L6 lamboray

Our Journey towards AIDS Competence

Changes in life expectancy in selected African countries with high and low HIV prevalence: 1950 - 2005

with high HIV prevalence:

Zimbabwe

South Africa

Botswana

with low HIV prevalence:

Madagascar

Senegal

Mali

Source: UN Department of Economic and Social Affairs (2001) World Population Prospects, the 2000 Revision.

30

35

40

45

50

55

60

65

Lif

e e

xp

ecta

ncy

(y

ears

)

1950– 1955

1955- 1960

1960-1965

1965-1970

1970-1975

1975-1980

1980-1985

1985-1990

1990-1995

1995-2000

2000-2005

There is another way!

Photo: Georgia Roessler

Phayao, Thailand HIV seroprevalence among 21 year old men

19911991 19921992 19931993 19941994 19951995 19961996

0

2

4

6

8

10

12

14

16

18

HIV

Ser

opre

vale

nce,

%H

IV S

erop

reva

lenc

e, %

200220022000200019981998

Uganda: trends in antenatal HIV prevalence at selected sentinel sites

0

5

10

15

20

25

30

35

1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

Nsambya Rubaga Mbarara Jinja Mbale Tororo Lacor

b

what have we learnt?

effective responses to HIV/AIDS are people-driven, not commodity driven

service provision is required, but is no substitute to people driven responses

progress hinges on local partnerships

people

workwork policypolicy

communitycommunity

personalpersonal

familyfamily

we are the subjects of the response to HIV/AIDS

Local Partnerships to HIV/AIDS – The Key for AIDS Competence

LF: Local Facilitation

Civil society

LF

Youth Clubs

Traditional Leaders

Women Groups

Local Religious Leaders

Teachers

Nurses and doctors

People livingwith HIV/AIDS

Families

Providers of servicesPeople of influence

Regional Partnerships

National Partnerships

Local Partnerships

NFT

Global PartnershipsDFT

GFT

LFT

LFT LFT

DFT

RFT

District Partnerships

GFT: Global Facilitation Team

NGOs

FoundationsBusiness

Religious leaders

Persons living with HIV/AIDS

GovernmentsUN

Donors

Our vision and mission We envision a global society in which each element is

pursuing AIDS competence.

Our mission is to connect people involved in local responses to AIDS around the world for mutual support, learning and transformation.

We are made of learning communities whose members support and learn from each other in their own journey towards AIDS competence.

We cooperate with any other organisation which pursues a similar vision and approach to the resolution of global development challenges.

Our Offer

Facilitation capacity Self-assessment Knowledge exchange Knowledge assets Electronic platforms

facilitation teams: goalsmembers assist each other to:

learn from local responses

stimulate knowledge creation and sharing

embed lessons learnt into organisations

participate in knowledge sharing worldwide

Our Offer


Self-Assessment of AIDS competence

1 BASIC

2 3 45

HIGH

Acknowledgement and

Recognition

We know the basic facts about HIV/AIDS.

We recognise that HIV is a problem.

We recognise that HIV/AIDS is a problem

for us and we discuss it amongst ourselves

We acknowledge openly with others our

concerns about HIV/AIDS and the

challenges it represents for us.

We recognise our own strength to deal with the challenges and

seek others for mutual support and learning.

Care and change of behaviour

We communicate externally provided

messages about care and prevention.

We adapt and communicate

externally provided messages about care

and prevention.

Our care and prevention activities

are separate and dependent on external

stimulus.

We change because we care.

We intentionally link care and change of

behaviours and work practices in ourselves

and with others.

InclusionWe don’t involve those

affected by the problem.

We get together with some people who are

crucial to resolve common issues.

We (individuals, families, communities, service providers and policy makers) work

together to respond to HIV/AIDS.

Our partnerships share common goals, and

define each partner’s contribution. Religious and community leaders

get involved.

We address and resolve all challenges

facing us (not only HIV/AIDS.)

Identify and address

vulnerability

We aware of the general factors of

vulnerability and the risks affecting us.

