CBM ASSESSMENT REPORT
Community-based approaches have been recognized as critical to preventing and treating TB. Communities are important to the TB response, globally, regionally, nationally and locally. For example, the Stop TB Partnership recommended that ending TB by 2030 should incorporate strong coalitions with civil society and community organizations and Human Rights and Gender-Based Approaches. A TB response with the full integrated involvement of communities will achieve a TB free status. Community-based Monitoring (CBM) is a data-driven process of drawing in, activating, motivating, capacity building and allowing the community and its representatives to directly give feedback about the functioning of public health services. In this assessment we aimed to assess the current community-based monitoring for TB in Malawi. We specifically aimed to; (a) Map and assess the community-based interventions in Malawi, (b) describe the gender and human rights barriers and enablers in accessing the Tuberculosis services in Malawi, and (c) assess the current community monitoring and evaluation tools and processes that are in place for monitoring community-based TB interventions.
The assessment was done in Karonga, Mulanje, Zomba and Nkhotakota. The assessment used a mixed methods approach (quantitative and qualitative methods of data collection). Quantitative data was collected through a Patient survey, Provider survey and review of documents while qualitative data was collected through Key Informant Interviews (KII), Focus Group Discussions (FDGs) and case studies with relevant stakeholders and beneficiaries. Structured questionnaires were used during the Patient survey, provider survey and review of documents while Checklists were used during Key Informant Interviews (KII), Focus Group Discussions (FDGs) and case studies.