7. In these countries, people have taken local ownershipof the issue “This is OUR problem and we are going to do something about it!”
8. People drive effective responses to HIV Health services are needed but don’t replace what people do for themselves
9. Once communities take ownership, they will respond locally to the issue Local Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response Local Response
10. What does this mean for a HIV strategy? Local ownership Prevention Is a strategic pillar that complements Care Mitigation
11. But, is local ownership enough to drive local responses? …..
12. …….No, because communities underestimate their capacity “We know it’s a problem, but don’t have the resources to respond” “We are victims” “We are waiting for the experts”
20. Communities are Stimulated to change behaviour when others That is why our Way of Working is SALT Appreciate their strengths Learn actively and link them to others Transfer their learning to other contexts
21. SALT reveals the community’s capacity to build a vision for the future, assess their situation, act, adapt and learn We call this cycle, the Community Life Competence Process.
25. UNAIDS Evaluation (2005) "between 83% and 87% [of AIDS Competence Process users] are satisfied and confident that the program achieves impact within communities. WHO-UNICEF Evaluation Papua New Guinea (2009) “The AIDS Competence Process is an effective approach in combating HIV/AIDS through local empowerment. For its low-cost but often labor intensive input of resources, the output has been substantial.” Roll Back Malaria / MACEPA Evaluation (2008) “The Malaria Competence process is very likely to foster a strong sense of community ownership and led to a surge in community-led initiatives”
26. And read hundreds of blogs from more than 20 countries on www.aidscompetence.ning.com
29. The process is cost-effective “The AIDS Competence Programme was found to be highly cost-effective when compared to other programmes (0.10 to US$ 2.00 per person reached )” – UNAIDS (2005) The Constellation is cost-effective “The administrative overhead costs of the Constellation in 2008 amounted to 5,8% “ - Belgian Ministry of Finance (2009) Tools and online course can be accessed for free
31. 1. Visit our website: www.communitylifecompetence.org 2. Join our online community: www.aidscompetence.ning.com 3. Apply SALT today. Learn more on www.communitylifecompetence.org/whatyoucando 4. Contact Gaston to see how we can support gaston@aidscompetence.org
This is point-prevalence, so shows the trend really well. It’s not a small sample. All conscripts of 21 year old have to go for (anonymous) HIV testing. At the moment, prevalence is 0,9% among the same demographic group. Key factor contributing to this progress after a 10-year research: LOCAL RESPONSES through ownership.
Progress in other countries as well, for example in Uganda.