1. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 IMPLICATIONS OF FUNDING TRENDS ON COMMUNITY BASED PROGRAMMES Florence Ajok Odoch (MPH, BA(SS) Sociologist ) The AIDS Support Organization (TASO)

2. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Outline of presentation  National HIV and AIDS response  Trends in funding for AIDS response  Implications on community based AIDS response  Benefits of community based AIDS response  Best practices, a case of TASO  Recommendations  Conclusion

3. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Uganda HIV and AIDS status A multi- sectoral approach High rates of new infections (100,000) annually Disproportionate HIV infection among most at risk populations

4. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288  Trends in funding for AIDS response There was a big boom through Health Initiatives ( e.g.PEPFAR, Global Fund) The new Civil Society Funds arrangement (RFA which is open and competitive) The government funds allocation to health

5. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Big and well established community based programmes  Have advantages over small ones,  more competitive/have systems  write winning and fundable proposals  Most are national programmes Implications on CB response

6. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Community Based Organizations  Have always been knocked out /proposals rejected and missed out  Can not meet the requirement for RFA  Have always been exploited due to their weak systems  Are at grass roots Implications Cont’d

7. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Its Implications Cont’d  Many community based programmes are closing (doors closed/ can’t sustain  scaled down activities  Downsizing (of volunteers)/ drop out  Heavy cost burden transferred to PHAs  Widening the existing inequity in access to health care in general

8. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Implications Cont’d  Total reversal in the trends of community response to AIDS (disabling communities)  Meaning continued rise in infections  Successes registered will be watered down (rise in incidence 100,000 annually)

9. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Benefits of CB AIDS response  Reach the neediest PHAs at grass roots  Cost reduction for PHAs  Promotes community ownership  Community resource persons are easy to facilitate  Understand Community dynamics in AIDS response  Community mobilization and advocacy

10. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Best practices, a case of TASO TASO was founded 23 years ago (1987) by a group of 16 volunteers who were either infected or affected by HIV/AIDS. TASO is a national NGO and a community based Organization with a vision to see “A world without HIV/AIDS”

11. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 TASO CB, Best Practice TASO MISSION Core activities TASO CB Family support system

12. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Best practices, a case of TASO  Community based service model

13. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288  Community capacity building Best practices cont’d

14. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Best practices cont’d  Involvement of PHAs in community

15. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Best practices cont’d  Partnerships

16. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Recommendations Community based programmes needs to be strengthened and scaled up to reach the target beneficiaries Advocate for, and mobilize additional resources both (health initiative and gov’t) Deal with poverty among PHAs, e.g. SLP

17. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Recommendations Innovate new interventions and service delivery models Strengthen and increase social support services Integrate AIDS work into other health care programs leverage resources and improve on efficiency

18. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Conclusion AIDS work now needs more resources than ever before, The disease is more accommodative, matured, complacency but still deadly communities have got to be awakened, encourage community based prevention, care and support systems concerted efforts to win the battle on AIDS.

19. The AIDS Support Organization, TASO (U) LTD P.O. Box 10443, Tel: +256 414 532580/1, Fax: +256 41 4541 288 Acknowledgement MERCI