A Taxonomy for Community-Based Care Programs Focused on HIV/AIDS Prevention, Treatment, and Care in Resource-Poor Settings

May 2013 - Structural Prevention

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Rachlis, B., Sodhi, S., Burciul, B. et al. Global Health Action (April 2013), Vol. 6.

The authors conducted a literature review to classify HIV-related community-based care (CBC) programs in terms of key characteristics, programming gaps, and roles in HIV programming. They identified 21 CBC programs, primarily in sub-Saharan Africa, that met the inclusion criteria. The taxonomy specified nine programmatic characteristics, classified by region, and the authors developed a logic model for effective and sustainable CBC programs. The most common and second most common visions were to improve the lives of people living with HIV and the lives of other populations affected by HIV, respectively. Few programs targeted vulnerable or marginalized populations, and gender-specific data were limited. Programs offered a range of HIV services and most services were offered in homes and community settings. Operational models differed, often according to the level of community engagement and collaboration among community groups, members, and leaders. Funding sources varied, as did organizational structures, in terms of the type of community health worker involved. Key factors that influenced sustainability were availability of funding and retention of staff. The authors also noted that the majority of programs included some regular monitoring, but many provided limited information about their monitoring and evaluation strategies. The authors concluded that although further research is needed, the findings provide an understanding of CBC models and could be used to develop an evidence base for sustainable HIV services in resource-constrained countries.

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