Community Participation and Monitoring in Health

Alexandra Gugliuzza| Cornell Global Health| GRAAM

“Systematic documentation and review of the availability, accessibility and

quality of health services against specific government commitments or standards

by actual beneficiaries of services, for the purpose of doing advocacy with providers

and policy makers to improve the services.” (COPASAH)

CPM

CPM

Accountability

Empowerment

Action

Perspective

Advocacy

Equitable

Capacity

building

Grassroots

Case StudiesSupport for Advocacy and Training to Health

Initiatives (SATHI)- Maharashtra, IndiaOptimizing the HIV Treatment Access (OHTA)

Initiative by UNICEF- Sub-Saharan AfricaCARE and ForoSalud with COPASAH- PeruBRAC- BangladeshPower to the People- Uganda

SATHIStakeholders Capacity

Building

Community

Assessment

Jan Sunwai State Dialogue

OHTA by UNICEFcommunity-facility linkage

4 Domains and 11 “Promis ing Pract ices”

CARE and ForoSalud

BRAC: The Manoshi Approach

Social Mapping

• Accessibility• Service

Delivery• Contact

Census Taking

• Resource Allocation

• Duplication of Service

• Data

Community Engagement

• Retention• Trust and

accessibility• Service

improvement

Power to the PeoplePre-

intervention surveys

Report Cards

Village Meeting

Health facility staff

meetingInterface Meeting

Performance Monitoring

Mid-term review

ConclusionsThree-way collaboration and partnershipsHealth service activities alone are not enoughEquity is essentialEnvironment and population

contextualizationThere is no one method- adaptability is a

must Communication

Personal Reflection

Adaptability

Professional Skills

Development

Relationships Openness “World

Citizen”

Questions?

Thank You!