Transcript Document

Session Title THLB05: Financing and Capacity
Building in HIV Programming
Innovative Capacity Building
Approaches in HIV Programming: Why
the AMREF Maanisha Program Worked
An oral presentation for ICASA 2011, in Addis Ababa,
Ethiopia on 8th Dec. 2011
Presented by Sam Wangila, Project Manager
(Knowledge Management)
Background
• Civil society organisations (CSOs) complement
national efforts for effective HIV&AIDS response
• AMREF survey (2005) found capacity gaps
among CSOs in Kenya
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Lack of technical capacity in HIV programming
Weak linkages with the formal health systems
Poor reporting and referral systems / weak M&E
Inability to manage grants/finances
Leadership and governance issues e.g. wrangles
• Low CSO capacity undermines quality
interventions & efficient resource utilization
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of
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AMREF Approach
• Twin approach- CB & Grants (60%
of the grants given to CSOs)
• Comprehensive HIV community
focused driven initiative
– Phase 1: 2005- Sept. 2007
– Phase 2: Oct. 2007 – 2012
• Strategic partnerships – NACC,
MoH,
NASCOP,
other
gov’t
ministries & development partners
• Basket funding -Sida & DFID ~ USD
30 M for phase II
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NACC Director (left) officially
launches phase II of the AMREF
project in 2009
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AMREF Project coverage
Covered 4/8 provinces
Nyanza province
Western province
Eastern province
Parts of Rift valley
Worked with almost 1000
CSOs since 2005 to date
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In summary Capacity Building entails: -
Knowledge
management
Leadership,
governance,
strategy
Financial
management,
budgeting
Technical
Capacity
Institutional
Capacity
Sustainability
Project
design &
management
ODSS
Community
ownership &
accountability
Admin &
HR
management
Networking
& advocacy
Tracking change in project Implementation
• Baseline assessment done to identify capacity gaps
• ODSS training of CSOs & GoK staff (CACC/ DDOs)
• Mentorship & supervision of CSOs to address gaps
• Annual internal/external Capacity Assessments
• Project data analysed to measure capacity changes
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Results
• Capacity of over 1000 CSOs & 70 GoK staff
strengthened through ODSS approach
• Over 225,000 HTC annually; 16,000 MARPS
access HTC and 6000 mothers accessing PMTCT
annually (since 2008)
• Over 30,000 OVCs reached with HTC; Quality of
life of over 3000 OVCs improved thru, livelihood
support, ARVs initiation and adherence support.
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BCC Outreach to Prison inmates
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Results
• Quality of life of over 70,000 PLHIV improved
• Evidence of increased capacity (42.5% to 64.5%)
through: – Sustainable interventions among previously funded CSOs
– Increased external resources from other donors (47 % of the
total CSOs accessing funds elsewhere)
– High absorption rates of disbursed funds to CSOs (>95 %)
– Increased community voice to demand for HIV services from
duty bearers
• Over 5.5 million condoms distributed annually with
testimonies/accounts of reduced STIs/pregnancies
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Livelihoods support
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Results
“...AMREF was the first donor in 2006. They gave us 2.6 million shillings (~USD
34,667) for HTC and behaviour change activities from 2006 to 2010. We used
the funds to test over 16,100 people for HIV; sensitized over 20,000 community
members on HIV prevention, distributed over 300,000 condoms and supported
99 OVCs. 45 of the OVCs are HIV positive and are under our care and support
program. Without strengthened capacity through ODSS by AMREF we wouldn’t
have implemented our program well. As a result of increased capacity, we have
expanded our donor base. We have a 5 year grant from EGPAF for USD.
259,000 per year. We are also getting funds from UNDP for the next 3 years for
a total of USD. 200,000 to expand our sustainability and address governance
projects. Since we have systems, we have changed from a Self Help Group to
an NGO” Bernard Mboya, Coordinator, YOFAK
• Adoption of the AMREF model by NACC in roll out of national
grants
• Recognition of AMREF by NACC as a national QA CB agency
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Conclusion
• Addressing CSO capacity gaps improves their
performance and enhances aid effectiveness at
the grassroot level
• Use of a twin approach which entails grant
making and capacity building is a recipe for a
successful HIV intervention
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“We will not accelerate aid effectiveness at the
community level unless we strengthen the
capacity of CSOs to work with our existing formal
health systems for an enhanced HIV response”
(AMREF 2011: Making Aid effective: the AMREF
experience)
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Further reading
• Making aid effective at the community level: the
AMREF experience, Development in Practice,
Volume 21, Number 7, September 2011
(http://www.tandfonline.com/doi/abs/10.1080/0961452
4.2011.590887)
• ODSS toolkit (strategy, participants manual &
facilitators manual)
• Grants toolkit (strategy, participants manual &
facilitators manual)
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Acknowledgements
• AMREF project staff (47 staff)
• AMREF senior management team
• Donors – Sida & Ukaid
• NACC & NASCOP
• ICASA audience
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Thank you