Clinic-CBO Collaboration (C3) Programme

Both the UNAIDS Investment Framework for HIV/AIDS through 2020 and The Global Plan promote increased community engagement as a priority, with communities increasingly being relied on to provide an essential and complementary role. The merits of harnessing community support in advancing the continuum of prevention, treatment and care is well recognized but barriers to effective collaboration between health services and community organisations on the ground still remain. 

Clinics and community-based organizations (CBO’s) continue to operate in silos due to limited structural mechanisms, opportunities and or entry points that effectively facilitate, coordinate and support meaningful engagement between them. Health facilities and their staff resources are often overextended and lack the capacity and skills to engage and integrate communities within health service planning and delivery. From a community perspective, many CBOs have limited technical and organisational capacity (which is compounded when they are excluded from health service decision-making and programme planning), contributing to a power differential that can often lead to a conflicting versus complementary relationship. 

The pervasive impact at the frontline of service provision is that community is not understood or acknowledged as a critical and equal partner by health facilities. Although CBO’s have value to add around demand generation, adherence and retention support, mitigation of stigma and discrimination, and design and implementation of innovative community-based service delivery models, they continue to experience isolation and segregation rather than clinic-CBO collaboration, co-ordination and co-operation.

The Clinic-CBO Collaboration Campaign (C3), in partnership with the Positive Action for Children Fundimplements a high-impact, cost-effective, cross-sectorial project across 2014-2017 that facilitates greater linkage between the healthcare system, the clinic and community, through addressing structural and attitudinal barriers to clinic-CBO cooperation at local level in 9 priority countries: Ethiopia, Malawi, Nigeria, Uganda, Cameron, Zimbabwe, Zambia, DRC and Tanzania. 

 

Overarching programmatic goals:

1. To improve PMTCT and paediatric HIV service delivery in 9 of the Global Plan’s West, Central and Southern African priority countries

2To engage communities in PMTCT and paediatric HIV service delivery and link clinical services and communities in health partnerships 

3To identify and disseminate challenges, lessons learned and best practices for clinic-CBO collaboration