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The Community Life Competence Process

The Community Life Competence Process. An opportunity to reveal an untapped potential. The content offers you a cost-effective and innovative approach to achieve even better your objectives . An approach to facilitate even better… . Participatory diagnosis – self-assessment.

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The Community Life Competence Process

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  1. The Community Life Competence Process An opportunity to reveal an untapped potential

  2. The content offers you a cost-effective and innovative approach to achieve even better your objectives

  3. An approach to facilitate even better… Participatory diagnosis – self-assessment Community-driven actions Knowledge sharing – go to scale Linkages between services and demand

  4. All of your work affects people in communities

  5. Have you ever been impressedby what some communities achieved by themselves?

  6. Coaches of the Constellation We too! And we learned a lot from communities

  7. Our starting point… • …what we learned on HIV There is another reality…..

  8. Uganda: trends in antenatal HIV prevalence at selected sentinel sites

  9. What did we learn from countries that made progress? • people drive effective responses to HIV/AIDS, not commodities. Service provision is required, but is no substitute to people driven responses • progress depends on local ownership of the problem and the solution • This is true for any other issue like malaria, global warming, peace, human preparedness to pandemics, road safety, etc.

  10. What do we actually do?

  11. “We work together with partners at a regional and country level to reveal the capacity of communities to respond locally to HIV, malaria and other life issues through a proven community driven approach”

  12. How?

  13. By facilitating local responses

  14. A local response is the set of actions that individuals and communities take by themselves to address their concerns, first of all using their own resources.

  15. Meet COMMUNITY X….

  16. Like every community in the world, COMMUNITY Xhas strengths

  17. COMMUNITY X aspires to improve on many issues…… ALCOHOL VIOLENCE LIVELIHOOD MALARIA DRUGS FAMILY PLANNING DROUGHTS

  18. Very often, HIVplays a part in these issues* *HIV is taken as an example here, but can be replaced by malaria, WASH, family health, gender, security and protection etc.

  19. COMMUNITY X has……

  20. READ a lot about HIV

  21. SEEN a lot about HIV

  22. HEARD a lot about HIV

  23. But COMMUNITY X never discusses HIV-related issues by itself

  24. And once outsiders leave, COMMUNITY X is not using its full potential to act…..

  25. So, some people in COMMUNITY X think: “This is not really a problem that affects us.” “ We are too weak to do something about it” “ Let’s wait for the experts to tell us what to do”

  26. But through CLCP ……

  27. A Facilitation Team enters the community to add something different

  28. What do they bring? Facilitate a local response Stimulate local discussions Reveal community strengths Appreciate local achievements Learn and listen Coach Transfer to other communities

  29. What don’t they bring? information on HIV brochures and posters condoms money solutions expert opinions

  30. They use an action-oriented process: The Community Life Competence Process (CLCP)

  31. With tools such as shared DREAM BUILDING

  32. …andSELF-ASSESSMENT ..

  33. 2nd self-assessment 1st self-assessment …communities assess where they are, measure progress and exchange with others COMPARISON OF 5 KENYAN VILLAGES ON PRACTICE 5: Identify and address vulnerability 3rd self-assessment

  34. …and they Learnand Share at Knowledge Fairs “A Knowledge Fair is a joyfulnon-hierarchical event where people come together to learn and share their experiences. Participants share their stories and experiences in small groups, in the form of a peer assist. They then capture knowledge assets.”

  35. So what is the result of all this for COMMUNITY X?

  36. They use their + Feel • strengths ownership

  37. COMMUNITY X now develops its own action plan, targets and indicators

  38. …uses, first of all, its own resources….

  39. And mobilize outside support to complement its local response

  40. And it proudly shares its local response to 72 other communities *as researched by PhD study done by Campell C. (2005)in Kithituni community, Kenya

  41. How can service providers participate?

  42. They encourage, link and support the community Community X ACTION PLAN SERVICES

  43. Thanks to our partners

  44. Communities use this approach in 28 countries Guyana Belgium Netherlands Russia Myanmar Thailand Sierra Leone Cambodia Spain Morocco Mali Ethiopia Indonesia Liberia Uganda Rwanda Philippines Papua New Guinea Burundi Kenya DR-Congo India Mozambique

  45. Communities include: sex workers, truck drivers, IDUs, PLHIV, UN teams, governments, MSM, youth, transgender people, NGOs, CSOs, faith-based organizations, business coalitions , disabled people groups, uniformed services, etc …

  46. And it has been applied to various issues HIV/ AIDS Malaria WASH Mobility Reproductive health Climate change Peace & reconciliation Influenza pandemic Vulnerability of street children Inclusion of immigrants Gender Diabetes

  47. People ask us: Does it really bring results?

  48. According to external evaluations, it does…. UNAIDS Evaluation (2005) "between 83% and 87% [of AIDS Competence Process users] are satisfied and confident that the program achieves impact within communities.” WHO-UNICEF Evaluation Papua New Guinea (2009) “The AIDS Competence Process is an effective approach in combating HIV/AIDS through local empowerment. For its low-cost but often labor intensive input of resources, the output has been substantial.” The qualitative evaluation of the Action Group on Local responses to HIV in India (2008, UNAIDS Initiative) “Stigma and discrimination is reduced due to greater clarity on the nature of the epidemic, and greater reflection on the different driving factors of the epidemic..”

  49. And it’s cost-effective…. UNAIDS Evaluation (2005) "Cost-effectiveness—efficiency varies from US$ 0.10 to US$ 2.00 per person reached (>1 million). Costs/reach may become negligible as AIDS Competence Programme methods and knowledge spread in communities. Costs per Satisfied User likely to spread the process currently vary between US$ 1.00 to US$ 4.50" Asian Development Bank- funded cost-effectiveness evaluation by Teerawattananon, Y.(2010) Comparing Incremental Cost-Effectiveness Ratio’s (ICERs) of the ACP with other HIV prevention programmes, it is found that the ACP is very cost-effective. The ACP saves one QALY using resource less than 1 Gross Domestic Product per capita (approximately 140,000 Baht).

  50. And does it work at scale?

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