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© 2005, CARE USA. All rights reserved.
A Partnership Model with Civil Society Organizations to Expand Care & Support
Services to Hard to Reach PLHIV
Uganda HIV Implementer’s Meeting
Sara Nieuwoudt, MPHHealth Program Officer
CARE International in Vietnam
Co-authors: Nguyen Thanh Van
Nguyen Thi Anh Nguyet
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© 2005, CARE USA. All rights reserved.
Overview: “Same Same but Different”
Different epidemic
Different civil society
(Mostly) same partnership strategy
Challenges and Successes
Recommendations
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© 2005, CARE USA. All rights reserved.
a concentrated HIV epidemic
0.53%
Ministry of Health, Viet Nam (2005): HIV/AIDS estimation and projection in Vietnam for 2005 – 2010 period .
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© 2005, CARE USA. All rights reserved.
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.
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© 2005, CARE USA. All rights reserved.
Vietnam’s Civil Society: “Same Same but Different”
The Party
National
Provincial
District
Commune
The Ministries
Mass Organizations
National
Provincial
District
Commune
National
Provincial
District
Commune CSOs
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© 2005, CARE USA. All rights reserved.
independent civil society & HIV
Self-help groups
Faith-based
Community-based
Bright Futures NetworkThe Network (HCMC)AIDS Program Green Bamboo
Tue Tinh DuongDieu Giac PagodaPastoral Care Center
Action for DevelopmentXuan VinhEmpathy clubsAn Giang & Can Tho groups
Examples:
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© 2005, CARE USA. All rights reserved.
challenge for independent civil society
complicated & restrictive registration process
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© 2005, CARE USA. All rights reserved.
STRONGER Project
Timeline: 2005 to present Funded by: PEPFAR & USAID through Pact Partners: civil social organizations
Stronger Organizations, Networks, & GIPA for an Empowered Response to
HIV/AIDS
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© 2005, CARE USA. All rights reserved.
partnership model: EMPOWERMENT!
grants
management &technical skills
PLHIV better served in community
PLHIV networks strengthened
CSOtraining
Public Health System
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Key to partnership
Women’s Union(a mass organization)
CSOs
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Different care & support | Same monitoring
care & support specific to each group
monitoring methods developed jointly
•home visits & care
•OI diagnosis
•Relapse prevention
•ARV adherence support
•counseling support
•OVC care & support •guides, e.g. cue cards
•data entry forms
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© 2005, CARE USA. All rights reserved.
success in scale-up: acceptance leads to growth
6 to 11 CSO grantees per year
3 to 5 provinces
5000 to 48,000 grant range (USD)
13 CSO grantees total (2 self-sufficient)
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© 2005, CARE USA. All rights reserved.
success in numbers and GIPA
100+ CSO members trained
10,657 reached through CSOs Beneficiaries
Providers
Leaders13 CSO managing programs
national advocacy
“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
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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
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© 2005, CARE USA. All rights reserved.
key lesson: empowerment takes time
Realistic capacity assessment
Realistic estimate of resources
Realisticexpectations
Success benchmarks should account for time
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© 2005, CARE USA. All rights reserved.
programming recommendations
support civil society&
invest in building capacity
monitor & evaluate impact &
invest based on evidence
Photo credit: citybumpkin (Flikr, 2008)
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© 2005, CARE USA. All rights reserved.
government recommendation: policy change
Simple registration
Legal recognition
Direct support
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© 2005, CARE USA. All rights reserved.
Thank You!
Our Donors: Pact & PEPFAR
Our CSO Partners: •Tue Tinh Duong•The Network (HCMC)•Action for Development•Bright Futures Network•Pastoral Care Center•Xuan Vinh•AIDS PROGRAM•Can Tho Group •Empathy Club•Dieu Giac pagoda•Green Bamboo•An Giang Group•Shield Club
Vietnam Delegation
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© 2005, CARE USA. All rights reserved.
our inspiration
“[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.”
~group leader of Bright Futures Network (2003)