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Monitoring community mobilisation and organisational capacity among high-risk groups in a large-scale HIV prevention programme in India: selected findings using a Community Ownership and Preparedness Index
  1. Pradeep Narayanan1,
  2. K Moulasha1,
  3. Tisha Wheeler2,
  4. James Baer3,
  5. Sowmyaa Bharadwaj1,
  6. T V Ramanathan4,
  7. Tom Thomas1
  1. 1Praxis Institute for Participatory Practices, New Delhi, India
  2. 2Futures Group Washington DC, USA (formerly with the Bill and Melinda Gates Foundation, India Office, New Delhi, India)
  3. 3Independent Consultant, London, UK
  4. 4Department of Statistics, University of Pune, Pune, India
  1. Correspondence to Pradeep Narayanan, Research and Consultancies, Praxis Institute for Participatory Practices, C - 75, South Extension, Part II, New Delhi-110049, India; pradeepn{at}praxisindia.org

Abstract

Background In a participatory approach to health and development interventions, defining and measuring community mobilisation is important, but it is challenging to do this effectively, especially at scale.

Methods A cross-sectional, participatory monitoring tool was administered in 2008–2009 and 2009–2010 across a representative sample of 25 community-based groups (CBGs) formed under the Avahan India AIDS Initiative, to assess their progress in mobilisation, and to inform efforts to strengthen the groups and make them sustainable. The survey used a weighted index to capture both qualitative and quantitative data in numeric form. The index permitted broad, as well as highly detailed, analysis of community mobilisation, relevant at the level of individual groups, as well as state-wide and across the whole programme.

Results The survey demonstrated that leadership and programme management were the strongest areas among the CBGs, confirming the programme's investment in these areas. Discussion of the Round 1 results led to efforts to strengthen governance and democratic decision making in the groups, and progress was reflected in the Round 2 survey results. CBG engagement with state authorities to gain rights and entitlements and securing the long-term financial stability of groups remain a challenge.

Conclusion The survey has proven useful for informing the managers of programmes about what is happening on the ground, and it has opened spaces for discussion within community groups about the nature of leadership, decision making and their goals, which is leading to accelerated progress. The tool provided useful data to manage community mobilisation in Avahan.

  • Social science
  • community development
  • capacity development
  • HIV/AIDS
  • public health policy
  • high-risk groups
  • India
  • anthropology
  • AIDS
  • education
  • socio-economic
  • social inequalities
  • social capital
  • sexually transmitted diseases

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Footnotes

  • Funding This work was supported by the Bill & Melinda Gates Foundation under the HIV/AIDS Division through a range of grants in the Avahan portfolio, including grants of the following identification numbers: 29868, 29928, 30080, 30111, 30121, 30138, 30148, 30177, 30183, 30553, 31280 39418, and 5189.

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

  • Data sharing statement All data is open access.

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