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Strengthening government management capacity to scale up HIV prevention programs through the use of Technical Support Units: lessons from Karnataka state, India.

Sgaier SK, Anthony J, Bhattacharjee P, Baer J, Malve V, Bhalla A, Hugar VS - Glob Health Sci Pract (2014)

Bottom Line: Changes in sexual behaviors among key populations were also documented.The Karnataka experience suggests that TSUs can help governments enhance managerial and technical resources and leverage funds more effectively.With careful management of the working and reporting relationships between the TSU and the state government, this additional capacity can pave the way for the government to improve and scale up programs and to absorb previously donor-funded programs.

View Article: PubMed Central - PubMed

Affiliation: Bill & Melinda Gates Foundation, Global Development Group, and University of Washington, Department of Global Health, Seattle, WA, USA. sema.sgaier@gatesfoundation.org.

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India's Strategy for Sourcing Capabilities to Accelerate Scale Up of the HIV Prevention Program Among Key PopulationsAbbreviations: CBOs, community-based organizations; NGOs, nongovernmental organizations.
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f01: India's Strategy for Sourcing Capabilities to Accelerate Scale Up of the HIV Prevention Program Among Key PopulationsAbbreviations: CBOs, community-based organizations; NGOs, nongovernmental organizations.

Mentions: To facilitate this scale up, NACP-III called for decentralized planning and implementation of the program. While the national body (the National AIDS Control Organisation, or NACO) was responsible for setting policies and guidance, responsibility for implementation in each of the then 28 Indian states fell to each State AIDS Prevention and Control Society (SACS). As part of the national strategy, program implementation was outsourced to nongovernmental organizations (NGOs) and community-based organizations (Figure 1), which were directly contracted by the SACS. These were known as intervention units. Outsourcing implementation to NGOs in the health sector is common in India and not limited to HIV/AIDS programs. The SACS, however, was ultimately responsible for the state's performance and for ensuring that the response achieved adequate scale and coverage.


Strengthening government management capacity to scale up HIV prevention programs through the use of Technical Support Units: lessons from Karnataka state, India.

Sgaier SK, Anthony J, Bhattacharjee P, Baer J, Malve V, Bhalla A, Hugar VS - Glob Health Sci Pract (2014)

India's Strategy for Sourcing Capabilities to Accelerate Scale Up of the HIV Prevention Program Among Key PopulationsAbbreviations: CBOs, community-based organizations; NGOs, nongovernmental organizations.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4307860&req=5

f01: India's Strategy for Sourcing Capabilities to Accelerate Scale Up of the HIV Prevention Program Among Key PopulationsAbbreviations: CBOs, community-based organizations; NGOs, nongovernmental organizations.
Mentions: To facilitate this scale up, NACP-III called for decentralized planning and implementation of the program. While the national body (the National AIDS Control Organisation, or NACO) was responsible for setting policies and guidance, responsibility for implementation in each of the then 28 Indian states fell to each State AIDS Prevention and Control Society (SACS). As part of the national strategy, program implementation was outsourced to nongovernmental organizations (NGOs) and community-based organizations (Figure 1), which were directly contracted by the SACS. These were known as intervention units. Outsourcing implementation to NGOs in the health sector is common in India and not limited to HIV/AIDS programs. The SACS, however, was ultimately responsible for the state's performance and for ensuring that the response achieved adequate scale and coverage.

Bottom Line: Changes in sexual behaviors among key populations were also documented.The Karnataka experience suggests that TSUs can help governments enhance managerial and technical resources and leverage funds more effectively.With careful management of the working and reporting relationships between the TSU and the state government, this additional capacity can pave the way for the government to improve and scale up programs and to absorb previously donor-funded programs.

View Article: PubMed Central - PubMed

Affiliation: Bill & Melinda Gates Foundation, Global Development Group, and University of Washington, Department of Global Health, Seattle, WA, USA. sema.sgaier@gatesfoundation.org.

Show MeSH
Related in: MedlinePlus