1. Scaling Up, Facilitating Agents, & Coalition Building Ethiopia Kenya
Tanzania
Uganda
Zambia
Scaling Up,
Facilitating Agents,
& Coalition Building

2. Scaling Up An expansion in the volume of services
provided or in the kinds of services
provided, e.g., expanding from home
based care alone to home based care
and orphan care.

3. Opportunities for Scaling Up
Piloting:
After demonstrating their ability to successfully manage resources and deliver quality services on a NAP funded project as a pilot, FBOs will be in a position to consider scaling up
Experience:
Many FBOs already have a great deal of experience with their area of service delivery and with resource management before they submit their first application to the NAP
Group application and resource pooling:
Small FBOs and congregations can jointly submit consolidated proposals, pooling their technical and administrative resources and expanding their coverage

4. Opportunities for Scaling Up (2)
Multiple service-delivery areas:
After initial NAP funding for service delivery in a single area such as home-based care, FBOs may seek funding for other areas of service delivery where they may have experience (e.g., orphan care, home-based care, and advocacy).
Other resources:
FBOs recurrent costs (e.g., salaries) may be financed by external donors or their membership. This may facilitate scaling up.

5. Issues in Scaling Up Financial constraints:
Difficulty funding overhead costs such as staff time when neither NAPs nor other funders finance administrative costs
Difficulty funding direct project costs for new service areas
Lack of experience itemizing overhead costs
Managing 3 different from managing 10, etc. : staff, reporting requirements, donor coordination.

6. Issues in Scaling Up (2) Financial constraints (continued):
Difficulty making human resource and other investments needed to scale up when irregular disbursements from funders interrupt service delivery and undermine credibility.
Lack of clear guidelines from the NAPs on how they evaluate an organization’s preparedness to scale up
Lack of transportation needed to expand service delivery area
Managing 3 different from managing 10, etc. : staff, reporting requirements, donor coordination.

7. Issues in Scaling Up (3) Capacity building: Human resources:
Administrative support/institutional memory
Technical support, especially in new areas of service delivery
Monitoring and evaluation/quality control
Risk of diminished quality in core services as new services are added
Human resources:
Capacity limitations of local labor force
Difficulty retaining trained staff
Difficulty of managing relations with multiple donors places increased demand on management time and skills
It needs to be made clear that things that are obstacles in some countries are actually working well in other countries, e.g. the provision of guidelines on proposal development. Also, in some cases, the NACs did not provide guidelines initially, but they have subsequently begun to provide guidelines and/or templates.

8. Facilitating Agents
Role:
Provide technical assistance and training to
strengthen the capacity of an organization to
effectively access and manage resources and to
deliver quality services.
Types:
Individual/consultants
Organizations
Networks
Organizations:
Faith-based organizations with strong capacity and experience in AIDS work and in resource management can seek funding to support capacity building for smaller faith-based organizations. Many established faith-based organizations already provide technical assistance to smaller faith-based organizations and other civil society organizations with less experience. Some of these organizations feel that it is their duty to provide this support, but considering the amount of time that some organization invest in this kind of external capacity building and the availability of resources to support CB, some established FBOs may wish to consider seeking funding to support this aspect of their work.
Consultants:
Many of the civil society organizations that were successful in their first round of applications found local volunteer or paid consultants with donor project management experience. These consultants to provide technical assistance at various stages of their projects including proposal preparation, implementation, and reporting.
Networks:
In addition to serving as advocacy bodies and forums for debate, faith-based networks can also seek funding to strengthen the capacity of member organizations to access and manage financial resources to support their HIV/AIDS work.
Horizontal learning networks. Lessons of experience indicate that CSOs learn best through informal horizontal learning networks, in which CSOs undertake site visits to established projects, organize internships or placements with skilled CSO staff, build coaching and mentoring partnerships between experienced and new projects and develop local learning networks, where geographically proximate CSOs meet regularly to address and resolve issues of common concern.

9. The Role of Facilitating Agencies in Building Civil Society Capacity
Box 6.1
The Role of Facilitating Agencies in Building Civil Society Capacity
(p. 30; GOM for NAPs)
ACCORD is an international NGO that has worked in Ethiopia since It currently works in four areas of Ethiopia: Addis, Dire Darwa, Gambella and Shashemene,
primarily in urban and rural livelihoods and community capacity building. ACCORD
has an intensive CBO capacity building program in Addis, elements of which are
infused into ACCORD’s work in other regions. ACCORD’s CBO program aims to
promote the role of traditional CBOs (Edirs) as grassroots partners through three components: advocacy, direct financial support and training.
The program has served to increase CBO networking and confidence to access resources and take up diverse development activities. A UNAIDS/WorldBank team visited ACCORD and CBO partners in Shashemene and observed that simple project management and financial administration systems shared by ACCORD had
genuinely taken root in CBOs. CBOs visited had membership records, simple
numbered receipts and informal cash books provided by ACCORD. They used
training and planning systems shared by ACCORD. Their records were simple,
clear and up-to-date. ACCORD’s support has significantly increased the capacity
of community organizations to apply for, receive, manage, program and account
for EMSAP resources.
Ethiopia

10. Mary Joy Mary Joy is an Ethiopian NGO based in the outskirts of Addis
Ababa. Established in 1992, the organization has gradually scaled
up its activities and has become a model for integrated AIDS
service delivery and CBO capacity building. Today, Mary Joy
provides a broad spectrum of prevention, care, & support activities.
Prevention
Stigma Reduction
Behavior Change Communication
STD Treatment
VCT
Prevention of MTCT
Care & Support
Psychological & social support for PLWHA
Clinical management of opportunistic infections
Home-based care
Orphan care
Human rights advocacy

11. Mary Joy (2)
In addition to the activities that it delivers directly, Mary Joy works to build
the capacity of community-based organizations to mobilize and manage
resources and to design and implement effective prevention, care, and
support programs. The organization currently works with 37 CBOs across
Ethiopia.
Initially, Mary Joy funds a substantial portion of the CBOs’ activities while
working to strengthening their capacity. However, the organizations must
also mobilize resources independently. Each year, the CBOs are
responsible for an increasing percentage of their own funding until they
are able to sustain themselves by independently mobilizing resources from
the local community and from donors.