Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi

This paper discusses enabling and constraining factors related to the scaling-up of the Scaling Up HIV/AIDS Interventions Through Expanded Partnerships (STEPs) initiative, supported by Save the Children U.S.A. (SC), to combat HIV/AIDS in Malawi. It also discusses potential threats to and contextual...

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Main Author: Kadiyala, Suneetha
Format: Artículo preliminar
Language:Inglés
Published: International Food Policy Research Institute 2004
Subjects:
Online Access:https://hdl.handle.net/10568/156886
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author Kadiyala, Suneetha
author_browse Kadiyala, Suneetha
author_facet Kadiyala, Suneetha
author_sort Kadiyala, Suneetha
collection Repository of Agricultural Research Outputs (CGSpace)
description This paper discusses enabling and constraining factors related to the scaling-up of the Scaling Up HIV/AIDS Interventions Through Expanded Partnerships (STEPs) initiative, supported by Save the Children U.S.A. (SC), to combat HIV/AIDS in Malawi. It also discusses potential threats to and contextual factors limiting scaling up of STEPs. The report draws primarily upon the available literature and qualitative data collected during a five-day visit to SC Malawi in December 2002. STEPs started in 1995 as Community-Based Options for Protection and Empowerment (COPE). COPE was a service-delivery program in Mangochi District to assist children affected by HIV/AIDS. Through evaluations, SC realized that such an approach was unsustainable, not cost-effective, and not scalable. Based on the recommendations of the evaluations and on field experience, the program changed course to mobilize collective action to combat the epidemic. Working in the Namwera community in Mangochi under the National AIDS Commission (NAC), STEPs revitalized the dormant decentralized AIDS committees and their technical subcommittees at the district, community, and village levels. Based on the positive experience in Namwera, the program changed its initial strategy to that of an external change agent, assisting communities with community mobilization and capacity building so that communities became empowered to act collectively to address their problems. Village AIDS committees (VACs) first identify the vulnerable. Then VACs plan responses on the basis of the nature and magnitude of vulnerability within the villages, needs of the vulnerable, and capacity within villages to respond. The committees also monitor activities and mobilize resources. As the needs of the most affected communities are crosscutting, the program has become truly multisectoral, with activities along the continuum of prevention, care, support, and mitigation. STEPs has also been influencing national policies related to HIV/AIDS and children. -- Authors' Abstract
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spelling CGSpace1568862025-11-06T06:22:44Z Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi Kadiyala, Suneetha capacity development hiv/aids collective action community organizations community participation scaling up community development civil society policies autoimmune diseases health services children community involvement infectious diseases This paper discusses enabling and constraining factors related to the scaling-up of the Scaling Up HIV/AIDS Interventions Through Expanded Partnerships (STEPs) initiative, supported by Save the Children U.S.A. (SC), to combat HIV/AIDS in Malawi. It also discusses potential threats to and contextual factors limiting scaling up of STEPs. The report draws primarily upon the available literature and qualitative data collected during a five-day visit to SC Malawi in December 2002. STEPs started in 1995 as Community-Based Options for Protection and Empowerment (COPE). COPE was a service-delivery program in Mangochi District to assist children affected by HIV/AIDS. Through evaluations, SC realized that such an approach was unsustainable, not cost-effective, and not scalable. Based on the recommendations of the evaluations and on field experience, the program changed course to mobilize collective action to combat the epidemic. Working in the Namwera community in Mangochi under the National AIDS Commission (NAC), STEPs revitalized the dormant decentralized AIDS committees and their technical subcommittees at the district, community, and village levels. Based on the positive experience in Namwera, the program changed its initial strategy to that of an external change agent, assisting communities with community mobilization and capacity building so that communities became empowered to act collectively to address their problems. Village AIDS committees (VACs) first identify the vulnerable. Then VACs plan responses on the basis of the nature and magnitude of vulnerability within the villages, needs of the vulnerable, and capacity within villages to respond. The committees also monitor activities and mobilize resources. As the needs of the most affected communities are crosscutting, the program has become truly multisectoral, with activities along the continuum of prevention, care, support, and mitigation. STEPs has also been influencing national policies related to HIV/AIDS and children. -- Authors' Abstract 2004 2024-10-24T12:46:01Z 2024-10-24T12:46:01Z Working Paper https://hdl.handle.net/10568/156886 en Open Access application/pdf International Food Policy Research Institute Kadiyala, Suneetha. 2004. Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi. FCND Discussion Paper 179. https://hdl.handle.net/10568/156886
spellingShingle capacity development
hiv/aids
collective action
community organizations
community participation
scaling up
community development
civil society
policies
autoimmune diseases
health services
children
community involvement
infectious diseases
Kadiyala, Suneetha
Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi
title Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi
title_full Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi
title_fullStr Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi
title_full_unstemmed Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi
title_short Scaling up HIV/AIDS interventions through expanded partnerships (STEPs) in Malawi
title_sort scaling up hiv aids interventions through expanded partnerships steps in malawi
topic capacity development
hiv/aids
collective action
community organizations
community participation
scaling up
community development
civil society
policies
autoimmune diseases
health services
children
community involvement
infectious diseases
url https://hdl.handle.net/10568/156886
work_keys_str_mv AT kadiyalasuneetha scalinguphivaidsinterventionsthroughexpandedpartnershipsstepsinmalawi