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Published on: October 31, 2010
Coalition contract management as a systems change strategy for HIV prevention
William W Darrow1, Julie E Montanea, Elizabeth Sánchez-Braña
1Robert R. Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
Health Promotion Practice
|October 29, 2009
Summary
Community organizations in Broward County aimed to reduce HIV disparities through the REACH 2010 program. However, contract burdens and funding changes ultimately hindered lasting collaboration and systems change.
Area of Science:
- Public Health
- Community Health
- HIV Prevention
Background:
- The Racial and Ethnic Approaches to Community Health (REACH) 2010 initiative aimed to reduce health disparities in minority communities.
- HIV disease disproportionately affects minority populations, necessitating targeted community-based interventions.
Purpose of the Study:
- To evaluate the effectiveness of a coalition of minority community-based organizations (CBOs) in addressing HIV disparities through the REACH 2010 program.
- To assess the impact of contract management and collaborative structures on achieving community action plan objectives.
Main Methods:
- Formation of a coalition in Broward County involving CBOs and a coordinating university.
- Development, implementation, and evaluation of a community action plan with negotiated contracts.
- Analysis of contract conditions, partner collaboration, and project outcomes.
Main Results:
- The coalition met several objectives, with contract management providing structure and progress measurement.
- Contractual emphasis on documentation and service delivery created burdens for outreach workers and restricted activities.
- Friction arose between CBOs and university staff, and collaboration waned when federal funding ceased.
Conclusions:
- While the REACH 2010 project achieved some goals, the imposed rules and obligations did not create sustainable systems change among community partners.
- CBOs reverted to competing for funding, diminishing close collaboration after the demonstration project concluded.
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