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Performance of Targeted Interventions (TIs) managed by CBOs better than the TIs managed by NGOs

India experienceSession Code: MOAE02

Session Title: Community-led Responses to HIV, Scale-up and Sustainability: Evidence and Challenges

Plenary 3

Authors: Y.Anthony Reddy, Dr.Neeraj Dhingra21 July, 2014

4.30 p.m-6.30 p.m

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FSW MSM IDU TG0

100

200

300

400

500

600

700

800

900

1000

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

868

377

177

62

719

259

132

13

82.8

68.7

74.6

21.0

Estimates Current coverage % coverage of estimates

HRG

Estim

ates

& C

over

age

in t

hous

ands

% C

over

age

of H

RG E

stim

ates

Coverage of MARPs

Type of TI FSW MSM IDU TG Truckers Migrants

# 547 189 440 21 92 289

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Performance Assessment (PA) of TIs • To understand the health of the TIs, diagnose

weak areas and take corrective actions• PA is done quarterly using a tool called Balance

Score Card System• Tool consists of 14 critical indicators for FSW and

MSM TIs and 18 critical indicators for IDU TIs.• TIs are graded in 5 categories• Ten rounds of PA completed between 2009-2012

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Number of TI’s assessed for performance

R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R-9 R-100

200

400

600

800

1000

1200

316

549

680 715

821897 925

993 1018952

22 31 39 47 53 53 55 64 79 73

NGO CBO

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Grades of CBO led and NGO led TIs

Poor Below Average

Average Above Average

Good Very Good

Excellent0%5%

10%15%20%25%30%35%

0% 2% 4%

15%

24%

30%25%

1%5%

10%

24% 23% 25%

12%

CBO NGO

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What went into CBO led TIs Additional Resources

*An additional resource of 500 thousand per TI

Project Manager Shadow Project Manager

Counselor Shadow Counselor

Outreach Worker Community Mobilisers

Clinic nurse

Peer Educators

Clinic Administrator

Community Advocates

Community committee co-ordinator

NGO CBO

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Challenges

Ensuring real CBOs

SCALE UP

Leadership & community involvement

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Thank you

Questions