Most Popular Choices
Share on Facebook 42 Printer Friendly Page More Sharing
OpEdNews Op Eds    H3'ed 12/3/20

Community-led approaches are pivotal to respond to HIV, SRHR and COVID-19

By       (Page 1 of 3 pages)   No comments
Follow Me on Twitter     Message Citizen News Service - CNS
Become a Fan
  (2 fans)
Shobha Shukla - CNS

Health For All warrants people-centric and community-led integrated approaches
Health For All warrants people-centric and community-led integrated approaches
(Image by CNS)
  Details   DMCA

Solidarity and accountability are the hallmarks of tackling public-health problems, as well as health emergencies. We need integrated interventions that focus on people (and not just the disease), and address the needs of the individuals collectively, urged Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific.

Murphy was delivering the plenary address of twelfth virtual session of the 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR10), which is being held online this year because of the COVID-19 pandemic.

There has to be increased joint advocacy and joint programming to improve sexual and reproductive health and rights and control HIV/AIDS. We need to mobilize political (governmental) as well as community leadership to re-energize, he said.

Agrees Dr Jennifer Butler, Director of UNFPA Pacific sub-regional office based in Fiji, that community-led approaches are of paramount importance to run their own services and to shape the services they receive. "In the HIV 'world' we knew this from very early on, and in the sexual and reproductive health and rights (SRHR) field it is becoming an increasingly critical mode of engagement. Access to sexual and reproductive health package of services and to HIV services has long been considered as basic right. But here we are in 2020, still arguing the case of HIV and sexual and reproductive health and rights integration. We are still looking at stigma, discrimination, exclusion; we are still looking at the need to continue to train healthcare workers to treat everybody with dignity they deserve," she said.

While access to quality healthcare services, whether for sexual and reproductive health, or for HIV/AIDS care, is very important, access alone cannot help shape responses. Not only is community engagement important but also community-led monitoring, to improve quality and regularity of appropriate HIV-related services.

Dr Harjyot Khosa from YRG Centre for AIDS Research and Education, India, made a case for establishing community-led monitoring systems to engage communities on a regular basis to improve quality as well as accessibility of HIV-related services.

She gave the example of Community Score Card as one such systematic and sustained approach by engaging key populations to facilitate better health, improve HIV-service delivery and overcome stigma and discrimination.

What is a Community Score Card?

A Community Score Card is a participatory tool to ensure accountability, transparency and responsiveness from service providers and improve quality and efficiency of services by receiving systematic feedback from the community as well as service providers. It empowers both - key population communities and service providers - and has proven to be a sustainable mechanism to monitor and record changes in quality and efficiency of services.

Dr Khosa shared the example of the Community Score Card for HIV-affected communities developed and implemented by India HIV/AIDS Alliance under its 'Nirantar' programme. This Community Score Card has a set of 7 core indicators and sub-indicators on a range of issues, including quality of services, availability and accessibility of commodities/services, forms of stigma and discrimination and attitudes of service-care providers towards people living with HIV.

The community and healthcare providers conduct the scoring on each issue separately. Next, an interface meeting between the community members and the healthcare providers is held where the scores provided (on a scale from 0 to 10) by the healthcare providers and the community are reviewed to arrive at consensus scores and develop a mutually agreed action plan. Any score less than 4 warrants an action. They look at whether the problem is at healthcare provider level, HIV-prevention programme level, government level or community level. Then an action plan is drawn whose outcomes are checked after 3 months in the next quarterly meeting. Heads of hospitals, healthcare providers, functionaries of targetted interventions and communities develop and resolve the action points during the interface meetings.

Next Page  1  |  2  |  3

(Note: You can view every article as one long page if you sign up as an Advocate Member, or higher).

Rate It | View Ratings

Citizen News Service - CNS Social Media Pages: Facebook page url on login Profile not filled in       Twitter page url on login Profile not filled in       Linkedin page url on login Profile not filled in       Instagram page url on login Profile not filled in

Citizen News Service (CNS) specializes in in-depth and rights-based, health and science journalism. For more information, please contact: or @cns_health or
Go To Commenting
The views expressed herein are the sole responsibility of the author and do not necessarily reflect those of this website or its editors.
Writers Guidelines

Contact AuthorContact Author Contact EditorContact Editor Author PageView Authors' Articles
Support OpEdNews

OpEdNews depends upon can't survive without your help.

If you value this article and the work of OpEdNews, please either Donate or Purchase a premium membership.

If you've enjoyed this, sign up for our daily or weekly newsletter to get lots of great progressive content.
Daily Weekly     OpEd News Newsletter
   (Opens new browser window)

Most Popular Articles by this Author:     (View All Most Popular Articles by this Author)

Management of respiratory diseases beyond drugs: Pulmonary Rehabilitation

Oxygen therapy is like a prescription drug: Use it rationally

New funding boosts research for controlling TB, malaria, dengue and leishmaniasis

Progress made but work remains on firewalling health policy from tobacco industry

Youth Changemakers at the forefront of advocating for sexual health and rights

A bouquet of novel compounds: New treatment options for HIV

To View Comments or Join the Conversation:

Tell A Friend