090930 constellation presentation english


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  • A slide showing that ownership precedes prevention, care and mitigation
  • It’s not a linear and strict process, but these are the rough steps a community goes through towards its way to AIDS Competence.
  • Tell stories to illustrate these points. Open discussions and increased testing: Ex: 600 policemen out of 1000 in the Kinshasa have done their HIV test Inclusion: Ex: communities in India include PLHIV in their savings group Addressing vulnerabilities: Ex: Street children in Philippines assess their risk and reduce their risky behaviour Ex: In Sohm (the Gambia), on average 5 children would die from malaria every year. But since the Self Assessment had been introduced, not a single child had died in the village. Access to treatment: Ex: Truck-drivers in Katma, a trucker's stop in Uganda obtain HIV tests at night Mobilize ressources: Ex: The sex workers in Periyackulam district, Tamil Nadu say "Sex without condoms: those days are gone!" After discussing their vulnerabilities with the Siaap team, they planned to start a mutual financial support services Learning and sharing: Ex: peer assists in Tent City where communities from all over PNG shared their experience around the priority practices of Tent City
  • 090930 constellation presentation english

    1. 1. The Constellation
    2. 2. HIV and AIDSOur starting point… and our primaryfocus
    3. 3. Increase in total annual resources for AIDSTotal annual resources available is 300$ per Person Livingwith HIV
    4. 4. More new infections than people put ontreatmentPeople newly infected Total 2.7 millionwith HIV in 2007People put on Total 0,8 milliontreatment in 2007
    5. 5. Data on HIV: UNAIDS report 2008 Number of PLHIV increases: (i) new infections (ii) ARVavailable HIV disproportionately affects injecting drug users, menwho have sex with men, and sex workers Prevention: 15–24 years of age account for 45% of allnew HIV infections and many young people still lackaccurate, complete information In only six years, the number of people receiving ARVhas increased ten-fold, reaching almost 3 million people 12 million orphans in sub-Saharan in Africa
    6. 6. There is another reality…..
    7. 7. Uganda: trends in antenatal HIVprevalence at selected sentinel sites Nsambya Rubaga Mbarara Jinja Mbale Tororo Lacor 35 30 25 20 b 15 10 5 0 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
    8. 8. What did we learn from countries that made progress? People drive effective responses to HIV/AIDS, not commodities. Service provision is required, but is no substitute to people driven responses Progress depends on local ownership of the problem and the solution
    9. 9. Implication for Global Strategy on AIDS PreventionOwnership Care Mitigation
    10. 10. The ConstellationStimulating and Connecting Local ResponsesFounded in 200412 founding members from 5 continentsNow 65 coachesConnecting communities in 20 countries from Asia,Africa and Europe
    11. 11. Our Core Belief Communities can respond by themselves to theirown issuesThey are able to envision, to act, to mobiliseresources, to assess progress, to adapt and to share
    12. 12. From AIDS to Life CompetenceIn a Life Competent society, we act fromstrength: to acknowledge that issues concern us all to build our common dream and overcome obstacleson the way to mobilize our capacities to reduce our vulnerabilitiesand risks to allow everyone to live out their full potential, and to learn from our experience and share it with others
    13. 13. Another way of development thinkingWe believe in our own We believe in people’sexpertise to provide solutions capacity to respondWe are in control We facilitate responsesWe respond to need We reveal strengthsYou have a problem Together, we have solutions
    14. 14. Another way of workingFacilitation teams support the spread ofCommunity Life Competence They build on the strengths of communities They work as a SALT team S : Stimulate, Support A : Appreciate L : Learn, Link T : Transfer, Team They support communities to become Life Competent
    15. 15. The steps of the Community Life Competence ProcessStep Step for the community Step for the facilitation team1 Mobilize communit y & leaders Establish a relationship2 Community generates their dream Facilitate dream building3 Community assesses strengths, concerns, Self -assessment on AIDS opportunities and threats Competence4 Community sets targets and plans action Self -measurement of change5 Community acts Follow- and link with available up services and communities6 Community measures own progress, learns and Self -measurement of change adapts7 Communities share learn and capture good , Peer assist, Knowledge Fair, practices Knowledge Assets
