Launched in November 2018, the Community Engagement Community of Practice (CoP), also known as the Community Advocacy Network (CAN), has empowered community leaders across 21 African countries to advocate for more accountable, inclusive HIV responses.

The CAN also includes an Advisory Group that focuses on key and vulnerable populations, including women, young women and youth, men who have sex with men (MSM), transgender people, and people who use drugs (PUDs). This investment has enabled people living with HIV and recipients of care (RoC) to play a direct role in shaping Differentiated Service Delivery policies and programs through the use of community-generated data. One of the key outcomes of this work has been the use of CLM in a new and inventive way: the development and rollout of a 19-indicator framework specifically focused on tracking levels of community engagement (CE) in the design, implementation, and evaluation of DSD. This work revealed that PLHIV were under-engaged in shaping DSD: while they were most often involved in designing DSD policies and programs, they were rarely involved in implementation and almost never in monitoring or evaluating DSD implementation.

The CE tool was further deployed by national stakeholders to pinpoint specific service delivery gaps and improve decision-making across the 22 countries. In 2024, country partners analyzed and applied CE data to targeted advocacy, resulting in tangible improvements in HIV services. To know more about community engagement, please access: https://brc.itpcglobal.org/our-work/community-engagement/

Members of the community advocacy network at CQUIN's April 2026 meeting

Community of Practice

Each of the 21 CQUIN member countries has a nominated representative from a national or regional network of people living with HIV or key, vulnerable, and priority populations in the community of practice.

The CoP ensures that HIV community representatives are engaged and participate meaningfully in all CQUIN network activities.

Ms. Nadia Rafif and Ms. Pragashnee Murugan from ITPC are the technical leads, with advisory support from Dr. Bactrin Killingo and Dr. Rudo Kuwengwa, CQUIN’s regional clinical advisor.

    Activities

    CoP activities include:

    • Facilitating meetings between the CoP members by convening virtual dialogue and exchange sessions
    • Convening pre-meetings for the CoP prior to all CQUIN network meetings
    • Scaling up the collection and analysis of data with the CoP’s community engagement tracking tool in CQUIN member countries. The results of the data collection are presented at CQUIN annual meetings
    • Providing ad-hoc expertise and support to the activities of the community advocacy network and other CQUIN communities of practice. For example, giving feedback on CQUIN-developed tools and frameworks.

      Resources

      • In 2021, country partners from Kenya and the Democratic Republic of Congo (DRC) developed and piloted a Community Engagement Framework and a monitoring tool to track and enhance CE in DSD policy development, program design, planning, implementation, monitoring, and evaluation. The results from this pilot of the CE tracking tool (DRC) were insightful and sparked interest within the broader CQUIN network. The Excel-based CE tracking tool containing 19 quantitative indicators Community Engagement Monitoring Toolkit  was then translated from English into French and Portuguese to enable stakeholders to assess the extent of community engagement in DSD-related policy, implementation, and evaluation. Results from the CE Assessment Toolkit were presented here at CQUIN’s 5th annual meeting.
        • The 2021 pilot of the CE tracking tool in Kenya and the DRC yielded insights and sparked interest within the broader CQUIN network. The Excel-based CE tracking tool containing 19 quantitative indicators was then translated from English into French and Portuguese, data collectors were trained, and the tracking tool rolled out in 20 countries between July and November 2022: Community-Led Monitoring for Increased Community Engagement in DSD Decision-Making and Programming.  Results were shared with CAN members and a wider audience during the ICAP CQUIN 7th Annual Meeting in 2023 and will be presented at the 2023 International Aids Society Conference.
      • In 2023, grants were disbursed to all 22 CQUIN/CAN member countries to roll out the revamped CE tracking tool; 21 countries did so. This report analyzes the changes in CE levels between the two years. The key findings and corresponding recommendations bring further insight into the progress of CE and how to bridge the identified gaps to strengthen meaningful CE in countries that are rolling out DSD programs: Building Bridges: Amplifying Community Engagement in DSD Decision-Making and Programming. Results were shared at the CQUIN 8th Annual Meeting and a comparative analysis on the trends in CE between 2022 and 2023 was presented at the 2025 International Aids Society Conference.
      • In 2023 a Community Engagement Monitoring Tool Manual was developed in English: https://itpcglobal.org/resource/manuel-de-loutil-de-suivi-de-lengagement-communautaire-2023/French, and Portuguese. This manual was developed to provide a framework on how to engage with communities. By measuring indicators, we can understand trends and the reasons behind RoC involvement in the design and implementation of policies and programs, and not in M&E. Most importantly, we can create genuine opportunities for RoC and their advocates to participate in DSD activities and decision-making processes.
      • The application of CLM, using the Community Engagement Monitoring Tool 0 and 2.0 in 2022 and 2023, respectively, underscored the untapped, significant potential of meaningful CE and CLM in offering pathways to refine strategies, ensuring that robust community responses remain central to Differentiated Service Delivery (DSD).
      • Together with CAN partners, ITPC developed an advocacy reporting framework, implemented between June – September 2024, which was populated by each organization to document the outputs, outcomes, and follow-up steps for each advocacy priority implemented. The framework asked additional questions to further document various aspects of the project, such as unexpected outcomes, opportunities for additional resourcing and long-term advocacy priorities: How Data Drives Advocacy: Sustaining Community Engagement & Response in DSD Programs
      • The results of this advocacy frameworks were compiled and analysed to produce a full report, and case studies from Democratic Republic of Congo (DRC), Malawi, and Rwanda: How Community Data Drives Change: Amplifying Community Engagement in Differentiated Services Delivery Decision-Making and Programming
        • Additionally, together with the Quality Management and Monitoring and Evaluation communities of practice, the CoP co-created a Recipient of Care Satisfaction Decision Matrix and Toolkit to provide network countries with best practices for assessing and improving recipient of care satisfaction.

        Webinars

        Joint Community of Practice Webinar on the Recipient of Care Satisfaction Survey Toolkit
        Centering Recipients of Care: Assessing and Improving Satisfaction within DSD Programs: Recorded, August 3, 2023

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