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Make or break: the role of stakeholders in the successful outcome of HIV intervention programmes.

Williams R, Campbell C, Williams B; International Conference on AIDS.

Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. ThPeD5746.

R. Williams, University of Reading, Education for Development, Bulmerhse Court, Reading RG6 1HY, United Kingdom, Tel.: +44 118 931 63 17, Fax: +44 118 931 63 18, E-mail: eddev@reading.ac.uk

Issues In designing HIV-prevention policies and interventions, emphasis is placed on the importance of "stakeholder participation" and on "partnerships" between representatives of different interests groups in target communities. However, little formal attention has been given to factors likely to facilitate or hinder the success of such partnerships in sexual health promotion. Here we present data from an on-going case study of a stakeholder-run sexual health promotion programme in South Africa, within the context of our interest in contributing to the development of 'guidelines for best practice' for multi-sectoral partnerships around HIV prevention. Description: The paper focuses on a "partnership" between stakeholders in an HIV programme in the gold mining community of Carletonville. The programme is managed by a multi-stakeholder alliance including local township groupings, local and provincial health departments, the gold mining industry, the trade unions and a research organisation. The paper draws on interviews conducted with stakeholder representatives and grassroots project workers, as well as minutes of regular project meetings and other project documentation in the interests of highlighting areas where stakeholder participation has been more and less effective in achieving programme goals. Conclusion: While at one level the Carletonville project has been extremely successful in pulling together a wide range of diverse stakeholder groups, our case study highlights some of the complexities involved in sustaining collaborative relationships between constituencies which are greeted by HIY in very different ways, and which may often have a very different view of the causes of HIV transmission, and the best methods to limit it. We also highlight the need for the development of health systems which are best able to synthesise the inputs of a range of different players in a way that maximises the cumulative impact of their efforts.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Acquired Immunodeficiency Syndrome
  • Cooperative Behavior
  • Demography
  • HIV Infections
  • HIV Seropositivity
  • Health Promotion
  • Research
  • Residence Characteristics
  • South Africa
  • organization & administration
  • therapy
Other ID:
  • GWAIDS0004873
UI: 102242370

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