Investing in Communities Achieves Results : Findings from an Evaluation of Community Responses to HIV and AIDS

The overview summarizes the evaluation of community responses (15 studies, including 11 evaluations carried out in 8 countries). It presents the evaluation questions, the methodology, the key results achieved by community responses along the continuum of prevention, treatment, care and support, and the resulting policy and programmatic implications. Before the scale-up of the international response to the AIDS pandemic, community responses in developing countries played a crucial role in providing services and care for those affected. This study is the first comprehensive, mixed-method evaluation of the impact of that response. The evaluation finds that community response can be effective at increasing knowledge of HIV, promoting social empowerment, increasing access to and use of HIV services, and even decreasing HIV incidence, all through the effective mobilization of limited resources. By effectively engaging with this powerful community structure, future HIV and AIDS programs can ensure that communities continue to contribute to the global response to HIV and AIDS.

Bibliographic Details

Main Authors:	Rodriguez-García, Rosalía, Bonnel, René, Wilson, David, N'Jie, N'Della
Language:	English en_US
Published:	Washington, DC: World Bank 2013-01
Subjects:	ABSTINENCE, ACCESS TO HEALTH SERVICES, ACQUIRED IMMUNE DEFICIENCY SYNDROME, ACQUIRED IMMUNODEFICIENCY SYNDROME, ADHERENCE TO TREATMENT, AID, AIDS EPIDEMIC, AIDS ORPHANS, AIDS PANDEMIC, AIDS PREVENTION, AIDS PROGRAMS, AIDS RELIEF, AIDS SPENDING, AIDS TREATMENT, ALLOCATION OF RESOURCES, ALTERNATIVE MODELS, BEHAVIOR CHANGE, BEHAVIORAL CHANGE, BEHAVIORAL CHANGES, BEHAVIORAL INTERVENTIONS, BEHAVIOUR CHANGE, BIOLOGICAL OUTCOMES, BIOMEDICAL RESEARCH, CAREGIVERS, CHARITIES, CHLAMYDIA, CIVIL SOCIETY GROUPS, CIVIL SOCIETY ORGANIZATIONS, CLINICAL TRIALS, CLINICS, COERCION, COMMERCIAL SEX, COMMERCIAL SEX WORK, COMMUNITIES, COMMUNITY ACTION, COMMUNITY ACTIVITIES, COMMUNITY HEALTH, COMMUNITY PARTICIPATION, CONDOM, CONDOM DISTRIBUTION, CONDOM PROMOTION, CONDOM USE, CONDOMS, DECISION MAKING, DEVELOPING COUNTRIES, DISADVANTAGED GROUPS, DISEASE, DISEASE CONTROL, DISSEMINATION, DOMESTIC ABUSE, DOMESTIC VIOLENCE, DRUG USER, EFFECTIVE PREVENTION, EMERGENCY PLAN, EPIDEMIC, EPIDEMICS, EPIDEMIOLOGISTS, FAMILIES, FAMILY PLANNING, FATIGUE, FEMALE SEX WORKERS, GENDER, GENDER NORMS, GLOBAL AIDS EPIDEMIC, GLOBAL AIDS RESPONSE, GLOBAL HEALTH, GONORRHEA, GOVERNMENT AGENCIES, GOVERNMENT PROGRAMS, HEALTH AUTHORITIES, HEALTH CARE, HEALTH EDUCATION, HEALTH INTERVENTIONS, HEALTH OUTCOMES, HEALTH