E v i d e n c e b a s e d C o m m u n i t y L e ve l A d vo c a c y T h r o u g h U s e o f C S C
Score Card and Community Level Advocacy
Pemberai Zambezi
Family AIDS Caring Trust(FACT)
www.fact.org.zw
| July 23, 2018
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Local Capacity Initiative(LCI) Zimbabwe
Presented as the CECHLA Project(Coalition for Effective Community Health, HIV response, Leadership and Accountability)
Driven by PEPFAR principles of:
Local ownership &
Sustainability of HIV response.
Family AIDS Caring Trust (FACT) is Zimbabwe’s LCI prime, works with 4 technical partners and 6 CBOs.
6 districts, 31 health centres
• Focus on community level engagement of KP and PPs to improve ownership and influence on health quality and access.
Advocate for improvement in access to quality HIV & Health services for key populations (KPs)
& priority populations (PPs).
CECHLA’s goal
To monitor (identify) health challenges facing local
Health Centers and empower local
communities to lead in resolving the challenges through engagement with
relevant stakeholders.• LGBTIQ
• MSM
To ensure KPs & PPs groups are actively
engaged in monitoring and proffering solutions to
Health & HIV related advocacy issues affecting their local health centers
• Sex workers
• Artisanal Miners
• PLWHIV
CECHLA’s
Objectives
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Background: LCI CECHLA
CSC emerged as one of the key responses to the challenges.
Poor to non involvement of locals in ownership and decision making pertaining to local health services provision.
Unsystematic and evidence lacking engagement of locals with service providers
Local Health center level
District
National level
KPs disproportionately affected. Stigma and discrimination dominant.
CSC generated Data was central to CECHLA’s success
Use of the Community
Score Card as a tool to
monitor, identify, report,
action plan all
Health/HIV related
advocacy issues
The Score Card data
is analyzed, visualized
into dashboards and
presented to decision
makers to develop
action plans
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Community Score Card (CSC) - Introduction
Grounded on service provider and service user interaction, consensus, action planning and action review.
Qualitative analysis and description of scenario followed by quantitative documentation, visualisation, discussion, tracking & response.
Approach is systematic;
CSC: formal, systematic way for communities (patients) to engage health services providers at community & district levels in local health advocacy
Collection
Analysis
Documentation Presentation
Action Planning
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Applying CSC in Community Advocacy
• Interactive data collection tool generating qualitative and quantitative data.
• A hybrid of the techniques of social audit, community monitoring and citizen report cards.
• Facilitate monitoring and performance evaluation of services, by the community themselves (World Bank, 2004)
• Under the LCI, CSC is being used to enable facilitate interface of health services users and providers interface.
1: Planning and Preparation
• identification and training of facilitating staff, community research, introductory engagement with community
• Securing cooperation service providers; Indicators to be tracked; User groups in the communities
2. Conducting the Score Card with Service Provider & Service Users
• scoring against each indicator and giving reason for the scores and Generating suggestions for improvement.
3. Interface Meeting & Action Planning
• Joint prioritization of health issues
• Agreed action plan between service users & HCWs .
• Responding to local level issues
4. Analysis, CSC Visualization, Presentation of advocacy issues to decision makers
-Creating Dashboard -Presentation of Dashboards to DHEs & Local Authorities --DHEs & Local authorities responding and resolving the health gaps identified.
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CSC data Visualisation
• Without Visualisation, CSC data can be overwhelming, meaningless and cluttered.
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Lessons Learned on Scorecards
• Score Cards are effective making decision makers respond to health/HIV issues
• Score cards makes the community participate in influencing the health system to respond to their needs
• Score card approach makes the service providers & users, understand each other.
• Watch Video https://www.youtube.com/watch?v=0bbdMKo6xo