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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
Overview: “ Same Same but  Different” ,[object Object],[object Object],[object Object],[object Object],[object Object]
a  concentrated  HIV epidemic 0.53% Ministry of Health, Viet Nam (2005):  HIV/AIDS estimation and projection in Vietnam for 2005 – 2010 period .
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 .
Vietnam’s Civil Society:  “Same Same but Different” ,[object Object],The Ministries Mass  Organizations CSOs National Provincial District Commune National Provincial District Commune National Provincial District Commune
independent civil society & HIV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Examples:
challenge for independent civil society ,[object Object]
STRONGER Project  ,[object Object],[object Object],[object Object],Stronger Organizations, Networks, & GIPA for an Empowered Response to HIV/AIDS
partnership model:  EMPOWERMENT! grants management & technical skills PLHIV better served in community  PLHIV networks strengthened CSO training Public Health System
Key to partnership Women’s Union (a mass organization) CSOs
Different  care & support  |  Same  monitoring ,[object Object],[object Object],monitoring methods  developed  jointly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
success in scale-up:  acceptance leads to growth 6  to  11  CSO  grantees per year ,[object Object],[object Object],13  CSO  grantees total  (2 self-sufficient)
success in numbers and GIPA ,[object Object],[object Object],Beneficiaries Providers Leaders ,[object Object],[object Object],“ 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
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
key lesson:  empowerment takes time ,[object Object],Realistic estimate of resources Realistic expectations Success benchmarks should account for time
programming recommendations ,[object Object],[object Object],[object Object],monitor & evaluate impact  & invest based on evidence Photo credit:  citybumpkin (Flikr, 2008)
government recommendation:  policy change ,[object Object],[object Object],[object Object]
Thank You! Our Donors : Pact & PEPFAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vietnam Delegation
our inspiration ,[object Object],[object Object]

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Civil Society Contributions to HIV Care and Support

  • 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.
  • 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. 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.
  • 6.
  • 7.
  • 8.
  • 9. partnership model: EMPOWERMENT! grants management & technical skills PLHIV better served in community PLHIV networks strengthened CSO training Public Health System
  • 10. Key to partnership Women’s Union (a mass organization) CSOs
  • 11.
  • 12.
  • 13.
  • 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.
  • 16.
  • 17.
  • 18.
  • 19.

Editor's Notes

  1. Acknowledge co-authors and co-presenters.