Discussion paper: Invest in communities to stop AIDS

DISCUSSION PAPER Supporting community action on AIDS in developing countries

INVEST IN COMMUNITIES TO STOP AIDS

Don’t stop now

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The International HIV/AIDS Alliance The Alliance supports communities in developing countries to play a full and effective role in the global response to HIV and AIDS. It is a partnership of 39 Linking Organisations (national, independent, locally governed and managed NGOs) around the world that supports approximately 2,300 community organisations delivering HIV prevention, treatment and care services to just under three million people. www.aidsalliance.org

Acknowledgements The report was authored by Christine Stegling (Associate Director, Best Practice Unit) and Jayne Obeng (Head of Communications) at the International HIV/AIDS Alliance (international secretariat).

It is based on a longer discussion paper* written by Roger Drew, consultant, along with Susie McLean (Senior Adviser: HIV and Drug Use) and Anja Teltschik (Senior Adviser: HIV Prevention).

It draws on the 20 years of experience of Alliance Linking Organisations in implementing community mobilisation programming. * Community mobilisation and HIV and AIDS: What does it mean for the International HIV/AIDS Alliance? What does it mean in the Investment Framework? (Alliance, 2012). Thanks to UNAIDS for supporting the development of this discussion paper.

For further information, contact the authors of this report at mail@aidsalliance.org. © International HIV/AIDS Alliance 2012 Design by Progression Design Any parts of this publication may be reproduced without permission for educational and non-profit purposes if the source is acknowledged.

Registered British charity number 1038860 ISBN: 978-0-9572888-3-6

Cover photos, clockwise from top: A network for people living with HIV meet for social events © Gideon Mendel for the Alliance Kumwenda is a peer educator who shares sexual and reproductive health information with other young people © Alliance Peer educator, Fabiana, talks to people in her community, Ecuador © Gideon Mendel for the Alliance

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ABOUT THIS DISCUSSION PAPER As major scientific breakthroughs offer a real possibility of ending AIDS in a generation1, there are signs that the international donor community could be taking its foot off the pedal right at the time when it is possible to accelerate progress. The timing is alarming. Never before has it been clearer what’s required to stop AIDS. Since the publication of the Investment Framework for HIV and AIDS2 in July 2011, a number of stakeholders (including UNAIDS, International Civil Society Support, the World Bank and the International HIV/AIDS Alliance) have been working in partnership at national level to ensure that the concepts of critical enablers, and community mobilisation in particular, are better understood and costed, and can be fully

incorporated into national responses to HIV. This discussion paper is a contribution to that work.

We recognise that many other organisations have substantial experience of mobilising communities to respond to HIV and AIDS. However, this paper is very much about the experience and perspective of the International HIV/AIDS Alliance (the Alliance). By attempting to define and describe our own approach to community mobilisation within the concepts of the Investment Framework, we hope to engage with other stakeholders and contribute to a growing body of work that will help Alliance Linking Organisations3, their partners and other civil society organisations to feel more confident to do the same at the national level.

CONTENTS 1 About this discussion paper p 3 2 The Investment Framework: a recipe for success? p 4 3 The Alliance approach to community mobilisation p 5 4 Why articulate community mobilisation? p 7 5 Applying the model: PMTCT in Senegal and key populations in Latin America p 9-10

6 Future directions p 11 7 Recommended reading back cover

Here we attempt to define and describe our approach to community mobilisation using the concepts of the Investment Framework.

WHY COMMUNITY-DRIVEN APPROACHES HELP SCALE UP ACCESS TO QUALITY HIV SERVICES The delivery of accessible and affordable quality health services for all those who need them is impossible without community mobilisation. Increased decentralisation of public health services, including a greater focus on primary health care and community-driven approaches to service promotion, delivery and review, is the only way to scale up basic HIV programme interventions to the level and quality needed; to reach the hardest to reach populations; to retain people in care; and for the cost not to spiral out of control.

