This paper explores the transformative potential of community-led monitoring (CLM) to address critical gaps in HIV service quality and accountability. Despite global progress, HIV outcomes remain uneven, with high “loss to follow-up” rates and systemic challenges like stock-outs, discrimination, and poor retention. CLM empowers affected communities to collect data, advocate for change, and hold decision-makers accountable—bridging the gap between service users and policymakers.

Key Insights:

• Accountability Deficit: Decision-makers often lack direct accountability to HIV service users, especially marginalized populations. CLM amplifies community voices to demand better services.
• Cycle of Impact: CLM combines data collection, analysis, advocacy, and monitoring to drive actionable solutions—from facility-level improvements to national policy shifts.
• Community Leadership: Success hinges on organized, resourced communities leading the process, ensuring solutions are locally relevant and politically viable.
• Urgent Need: With donor transitions and rising HIV rates among youth, CLM is a timely tool to improve retention and service quality.