Children and aids newsletter


Quality Programming at Community Level



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Quality Programming at Community Level

When:

06 October 2008

15:30 – 17:30



Focal Point:

Rachel Yates


Where: ‘The Board Room’, First Floor, Royal Hospital Kilmainham


Chairperson: Dr Alex Coutinho, Director, Infectious Diseases Institute at Makerere University
Rapporteur: (To be confirmed)


Speakers
1. Name of proposed speaker: Mr Nathan Nshakira
Organisation: FARST Africa

Country: Uganda
2. Name of proposed speaker: Mr Phan Dang Cuong
Organisation: Social Development Adviser Irish Aid

Country: Vietnam
3. Name of proposed speaker: Ms Methusela Nyabuchweza and Mr Aloyce Fungafunga (youth participants)

Organisation: Junior Council of Tanzania (Mwanza Region) and Dogodogo Centre

Country: Tanzania


Outline for presentations:
Time: 5-10 minutes for each presentation
6 slides maximum for each presentation




Background information:
Chairperson to give opening remarks to frame the discussion and key issues – based on issues highlighted below:
In many countries HIV and AIDS is decimating households and placing an enormous strain on extended family structures. Community responses, whether through formal or informal structures, have a critical role to play in the CABA response including the provision of direct care, support and protection to children and families, identifying the most vulnerable and excluded children, and advocating for more inclusive national responses.
Successful programming at a community level requires complementary efforts from government and civil society. Community based structures through local knowledge and local participation are often well placed to respond to local needs and build on local coping strategies. However to be effective they need to be supported by effective national policies and laws, inclusive and affordable public services, good coordination and monitoring and evaluation.
Despite increasing resources for CABA, and acknowledgement of the importance of community response, there remain significant challenges and bottlenecks in getting resources to community based structures. Many community based initiatives continue to face many barriers in accessing national and donor budgets for CABA programming. It is estimated that only 10-25% of affected households in high HIV burden countries receive any external support for the care of orphans and vulnerable children.
There are diverse funding models for getting resources to community based initiatives including cascading resources through intermediary NGOs (e.g Zimbabwe) and decentralized district managed models (Uganda) and channeling resources through faith based organizations (Nambia) from which considerable lessons can be learnt. Funding mechanisms need to be context specific and depend on the comparative advantage of community based structures and their technical and financial capacities. There is growing recognition of the importance of ensuring funding procedures are appropriate to allow community based organizations to access funding, and at the same time ensuring that that funding is accompanied by appropriate capacity building.
There is still a very mixed picture in the extent to which community based programming promotes the effective participation of children. Despite commitments to promotion of child rights approaches, children affected by HIV and AIDS are often excluded from the design, implementation and monitoring of interventions. This ultimately undermines their appropriateness and effectiveness. However, there are many good examples of effective child participation which we can learn from and scale up more widely.
Finally there are a number of key challenges in monitoring programming at a community level. The first is tracking the domestic and external resources that actually reach community based initiatives. The second is monitoring the coverage, quality and impact of these community based responses on the lives of vulnerable children. Often the monitoring of efforts through community initiatives is not captured in national monitoring systems – which makes it difficult for governments to track coverage, identify gaps and learn lessons which can be replicated elsewhere.


Objectives of the session:

  • Identify key success factors in promoting quality community level programming

  • Identify key challenges in promoting quality community level programming

  • Understanding the roles of government, civil society, donors in promoting quality programming at community level

  • Identify major gaps in knowledge for future research


Presentations should focus on
Nathan Nshakira (FARST, Uganda)

  • What are the continuing bottlenecks restricting funding for community based initiatives in support of CABA?

  • How can national governments, donors and civil society better track resources to community based initiatives?

  • How can we ensure better integration of community based responses within government owned national plans of action?


Rep from Vietnam – Mr Ha Viet Quan

  • How community based responses can ensure more inclusive and rights based response to children affected by AIDS?

  • Draw on Vietnam experience to show how community based responses can create more inclusive and appropriate interventions for ethnic minorities?


Young participant

  • How can child participation improve the quality of community based programmes ?

  • Give some practical examples of where children have been actively involved in design, implementation and monitoring of CABA initiatives and how this has improved their effectiveness and sustainability.


Discussion

  • How to ensure more CABA resources reach community based initiatives?.

  • How to ensure monitoring and evaluation systems capture resource flows to, and impact of community based initiatives, and ensure scaling up of successful responses.


Conclusions and recommendations:

  1. What needs to be done at global level to promote better quality community based interventions?

  2. How can governments and donors ensure sustainable and predictable financing for community based initiatives?

  3. What is needed to ensure monitoring and evaluation systems help to ensure scaling up of successful responses?

  4. How can the GPF, IATT and RIATTs help promote quality community level programming?



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