If we strengthen community-based structures, integrate them into health systems and support synergies with other development sectors, we can make significant inroads into reducing HIV infections and create sustainable health and social care systems for the HIV and AIDS response.

Read more in section 4: Why articulate community mobilisation?

1 In 2011, there were major new developments in the field of HIV prevention. In May, preliminary results of the HPTN 052 research trial were published to great acclaim. The trial was designed to evaluate the impact of treatment as prevention (TasP), i.e. whether immediate versus delayed initiation of antiretroviral therapy (ART) by individuals living with HIV would reduce the risk of sexual transmission of HIV to their HIV-uninfected heterosexual partners and potentially benefit the health of the individual living with HIV as well. The trial showed a 96% reduction in risk of sexual HIV transmission, Alliance (2012) ‘Policy briefing: treatment as prevention’.

2 Schwartlander, B., Stover, J., Hallett, T., Atun, R., Avila, C., Gouws, E., Bartos, M., Ghys, P.D., Opuni, M., Barr, D., Alsallaq, R., Bollinger, L., De Freitas, M., Garnett, G., Holmes, C., Legins, K., Pillay, Y., Stanciole, A.E., McClure, C., Himschall, G., Laga, M. And Padian, N. (2011) ‘Towards an Improved Investment Approach for an Effective Response to HIV AND AIDS’ The Lancet, 377, 2031-2041.

3 The Alliance is a global partnership of 39 Linking Organisations; national, independent, locally governed and managed NGOs working to support community action on AIDS.

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THE INVESTMENT FRAMEWORK: A RECIPE FOR SUCCESS? When the Investment Framework was published in The Lancet in 2011, there was a tremor of excitement among civil society actors involved in the HIV response.

The news that investing in communities is a good strategy to ensure better health services as well as better health outcomes, and in particular, better HIV services was not news to many community actors and local government institutions.

In fact, community mobilisation for HIV and AIDS has been happening successfully throughout the world for many years.

However it has rarely been described as a ‘critical’ ingredient for effective health programming.

Civil society celebrated because we finally had an evidencebased model to support the argument that the tide of the HIV epidemics really could be turned back, and one that articulated community mobilisation as one of 11 ‘critical social enablers’ within the model.

THE INVESTMENT FRAMEWORK FOR HIV AND AIDS The Investment Framework for HIV and AIDS sets out a model for HIV investment and HIV programming for the next decade. It demonstrates how an increase in spending on HIV and AIDS leading up to 2015, would be followed by a decline in spending from 2015 to 2020.

The model shows a decline in the need for HIV programmes and services, as the effect of current and future targeted investments reach a tipping point. HIV investments, and HIV rates, decline. It articulates an approach to the implementation of specific HIV programmes which is accompanied by the concept of ‘critical enablers’ that make these programmes work.

‘Critical enablers’ include human rights-based programming such as advocacy, stigma reduction and efforts towards supportive laws and practices, as well as prominent support for community mobilisation.

A new Investment Framework for the global HIV response, issues briefing (UNAIDS 2011)

Limitations of the Investment Framework The Investment Framework is not without its critics. The ‘critical enablers’ described in the Investment Framework need better definition and testing in different contexts and cultures.

“Sometimes a list of clinical and health promotion interventions fails to ‘get at’ the range of needs, struggles and problems shaping the lives of people who are detained, denied services, who are subject to violence, breaches of privacy, hate crime, discrimination and other violations, who live far from health services, who have uncertain immigration status or who are poor, young, old or socially isolated.”

Discussion Paper: what is the Investment Framework for HIV and AIDS (Alliance 2011)

DON’T STOP NOW: invest in COMMUNITIES to stop aids

Despite criticisms, the Investment Framework does provide an evidence-based and costed case for doing more of what civil society is doing already in order to reach a critical point where the need for HIV programmes and services will decline.

It argues for, and calculates, the value and potential impact of good quality HIV programming and the role that critical enablers play in this.

