Integrity Watch’s Community Based Monitoring-Health program promotes social accountability through community mobilization and social audits. The program empowers communities to monitor health facilities that are implemented in their area. The aim of this program is to empower citizens to hold authorities and aid entities accountable and to create active and responsible citizenship. Communities engaged in local monitoring become more autonomous in solving their problems through this monitoring and continuous dialogue
The program started in 2018 with the health facilities in 10 communities in Kabul Province of Afghanistan. The program has expanded over the years due to its success in empowering citizens to take an active role in promoting integrity and accountability. Around 70 health facilities have been monitored by 70 Integrity volunteers since 2018 in Kabul, Kapisa, Nangarhar, Herat, Balkh Provinces.
Integrity Watch Afghanistan works with communities to identify Integrity Volunteers who volunteer to monitor health facilities on behalf of their communities. The Integrity Volunteers are trained and supported by Integrity Watch which has built up years of knowledge & experience in community based monitoring. Integrity Watch uses carefully designed customized monitoring tools to monitor a series of metrics and phenomenon related to health services delivery which illustrate the quality of health facilities and their impact on the targeted communities. These illustrations are based on the adequacy, consistency and sustainability of the Clinics.
Integrity Volunteers are able to file complaints through the establishment of a Sectorial Monitoring group (SMG) composed of line ministry representatives, Integrity Volunteers, Provincial Council members, media and aid actors. The SMGs trigger the accountability role of local institutions. Furthermore, regular monitoring of clinics helps to ensure that health facilities are impacting the community positively.
The methodology used empowers citizens and increases aid effectiveness at local levels through the Community Based Monitoring-Health program by:
Monitoring of health and overseeing the proper functioning of Health Management Shuras (HMS) are the core objectives of the CBM-H Program. As previously mentioned, the IVs will visit clinics at least twice a week and complete monitoring forms. They will also attend monthly HMS meetings and update community representatives on the findings. At this stage information on the relevant clinic is collected and recorded into Integrity Watch’s database. Also, weekly and quarterly monitoring forms are completed by IVs and recorded into the database and a monthly feedback sheet is prepared from the recorded information and submitted to the health management and community representatives. In addition, assigned IVs attend HMS meetings and monitor their performance.
7. Community Feedback Meetings
These are events where Integrity Volunteers provide their activity feedback to their relevant community. This event is conducted once each month in the clinic by the Integrity Volunteers.