Stop TB Partnership

Community - Led Monitoring Tools

What is community-led monitoring?

Putting people at the heart of the TB response is critical to ending TB. Every year millions of people affected by TB are missed by health systems because of barriers to services, human rights violations and TB stigma There is a need of comprehensive data and information on these challenges to overcome them and improve the delivery of quality TB care and support services for everyone.

Community-led monitoring of the TB response addresses this gap. It empowers and engages people affected by TB to report challenges in a routine manner preventing them from completing their TB journey.

The information generated is used to make sure that good quality TB services are available, accessible and acceptable for all people affected by TB, to reduce and eliminate TB stigma and to promote and protect the rights of people affected by TB, in alignment with the commitments contained within the UN Political Declaration on TB.

What are community-led monitoring tools?

Communities are using different tools to report challenges and to analyze trends in barriers to TB care and support services, human rights violations and TB stigma for advocacy and action such as observatories, score cards, digital solutions among other innovations.

Our Work

OneImpact is the Stop TB Partnership's community-led monitoring digital platform

In 2016 began the development of OneImpact, in partnership with affected TB communities and Dure Technologies. OneImpact is a TB community engagement platform designed to enhance community-led monitoring and to facilitate dialogue and collective action between affected TB communities, civil society, national TB programs and health, legal and social welfare systems for a people centered and rights based approach to TB.

With the support of the Global Fund Strategic Initiative with co-financing from USAID to the find the Missing People with TB, high burden TB countries piloted the platform and are now expanding upon or scaling up the OneImpact CLM intervention.

Learn more about our CLM tool OneImpact, here.

The OneImpact digital platform is made up of 3 tools that work together to provide a comprehensive community led monitoring solution:

• an app for people affected by TB - the app provides people affected by TB with information on TB, their rights, and TB care and support services, with spaces to connect virtually and opportunities to report challenges they face throughout the TB journey.

• a first responder dashboard - the dashboard allows first responders to track and respond to the challenges reported by people affected by TB.

• an accountability dashboard - a platform for community advocates and other stakeholders to monitor trends in TB challenges reported by people affected by TB for advocacy, action and change.

Visit OneImpact's website.

The Digital Health Initiative works with the OneImpact team to accelerate uptake of CLM solutions for the benefit of TB-affected communities.

We support implementers who want to implement CLM in their settings by:

  1. Providing a global digital solution for uptake, adaptation and use.
  2. Providing source code and software packages to support local ownership of the platform and data.
  3. Providing technical assistance packages to support the uptake, adaptation and use of the platform.
  4. Providing implementation tools such as the OneImpact CLM Conceptual and Implementation Framework which includes
    • Need and feasibility assessment
    • Legal landscape assessment
    • OneImpact training and user manuals
    • Data and security training modules
    • Case studies
  5. Providing technical assistance to implementers through our network of experts

Working with communities

We have supported the pilot testing of OneImpact in 14 countries and are currently supporting 6 who completed the pilot project to expand upon it or take it to scale.

Featured Case Study: Increasing Access to TB Preventative Therapy for Children

We worked with Ajuda de Desenvolvimento de Povo para Povo (ADPP) to pilot OneImpact in the districts of Matola and Chibuto in Mozambique.

This allowed us to better understand the challenges experienced by these communities, with 71% of people using the app reporting a challenge in a 5 month period. 703 different challenges to accessing TB healthcare were reported. One commonly reported challenge was that when an individual was identified with TB, household members were not always screened for TB. In collaboration with the local health authorities, community-based active case finding intensified to find missing people with TB in Matola and Chibuto. As a result, 27 children under 5 years old initiated TB preventive therapy