Community Based Monitoring in Project SAMASTHA The community monitoring system for FSW program in urban and rural areas of Karnataka is designed keeping in mind the following aspects 1. Pictorial representation of services: Since many of the FSWs are illiterate and cannot read and write, the pictorial representation of the activities/services facilitate easy recording of day-to-day outreach activities. 2. Individualized monitoring system: This mechanism helps in minimizing double counting 3. Evidence based planning: The outreach tool and computerization is a very useful tool for generating site specific aggregate data and segmenting the target population on the basis of their need. In this system two primary source documents are designed for the peer educators (FSW community members) to record services and activities provided to the community in the field. These documents also used for micro-planning. The two source documents are described below: Figure1: Peer Education Card Peer Education Card: The Peer Education Card (size: 6X5 inches) is designed in such a way that most information will be recorded in the form of pictures. The card is expected to make it easy for the Peers to report on the type of peer education they do. The card is used to record the particulars of educational sessions carried out by the Peer: either the paid Peer or the volunteer Peer. One card is filled for each one-to-one and group contact/educational session. The card is used to record referral and follow-up services. The card is for recording activities done with registered1 and non-registered FSW The filled-in cards are discussed with the ORW/Supervisor on a daily basis The card is entered into CMIS on regular basis for generating progress report 1 A newly identified FSW is registered in the program after 2-3 initial contacts by the ORW or supervisor. In this process a unique identity number is assigned to each FSW and basic demographic and sex work profile is recorded in the registration form. This unique ID number is also recorded in peer education card and peer calendar during peer contact. Peer calendar: The peer calendar is a micro-planning tool used for analysing service coverage of a particular site or a village. The tool looks like a matrix where the lists of the FSWs are recorded vertically and the days of a month is presented horizontally (See figure-2). Figure-2: Peer calendar Data Flow (Peer Calendar) # Contacted for BCC=7 # NEW contacted for BCC=2 Contact STI referral Condom given Every month a new calendar is given to the peer educator. The list of FSWs for a particular site is generated from the CMIS with name of the sex worker (or symbol for each FSW in case peer educator can’t read the names), ID code of the FSW. The peer educators use colour coded symbols to record specific services given to the FSWs on a particular day. The peer educators append the list of the FSWs in case they come across any new FSW in the site. At the end of the month the peer educator can easily compute some important indicators such as # of FSW contacted, # of FSW given condoms, Total # of condoms directly distributed, #of FSW referred to STI, # of FSW referred to ICTC, # of +ve FSW enrolled into ART program, and # of +ve FSW enrolled into SAMASTHA care program.