Transitioning from donor funded free health service delivery to patient out of pocket payment.pptx

The donor funding landscape is changing rapidly. Health care programs that depended have to identify new opportunities to fund health care services. For these opportunities to be sustainable the community in which the programs work must have a buy in.

1. Transitioning from donor funded free health service delivery to patient out of pocket payment A case for community led monitoring(CLM) Prepared by Chrisphen Simbiri

2. Introduction The health system continues to grow in complexity resulting from multisectoral involvement, diversity of health care needs, dynamic nature of patients and providers and the changing funding landscape S ystems thinking and Understanding the complexity of the changing health landscape is crucial to navigate through the unfamiliar territory where patients who previously received free services are now required to meet the cost of their health care needs.  Communities have a unique ability to accurately document the lived experiences and barriers to health care services

3. Community led monitoring Community-led monitoring is defined as a process where communities, particularly health service users, take the lead to routinely monitor an issue that matters to them - by identifying their top priorities; creating indicators to track those priorities; collecting data; analyzing the results; and sharing insights from the data with stakeholders and work alongside policymakers to co-create solutions to the problems they have identified. ( https://itpcglobal.org/blog/resource/integrating-community-led-monitoring-clm-into-c19rm-funding-requests/) Global fund defines CLM as an accountability mechanism that uses an independently structured and planned process designed and led by equipped, trained and paid members of community-led organizations of affected communities, to systematically and routinely collect and analyze quantitative and qualitative data from health service delivery sites (facility-based and beyond) and affected communities either for a specific disease component (HIV, HIV/TB, TB, malaria) or for broader primary health care . (UNAIDS 2023)

4. CLM cycle

5. Why CLM? Community led monitoring provides a powerful tool for empowering communities to actively participate in monitoring and evaluating health programs and services, providing insight to the program managers, on gaps and solutions leading to desirable outcomes, sustainability and accountability. . ( https://itpcglobal.org/blog/resource/integrating-community-led-monitoring-clm-into-c19rm-funding-requests/ ) CLM reinforces the importance of community resilience , and reveals how empowered communities can play a pivotal role in supporting the continuity of quality services by holding health care managers accountable. CLM reinforces the principles of persuasion to create the sense of community ownership of health programs making them to reciprocate and pay for the services