Strengthening Government Management Capacity to Scale Up HIV Prevention Programs Through the Use of Technical Support Units: Lessons from Karnataka State, India

March 2015 - Structural Prevention

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Sgaier, S. K., Anthony, J., Bhattacharjee, P., et al. Global Health: Science and Practice (November 2014), doi: 10.9745/GHSP-D-14-00141.

The authors described the Karnataka Technical Support Unit (TSU), a team of private and nongovernmental experts created to collaborate with governments to oversee and scale up HIV prevention interventions. The TSU in Karnataka provided support to the state in five key areas: assisting in strategic planning, comprehensive monitoring and evaluation, supportive supervision to intervention units, training, and information, education, and communication activities. The authors noted that creation of TSU increased the number of prevention interventions statewide from 40 to 126 between 2009 and 2013. Moreover, the state budget for HIV prevention increased from US$8.0 million in 2007–2008 to US$13.1 million in 2011–2012, while the portion of the state budget allocated to prevention interventions among key populations tripled, from US$0.7 million to US$2.1 million. Monthly contacts with female sex workers increased from 5 percent of sex workers in 2008 to 88 percent in 2012; with men who have sex with men, from 36 percent in 2009 to 81 percent in 2012. The authors concluded that the Karnataka TSU was successful in helping the government enhance managerial and technical resources and leverage funds more effectively. This experience suggested that TSUs could be used by other state governments to improve and scale up programs, and to support previously donor-funded programs.

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