Civil Society Contributions to HIV Care and Support


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Presention given at the HIV Implementers Meeting held in Uganda (2008)

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  • Civil Society Contributions to HIV Care and Support

    1. 1. A Partnership Model with Civil Society Organizations to Expand Care & Support Services to Hard to Reach PLHIV Uganda HIV Implementer’s Meeting Sara Nieuwoudt, MPH Health Program Officer CARE International in Vietnam Co-authors : Nguyen Thanh Van Nguyen Thi Anh Nguyet
    2. 2. Overview: “ Same Same but Different” <ul><li>Different epidemic </li></ul><ul><li>Different civil society </li></ul><ul><li>(Mostly) same partnership strategy </li></ul><ul><li>Challenges and Successes </li></ul><ul><li>Recommendations </li></ul>
    3. 3. a concentrated HIV epidemic 0.53% Ministry of Health, Viet Nam (2005): HIV/AIDS estimation and projection in Vietnam for 2005 – 2010 period .
    4. 4. Drug Users: 34% ‘ Prostitutes ’: 6.5% Public Billboard: “ AIDS. Drug use. Prostitution. Road to Death” a concentrated HIV epidemic… that is not concentrated for hard to reach Source: MoH (2005): HIV/AIDS estimation and projection in Vietnam for 2005 – 2010 period .
    5. 5. Vietnam’s Civil Society: “Same Same but Different” <ul><li>The Party </li></ul>The Ministries Mass Organizations CSOs National Provincial District Commune National Provincial District Commune National Provincial District Commune
    6. 6. independent civil society & HIV <ul><li>Self-help groups </li></ul><ul><li>Faith-based </li></ul><ul><li>Community-based </li></ul><ul><ul><li>Bright Futures Network </li></ul></ul><ul><ul><li>The Network (HCMC) </li></ul></ul><ul><ul><li>AIDS Program </li></ul></ul><ul><ul><li>Green Bamboo </li></ul></ul><ul><ul><li>Tue Tinh Duong </li></ul></ul><ul><ul><li>Dieu Giac Pagoda </li></ul></ul><ul><ul><li>Pastoral Care Center </li></ul></ul><ul><ul><li>Action for Development </li></ul></ul><ul><ul><li>Xuan Vinh </li></ul></ul><ul><ul><li>Empathy clubs </li></ul></ul><ul><ul><li>An Giang & Can Tho groups </li></ul></ul>Examples:
    7. 7. challenge for independent civil society <ul><li>complicated & restrictive registration process </li></ul>
    8. 8. STRONGER Project <ul><li>Timeline: 2005 to present </li></ul><ul><li>Funded by: PEPFAR & USAID through Pact </li></ul><ul><li>Partners: civil social organizations </li></ul>Stronger Organizations, Networks, & GIPA for an Empowered Response to HIV/AIDS
    9. 9. partnership model: EMPOWERMENT! grants management & technical skills PLHIV better served in community PLHIV networks strengthened CSO training Public Health System
    10. 10. Key to partnership Women’s Union (a mass organization) CSOs
    11. 11. Different care & support | Same monitoring <ul><li>care & support </li></ul><ul><li>specific to each group </li></ul>monitoring methods developed jointly <ul><li>home visits & care </li></ul><ul><li>OI diagnosis </li></ul><ul><li>Relapse prevention </li></ul><ul><li>ARV adherence support </li></ul><ul><li>counseling support </li></ul><ul><li>OVC care & support </li></ul><ul><li>guides, e.g. cue cards </li></ul><ul><li>data entry forms </li></ul>
    12. 12. success in scale-up: acceptance leads to growth 6 to 11 CSO grantees per year <ul><ul><li>3 to 5 provinces </li></ul></ul><ul><ul><li>5000 to 48,000 grant range (USD) </li></ul></ul>13 CSO grantees total (2 self-sufficient)
    13. 13. success in numbers and GIPA <ul><ul><li>100+ CSO members trained </li></ul></ul><ul><ul><li>10,657 reached through CSOs </li></ul></ul>Beneficiaries Providers Leaders <ul><ul><li>13 CSO managing programs </li></ul></ul><ul><ul><li>national advocacy </li></ul></ul>“ I thought that death was waiting for me. I did not think that I could lead such a life like today …” ~ HIV positive Empathy Club member
    14. 14. Challenges faced Poor health Complex M&E Short grant timelines Legal Photo credit: Lesley is a Gem Girl (Flikr, 2008) Staff turnover Stigma and Discrimination
    15. 15. key lesson: empowerment takes time <ul><li>Realistic capacity assessment </li></ul>Realistic estimate of resources Realistic expectations Success benchmarks should account for time
    16. 16. programming recommendations <ul><li>support civil society </li></ul><ul><li>& </li></ul><ul><li>invest in building capacity </li></ul>monitor & evaluate impact & invest based on evidence Photo credit: citybumpkin (Flikr, 2008)
    17. 17. government recommendation: policy change <ul><li>Simple registration </li></ul><ul><li>Legal recognition </li></ul><ul><li>Direct support </li></ul>
    18. 18. Thank You! Our Donors : Pact & PEPFAR <ul><li>Our CSO Partners: </li></ul><ul><ul><li>Tue Tinh Duong </li></ul></ul><ul><ul><li>The Network (HCMC) </li></ul></ul><ul><ul><li>Action for Development </li></ul></ul><ul><ul><li>Bright Futures Network </li></ul></ul><ul><ul><li>Pastoral Care Center </li></ul></ul><ul><ul><li>Xuan Vinh </li></ul></ul><ul><ul><li>AIDS PROGRAM </li></ul></ul><ul><ul><li>Can Tho Group </li></ul></ul><ul><ul><li>Empathy Club </li></ul></ul><ul><ul><li>Dieu Giac pagoda </li></ul></ul><ul><ul><li>Green Bamboo </li></ul></ul><ul><ul><li>An Giang Group </li></ul></ul><ul><ul><li>Shield Club </li></ul></ul>Vietnam Delegation
    19. 19. our inspiration <ul><li>“ [This] is the first time we participated in the whole process of project management and we are very happy and proud to see CARE look at us positively. They acknowledge us as capable, and believe that we can change our lives and encourage people like ourselves to be more optimistic. All our project activities are completed with quality.” </li></ul><ul><li>~ group leader of Bright Futures Network (2003) </li></ul>