Too much HIV money is spent on interventions that are not effective, or that are poorly targeted. The Investment Framework tries to address this problem.

The Alliance is using the Investment Framework to strengthen the case for increased investments in communitydriven responses to HIV and AIDS, centred on human rights and a combination of biomedical, behavioural and structural approaches.

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THE ALLIANCE APPROACH TO COMMUNITY MOBILISATION Community mobilisation is, for the Alliance, the starting point in responding to HIV and AIDS. Our approach is set out in All Together Now 4, our toolkit to support community-based organisations who want to use a community mobilisation approach.

It defines community mobilisation as a process through which we respond to HIV in communities (see box).

All Together Now structures our approach to community mobilisation in a set of concepts that reflect the Investment Framework’s ‘community-centred design, delivery and review’ (see diagram below). These processes are at the heart of our definition of community mobilisation.

The Community Mobilisation Process The Alliance’s approach (Adapted from the community action cycle, HowardGrabman and Snetro, 2003).

sCAlIng Up togEtHER

plAnnIng togEtHER AssEssIng togEtHER stARtIng togEtHER

ACtIng togEtHER

EVAlUAtIng togEtHER

MonItoRIng togEtHER

How this relates to components in the Investment Framework Community-centred design Community-centred delivery Community-centred review

The final stage – scaling up together – is about taking the practice of community-centred delivery to a large scale to reach greater numbers communities most affected by HIV, that is, to improve coverage. The large scale development of community-centred delivery is vital to achieve an effective HIV response, as predicted by the Investment Framework.

Overleaf, we have attempted to describe the Alliance approach to community mobilisation, and its contribution to the objectives of the Investment Framework in a logic model/ theory of change (see figure on page 6).

The Alliance approach to community mobilisation focuses on building the capacity of community-based organisations and networks as key actors in community mobilisation. However, we recognise that this cannot be done in isolation and that it is essential for community-based organisations to work in

WHAT DO WE MEAN BY: A community is a group of people who feel that they have something in common. They might live in the same village, work together, have the same problems or share the same interests. People usually belong to more than one community at the same time.

For example, a person using drugs might identify herself as part of the wider community where she lives, a member of the community-based organisation (CBO) she works with and as a part of the neighbourhood women’s community.

People living with HIV might form a community group to respond to their challenges or to socialise and spend time together. We need to understand how people identify themselves, rather than how others identify them, and how different sectors of community overlap and interact.

Community mobilisation is a capacity-building process through which individuals, groups or organisations plan, carry out and evaluate activities on a participatory and sustained basis to improve their health and other needs, either on their own initiative or stimulated by others (see diagram opposite).

partnership with a wide range of other organisations including with the public and private sector, other development sectors, and with international organisations, including donors.

In some places where the Investment Framework describes basic programme activities, it includes elements which we consider to be an essential part of community mobilisation, such as social solidarity and networks of support, increasing the capacity of community organisations and development of peer and self-help groups. The same holds true for some of the critical enablers, for instance ‘stigma reduction’ and ‘advocacy’, which are largely community-driven interventions.

We welcome the Investment Framework’s implicit recognition that some elements of community mobilisation are indispensable to basic programmatic activities and need to be embedded within them5.

4 All Together Now! Community mobilisation for HIV AND AIDS (Alliance, 2006) 5 However, for the sake of clarity and consistency, we have treated these elements in our model (see pages 8-9) as part of the community systems which need to be developed in order to allow community mobilisation to take place.

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MAPPING THE ALLIANCE MODEL OF COMMUNITY MOBILISATION TO THE INVESTMENT FRAMEWORK RESOURCES from national government External RESOURCES / technical support

RESOURCES from community

CoMMUnIty systEMs stREngtHEnIng HIV pRogRAMMIng AnD ADVoCACy Establish and build capacity of CBOs and their leadership

Build partnerships and strengthen coordination and cooperation

Community-led design, implementation, monitoring and evaluation of human-rights based programmes, knowledge sharing, advocacy and research: 1. HIV prevention 2. HIV treatment 3. HIV care and support

Main strategies: • Provide services • Scale up services

Establish and build capacity of CBO and community networks

• Refer and link to other sectors/services • Integrate services • Engage communities and outreach • Develop tools and resources

Strengthen activism

• Advocate for human rights and for accessible services • Pilot innovative approaches

oUtpUts Individual level Increased knowledge, skills, motivation etc.

