CLM with NCDPHA

Key Outcome
Improved Accessibility and Coverage of HIV and STI services in NCD. Meet annual program targets of clinics and the provinces.

Key Results

1. Feedback on how to improve the quality of HIV and STI services from key populations (the consumers) are heard.

2. Levels of stigma and discrimination among sex workers, MSM, transgenders and PLHIV are determined and classified.

3. Strategies and solutions to improve quality of services for key populations are identifed and acted upon.

1. CLM tools development

2. Profiling of NCD Facilities (Clinics)

3. Facility Exit Interviews 

• Round 1 - June 2022 (361 clients from 15 facilities)

• Round 2 - September 2022 (405 clients from 16 facilities)

4. Feedback workshops with facilities

   • Round 1 - 13 September 2022 - 23 Facilities

5. One-on-one feedback to facilities (scorecards)

   • 22 August 2022 - Feedback and Certificate Awarding - Heduru Clinic

• Strong support of NCD PHA Management

  • Chief Executive Officer (CEO)

  • Director of Public Health and Disease Control

  • Deputy Director of Public Health and Disease Control

• Regular results monitoring and sharing within the NCDPHA

• Strong and close relationship between NCDPHA (STI and HIV Program) and the facilities.

• Many of the facilities are run by church-based organizations and may have biases against key population. 

• Election-related delays during the Round 1 CLM.

• Admin and logistics-related issues were encountered in the beginning.

From regular monitoring and assessment of NCD HIV and STI services:

• Low rate of retention to treatment (high lost to follow-up)

• Low number of key population accessing HIV and STI testing and treatment

• Lack of key population data from the program

• Trend of HIV testing service - 2016 to 2022

• Trend of HIV treatment service - 2016 to 2022

• Trend of HIV viral load testing service - 2020 to 2022