L6 lamboray
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Transcript of L6 lamboray
Our Journey towards AIDS Competence
Changes in life expectancy in selected African countries with high and low HIV prevalence: 1950 - 2005
with high HIV prevalence:
Zimbabwe
South Africa
Botswana
with low HIV prevalence:
Madagascar
Senegal
Mali
Source: UN Department of Economic and Social Affairs (2001) World Population Prospects, the 2000 Revision.
30
35
40
45
50
55
60
65
Lif
e e
xp
ecta
ncy
(y
ears
)
1950– 1955
1955- 1960
1960-1965
1965-1970
1970-1975
1975-1980
1980-1985
1985-1990
1990-1995
1995-2000
2000-2005
There is another way!
Photo: Georgia Roessler
Phayao, Thailand HIV seroprevalence among 21 year old men
19911991 19921992 19931993 19941994 19951995 19961996
0
2
4
6
8
10
12
14
16
18
HIV
Ser
opre
vale
nce,
%H
IV S
erop
reva
lenc
e, %
200220022000200019981998
Uganda: trends in antenatal HIV prevalence at selected sentinel sites
0
5
10
15
20
25
30
35
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Nsambya Rubaga Mbarara Jinja Mbale Tororo Lacor
b
what have we learnt?
effective responses to HIV/AIDS are people-driven, not commodity driven
service provision is required, but is no substitute to people driven responses
progress hinges on local partnerships
people
workwork policypolicy
communitycommunity
personalpersonal
familyfamily
we are the subjects of the response to HIV/AIDS
Local Partnerships to HIV/AIDS – The Key for AIDS Competence
LF: Local Facilitation
Civil society
LF
Youth Clubs
Traditional Leaders
Women Groups
Local Religious Leaders
Teachers
Nurses and doctors
People livingwith HIV/AIDS
Families
Providers of servicesPeople of influence
Regional Partnerships
National Partnerships
Local Partnerships
NFT
Global PartnershipsDFT
GFT
LFT
LFT LFT
DFT
RFT
District Partnerships
GFT: Global Facilitation Team
NGOs
FoundationsBusiness
Religious leaders
Persons living with HIV/AIDS
GovernmentsUN
Donors
Our vision and mission We envision a global society in which each element is
pursuing AIDS competence.
Our mission is to connect people involved in local responses to AIDS around the world for mutual support, learning and transformation.
We are made of learning communities whose members support and learn from each other in their own journey towards AIDS competence.
We cooperate with any other organisation which pursues a similar vision and approach to the resolution of global development challenges.
Our Offer
Facilitation capacity Self-assessment Knowledge exchange Knowledge assets Electronic platforms
facilitation teams: goalsmembers assist each other to:
learn from local responses
stimulate knowledge creation and sharing
embed lessons learnt into organisations
participate in knowledge sharing worldwide
Our Offer
Facilitation capacity Self-assessment Knowledge exchange Knowledge assets Electronic platforms
Self-Assessment of AIDS competence
1 BASIC
2 3 45
HIGH
Acknowledgement and
Recognition
We know the basic facts about HIV/AIDS.
We recognise that HIV is a problem.
We recognise that HIV/AIDS is a problem
for us and we discuss it amongst ourselves
We acknowledge openly with others our
concerns about HIV/AIDS and the
challenges it represents for us.
We recognise our own strength to deal with the challenges and
seek others for mutual support and learning.
Care and change of behaviour
We communicate externally provided
messages about care and prevention.
We adapt and communicate
externally provided messages about care
and prevention.
Our care and prevention activities
are separate and dependent on external
stimulus.
We change because we care.
We intentionally link care and change of
behaviours and work practices in ourselves
and with others.
InclusionWe don’t involve those
affected by the problem.
We get together with some people who are
crucial to resolve common issues.
We (individuals, families, communities, service providers and policy makers) work
together to respond to HIV/AIDS.
Our partnerships share common goals, and
define each partner’s contribution. Religious and community leaders
get involved.
We address and resolve all challenges
facing us (not only HIV/AIDS.)
Identify and address
vulnerability
We aware of the general factors of
vulnerability and the risks affecting us.
We have mapped vulnerability and risk.
