Literature DB >> 22766780

Monitoring community mobilisation and organisational capacity among high-risk groups in a large-scale HIV prevention programme in India: selected findings using a Community Ownership and Preparedness Index.

Pradeep Narayanan1, K Moulasha, Tisha Wheeler, James Baer, Sowmyaa Bharadwaj, T V Ramanathan, Tom Thomas.   

Abstract

BACKGROUND: In a participatory approach to health and development interventions, defining and measuring community mobilisation is important, but it is challenging to do this effectively, especially at scale.
METHODS: A cross-sectional, participatory monitoring tool was administered in 2008-2009 and 2009-2010 across a representative sample of 25 community-based groups (CBGs) formed under the Avahan India AIDS Initiative, to assess their progress in mobilisation, and to inform efforts to strengthen the groups and make them sustainable. The survey used a weighted index to capture both qualitative and quantitative data in numeric form. The index permitted broad, as well as highly detailed, analysis of community mobilisation, relevant at the level of individual groups, as well as state-wide and across the whole programme.
RESULTS: The survey demonstrated that leadership and programme management were the strongest areas among the CBGs, confirming the programme's investment in these areas. Discussion of the Round 1 results led to efforts to strengthen governance and democratic decision making in the groups, and progress was reflected in the Round 2 survey results. CBG engagement with state authorities to gain rights and entitlements and securing the long-term financial stability of groups remain a challenge.
CONCLUSION: The survey has proven useful for informing the managers of programmes about what is happening on the ground, and it has opened spaces for discussion within community groups about the nature of leadership, decision making and their goals, which is leading to accelerated progress. The tool provided useful data to manage community mobilisation in Avahan.

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Mesh:

Year:  2012        PMID: 22766780     DOI: 10.1136/jech-2012-201065

Source DB:  PubMed          Journal:  J Epidemiol Community Health        ISSN: 0143-005X            Impact factor:   3.710


  6 in total

1.  Consensus modeling to develop the farmers' market readiness assessment and decision instrument.

Authors:  Eunlye Lee; Jarrod Dalton; David Ngendahimana; Pat Bebo; Ashley Davis; Daniel Remley; Carol Smathers; Darcy A Freedman
Journal:  Transl Behav Med       Date:  2017-09       Impact factor: 3.046

Review 2.  The global response and unmet actions for HIV and sex workers.

Authors:  Kate Shannon; Anna-Louise Crago; Stefan D Baral; Linda-Gail Bekker; Deanna Kerrigan; Michele R Decker; Tonia Poteat; Andrea L Wirtz; Brian Weir; Marie-Claude Boily; Jenny Butler; Steffanie A Strathdee; Chris Beyrer
Journal:  Lancet       Date:  2018-07-20       Impact factor: 79.321

3.  Is scale-up of community mobilisation among sex workers really possible in complex urban environments? The case of Mumbai, India.

Authors:  Anine Kongelf; Sunita V S Bandewar; Shalini Bharat; Martine Collumbien
Journal:  PLoS One       Date:  2015-03-26       Impact factor: 3.240

4.  Role of a community-to-community learning strategy in the institutionalization of community mobilization among female sex workers in India.

Authors:  Santhosh Sadhu; Archana Rao Manukonda; Anthony Reddy Yeruva; Sangram Kishor Patel; Niranjan Saggurti
Journal:  PLoS One       Date:  2014-03-07       Impact factor: 3.240

5.  Role of community group exposure in reducing sexually transmitted infection-related risk among female sex workers in India.

Authors:  Diwakar Yadav; Shreena Ramanathan; Prabuddhagopal Goswami; Lakshmi Ramakrishnan; Niranjan Saggurti; Shrabanti Sen; Bitra George; Ramesh Paranjape
Journal:  PLoS One       Date:  2013-10-24       Impact factor: 3.240

6.  Promoting women's and children's health through community groups in low-income and middle-income countries: a mixed-methods systematic review of mechanisms, enablers and barriers.

Authors:  Lu Gram; Adam Fitchett; Asma Ashraf; Nayreen Daruwalla; David Osrin
Journal:  BMJ Glob Health       Date:  2019-12-05
  6 in total

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