Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach

While communities have played a large role in the HIV/AIDS response, their contributions and innovative approaches to HIV prevention, treatment, care and support have not always been the focus of systematic and rigorous evaluations. To address this gap, the World Bank led an evaluation of the impact...

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Main Authors: Rodriguez-García, Rosalía, Wilson, David, York, Nick, Low, Corinne, N’Jie, N’Della, Bonnel, Rene
Format: Journal Article
Language:en_US
Published: Taylor and Francis 2013
Subjects:
Online Access:http://hdl.handle.net/10986/15369
id okr-10986-15369
recordtype oai_dc
spelling okr-10986-153692021-04-23T14:03:22Z Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach Rodriguez-García, Rosalía Wilson, David York, Nick Low, Corinne N’Jie, N’Della Bonnel, Rene HIV prevention HIV/AIDS investing in communities combination prevention mixed method evaluation community-level results While communities have played a large role in the HIV/AIDS response, their contributions and innovative approaches to HIV prevention, treatment, care and support have not always been the focus of systematic and rigorous evaluations. To address this gap, the World Bank led an evaluation of the impact of the community response to HIV, including country studies in Burkina Faso, India, Kenya, Lesotho, Nigeria, Senegal, South Africa and Zimbabwe over a three-year period. Due to the complexity and varied nature of community responses, the evaluation attempted to determine the results that investments have produced at the community level by applying a mixed method approach: Randomized Controlled Trials, quasi-experimental studies, qualitative studies and analytical studies including financial data. Specifically, the studies examined a typology of community response and the flow of funds to community-based organizations, while investigating the impact of the community responses on (1) knowledge and behavior, (2) use of services, (3) social transformation, and (4) HIV incidence. This editorial summarizes the results of this evaluation portfolio, finding that investments in communities have produced significant results, including, improved knowledge and behavior, and increased use of health services, and even decreased HIV incidence. Evidence on social transformation was more mixed, with community groups found to be effective only in some settings. Each study in the evaluation provides a partial view of how communities shape the local response; however, taken together they corroborate the common wisdom that communities can be a vital part of the global HIV/AIDS response. 2013-08-27T16:14:10Z 2013-08-27T16:14:10Z 2013-06-09 Journal Article AIDS Care 0954-0121 DOI:10.1080/09540121.2013.764395 http://hdl.handle.net/10986/15369 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo/ World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Burkina Faso India Kenya Lesotho Nigeria Senegal South Africa Zimbabwe
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language en_US
topic HIV prevention
HIV/AIDS
investing in communities
combination prevention
mixed method
evaluation
community-level results
spellingShingle HIV prevention
HIV/AIDS
investing in communities
combination prevention
mixed method
evaluation
community-level results
Rodriguez-García, Rosalía
Wilson, David
York, Nick
Low, Corinne
N’Jie, N’Della
Bonnel, Rene
Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach
geographic_facet Burkina Faso
India
Kenya
Lesotho
Nigeria
Senegal
South Africa
Zimbabwe
description While communities have played a large role in the HIV/AIDS response, their contributions and innovative approaches to HIV prevention, treatment, care and support have not always been the focus of systematic and rigorous evaluations. To address this gap, the World Bank led an evaluation of the impact of the community response to HIV, including country studies in Burkina Faso, India, Kenya, Lesotho, Nigeria, Senegal, South Africa and Zimbabwe over a three-year period. Due to the complexity and varied nature of community responses, the evaluation attempted to determine the results that investments have produced at the community level by applying a mixed method approach: Randomized Controlled Trials, quasi-experimental studies, qualitative studies and analytical studies including financial data. Specifically, the studies examined a typology of community response and the flow of funds to community-based organizations, while investigating the impact of the community responses on (1) knowledge and behavior, (2) use of services, (3) social transformation, and (4) HIV incidence. This editorial summarizes the results of this evaluation portfolio, finding that investments in communities have produced significant results, including, improved knowledge and behavior, and increased use of health services, and even decreased HIV incidence. Evidence on social transformation was more mixed, with community groups found to be effective only in some settings. Each study in the evaluation provides a partial view of how communities shape the local response; however, taken together they corroborate the common wisdom that communities can be a vital part of the global HIV/AIDS response.
format Journal Article
author Rodriguez-García, Rosalía
Wilson, David
York, Nick
Low, Corinne
N’Jie, N’Della
Bonnel, Rene
author_facet Rodriguez-García, Rosalía
Wilson, David
York, Nick
Low, Corinne
N’Jie, N’Della
Bonnel, Rene
author_sort Rodriguez-García, Rosalía
title Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach
title_short Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach
title_full Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach
title_fullStr Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach
title_full_unstemmed Evaluation of the Community Response to HIV and AIDS : Learning from a Portfolio Approach
title_sort evaluation of the community response to hiv and aids : learning from a portfolio approach
publisher Taylor and Francis
publishDate 2013
url http://hdl.handle.net/10986/15369
_version_ 1764431034490814464