The Local Innovations Scaled through Enterprise Networks (LISTEN) process integrates the voice of the community in the design and testing of solutions to reach at-risk populations that are currently not being reached with conventional strategies, expanding engagement at the community level, and supporting linkages to the formal health system and to decision-makers throughout the system up to sub-national and national political leaders.
The LISTEN process employs human-centered design (HCD) methods to engage members of high-risk, low-service engagement target populations to identify alternative ways to successfully engage them with HIV prevention services. The process supports a sustainable approach to closing service provision gaps by engaging groups and organizations already engaged in the lives of the target segments, supporting them to adopt and employ a Community of Practice process for continuous improvement in achieving their purpose, while identifying how to embed HIV prevention engagement in the process as well.
The primary pillars of LISTEN are: 1) communities of practice that are linked horizontally and vertically; 2) data and metrics of impact that are relevant to each community of practice; 3) human-centered design that acts as the glue for the process.
The LISTEN process;
The LISTEN process aligns with and informs continuous improvement, as there is routine and intentional review and use of data to identify what changes, in which contexts, produce improvements. The feedback loops created through this process ensure a rapid, bidirectional flow of information, i.e., communities and providers use data to enhance innovation, and policymakers use these emerging innovations to drive policy change, as shown in the figure above.