Improved health and human rights literacy Improved social and economic wellbeing of key populations and their families

Community level Strengthened community systems, and social capital and increased coverage and reach

services level Strengthened health and other systems

structural/policy level Enabling environment created and accountability and transparency increased

oUtCoMEs

IMpACt

Reduced risk practices

Reduced likelihood of HIV transmission

Improved uptake and use of quality health and other support services and commodities Increased adherence and retention in care Increased economic productivity of key populations and their families

Reduced mortality and morbidity

HEALTHY COMMUNITIES

HUMAN RIGHTS ARE PROTECTED

Reduced vulnerabilities such as stigma and discrimination, gender inequality

START together - ASSESS together - PLAN together - ACT together - MONITOR together - EVALUATE together - SCALE UP together

The model has a conventional left to right flow6. It shows how technical support and resources from external sources, national government and communities are used to build community systems composed of strong CBOs, networks of key populations and partnerships between CBOs and others.

These organisations, networks and partnerships provide community-based HIV programmes and advocacy activities.

These programmes and activities lead to increased access and improved uptake of HIV services and to better quality services.

This happens both directly and as a result of reduced social stigma, improved health literacy, reduced HIV vulnerability and a less punitive legal environment.

The increased use, quality and adherence to basic HIV programmes results in reduced HIV risk, reduced likelihood of HIV transmission and reduced HIV-related mortality and morbidity.

6 Country-specific and thematic models are being developed. These can be found at www.aidsalliance.org/discussionpaper

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WHY ARTICULATE COMMUNITY MOBILISATION? By breaking community mobilisation down into smaller ‘pieces’, it is easier to understand the inter-linkages of different activities and community structures and ultimately easier to plan, budget and advocate for community mobilisation at a national and global level.

CBOs, networks and NGOs supporting community based responses to HIV (as well as TB, malaria and broader health) have often found it challenging to access the resources needed to strengthen, sustain and expand their capacity.

It was for this reason that the Global Fund to Fight AIDS, Tuberculosis and Malaria developed a community systems strengthening (CSS) framework7 to increase people’s access to health, including HIV prevention, care and treatment. The CSS framework is intended to facilitate increased funding and technical support for CSS (as an integral part of health systems strengthening), particularly (but not only) for community-based organisations and networks.

Articulating the role that civil society plays in supporting the critical enablers, such as community mobilisation, will be vital.

Particularly because the implementation of the Investment Framework depends heavily on increases in anti-retroviral treatment (ART) provision. It is clear that civil society (CBOs, networks and NGOs) need to do more work to articulate (and cost) their role in ensuring the uptake of and adherence to ART among key populations8.

Community resources including human resources – people doing things in their communities to stop HIV – and out of pocket expenses that people pay when they care for their families or neighbours, attend events, or participate in meetings, are equally important. External funders may see the potential to ‘do it cheaply’, by depending on volunteer labour and unpaid care. Community mobilisation efforts that lead to reduced costs for external funders but increased costs for local communities must be avoided.

Communities are complex and different. It follows then that community mobilisation processes are complex and different.

However, if the Investment Framework does start to inform national HIV plans, and therefore Global Fund proposals, it will be essential to connect the six building blocks of CSS (see box, page 8) to the elements of community mobilisation and community-centred design, delivery and review (from the Investment Framework).

Community mobilisation is not an excuse for national governments to devolve their responsibility to achieving THE RIGHT to health.

7 Community systems strengthening framework (Global Fund 2011) 8 Key populations vary according to local context but include people living with HIV, their partners and families, men who have sex with men, transgender people, people who use drugs, sex workers, children in the epidemic, migrants and displaced people, and prisoners.

