Community-Led Monitoring (CLM) is a social accountability model that is being used by communities to hold duty bearers and health facilities accountable for improved quality of HIV and TB services that are being provided with the support of the US Government through the US President’s Emergency Plan for AIDS Relief (PEPFAR). The program started with a six-month pilot project and scaled up for Two years – COP 20/ COP 21 to support the capacity building and skills development needed to establish a national, routine community-led monitoring and advocacy program in Uganda. PEPFAR through its COP20 is supporting Coalition for Health Promotion and Social Development (HEPS-Uganda), the International Community of Women Living with HIV Eastern Africa (ICWEA) and Sexual Minorities Uganda (SMUG) to implement a scale up of CLM model of Health services delivery in Uganda.
The CLM model trains, supports, equips and pays members of directly affected communities to themselves carry out routine, ongoing monitoring of the quality and accessibility of HIV treatment and prevention services. Monitoring focuses on collecting quantitative and qualitative data through a wide variety of methods that reveal insights from communities about the problems and solutions to health service quality problems at the facility, community, sub-national, national, and even international levels. Another key concept of CLM is the full integration of evidence-based advocacy into a cycle that brings new information to the attention of decision makers and holds them accountable for acting on that information