We have a clear strategy to address
vulnerability and risk.
Our strategy is based on good practices.
We are addressing vulnerability in all
aspects of the life of our group, all are
aware and involved in responding.
Learning and transfer
We learn by what we do rather than what we learn from and share
with others.
We share learning from our successes but not
our mistakes.
We have processes for learning and sharing
which we use sometimes. We seek people of experience
when necessary.
We learn, share and apply what we learn systematically, and seek people with
relevant experience to help us.
We see an improvement in local
responses as a result of our learning and
sharing.
Measuring change
Our change is evaluated by others.
We begin consciously to self measure.
We measure our own progress and set
targets for improvement.
We measure our change systematically and can demonstrate
measurable improvement.
We invite others to help measure our change
and share learning/results with
others.
Self assessment People:
talk exchange perspectives get to grasp the local reality define priorities and actions adapted to context follow up formulate lessons learned identify what experience to share and what to
experience to seek
Our Offer
Facilitation capacity Self-assessment Knowledge exchange Knowledge assets Electronic platforms
Mae Chan
1
2
3
4
5
Ackno
wledge
men
t
Care
and
Chang
e
Inclu
sion
Vulner
able
grou
ps
Lear
ning
and
trans
fer
Mea
surin
g ch
ange
Adapt
ing
Way
s of w
orkin
g
Mob
ilising
reso
urce
s
Le
vel
Current levels for Mae Chan community
Mae Chan
1
2
3
4
5
Ackno
wledge
men
t
Care
and
Chang
e
Inclu
sion
Vulner
able
grou
ps
Lear
ning
and
trans
fer
Mea
surin
g ch
ange
Adapt
ing
Way
s of w
orkin
g
Mob
ilising
reso
urce
s
Le
vel
Something to learn, something to share
Match making to put those with something to learn in touch with those with something to share via a Peer Assist meeting or an electronic forum.
Something to share
Something to learn
Progress
Acknowledgement &
Recognition
Acknowledgement &
Recognition5 Mbarara
4
3 PallisaBusia Kibaale
2 Rakai Arua
1 Moroto
0 +1 +2 +3 +4
Improvement Objective
Current level
Our Offer
Facilitation capacity Self-assessment Knowledge exchange Knowledge assets Electronic platforms
A fewmore
A fewmore
What are the top ten things I need to know?Where can I get more detail?
What can I re-use? Who can I talk to?
What are the top ten things I need to know?Where can I get more detail?
What can I re-use? Who can I talk to?
Even more
Even more Still
More
StillMore More
Lessons
MoreLessons More
Lessons
More Lessons Lessons
Learned
LessonsLearned
Knowledge Assets
What you know in your context
What I know in my context
"...the politics accompanying hierarchies hampers the free exchange of knowledge. People are much more open with their peers. They are much more willing to share and to listen.” Lord John Browne
Peer Assists – Learning before doing
Action
What weboth know
What’spossible?
Context and detail – where and when you need it…
•
•
•
•
•
•
•
•
•
•
•
•
“
““
“
“
“
A Knowledge Asset
Principles (or advice)
Experience which leads to the principle Resources (Documents
, Policies, People)
Believe that people/communities have capacity, experience and knowledge to share
Capacity for care, change, leadership and hope as transferable concepts which have been seen and documented in multiple countries
HCD Concept Paper
Action Research (SA)
Work as a team: co-facilitating and mentoring new team members in every process
Team leadership development is done through attaching people to teams with more experienced facilitators, allowing people to practise with support of a team, and then handing over team leadership to others….
AFCN processHope World-
wide/Enda Sante/SA partnership
Our Offer
Facilitation capacity Self-assessment Knowledge exchange Knowledge assets Electronic platforms
Two ideas
• The Constellation for AIDS Competence
• Friends for Life
The “Stairs” Diagram
CooperRiver
BulwerIsland
LaveraChemicals
Feluy
Texas City
KwinanaCorytonFeluy
Joliet
GrangemouthGeel
NetherlandsDecatur
HullFPS Trinidad Oil
High desireto improve
High performance
5
4
3
2
1
0 1 2 3 4 Gap between current and target
PerformanceManage Corrosion
Example Stairs diagram