Strengthening government management capacity to scale up HIV prevention programs through the use of Technical Support Units: lessons from Karnataka state, India.
Bottom Line: For example, between 2008 and 2010, the proportion of surveyed female sex workers in 9 districts reporting that they used a condom at last intercourse rose from 60% to 68%; in 6 districts, the proportion of surveyed men who have sex with men reporting that they used a condom at last anal sex increased from 89% to 97%.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.
Affiliation: Bill & Melinda Gates Foundation, Global Development Group, and University of Washington, Department of Global Health, Seattle, WA, USA. firstname.lastname@example.org.Show MeSH
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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.
Affiliation: Bill & Melinda Gates Foundation, Global Development Group, and University of Washington, Department of Global Health, Seattle, WA, USA. email@example.com.