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BACKGROUND: The implementation of community-led monitoring (CLM) by key populations and people living with HIV communities is still new in the Asia region and has few examples of successful implementation and improvements. We represent here CLM processes and impacts among stakeholders collaborating with the Thailand Ministry of Public Health and implemented in three provinces.
DESCRIPTION: Key-population-led health service providers involved in the CLM monitoring cycle engaged in data collection and analysis, stakeholder presentations, advocacy for service quality improvements, and outcome monitoring. Between October 2022 and September 2023, 3,248 responses were gathered online.

FINDINGS (% of responses)IMPROVEMENT HIGHLIGHTS
Chiangmai
50% lacked information on undetectable=untransmissible (U=U)Provincial Health Office (PHO) promoted U=U messages, reducing stigma toward PLHIV at provincial media outlets
91.84% indicated limited number of PrEP-offering facilitiesPHO assisted all hospitals in Chiangmai to register as PrEP service facilities under National Health Security Office in 2024
Chonburi
12.23% mentioned ARV clinics lacked privacyExtended ARV clinic area and separated counseling room
21.58% mentioned no client queuing system in placeImplemented a queuing system at ARV clinic
Chiangmai, Chonburi, and Songkhla
18.9% mentioned providers lacked understanding of gender sensitivity and stigma and discriminationConducted a series of gender sensitivity training and outcome monitoring for hospital staff

LESSONS LEARNED: Lessons learned from the provincial CLM implementations included:


CONCLUSIONS: CLM led by KP and PLHIV communities can enhance the quality of health services. In 2024, CLM will be expanded to three additional provinces: Chiang Rai, Ubonratchathani, and Phitsanulok.