a model of capacity building assistance (cba)
DESCRIPTION
Lessons Learned Building the Capacity of Community Based Organizations and Health Departments implementing HIV interventions for Black CommunitiesTRANSCRIPT
A model Capacity Building Assistance
(CBA) Program
Lessons Learned Building the Capacity of Community Based
Organizations and Health Departments implementing HIV
interventions for Black Communities
Camille Abrahams Emeagwali, M.S.Harm Reduction Coalition November 2, 2010
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Roadmap for Today’s Presentation Overview
CBA then…CBA now Multiple Layers of Impact and Change
HRC’s Approach to CBA Methodology to Develop Best Practices Process of CBA Service Provision (in HIV Prevention) Cornerstones for Effective CBA Essential Tools for Evaluating CBA
Findings Needs of CBOs Barriers to Effective and Sustainable CBA Lessons Learned
Future Direction of Capacity Building
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Harm Reduction Coalition
Founded in 1994 to work with individuals and communities at risk for HIV infection due to drug use and high-risk sexual behaviors.
Committed to reducing drug-related harm by initiating and promoting local, regional and national harm reduction education, interventions and community organizing
Offer specific expertise in how to best incorporate the principles of health and safety promotion for drug users.
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History of HRC’s Capacity Building
HRC’s Training Institute (NY & CA) has been in existence since the inception of the organization (1994)
Since 1994, HRC has provided training and technical assistance in the areas of: Syringe access services Hepatitis C prevention and education Overdose prevention HIV prevention
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Overview of AACBI
In 2004, the Harm Reduction Coalition (HRC) received a 5-year grant from the CDC to be a Focus Area 2 CBA Provider for CBOs and health departments (HDs) working with African Americans communities in the North Region.
The African American Capacity Building Initiative (AACBI), a program of HRC, was a dynamic initiative aimed at reducing the infection and transmission rates of HIV/AIDS within African American communities.
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History of HRC’s Capacity Building
2004-2009: African American Capacity Building Initiative (AACBI) CDC-funded CBA provider serving African-American
serving CBOs & HDs in the North Region DEBI Expertise: d-up!, POL, Safety Counts,
VOICES/VOCES 2008: Published lessons learned & best practices in
Journal of HIV/AIDS & Social Services 2008: Formation of the Forgotten Population Project
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NKYINKYIM ("twisting" ) symbol of initiative, dynamism and versatility
NYANSAPO ("wisdom knot") symbol of wisdom, ingenuity, intelligence and
patience. This symbol conveys the idea that "a wise person has the capacity to
choose the best means to attain a goal.
Guiding Principles of CBA at AACBI/HRC
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History of HRC’s Capacity Building
2008 to present: Institute@ HRC Skills and Knowledge on Overdose Prevention (SKOOP) Drug Overdose Prevention Education (DOPE) LGBT Program HIV Prevention Capacity Building Initiative
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Overview of HRC’s HIV Prevention Capacity Building Initiative
CBA for CBOs
CBA for Syringe Access Mobilization
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CBA for CBOs
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Organizational Infrastructure and Program Sustainability
Evidence-based Interventions and Public Health Strategies
d-up! Defend Yourself! Safety Counts VOICES/VOCES NIA (New!) SHIELD (New!)
Monitoring and Evaluation
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CBA for Syringe Access Mobilization
A PLACE for Syringe Access Adaptation of Community Mobilization Model –
Mobilizing for Action through Planning and Partnerships (MAPP)
Social Marketing Campaigns Community-level Evidence-based
Interventions Community PROMISE Popular Opinion Leader (POL)
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Multiple Layers of CBA Impact…
MovementCommunityBoardOrganizationExecutive ManagementTeamStaff
** For the purpose of today’s discussion, I will focus on Organizations. This layer of impact also encompasses staff, teams and executive management. Board development is also intricately involved at this level as well.
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Multiple Layers of Change
Staff Development Team
Development
Leadership Development
Board Development
Community Development
Organizational Development
Movement Building
HRC’s Approach to CBA
CBA Service Provision (in HIV prevention)
Key Characteristics for Effective CBA
Essential Tools for Evaluating CBA
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Methodology to Develop Best Practices
Formal/informal interviews with AACBI staff Interviews and focus groups with CBA consumers Review of case files that included action plans,
detailed progress notes, Consumer Satisfaction Surveys, CBA completion forms, and communications between AACBI and CBA consumers
Interview/observe other CBA providers Literature Review
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Introduction
In order for comprehensive HIV prevention services and strategies to be successful, community based organizations and their frontline staff must have the necessary skills and resources to respond efficiently and effectively to this epidemic.
