and secondary documents. Data was analysed through a comparative lens and thematic analysis. A total sample of 47 participants was chosen through a purposive sampling technique.Results: The key findings of the study revealed that there is a lack of communication between local government and the residents. As well as poor implementation of accountability mechanisms and capacity issues, that is, lack of training and resources amongst others contributed to the ailing public accountability and service delivery issues.Conclusions: Conclusions drawn reflect a municipality that is struggling with huge backlogs on service delivery. Furthermore, public accountability mechanisms exist but implementation is a challenge. Recommendations included enhanced community engagement and participation, capacity building and skills development, the promotion of individual independence of the community, enhancement of resources and infrastructure and the enhancement of the Public Participation Unit.

The aim of this study was to assess community members' knowledge and awareness levels, attitudes, and practices of Drug Resistant Tuberculosis. A quantitative descriptive cross sectional study was carried out in the Eastern Cape Province of South Africa. The sample size consisted of four hundred (400) respondents aged 18 years and above on their last birthday who were purposively and conveniently selected from Port Elizabeth area in the Nelson Mandela Municipality. Data were collected using close-ended questions, which were administered by the researcher and two research assistants to the selected respondents. Data were analysed using descriptive statistics. The results of this study show poor knowledge and awareness levels, unfavourable attitudes, but good prevention practices of Drug Resistant Tuberculosis among Port Elizabeth community members. This study also found a statistically significant association between knowledge and attitudes (p value = <0.001), and no statistically significant association between knowledge and practices and attitude and practices, respectively (p values = 0.120 and 0.136). The study also revealed low literacy levels, inadequate information, misconceptions and erroneous beliefs about causes, transmission, prevention, treatment, and management of Drug Resistant Tuberculosis among the respondents. This study also highlighted the use and existence of dual healthcare system (traditional spiritual and western).The study found that the main source of Drug Resistant TB information was radio and television among the majority of research respondents. It is recommended that in future health education interventions and awareness campaigns need to be intensified in the area so that misconceptions and erroneous beliefs that exist in society can be addressed. It is also recommended that training programs that are culturally sensitive should be developed and delivered taking into account different languages and literacy levels that exist in society. Such education interventions should be facilitated in collaboration with people living with Drug Resistant Tuberculosis. A multidisciplinary approach should be fostered and collaborations with spiritual healers and various congregational leaders, traditional health practitioners, community leaders, and government leaders in the health sector should be promoted in order to deal with Drug Resistant Tuberculosis. It is also recommended that a similar study be conducted using a qualitative research approach in urban and rural areas of the Eastern Cape. Lastly, assessment of knowledge, attitudes, and practices of spiritual and traditional healers with regard to Drug Resistant Tuberculosis should be conducted as they can influence health-seeking behaviour.

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