Faith Macharia - NACC, Kenya
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Faith Macharia - NACC, Kenya

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Organizational development and systems strengthening of community based organizations through targeted capacity building to enhance the HIV and AIDS response in Eastern Kenya

Organizational development and systems strengthening of community based organizations through targeted capacity building to enhance the HIV and AIDS response in Eastern Kenya

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  • 1. ORGANIZATIONAL & SYSTEM STRENTHENING OFCSOS THROUGH TARGETTED CAPACITY BUILDING; A CASE OF EASTER KENYA N DURINGTHE SECOND HIV CAPACITY BUILDING PARTNERS SUMMIT. MAR 19TH – 21ST 2013 CH at BIRCHWOOD CONFERENCE CENTRE, A PRESENTATION BY FAITH MACHAR IAPROGRAMME OFFICER CAPACITY BUILDING, NACC KENYA. 1 NATIONAL AIDS CONTROL COUNCIL
  • 2. Background Eastern province is vast and unique and comprises of ;Upper Eastern, the Mountain region and the lower Eastern region. It is the second largest province in Kenya, with an area of 159,891 km². The terrain is richly varied, spanning diverse climates of the desert, mountain, lake, and savannah. This province comprises of 36 constituencies, with a population of 5,668,123 inhabitants- according to the 2009 population census. Its provincial administrative capital is Embu. 2 NATIONAL AIDS CONTROL COUNCIL
  • 3. ctd The HIV prevalence rate in Eastern province is 4.7 % (KAIS 2008). Though substantially lower than the national average of 7.1%, this rate masks the scale of the epidemic in densely populated urban areas where infections are well over10%. About two thirds of the adult population of this province, as it is country wide, are yet to test for HIV. 3 NATIONAL AIDS CONTROL COUNCIL
  • 4. ctd Civil Society organizations are significant actors in prevention, care and support in the area of HIV and AIDS program implementation in this province. Research indicates a worsening scenario in sexual behaviour among the sexually active, (most of whom do not know their HIV status), citing less than half had ever used a condom and less than 20 % used a condom the last time they had sex. 4 NATIONAL AIDS CONTROL COUNCIL
  • 5. ctd The drivers of the HIV epidemic contrast sharply by region within the Province. In the upper part of the Province, for instance, HIV is largely driven by cultural practices associated with nomadic lifestyles while in the mountain region, the epidemic is fanned by migratory activities linked to agriculture based trades; Miraa, flowers and bananas, horticultural produce, tea and coffee. 5 NATIONAL AIDS CONTROL COUNCIL
  • 6. ctd Farm workers oscillate between farms in search of casual work, while the middle- link traders- both men and women- shuttle between towns both within and without the province. The lower region of eastern province- largely inhabited by the Kamba community- is chiefly a savannah climatic zone, characterized by drought. 6 NATIONAL AIDS CONTROL COUNCIL
  • 7. ctd Famine overshadows otherwise important intervention activities and the ensuing struggle for survival seems to subtly enhance the ‘food for sex’ practice. Challenges of ARV adherence are as real as they can get. 7 NATIONAL AIDS CONTROL COUNCIL
  • 8. Key Interventions The methodology applied was an assessment through the administration of a quantitative questionnaire using the Amref Maanisha OCAT tool through face to face interviews. The NACC/MIS system was then utilized for on- line data entry. The CSOs were sampled purposively. 8 NATIONAL AIDS CONTROL COUNCIL
  • 9. Key Gaps; Strategies to track treatment drop out; to manage stigma, or address TB/HIV co- infection are deficient. National guidelines are yet to reach the grassroots. Far too few networks of People Living with AIDS and Most at Risk Populations (MARPs) come forward for funding or capacity building to support Income Generating Activities. 9 NATIONAL AIDS CONTROL COUNCIL
  • 10. ctd These and other gaps including the limited knowledge of the relationships between HIV infection and Cultural practices or the gender dimensions to HIV infection, defeat the very precious advantage that CSOs have; “… home grown solutions, which provides a tremendous platform to challenge societal norms and practices. 10 NATIONAL AIDS CONTROL COUNCIL
  • 11. Approaches adopted; Training and mentorship of the CSOs in technical issues and practices using the ODSS model to ensure and safeguard the achievement of the KNASP III objectives, specifically, to reduce: the number of new HIV infections; AIDS-related (mortality) deaths; HIV related illnesses and negative socio economic impact of HIV at household level, ultimately edging towards an AIDS competent society. 11 NATIONAL AIDS CONTROL COUNCIL
  • 12. The ODSS steps to organizational development ; As organizations grow, strengthen, and mature, they evolve through several stages of development. Four growth stages can be easily identified: Stage 1: Start up / nascent / emergent stage Stage 2: Development / emerging / growth stage Stage 3: Expanding / Consolidation stage Stage 4: Mature Stage Organizations pass through these stages at different rates but tend to remain at the initial stage until they have developed a clear mission, good management structures and systems, management skills, volunteers, and staff who use these. NATIONAL AIDS CONTROL COUNCIL 12
  • 13. ODSS Indicators were; Collective performance by Capacity area 60 56 54.48 50.97 50 48.44 48.55 45.75 40.65 40 38.84 33.5Score (%) 30 20 10 0 Leadership Fin. Mgmnt Admin & HR Project Design M&E Tech. Capacity Netwkng & Sustainability HIV & AIDS KM & Mgmnt Advocacy Capacity area 13 NATIONAL AIDS CONTROL COUNCIL
  • 14.  Based on the outcomes the CBOs underwent ODSS training and mentorship/coaching where the capacity gaps were a priority .Upon re-assessment using the ODSS OCAT tool some of the results were; Financial Management; 66 %, Leadership; 58%, Networking and Advocacy; 55 %, and Technical Capacity; 50%. 14 NATIONAL AIDS CONTROL COUNCIL
  • 15. Conclusion. Targetedtraining and mentoring resulted in improved organization system strengthening in targeted areas assessed. This process is ongoing in the entire country and has resulted in an improved response in the management of the HIV and AIDS response at community level 15 NATIONAL AIDS CONTROL COUNCIL
  • 16. Thank you! 16NATIONAL AIDS CONTROL COUNCIL