Conceitos de montiorização liderada pela comunidade (CLM): Oportunidades para avançar a integração na CLM

A Monitorização Liderada pela Comunidade (CLM) é um mecanismo de responsabilização concebido para identificar barreiras ao acesso à saúde, transformar os dados da comunidade em “pedidos” de advocacia e envolver-se com os responsáveis governamentais, organizações doadoras e do sistema de saúde para corrigir estas barreiras.

O modelo de CLM foi desenvolvido há várias décadas e tem sido parte central da defesa de direitos das comunidades ao longo da resposta ao VIH, à tuberculose (TB) e à malária. Na sua forma atual, o modelo tornou-se uma prioridade chave para doadores em 2018, quando o PEPFAR, o programa bilateral de HIV do governo dos Estados Unidos, passou a financiar e a exigir que todos os países parceiros
implementassem um programa de CLM. Essa orientação levou à rápida proliferação de programas de CLM em todo o mundo e à aplicação da abordagem em diversos contextos. Pouco após a adoção do modelo pelo PEPFAR, o Fundo Global passou a financiar a CLM, e hoje possui programas ativos em mais da metade dos países que apoia.

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Conceptos del monitoreo liderado por la comunidad (CLM): Oportunidades para impulsar la integración en el MLC

El Monitoreo Liderado por la Comunidad (MLC) es un mecanismo de rendición de cuentas diseñado para identificar barreras en el acceso a la atención sanitaria, transformarlos datos generados por las comunidades en demandas de incidencia, e iniciar un diálogo con los responsables gubernamentales, las organizaciones donantes y el sistema sanitario con el fin de corregir dichos obstáculos.

El modelo MLC se desarrolló hace varias décadas y ha sido un pilar de la incidencia comunitaria a lo largo de la respuesta al VIH, la tuberculosis (TB) y la malaria. En su forma actual, el MLC se convirtió en una prioridad clave de los donantes en 2018, cuando el PEPFAR, el programa bilateral del gobierno de
los Estados Unidos sobre VIH, comenzó a financiar y a exigir a todos los países socios que implementaran un programa MLC. Esta orientación ha dado lugar a una rápida proliferación de programas MLC en todo el mundo y a la implementación de este enfoque en diversos contextos. Poco después de la adopción del modelo por parte del PEPFAR, el Fondo Mundial inició su propio financiamiento del MLC y, actualmente, cuenta con programas activos en más de la mitad de los países a los que brinda apoyo.

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Concepts de la surveillance dirigée par la communauté (CLM): Leviers pour renforcer l’inégration au sein du CLM

La Surveillance Dirigée par la Communauté (CLM) est un mécanisme de redevabilité visant à identifier les obstacles à l’accès aux soins, à transformer les données communautaires en demandes de plaidoyer,
et à engager le dialogue avec les détenteurs d’obligations — pouvoirs publics, bailleurs et acteurs du système de santé — pour y remédier.

Le modèle CLM a été conçu il y a plusieurs décennies et demeure un pilier du plaidoyer communautaire dans la riposte au VIH, à la tuberculose (TB) et au paludisme. Dans sa configuration actuelle, il est devenu, en 2018, une priorité stratégique des bailleurs lorsque le PEPFAR — le programme bilatéral des ÉtatsUnis dédié au VIH — a commencé à le financer et a exigé de l’ensemble de ses pays partenaires
la mise en place d’un programme de CLM. Cette orientation a entraîné une expansion rapide des
programmes de CLM à l’échelle mondiale et l’adaptation de l’approche à divers contextes. Peu après l’adoption du modèle par le PEPFAR, le Fonds mondial de lutte contre le sida, la tuberculose et le paludisme s’est à son tour engagé à financer le CLM, qui est aujourd’hui opérationnel dans plus de la moitié des pays qu’il appuie.

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Concepts in Community-Led Monitoring: Opportunities for Advancing Integration in CLM

Community-led monitoring (CLM) is an accountability mechanism designed to identify barriers to healthcare access, turn community data into advocacy ‘asks’, and engage with duty-bearers in government, donor organizations, and in the health system to rectify these barriers.

