COMMUNITY-LED MONITORING AND ENGAGEMENT FRAMEWORK FOR HIV/TB & SRHR SERVICES: TOWARDS “INCLUSION AND INVOLVEMENT”, “INPUT AND INFLUENCE” OF PLWH AND KPS IN NATIONAL HIV/TB AND SRHR POLICIES AND PROGRAMS.

File Name CLM ENGAGEMENT FRAMEWORK -Uganda.pdf
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As Uganda works to achieve HIV epidemic control, the scale-up of high-quality patient centered HIV/TB and SRH services for persons living with HIV and key populations is critical. Placing communities and patients at the center of the HIV response is critical to controlling the HIV epidemic. Community engagement has been identified as a key pillar to successful and sustainable HIV/TB and SRHR programs. The participation of people living with HIV, including recipients of care and their advocates,in the design, implementation,and evaluation of HIV/TB and SRH initiatives is critical to assure both demand from people living with HIV, key populations and supply of high-quality, contextually appropriate services. The WHO has defined community engagement as “a process of developing relationships that enable stakeholders to work together to address health-related issues and promote well-being to achieve positive health impact and outcomes.” Health systems in Uganda have embraced community engagements though in a more adhoc way through health unit management committees and village health teams. However, the gap with existing committees is the lack of a structured way of generating feedback and carrying on engagements within the structure of the health system from community-health facility-district-district to national level. This community engagement framework presents a latent opportunity to build and strengthen mechanisms through which persons living with HIV can play a critical role in shaping not only availability, accessibility, acceptability but as well quality of existing HIV/TB and SRHR services. This engagement framework provides a coherent process that links a focused HIV/TB and SRHR monitoring tool to meanignfully developing a constructive dialogue with duty bearers from local government to national-global levels and aligns them in a way that leads to changed conditions and systems for better and effective HIV/TB and SRHR services for PLWH. The community feedback will be used to initiate changes inside the health system and potentially optimize system performance, lead to better-quality, safer HIV/TB and SRHR services for persons living with HIV so as to achieve improved health outcomes at the individual, community and population level. As a practical resource it provides a clear definition of community engagement and importantly sets specific standards for community engagement that all Partners must adhere to. It identifies the first wave of priority actions that must be taken to improve community engagement in the city

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HEPS-Uganda