    16. 16. Knowledge Fair Community Knowledge assets Facilitators We share Peer assist SALT Self-measure change After-Action-Review Initial SALT visit we learn we & adapt careSelf- Building we Communitymeasure measure we the dream hopechange change we assess we act our situation Action plan Facilitate SALT visit self-assessment
    17. 17. Steps of the processbuilding the dreams
    18. 18. Steps of the process self-assessment 1 5 2 3 4 BASIC HIGH We acknowledge openly We recognise our own We recognise that with others our concerns strength to deal with theAcknowledgement We know the basic facts We recognise that HIV is a HIV/AIDS is a problem for about HIV/AIDS and the challenges and seek and Recognition about HIV/AIDS. problem. us and we discuss it challenges it represents others for mutual support amongst ourselves for us. and learning. We communicate We adapt and Our care and prevention We intentionally link careCare and change of externally provided communicate externally activities are separate and We change because we and change of behaviours behaviour messages about care and provided messages about dependent on external care. and work practices in prevention. care and prevention. stimulus. ourselves and with others. Our partnerships share We (individuals, families, We get together with common goals, and define communities, service We address and resolve all We don’t involve those some people who are each partner’s Inclusion affected by the problem. crucial to resolve common providers and policy contribution. Religious challenges facing us (not makers) work together to only HIV/AIDS.) issues. and community leaders respond to HIV/AIDS. get involved. We are addressing Identify and We aware of the general We have a clear strategy vulnerability in all aspects We have mapped Our strategy is based on address factors of vulnerability vulnerability and risk. to address vulnerability good practices. of the life of our group, vulnerability and the risks affecting us. and risk. all are aware and involved in responding. We have processes for We learn, share and apply We learn by what we do We see an improvement in We share learning from learning and sharing which what we learn Learning and rather than what we learn local responses as a result our successes but not our we use sometimes. We systematically, and seek transfer from and share with of our learning and mistakes. seek people of experience people with relevant others. sharing. when necessary. experience to help us. We measure our change We invite others to help We measure our own Our change is evaluated We begin consciously to systematically and can measure our change andMeasuring change by others. self measure. progress and set targets demonstrate measurable share learning/results for improvement. improvement. with others.
    19. 19. Does the AIDS Competence Process work?Comparison of AIDS competence indicators pre- and post-community selfassessment in 5 Bangkok districts Level 5 Level Acknowledgment and 5 Inclusion 4 recognition 4 3 3 2 2 1 1 0 0 Ladkrabang Klongsan Nonchok Bangkae Nongkham Ladkrabang Klongsan Nongchok Bangkae Nongkham Level Level 5 Care and prevention 5 Identify and address 4 vulnerability 4 3 3 2 2 1 1 0 0 Ladkrabang Klongsan Nongchok Bangkae Nongkham Ladkrabang Klongsan Nongchok Bangkae Nongkham Pre-intervention Post-intervention 19 Post-intervention year 1 year 2
    20. 20. Does the Malaria Competence Processwork?Comparison between group 1 (using malaria competence) andgroup 2 (not using malaria competence), in Togo
    21. 21. Results Open discussions and increased demand for testing Ex: Settlements in Papua New Guinea finally discuss HIV as their issue Improved inclusion of PLHIV Ex: communities in India include PLHIV in their savings group People identify and address vulnerabilities Ex: Street children in Philippines assess their risk and reduce their risky behaviour Ex: In Sohm (the Gambia), on average 5 children would die from malaria every year. Since the Self Assessment had been introduced, not a single child had died in the village. Improved access to treatment Ex: Truck-drivers in Katma, a truckers stop in Uganda obtain HIV tests at night People mobilize own resources Ex: The sex workers in Periyackulam district started a mutual financial support services.They do not accept to have sex without condoms anymore Reflection on lessons learned, adapt and share with others Ex: peer assists in Tent City where communities from all over PNG shared their experience around the priority practices of Tent City
