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)

pzambezi@fact.org.zw

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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CSC Data Visualisation

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From CSC to Advocacy Tracker

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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

Thank You!