CONTRIBUTION OF KHADREP 1

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CONTRIBUTION OF KHADREP 1

• Various organizations were supported to implement
  various activities throughout the country at the
  community level.

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Introduction

• Definition of community
• For the purpose of this presentation, the word
  community refers to
• People, organizations, structures at the
  decentralized levels.

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The supported programmes focused mainly on the
following areas

• Advocacy and prevention
• Treatment care and support for the infected and
  affected
• Mitigation of the socio-economic impact of
  HIV/AIDS

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PROGRESS

• Communities empowered to participate in HIV/AIDS
  prevention strategies
• Region with high level of awareness have moved on
  to include other strategies like treatment, care
  and support for the infected and affected
• Increased campaign, free discussion and
  acceptance of HIV/AIDS interventions at the
  community level.
• Some networking and collaborative meetings,
  forums for joint planning, prioritization and
  management.

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CHALLENGES

• Insufficient capacity among implementing
  organizations and community structures (CACCs and
  DTCs)
• Wrong perception of CACCs by communities as
  financing organs
• Mistrust,competion and suspicion among CBOs
  (unwillingness to share information among
  different groups)
• Duplication of programmes and activities among
  CBOs
• Limited availability of comprehensive care
  services at the community level.

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LESSONS

• The already increased advocacy for attitude and
  behavioral change needs to be sustained.
• Irrespective of increased advocacy and awareness,
  stigma is still high and more needs to be done.
• Capacity differences among groups/organizations/in
  stitutions hinders establishment of partnerships
  amongst stakeholders thus the need to enhance
  support for co-ordination efforts.
• Role of MPs-support versus interference continues
  to be a challenge
• Need for Donor co-ordination to harmonize funding
  at the community level.

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• MAP II RECOMMENDATIONS FOR COMMUNITY SUPPORT

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RECOMMENDED SUPPORT AREAS

• Community mobilization efforts
• Emphasis on support for capacity development and
  empowerment of communities with a view of
  ensuring sustainability of programmes.
• scale-up of community programs especially
  targeting previously marginalized areas and
  focusing on highly vulnerable groups and high
  impacted groups e.g. girls,women and orphans.
• Aim at ensuring quality of community
  interventions as opposed to quantity.
• Enhancing community partnerships through
  networking and collaboration

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Institutional strengthening for community
participation and development

• Capacity needs assessements for CACCs and DTCs
• Provision of support for capacity building for
  the AIDS decentralized structures-CACCs and DTCs
  based on identified capacity gaps.
• Leadership training and programme support
  including financial management, disbursement, and
  audits and M E.
• Improving coordination between district and
  constituency-level structures.

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3. Research

• Identification of priority needs per region to
  determine type and focus of interventions.
• Rapid assesements of the number and level of
  priority focus groups (vulnerable
  groups)-OVCs.young girls etc (as in the KNASP)
• Situational analysis to determine all
  implementing organizations and the nature of
  their activities at the community level.
• better documentation of implementation processes
  strategies lessons learnt and impact of
  interventions
• Impact assesements
• Identification of best practices with a view of
  enhancing support to these organizations.

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4. Monitoring and Evaluation (ME)

• Support the decentralized structures-CACCS and
  DTCs undertake regular monitoring of community
  programmes.

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Financial support to community initiatives

• This should be based on the priority areas and
  focus identified per region and based on the
  KNASP focus areas as outlined below
• Prevent new infections,
• Improve the quality of life of those infected and
  affected, and
• Mitigate the socio-economic impact of the epidemic