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THE SIX KEY ELEMENTS OF CSS Enabling environments and advocacy Community networks, linkages, partnerships and coordination Resources and capacity building Community activities and service delivery Organisational and leadership strengthening Monitoring/evaluation and planning.

Community systems strengthening framework (Global Fund 2011)

The Alliance is investing in studies9 to cost community mobilisation. We continue to share the results to increase civil society’s ability to articulate the importance of community mobilisation. We encourage others to do the same.

Community mobilisation for HIV has benefits, outcomes and impact well beyond relatively limited HIV-specific objectives.

In a very broad sense, they relate to synergies with other development sectors. The additional benefits include creating more empowered citizens who are able to make informed

choices about their health and who are able to hold health care providers and the state accountable for providing accessible and good quality health services. Better health also leads to improved economic productivity which in turn increases the likelihood of reaching the objectives of the Investment Framework, and the wider health Millennium Development Goals (MDGs).

We recognise that there are diverse challenges in working with communities in very different social, political and economic contexts. The way governments react to community mobilisation activities of civil society organisations vary markedly by country. Mobilisation of communities may be welcomed by governments, especially when communities assist with service delivery. However, mobilised communities that hold governments accountable are often perceived as a threat and not necessarily welcome by state authorities.

We recognise that there are many communities within communities and there is a need for different approaches when working with different sections of the community such as men and women, adults, adolescents or children. However, we believe the only relevant response to HIV and AIDS is that which is rooted in and has an impact at the community level.

Community mobilisation for HIV has benefits, outcomes and impact well beyond relatively limited HIV-specific objectives.

9 The Alliance commissioned a three country study looking at costing interventions defined in the Investment Framework. Preliminary results are available on the Alliance impact website www.aidsallianceimpact.org. You can read more about our approach to value for money on www.aidsalliance.org

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APPLYING THE MODEL Case study 1: COMMUNITY-CENTRED DELIVERY OF PMTCT Prevention of Mother to Child Transmission of HIV (PMTCT) is one of six basic programme activities in the Investment Framework. Community mobilisation (one of 11 critical enablers in the Investment Framework) is critical to preventing the vertical transmission of HIV.

The Alliance Linking Organisation in Senegal, Alliance Nationale Contre le Sida (ANCS) is well-known for the scale and quality of its community mobilisation efforts.

ANCS is one of the Principal Recipients for a Global Fund to Fight AIDS, Tuberculosis and Malaria Round 9 grant, together with the Ministry of Health and National AIDS Council. The project aims to help reduce new HIV infections and improve the quality of life of people infected and affected by HIV. Community mobilisation is a cross-cutting component and a key strategy is promoting and scaling up PMTCT services.

Between 2010 and 2015 the project aims to reach 603,655 pregnant women who will have been given a comprehensive package of PMTCT services supported by community mobilisation activities. By July 2011, ANCS had mobilised 165,830 women to access PMTCT services through education and information on HIV and AIDS, stigma reduction activities, female condom distribution, support groups for people living with HIV and mothers and babies, pre- and post-test counselling, home visits, referrals for ARV treatment for positive mothers and babies born with HIV and training and coaching for peer-outreach workers.

Until recently ANCS was also undertaking targeted advocacy to ensure national HIV legislation strengthens the rights, entitlements and empowerment of women living with HIV. Funded by UNIFEM, the project, which has now ended, was being implemented by ANCS partners, ABOYA (the network of HIV positive women) and Karlene (the national association of sex workers).

“

The community PMTCT strategy is aimed at the well-being of mother and child by limiting mother to child HIV transmission. These interventions are supported by community systems strengthening, providing an opportunity for civil society to improve and support quality, accessible service delivery and meet the actual basic needs of communities.

