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.
Community life competence e nv3
<ul><li>The Constellation </li></ul><ul><li>Our starting point </li></ul><ul><li> </li></ul><ul><li>Ownership + strengths = local response </li></ul>
<ul><li>Let’s ask ourselves a question….. </li></ul><ul><li>… can communities progress in terms of HIV ? </li></ul>
<ul><li>Source: HIV and Health Care Reform in Phayao . UNAIDS, Geneva, April 2000. </li></ul>They can in Northern Thailand….
<ul><li>Source: Kamall et al. AIDS 2000, 14: 427-434 </li></ul>HIV prevalence rate among 13-19 year old in Masaka, Uganda They could in Uganda…..
<ul><ul><li>Progress also happens in Tanzania, Burkina Faso and other countries…. </li></ul></ul><ul><ul><li>The key question is... </li></ul></ul>
What distinguishes these countries from others?
In these countries, people have taken local ownership of the issue “ This is OUR problem and we are going to do something about it!”
People drive effective responses to HIV Health services are needed but don’t replace what people do for themselves
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
What does this mean for a HIV strategy? <ul><li>Local </li></ul><ul><li>ownership </li></ul>Prevention Care Mitigation Is a strategic pillar that complements
But, is local ownership enough to drive local responses? …..
…… .No, because communities underestimate their capacity “ We know it’s a problem, but don’t have the resources to respond” “ We are waiting for the experts” “ We are victims”
Therefore, we must reveal their capacity & strengths
Once communities know their strengths , their self-confidence grows..…..
… .and they’ll use their strengths to address their problems “ We can do this together!”
Well, our experience around the world shows...
Communities are S timulated to change behaviour when others That is why our Way of Working is SALT A ppreciate their strengths T ransfer their learning to other contexts L earn actively and link them to others
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.
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”
And read hundreds of blogs from more than 20 countries on www.aidscompetence.ning.com
The process is cost-effective “ T he 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
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 [email_address]