{"title":"Community-led monitoring of HIV and viral hepatitis services: lessons learned and impacts from India and Indonesia","authors":"Giten Khwairakpam, Rajkumar Nalinikanta, Caroline Thomas, Solange L. Baptiste, Elise Lankiewicz","doi":"10.1002/jia2.26373","DOIUrl":null,"url":null,"abstract":"<p>Community-led monitoring (CLM) assesses healthcare services and improves health outcomes. It provides insights about the state of local or national HIV responses, assisting managers and policymakers to improve services under the framework of availability, accessibility, acceptability and quality (AAAQ) [<span>1</span>]. Interest in CLM is growing, with support from the International AIDS Society, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the Global Fund to Fight AIDS, TB, and Malaria, and the United States President's Emergency Plan for AIDS Relief (PEPFAR) [<span>2-5</span>].</p><p>The Community-led Monitoring Project in Asia [<span>6</span>] was initiated in 2021 by the Community Network for Empowerment (CoNE) in Manipur, India, Yayasan Peduli Hati Bangsa in Indonesia, the International Treatment Preparedness Coalition—Global (ITPC) and amfAR's TREAT Asia programme. CoNE and Peduli Hati are monitoring 12 health facilities from local districts to referral hospitals that provide public services for HIV and viral hepatitis. CLM indicators are based on national guidelines and policies and target essential components of the AAAQ framework covering HIV, hepatitis B (HBV) and hepatitis C (HCV).</p><p>CLM is a mechanism where care recipients’ perceptions of the essential components of healthcare are captured and leveraged to advocate for changes in service delivery. Our observations indicate that CLM can also play a critical role in addressing urgent individual-level human rights and care access issues in a more rapid timeframe through effective co-problem-solving and advocacy.</p><p>The project is funded by ViiV Healthcare. The authors otherwise have no competing interests to declare.</p><p>GK led the drafting and writing of the manuscript. EL reviewed the draft and final manuscript. RN, CT and SLB provided inputs and edits. All authors approved the final version of the manuscript.</p><p>The CLM in Asia project is supported by ViiV Healthcare and amfAR.</p>","PeriodicalId":201,"journal":{"name":"Journal of the International AIDS Society","volume":"27 10","pages":""},"PeriodicalIF":4.9000,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447636/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the International AIDS Society","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jia2.26373","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
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Abstract
Community-led monitoring (CLM) assesses healthcare services and improves health outcomes. It provides insights about the state of local or national HIV responses, assisting managers and policymakers to improve services under the framework of availability, accessibility, acceptability and quality (AAAQ) [1]. Interest in CLM is growing, with support from the International AIDS Society, the Joint United Nations Programme on HIV/AIDS (UNAIDS), the Global Fund to Fight AIDS, TB, and Malaria, and the United States President's Emergency Plan for AIDS Relief (PEPFAR) [2-5].
The Community-led Monitoring Project in Asia [6] was initiated in 2021 by the Community Network for Empowerment (CoNE) in Manipur, India, Yayasan Peduli Hati Bangsa in Indonesia, the International Treatment Preparedness Coalition—Global (ITPC) and amfAR's TREAT Asia programme. CoNE and Peduli Hati are monitoring 12 health facilities from local districts to referral hospitals that provide public services for HIV and viral hepatitis. CLM indicators are based on national guidelines and policies and target essential components of the AAAQ framework covering HIV, hepatitis B (HBV) and hepatitis C (HCV).
CLM is a mechanism where care recipients’ perceptions of the essential components of healthcare are captured and leveraged to advocate for changes in service delivery. Our observations indicate that CLM can also play a critical role in addressing urgent individual-level human rights and care access issues in a more rapid timeframe through effective co-problem-solving and advocacy.
The project is funded by ViiV Healthcare. The authors otherwise have no competing interests to declare.
GK led the drafting and writing of the manuscript. EL reviewed the draft and final manuscript. RN, CT and SLB provided inputs and edits. All authors approved the final version of the manuscript.
The CLM in Asia project is supported by ViiV Healthcare and amfAR.
期刊介绍：
The Journal of the International AIDS Society (JIAS) is a peer-reviewed and Open Access journal for the generation and dissemination of evidence from a wide range of disciplines: basic and biomedical sciences; behavioural sciences; epidemiology; clinical sciences; health economics and health policy; operations research and implementation sciences; and social sciences and humanities. Submission of HIV research carried out in low- and middle-income countries is strongly encouraged.
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