“From me to HIV”: a case study of the community experience of donor transition of health programs

BMC Infectious Diseases

Research Article

Kriti Singh¹  Suneeta Singh¹  Vibha Chhabra¹  Amy Paul²  Daniela C. Rodríguez³  Sara Bennett³  Vandana Tripathi⁴  Meghan Bohren⁴ 

[1] Amaltas Consulting Pvt Ltd, Delhi, C 20 Hauz Khas, 110 016, New Delhi, India;Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA;Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Rm. E-8612, 21205, Baltimore, MD, USA;Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA;

关键词: Clinical Service;    Beneficiary Community;    National Rural Health Mission;    Government Health Facility;    Government Clinic;   

DOI  :  10.1186/s12879-015-1068-8

 received in 2014-10-13, accepted in 2015-07-28,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundAvahan, a large-scale HIV prevention program in India, transitioned over 130 intervention sites from donor funding and management to government ownership in three rounds. This paper examines the transition experience from the perspective of the communities targeted by these interventions.MethodsFifteen qualitative longitudinal case studies were conducted across all three rounds of transition, including 83 in-depth interviews and 45 focus group discussions. Data collection took place between 2010 and 2013 in four states: Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu.ResultsWe find that communication about transition was difficult at first but improved over time, while issues related to employment of peer educators were challenging throughout the transition. Clinical services were shifted to government providers resulting in mixed experiences depending on the population being targeted. Lastly, the loss of activities aimed at community ownership and mobilization negatively affected the beneficiaries’ view of transition.ConclusionsWhile some programmatic changes resulted in improvements, additional opportunity costs for beneficiaries may pose barriers to accessing HIV prevention services. Communicating and engaging community stakeholders early on in future such transitions may mitigate negative feelings and lead to more constructive relationships and dialogue.

【 授权许可】

CC BY   
© Rodríguez et al. 2015