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The CHANGE approach to capacity-building assistance
1Latino Commission on AIDS, New York, NY 10010, USA. mvega@latinoaids.org
Summary
The CHANGE approach enhances HIV prevention programs by building skills for implementing effective interventions and adapting to innovations. This capacity-building assistance model empowers community-based organizations through tailored training and active participation.
Area of Science:
- Public Health
- Health Services Research
- Community Health
Background:
- HIV prevention programs require effective implementation and adaptation to new interventions.
- Community-based organizations (CBOs) are crucial in delivering HIV prevention services to diverse populations.
- Capacity-building assistance (CBA) is essential for CBOs to sustain and enhance their programs.
Purpose of the Study:
- To describe the CHANGE (customized, holistic, analytical, network-building, grassroots, evaluatory) approach to capacity-building assistance.
- To outline the integrated CBA model developed by the Latino Commission on AIDS Manos Unidas.
- To detail the CHANGE model's focus on empowering CBOs to implement and adapt evidence-based HIV interventions.
Main Methods:
- The CHANGE approach is an integrated capacity-building assistance model.
- It emphasizes community and programmatic diagnosis and reflection.
- Staff skills are enhanced through tailored curricula in six key areas: community assessment, target refinement, recruitment and retention, basic skills, program implementation, and evaluation.
Main Results:
- The CHANGE approach provides CBOs with skills to implement interventions from the Centers for Disease Control and Prevention's Diffusion of Effective Behavioral Interventions (DEBI) project.
- It equips CBOs with the capacity to adapt to disruptive innovations within HIV prevention.
- The model fosters active CBO participation, integrating organizational experiences with community context.
Conclusions:
- The CHANGE approach offers a comprehensive system for capacity-building assistance to Latino-serving HIV prevention programs.
- It supports CBOs in enhancing their ability to deliver effective and innovative HIV prevention services.
- The model's emphasis on community engagement and tailored training promotes sustainable program improvement.
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