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Strengthening National HIV Community Based Programs

ReportingA case of Community – Based

Organizations Reporting System in Kenya

Presented by:

Patrick M. Kaburi

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Background

• Kenya has a generalized HIV epidemic with a HIV prevalence of 5.6% (KAIS 2012)– Peak adult prevalence of 12 percent in Mid-1990s– Estimated 1.6 million living with HIV (2013)

• Kenya has over 20,000 Registered CBOs providing community based HIV services

• Community Based Organization (CBOs), first to mobilize and provide HIV prevention and care services.

• Significant HIV program resources have been spent on CBOs over the years

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Background cont’

• There is evidence that Community based response is key in HIV programming

– WB/DFID evaluation (2010) showed that:• High CBO engagement results in greater in HIV

knowledge and behavior change– Increased condom use at high risk sex

• CBO engagement on National policies have a significant impact on political and legal transformation

– Advocacy for human rights

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Issues

• Lack of dedicated reporting system from CBOs – Unable to demonstrate the CBOs contribution

to the national HIV response– Unable to link the CBOs expenditure to

program results– Focus on accountability for funds but not

results– A threat to sustainability of CBOs led response

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Description

• In 2006, National AIDS Control Council and partners prioritized to develop a dedicated Community Based Program Organization Reporting (COBPAR) system.

• Developed a reporting tool, database and user guide tools.

• Piloted and rolled out training for over 12,000 CBOs.

• There has been continuous capacity building of CBOs on information management.

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NACC

Regional Field Offices

PartnersConstituency Control

Committees

CBO/FBO/NGO

Data Flow

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Achievements

• Improved rates of reporting by CBOs– From 2000 to over 8000 CBOs reporting to local AIDS coordination

agencies per quarter

• Better coordination at the decentralized levels– The structures are aware of who is doing what and where

• Improved national project performance– Achievement of project targets.

– Verification of targets

– Validation by beneficiaries– Value for money

– More results for less amount of funds

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• CBO program sustainability– Able to mobilize funds from multiple sponsors– Better capacity to write good proposals that attract funding– Likely to remain active

• No long spells of inactivity due to lack of funds

• Improved coordination– Likely to be involved in planning, implementation and

review of HIV programs– More recognized by the community and beneficiaries as

valuable partners

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Lessons learnt• Enhanced community M&E systems greatly

improves:– CBOs performance– Resource mobilization for community response– Sustainability of CBOs response– Quality of community based programs

• Requires a strong decentralized coordination structure– For continuous capacity building– For information use and program improvement

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Conclusion

• Strengthened community based reporting systems improves sustainability of community HIV based response.

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• Acknowledgements USAID – Measure Evaluation UNAIDS National M&E TWG