“

THE CASE OF ANCS IN SENEGAL

Magatte Mbodj,

©Alliance

Executive Director of ANCS, Senegal

Stronger community-based organisations can increase uptake of PMTCT services10, for instance, by: ■ Improving the quality and availability of services, e.g. by providing mobile services for key populations and support groups for people living with HIV and mothers and babies and family/couple counselling.

■ Creating an environment where barriers to access are removed, e.g. by extending the available workforce through traditional birth attendants and community health workers, or by educating health care workers to provide nondiscriminatory services.

■ Increasing the demand for services by creating linkages and making referrals, e.g. for home care, child welfare and antiretroviral therapy.

10 A logic model applying community mobilisation to PMTCT can be found at www.aidsalliance.org/discussionpaper

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Case study 2: COMMUNITY-CENTRED DELIVERY AROUND KEY POPULATIONS Work with key populations at higher risk of HIV exposure is one of six basic programme activities in the Investment Framework. Community mobilisation is critical to engage key populations and deliver an effective HIV response.

THE CASE OF REDTRASEX IN LATIN AMERICA In Latin America, the Alliance provides support to a regional network of sex workers, the Latin America and Caribbean Sex Workers Network (REDTRASEX)11.

REDTRASEX was established in 1997 and is a network of national groups from 15 countries. The network provides training to activists to strengthen their self-esteem and to increase awareness of their human rights and how to defend them. It also builds the capacity of network member CBOs and their leaders. As a result they have been able to: •

Improve the visibility of sex worker organisations, and in turn highlight the stigma, discrimination and criminalisation that prevents sex workers from accessing HIV prevention, health and support services.

•

Change social policies and laws, with an increasing number of national governments recognising associations of sex workers and more countries including sex worker representatives on their Global Fund Country Coordinating Mechanisms (CCMs).

•

Increase their access to funding, e.g. REDTRASEX successfully applied for a Round 10 Global Fund grant to develop the organisational capacity of the national organisations which form REDTRASEX. This includes improving their capacity to manage funds directly, to participate actively in the design of policies and standards, and to train health professionals so they are more responsive to the specific needs of sex workers.

A significant amount of our community mobilisation work is focused on key populations. Key populations are groups that are at higher risk of being infected or affected by HIV, who play a key role in how HIV spreads, and whose involvement is vital for an effective and sustainable response to HIV. Key populations vary according to local context but include people living with HIV, their partners and families, men who have sex with men, transgender people, people who use drugs, sex workers, children in the epidemic, migrants and displaced people, and prisoners.

“

The [Global Fund] grant will allow us to improve the access to human rights for all and the repeal of punitive laws that criminalise our work. I am aware of the challenges that lie ahead of us. Injustice inspires me to keep working every day. We, the sex workers, have made the changes and we will keep inspiring people to join our task.

Elena Reynaga, General Secretary, REDTRASEX

“

11 A logic model showing how REDTRASEX applies community mobilisation can be found at www.aidsalliance.org/discussionpaper

DON’T STOP NOW: invest in COMMUNITIES to stop aids

©Alliance

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FUTURE DIRECTIONS The Investment Framework provides a realistic and achievable approach to decision-making about resource allocation for the HIV response at the country level. It demonstrates that an effective HIV response is made possible by investing in a combination of 1) basic behavioural, structural and biomedical programmatic interventions; 2) critical enabling activities that ensure the effectiveness and efficiency of the programme activities; and 3) investments in ‘synergies with other development sectors’ that have a positive impact on HIV outcomes.

By choosing the mix of interventions that respond directly to the epidemic in each locality and targeting the response to those most affected by HIV and AIDS, it is possible to halt and reverse the epidemic within five years. By 2020 we could avert 12.2 million infections and prevent 7.4 million deaths, leading to a decreased need for services and therefore a continually decreasing expenditure for the global HIV response.

Active and effective civil society organisations need to promote the Investment Framework and are crucial to ensuring that community mobilisation continues to be recognised as critical, not a luxury or a ‘nice to have’. The Investment Framework demonstrates clearly that civil society is an essential part of the national AIDS response and has to be included in all national, regional and global decision-making as an equal partner.