The CLM model was developed several decades ago and has been a core part of community advocacy throughout the response to HIV, tuberculosis (TB), and malaria. In its current form, the CLM model became a key donor priority in 2018, when PEPFAR, the United States government’s bilateral HIV
program, began funding and requiring all partner countries to implement a CLM program. This guidance led to a rapid proliferation of CLM programs worldwide and the implementation of the approach across several contexts. Shortly after PEPFAR’s adoption of the model, the Global Fund began its own funding of CLM, and today has active programs in more than half of the countries it supports.

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Power, data and social accountability: defining a community-led monitoring model for strengthened health service delivery

By Ndivhuwo Rambau, Soeurette Policar, Alana Sharp, Elise Lankiewicz, Allan Nsubuga, Luke Chimhanda, Anele Yawa, Kenneth Mwehonge, Donald Denis Tobaiwa, Gérald Marie Alfred, Matthew M. Kavanagh, Asia Russell, Solange Baptiste, Onesmus Mlewa Kalama, Rodelyn M. Marte, Naïké Ledan, Brian Honermann, Krista Lauer, Nadia Rafif, Susan Perez, Gang Sun, Anna Grimsrud, Laurel Sprague, and Keith Mienies

Born out of models of political accountability and historical healthcare advocacy led by people living with HIV, community-led monitoring (CLM) of health service delivery holds potential as a social accountability model to increase the accessibility and quality of health systems. However, the effectiveness of the CLM model in strengthening accountability and improving service delivery relies on its alignment with evidence-based principles for social accountability mechanisms. We propose a set of unifying principles for CLM to support the impact on the quality and availability of health services.

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Facilitators and barriers to community-led monitoring of health programs: Qualitative evidence from the global implementation landscape

Alana R. Sharp, Ngqabutho Mpofu, Elise Lankiewicz, Beatrice Ajonye, Ndivhuwo P. Rambau, Stefanie Dringus, Brian Honermann, Ngozi Erondu, Asia Russell, Kenneth Mwehonge, Cláudia Aguiar, Naïké Ledan, Matthew M. Kavanagh

This study aimed to identify early challenges and lessons learned from CLM implementation, with the aim of informing and improving the implementation of CLM programs and ultimately achieving greater impact on the delivery of services. Twenty-five CLM implementors representing 21 countries participated in an interview. With the rapid expansion of CLM, this study serves as an important first step in characterizing challenges and successes in the CLM landscape. Successful implementation of CLM requires prioritizing community ownership and leadership, donor commitment to sustainable and reliable funding, and strengthened support of programs across the data collection and advocacy lifecycle.

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Community Engagement with Global Fund – Opportunities for Support in GC7 (Grant Cycle 7)

The Global Fund Board has approved $14 million for the Community Engagement Strategic Initiative for CG7 (2024-2026). Funds will support peer-to-peer technical assistance on gender, human rights, equity, key populations, community systems and responses and other related areas. CLAW is a technical support provider as part of this initiative. Learn more in this brief presentation.

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Drivers of HIV treatment interruption: Early findings from community-led monitoring program in Haiti

By Soeurette Policar, Alana Sharp, Joanne Isidor Hyppolite, Gérald Marie Alfred, Eva Steide, Leïnadine Lucien, Naïké Ledan, and Matthew Kavanagh

Failure to retain people living with HIV (PLHIV) in care remains a significant barrier to achieving epidemic control in Haiti, with as many as 30% lost from care within one year of starting treatment. Community-led monitoring (CLM) is an emerging approach of improving healthcare and accountability to service users, through a cycle of monitoring and advocacy. In 2020, a CLM program was launched in Haiti to identify barriers to retention and advocating for better health services.

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Stakeholder Perceptions of Community-Owned Data: Perspectives From Community-Led Monitoring

By Ngqabutho Mpofu, Elise Lankiewicz, Soeurette Policar, Walter Chikanya, Joanne Isidor, Beatrice Ajonye, Donald Tobaiwa, Alfred Gerald, Alice Kayongo, Naïké Ledan, Alana Sharp

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Como Elaborar Orçamentos para Monitoria Liderada pela Comunidade

Este guia destina-se a ser utilizado por organizações lideradas pela comunidade para desenvolver um orçamento para um programa de monitoria liderado pela comunidade, ou MLC. Este recurso pode ser utilizado por programas que procuram financiamento para um novo programa de MLC, ou pode ser utilizado por organizações que procuram recursos em escala para um programa de MLC existente (para aumentar a cobertura, por exemplo). Este guia pode ainda ser também utilizado por consultores técnicos que prestam apoio a programas de MLC.

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