We have mapped vulnerability and risk.

We have a clear strategy to address

vulnerability and risk.

Our strategy is based on good practices.

We are addressing vulnerability in all

aspects of the life of our group, all are

aware and involved in responding.

Learning and transfer

We learn by what we do rather than what we learn from and share

with others.

We share learning from our successes but not

our mistakes.

We have processes for learning and sharing

which we use sometimes. We seek people of experience

when necessary.

We learn, share and apply what we learn systematically, and seek people with

relevant experience to help us.

We see an improvement in local

responses as a result of our learning and

sharing.

Measuring change

Our change is evaluated by others.

We begin consciously to self measure.

We measure our own progress and set

targets for improvement.

We measure our change systematically and can demonstrate

measurable improvement.

We invite others to help measure our change

and share learning/results with

others.

Self assessment People:

talk exchange perspectives get to grasp the local reality define priorities and actions adapted to context follow up formulate lessons learned identify what experience to share and what to

experience to seek

Our Offer


Mae Chan

1

2

3

4

5

Ackno

wledge

men

t

Care

and

Chang

e

Inclu

sion

Vulner

able

grou

ps

Lear

ning

and

trans

fer

Mea

surin

g ch

ange

Adapt

ing

Way

s of w

orkin

g

Mob

ilising

reso

urce

s

Le

vel

Current levels for Mae Chan community

Mae Chan

1

2

3

4

5

Ackno

wledge

men

t

Care

and

Chang

e

Inclu

sion

Vulner

able

grou

ps

Lear

ning

and

trans

fer

Mea

surin

g ch

ange

Adapt

ing

Way

s of w

orkin

g

Mob

ilising

reso

urce

s

Le

vel

Something to learn, something to share

Match making to put those with something to learn in touch with those with something to share via a Peer Assist meeting or an electronic forum.

Something to share

Something to learn

Progress

Acknowledgement &

Recognition

Acknowledgement &

Recognition5 Mbarara

4

3 PallisaBusia Kibaale

2 Rakai Arua

1 Moroto

0 +1 +2 +3 +4

Improvement Objective

Current level

Our Offer


A fewmore

A fewmore

What are the top ten things I need to know?Where can I get more detail?

What can I re-use? Who can I talk to?

What are the top ten things I need to know?Where can I get more detail?

What can I re-use? Who can I talk to?

Even more

Even more Still

More

StillMore More

Lessons

MoreLessons More

Lessons

More Lessons Lessons

Learned

LessonsLearned

Knowledge Assets

What you know in your context

What I know in my context

"...the politics accompanying hierarchies hampers the free exchange of knowledge. People are much more open with their peers. They are much more willing to share and to listen.” Lord John Browne

Peer Assists – Learning before doing

Action

What weboth know

What’spossible?

Context and detail – where and when you need it…

•

•

•

•

•

•

•

•

•

•

•

•

“

““

“

“

“

A Knowledge Asset

Principles (or advice)

Experience which leads to the principle Resources (Documents

, Policies, People)

Believe that people/communities have capacity, experience and knowledge to share

Capacity for care, change, leadership and hope as transferable concepts which have been seen and documented in multiple countries

HCD Concept Paper

Action Research (SA)

Work as a team: co-facilitating and mentoring new team members in every process

Team leadership development is done through attaching people to teams with more experienced facilitators, allowing people to practise with support of a team, and then handing over team leadership to others….

AFCN processHope World-

wide/Enda Sante/SA partnership

Our Offer


Two ideas

• The Constellation for AIDS Competence

• Friends for Life

The “Stairs” Diagram

CooperRiver

BulwerIsland

LaveraChemicals

Feluy

Texas City

KwinanaCorytonFeluy

Joliet

GrangemouthGeel

NetherlandsDecatur

HullFPS Trinidad Oil

High desireto improve

High performance

5

4

3

2

1

0 1 2 3 4 Gap between current and target

PerformanceManage Corrosion

Example Stairs diagram

Health & Medicine

L6 lamboray