UNAIDS and International Civil Society Support, with support from the International HIV/AIDS Alliance, have been coordinating a series of regional consultation meetings on the Investment Framework and the opportunities and challenges in application at the country level. The first meeting took place in Tanzania in February 2012 and an outcomes document summarises the main recommendations from those discussions. We have drawn upon those recommendations in our calls above.

Further regional meetings are scheduled to take place this year in Latin America and in Bangkok. For more details, visit the International Civil Society Support (ICSS) website: www.icssupport.org

Alliance Linking Organisations and other civil society actors can contribute to the evolving debate by:

Ensuring the Investment Framework is on the national agenda Get the Investment Framework onto the agenda of Global Fund CCMs and National AIDS Councils and foster debate about the model. Brief government, civil society and relevant professional agencies about it. With national UNAIDS, WHO and other co-sponsor colleagues, form a working group made up of relevant specialists to examine the meaning of the Investment Framework in your country and ensure that people living with HIV and key populations are part of the debate. Support your government when showing an interest in re-thinking the national HIV response within the parameters of the Investment Framework.

Providing the evidence that community mobilisation works Build on and document your existing work with communities to contribute to local models of community mobilisation and how these can meaningfully be included in new national strategies that are based on the Investment Framework. This should include your own analysis to identify the most important populations, programmes and investments in your country. Identify the most important critical enablers to ensure programmes are of high quality and are reaching sufficient numbers of people from specifically targeted populations. Analyse how these programmes and critical enablers synergise with other development sectors. Conduct an analysis of what funding is being channelled to civil society and where the funding gaps and limitations are. Seek endorsement for your analysis, including from government.

Advocating for a more high impact, precisely targeted and costed national HIV programme Use the Investment Framework to advocate for more precision in targeting those in need of services and for an expanded and more nuanced role for communities and their organisations in delivering this. The Investment Framework helps us to analyse current investments in HIV to ensure that our best efforts focus on high impact.

UN partners at country level, such as UNAIDS and UNDP, should be part of this advocacy. Crucially, we also need to engage with donors such as the Global Fund and PEPFAR to make the Investment Framework the basis of re-programming of national grants and for new national funding applications.

DON’T STOP NOW: INVEST IN COMMUNITIES TO STOP AIDS

RELATED RESOURCES FROM THE INTERNATIONAL HIV/AIDS ALLIANCE: Toolkit: All Together Now! Community mobilisation for HIV and AIDS (Alliance 2006) Discussion Paper: what is the Investment Framework for HIV and AIDS (Alliance 2011) Measuring and improving value for money of HIV programming (Alliance 2010) Doing more with less: SROI on KHANA integrated care and prevention programme (Alliance 2012) Measuring Up: HIV related advocacy evaluation pack (Alliance 2010) Good Practice HIV Programming Standards (Alliance 2010) Policy briefing: treatment as prevention (Alliance 2012) CBO Capacity Analysis Toolkit (Alliance 2007) Network Capacity Analysis Toolkit (Alliance 2007) NGO Capacity Analysis Toolkit (Alliance 2004)

FOR DIRECT TECHNICAL SUPPORT: Regional Technical Support Hubs provide south-to-south support to Alliance Linking Organisations and other civil society organisations to strengthen their leadership and capacity.

For more information please contact tshubs@aidsalliance.org

FROM OTHERS: A new investment framework for the global HIV response, issues briefing (UNAIDS 2011) Analyzing Community Responses to HIV and AIDS, Operational Framework and Typology (World Bank January 2011) Community systems strengthening framework (Global Fund 2011)

Published by: International HIV/AIDS Alliance (International secretariat) Preece House, 91–101 Davigdor Road, Hove, BN3 1RE, UK Telephone: +44(0)1273 718900 Fax: +44(0)1273 718901 mail@aidsalliance.org www.aidsalliance.org