245684 Fostering Accountability and Ownership through Citizen Monitoring

Wednesday, November 2, 2011

Ken Morrison, MA , Futures Group, Mexico city DF, Mexico
Hannah Fortune-Greeley, MPH , Futures Group, Durham, NC
Issues: Evidence is growing to support the benefits of actively engaging affected communities in monitoring HIV services and stigma and discrimination. Description: The national network of PLHIV in Mali (RMAP+), with limited external technical assistance, undertook a pilot project to monitor the quality of health services from the perspective of service users. They developed a system for/by the PLHIV which, in the process, enabled RMAP+ to better survey its membership, translate this information into member association action plans and an evidence-based advocacy platform for participation in policy dialogue. The project resulted in a greater appreciation of health services from the point of view of PLHIV as well as an increased capacity of a national PLHIV network to undertake a research project including design, data collection and analysis. Dissemination led to a commitment by national stakeholders to use the results in the design of a national strategic plan and identification of key follow-up activities to take the project to a national level. Lessons Learned: A PLHIV-led process can produce high-quality results for use in developing an effective advocacy agenda. A participatory process that transitions leadership into the hands of a PLHIV network can appreciably increase ownership and a feedback loop for better governance. Recommendations: Although the information gathered in such a process is extremely valuable, a more complete picture can be made by triangulating the information with the opinions of health service providers and a more qualitative exploration of key themes with PLHIV.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Program planning
Provision of health care to the public
Public health or related public policy

Learning Objectives:
Audience should be able to identify means of analyzing and designing alternative means of monitoring health services from a user persective that provides for simultaneous empowerment of the users.

Keywords: Accountability, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I worked on the project and will be attending the conference
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: HIV/AIDS & Social Justice
See more of: HIV/AIDS