Kotellos K A, Amon J J, Benazerga W M
Division of HIV/AIDS, Family Health International, Arlington, Virginia, USA.
AIDS. 1998;12 Suppl 2:S109-17.
To present a theoretical and practical means for the evaluation of organizational and institutional development (capacity building) in HIV/AIDS prevention programmes in developing countries.
Multiple frameworks, methodologies and paradigms for the evaluation of organizational and institutional development were reviewed and synthesized, resulting in this proposed pluralistic model for the measurement of capacity building efforts. Traditional forms of capacity building evaluation (self-assessment, case study, outcome, and impact evaluation) are presented and a framework for their integration at the level of interpretation and inference is provided. The review is based on experiences in measuring capacity building in more than 20 countries and 200 projects, ranging from communications and behavior change initiatives to condom social marketing to sexually transmitted disease/HIV clinical interventions with a range of international and local non-governmental organizations and ministries of health.
From this experience, we have found that conducting a mixed method evaluation of capacity building efforts allows for a more insightful assessment of capacity building and a more comprehensive evaluation of HIV prevention programmes.
The capacity building conceptual framework developed (linking strategies, variables and outcomes) provides an instructive paradigm for the evaluation of HIV prevention interventions worldwide.
提出一种理论与实践方法，用于评估发展中国家艾滋病预防项目中的组织与机构发展（能力建设）。
对评估组织与机构发展的多种框架、方法和范式进行了回顾与综合，形成了这个提议的用于衡量能力建设工作的多元模型。介绍了能力建设评估的传统形式（自我评估、案例研究、结果评估和影响评估），并提供了一个在解释和推断层面将它们整合的框架。该回顾基于在20多个国家和200个项目中衡量能力建设的经验，这些项目涵盖从传播与行为改变倡议到避孕套社会营销，再到性传播疾病/艾滋病临床干预等领域，涉及一系列国际和当地非政府组织以及卫生部。
从这些经验中，我们发现对能力建设工作进行混合方法评估能够对能力建设进行更有洞察力的评估，并对艾滋病预防项目进行更全面的评估。
所开发的能力建设概念框架（将策略、变量和结果联系起来）为全球艾滋病预防干预措施的评估提供了一个有指导意义的范式。
