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Published on: October 31, 2010
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Can local communities 'sustain' HIV/AIDS programmes? A South African example
Andrew Gibbs1, Catherine Campbell2, Sbongile Maimane1
1University of KwaZulu-Natal, Durban, South Africa.
Health Promotion International
|October 30, 2014
Summary
Local sustainability of HIV/AIDS programs is often assumed but rarely achieved. The Entabeni Project
Area of Science:
- Public Health
- Community Health
- Social Sciences
Background:
- Renewed global focus on local sustainability of HIV/AIDS programs post-funding.
- The 'local sustainability assumption' lacks empirical assessment.
- Need to evaluate community-based interventions after external support withdrawal.
Purpose of the Study:
- To assess the sustainability of the Entabeni Project, a community-based HIV/AIDS intervention.
- To evaluate the capacity of local women leaders and volunteer carers 3 years after external funding ceased.
- To understand factors influencing the long-term viability of local HIV/AIDS initiatives.
Main Methods:
- Case study of the Entabeni Project.
- Qualitative assessment of sustainability 3 years post-external support.
- Analysis of community-level, governmental, and NGO interactions.
Main Results:
- The Entabeni Project demonstrated limited sustainability.
- External social and political factors hindered volunteer carers' impact.
- Lack of engagement from government and NGOs with local organizations.
- Internal group dynamics, including male leadership dominance, impeded progress.
- Devaluation of volunteer work by some community members post-external support.
Conclusions:
- The 'local sustainability assumption' for HIV/AIDS programs may be unrealistic.
- Small-scale projects struggle to overcome systemic barriers without sustained external support.
- Meaningful external support is crucial for local initiatives to challenge broader socio-political dynamics.
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