Sadhu Santhosh, Manukonda Archana Rao, Yeruva Anthony Reddy, Patel Sangram Kishor, Saggurti Niranjan
CARE India, Hyderabad, India.
HIV and AIDS Program, Population Council, New Delhi, India.
PLoS One. 2014 Mar 7;9(3):e90592. doi: 10.1371/journal.pone.0090592. eCollection 2014.
The institutionalization of community mobilization is not well understood in literature. This paper aims to understand the role of the community-to-community learning strategy in the institutionalization of community mobilization among sex workers communities across eight districts of Andhra Pradesh, India.
Data collected during baseline (March, 2010) and endline (June, 2012) under an HIV prevention project (SAKSHAM project) was used to investigate the strength (as score) of community mobilization based on two learning strategies: non-government organization (NGO)-to-community-based organization (CBO) strategy, and community-to-CBO strategy. The strength of community mobilization was assessed based on different parameters. The change in scores were computed as a percentage of the improvement to the total potential improvement from baseline to endline on specific indicators and overall.
Most of the CBOs considered in the pre-post assessment had been registered during 2004-2008. At baseline, the community ownership and preparedness index scores for the eight CBOs under the community-to-CBO strategy ranged between 21.5 and 27.7 while the scores for the three CBOs under the NGO-to-CBO strategy ranged between 16.3 and 21.5. By endline, the strength of community mobilization among CBOs under the community-to-CBO strategy increased 18 points (equivalent to 23% potential improvement) whereas the strength of community mobilization among CBOs under the NGO-to-CBO strategy increased only 10 points (equivalent to 13% potential improvement). The average percentage difference in improvement between the strategies was 10% (p = 0.102). Further analyses indicate that a greater improvement in community-to-CBO learning strategy was noted around managerial capacities and engagement with stakeholders than other parameters.
The community -to- CBO learning strategy presents promising results for HIV prevention with regard to institutionalization of community mobilization among sex workers communities. Findings support the scaling-up of community mobilization initiatives within HIV prevention interventions using well trained community members in India and elsewhere.
社区动员的制度化在文献中并未得到很好的理解。本文旨在了解社区间学习策略在印度安得拉邦八个地区性工作者社区的社区动员制度化过程中的作用。
在一项艾滋病毒预防项目（SAKSHAM项目）的基线（2010年3月）和终线（2012年6月）期间收集的数据，被用于基于两种学习策略调查社区动员的强度（以分数表示）：非政府组织（NGO）到社区组织（CBO）策略以及社区到CBO策略。社区动员的强度是根据不同参数进行评估的。分数变化是以特定指标和总体上从基线到终线的改善占总潜在改善的百分比来计算的。
在前后评估中所考虑的大多数CBO是在2004 - 2008年期间注册的。在基线时，社区到CBO策略下八个CBO的社区所有权和准备指数分数在21.5至27.7之间，而NGO到CBO策略下三个CBO的分数在16.3至21.5之间。到终线时，社区到CBO策略下CBO的社区动员强度增加了18分（相当于23%的潜在改善），而NGO到CBO策略下CBO的社区动员强度仅增加了10分（相当于13%的潜在改善）。两种策略之间改善的平均百分比差异为10%（p = 0.102）。进一步分析表明，与其他参数相比，社区到CBO学习策略在管理能力和与利益相关者的参与方面有更大的改善。
社区到CBO学习策略在性工作者社区的社区动员制度化方面为艾滋病毒预防呈现出有前景的结果。研究结果支持在印度及其他地方的艾滋病毒预防干预措施中扩大社区动员倡议，利用训练有素的社区成员。