PROMOTION, HEALTH SECTOR, HEALTH SERVICES, HIGH-RISK GROUPS, HIV, HIV INFECTION, HIV INFECTIONS, HIV PREVENTION, HIV TESTING, HIV TRANSMISSION, HIV/AIDS, HOSPITAL, HOUSEHOLD SURVEYS, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, IMMUNE DEFICIENCY, IMMUNODEFICIENCY, INCOME-GENERATING ACTIVITIES, INJECTING DRUG USERS, INTERNATIONAL ASSISTANCE, INTERNATIONAL COMMUNITY, INTERNATIONAL COOPERATION, INTERNATIONAL RESPONSE, INTERVENTION, ISOLATION, JOURNAL OF EPIDEMIOLOGY, KNOWLEDGE BASE, LARGE NUMBERS OF PEOPLE, LAWS, LEGAL STATUS, LEGAL SUPPORT, LIMITED RESOURCES, LOCAL COMMUNITIES, LOW-INCOME COUNTRIES, MAINSTREAMING, MALARIA, MALE CIRCUMCISION, MASS MEDIA, MEDICAL SERVICES, MICROBICIDES, MOTHER, MOTHER-TO-CHILD, MOTHER-TO-CHILD TRANSMISSION, MOVEMENT, NATIONAL AIDS, NATIONAL AIDS CONTROL, NATIONAL GOVERNMENTS, NATIONAL POLICIES, NATIONAL POLICY, NATIONAL POPULATION, NEGATIVE EFFECTS, NUTRITION, OPERATIONAL FRAMEWORK, OPPORTUNISTIC INFECTIONS, ORPHANS, OUTREACH ACTIVITIES, PATIENTS, PEER EDUCATION, POLICY BRIEF, POLICY GUIDANCE, POLICY MAKERS, POLICY RESEARCH, POLITICAL PARTY, POPULATION AND DEVELOPMENT, POPULATION COMMISSION, POPULATION COUNCIL, POPULATION GROUPS, PRESS RELEASE, PREVALENCE, PREVALENCE RATES, PREVENTION ACTIVITIES, PREVENTION INTERVENTIONS, PREVENTION OF MOTHER-TO-CHILD TRANSMISSION, PROGRESS, PROPHYLAXIS, PROVISION OF SUPPORT, PSYCHOLOGICAL SUPPORT, PUBLIC HEALTH, QUALITY OF LIVES, RANDOMIZED CONTROLLED TRIALS, REFERRAL SERVICES, RESEARCH EFFORTS, RESEARCH METHODS, RESOURCE ALLOCATIONS, RESPECT, RESPONSE TO AIDS, RISK BEHAVIOR, RISK BEHAVIORS, RISK OF INFECTION, RISK POPULATIONS, RURAL AREAS, RURAL COMMUNITIES, SERVICE DELIVERY, SERVICE UTILIZATION, SEX, SEX WITH MEN, SEX WORKER, SEX WORKERS, SEXUAL RISK, SEXUAL TRANSMISSION, SEXUALLY TRANSMITTED INFECTION, SEXUALLY TRANSMITTED INFECTIONS, SOCIAL ACTION, SOCIAL CHANGE, SOCIAL CHANGES, SOCIAL CUSTOMS, SOCIAL MOBILIZATION, SOCIAL NORMS, SOCIAL RIGHTS, SOCIAL SUPPORT, SOCIAL TRANSFORMATION, SOCIETIES, SOCIETY, STIS, SUPPORT FOR PEOPLE, SYPHILIS, TECHNICAL ASSISTANCE, TECHNICAL CAPACITY, TECHNICAL SUPPORT, THERAPY, TRANSMISSION OF INFECTIONS, TREATMENT ACCESS, TREATMENT SERVICES, TUBERCULOSIS, UNAIDS, UNINFECTED PARTNER, UNIVERSAL ACCESS, URBAN AREAS, URBAN COMMUNITIES, USE OF CONDOMS, VIOLENCE, VULNERABILITY, VULNERABLE CHILDREN, VULNERABLE GROUPS, WORLD HEALTH ORGANIZATION, WORTH, YOUTH CLUBS,
Online Access:	http://documents.worldbank.org/curated/en/2012/12/17054515/investing-communities-achieves-results-findings-evaluation-community-responses-hiv-aids https://hdl.handle.net/10986/12223
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