    22. 22. The potential of AIDS Competence Currently plans to scale up ACP in  DR-Congo => PNMLS & World Bank  Indonesia => UNFPA & Provinces  South Africa => Department of Health, NGOs & Global Fund  Six Asian countries => Asian Development Bank supports country teams to go to scale Implementation across religions and cultures  Thailand => Norwegian Church Aid (NCA)  Kenya between tribes  Belgium in communities of different origins and cultures  Great Lakes Region => PLHIV & Truck drivers Application of approach to other issues  Malaria Competence with Roll Back Malaria  Human Preparedness to Pandemic with IFRC  Diabetes competence with Handicap International  Disability & Aids Competence with Handicap International  Reconciliation & AIDS with Melbourne University
    23. 23. External evaluationsUNAIDS Evaluation (2005)"between 83% and 87% [of AIDS Competence Process users] are satisfied and confident that the program achieves impact within communities. 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 )”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.”Action Group on Local responses to HIV in India (2008)“Stigma and discrimination is reduced due to greater clarity on the nature of the epidemic, and greater reflection on the different driving factors of the epidemic. The approach can be implemented with existing interventions, in order to promote a more sustainable response.”Roll Back Malaria evaluation of malaria competence (2008)“It is possible to conclude that the Malaria Competence process is very likely to foster a strong sense of community ownership. The self-assessment process led to a surge in community-led initiatives to create greater community awareness around malaria. March 30, 2012 UNAIDS 23
    24. 24. Some of our Formal Partnerships
    25. 25. Challenges Scaling up of the approach Self-measurement of progress Use by and connection with private sector Innovative approach in a sometimes non-conduciveenvironment
    26. 26. Ways of working Share CST Le fer a Trans rn Membership
    27. 27. L L L S S L S ST ST S ST T T T ST T L L S S L ST ST T T S L L L ST S T S S ST T ST ST L TT S L ST S T S ST L T ST L T L L S S S ST T ST T L ST T L L S S S ST T ST T ST T L L L L S S S S ST ST T T ST ST T T constellation
    28. 28. S S S ST L ST L S ST L T T T ST L T S S ST L ST L T T S ST L S T S S ST L T ST L ST L TT S ST L S T S ST L T ST L T S S S ST L T ST L T ST L T S S S ST L T ST L T ST L T S S S S ST L ST L T T ST L ST L T T constellation
    29. 29. Le arn
    30. 30. L L L S S S L ST ST S ST T T T ST T L L S S L ST ST T T S L ST L L S T S S ST T ST ST L TT S L S L ST T S ST T ST T L L S L S S ST T ST T ST L T L S L S S ST T ST T ST T L L L L S S S S ST ST T T ST ST T T constellation
    31. 31. Share
    32. 32. L L L S S S L ST ST S ST T T T ST T L L S S L ST ST T T S L ST L L S T S S ST T ST ST L TT S L S L ST T S ST T ST T L L S L S S ST T ST T ST L T L S L S S ST T ST T ST T L L L L S S S S ST ST T T ST ST T T constellation
    33. 33. Share G FT Le fer arnTrans constellation
    34. 34. Organizational Structure B B B B B C C B B B B B B B B v v B B C B C B B board B B v v B board board B B v v B B Chair C B C B B B B board board B v CST v B B v B C B B v C B B B B B B B B B C C B B B B B
    35. 35. References• UNAIDS 08 Report on the global AIDS epidemic• Lamboray J-L, Legastelois, J Sida, La bataille peut être gagnée, Ed. Atelier, 2004• Jean Legastelois, les communautés relèvent le défi du SIDA en RD- Congo, la Croix, 14 mars 2007• Fritjof Capra: The Turning Point (…), Bantam Books (1984) ISBN : 0553345729• Amartya Sen: Development as Freedom, Anchor Books ( 2000) ISBN : 0385720270• Fritjof Capra: The Web of Life, Flamingo (1997) ISBN : 0006547516• Thich Nhat Hahn: Il ny a ni mort ni peur. Éditeur, Pocket (4 mai 2005) ISBN : 2266149105• Christian de Duve: A l’écoute de la Vie, Odile Jacob (13 mai 2005) ISBN : 2738116299• Chris Collison & Geoff Parcell: Learning to Fly: Practical Knowledge Management from Leading and Learning Organizations, Capstone November 2004, ISBN: 978-1-84112-509-1
    36. 36. Thank you for your attentionOur websitewww.aidscompetence.orgOur communitywww.aidscompetence.ning.com