Thus, CBOs must have the capacity to engage successfully in HIV prevention efforts, particularly those efforts involving the implementation of HIV prevention interventions that have proven to be effective.
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HIV prevention capacity building is a process by which individuals, organizations, and communities develop abilities to enhance and sustain HIV prevention efforts.
The goal of capacity building is to foster self-sufficiency and the self-sustaining ability to improve HIV prevention programs, processes, and outcomes.
Capacity Building Assistance (CBA)
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Process of CBA Service Provision (in HIV Prevention)
1. Frame the Problem Define and fully understand the issue(s) Tool: Initial Needs Assessment
2. Capacity Inventory Stage the Consumer’s Readiness for CBA Identify resources/assets of staff, team, management,
organization, etc. Tool: Organizational Assessment
3. Comprehensive Analysis of CBO’s Challenges & Threats Identify intermediate and long-term challenges, barriers and
threats to resources, assets, and expected outcomes
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Process of CBA Service Provision (in HIV Prevention)
4. Formalize Partnership between CBO & CBA Tool: MOA
5. Action Planning Develop an approach to address the problem/issue Refine approach based on CBO feedback
6. CBA Service Delivery
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CBA Delivery Strategies
Trainings To increase knowledge, skills and ability
Technical assistance/consultation the provision and/or facilitation of culturally relevant and
expert programmatic, scientific, and technical advice (mentoring/coaching) and support
Examples include coaching and mentoring
Information Dissemination distribution and sharing of relevant and current information
through print materials, presentations, websites, and mass media
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Process of CBA Service Provision (in HIV Prevention)
7. Evaluate CBA Service Provision (Process) and Ability of CBO (outcome)
Essential Tools for Evaluating CBA Needs Assessment
Immediate Need (Problem Diagnosis and Expected Outcomes) Staff/Organization/Board Assessment (Asset/Resource
Inventory). What can we build on? Intermediate and Long-Term Needs
Reflective Tool: 3/6/12 month follow up How well are consumers applying their new/enhanced capacity? Have unintended and/or negative consequences been
addressed?
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Process of CBA Service Provision (in HIV Prevention)
8. Recommend Additional CBA Services, if necessary Ask, “what can we do to build or advance the good
work that the CBA consumer is doing?” Tool: Letter of Recommendations
9. Additional CBA Services
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Cornerstones for Effective CBA Cultural Competence – All CBA is local
Local, culturally relevant consultant; Community Advisory Board
Needs Driven CBA: initial, organizational, other needs “Stage” Consumer for CBA Readiness; identify their
assets/resources; Meet Them Where They’re At
CBA Provider/CBA Recipient Team Approach
Infuse Best Practices from Subject Matter Experts (SMEs)
Continuous Program Improvement Evaluate work; improve CBA tools; follow up with CBO to
determine if effectiveness is maintained
Findings
Passion + Commitment does NOT equal capacity
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Broad CBA Needs Identified by HRC
Organizational Infrastructure Culturally and Linguistically Appropriate
Services and Settings Demonstrated Competence In Foundational
Skills and Knowledge
Specific to AIDS Service Organizations?
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Barriers to Effective and Sustainable CBA
High staff turnover – in CBOs and CBA providers
CBO’s lack of or poor experience with CBA Reputation is everything
Insufficient commitment from CBO management
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HRC’s Lessons Learned Providing CBA to CBOs/HDs : 2004-2009
A team-based approach helps to ensure effective and efficient service delivery (lesson #1)
Relationship building and open communication is essential (lesson #3)
Staff turnover results in loss of institutional memory and momentum (lesson #9)
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HRC’s Lessons Learned Providing CBA to CBOs/HDs : 2004-2009
Empowered CBA consumers lead to sustainable programs (lesson #11)
CBOs should work with CBA and technical assistance providers during the pre-implementation and implementation phases (lesson #5)
A coordinated effort among CBA providers is needed to effect change on a national level (lesson #7)
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Conclusions:
Many of the lessons centered on the need for open communication and collaboration between CBA providers, CBA consumers, CDC program officers, and CDC program consultants in order to ensure efficient and effective capacity building.
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Conclusions:
The overarching theme across the lessons learned is that providing capacity building assistance has its rewards, but it is not without its challenges.
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Future Direction of Capacity Building
Capacity Building as a “field” Strategic Giving and Capacity Building Innovative strategies to Promote the
Sustainability of Capacity Building Efforts Measure the Long-Term Impact of Capacity
Building
“If you have some power, then your job is to empower someone else”
Toni Morrison
Contact Info.
Camille Abrahams Emeagwali, M.S.
Harm Reduction Coalition
212.213.6376