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Unintended Consequences of Community-Based Monitoring Systems: Lessons from an HIV Prevention Intervention for Sex Workers in South India

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  • Biradavolu, Monica R.
  • Blankenship, Kim M.
  • George, Annie
  • Dhungana, Nimesh

Abstract

Studies have examined whether community-based monitoring systems impact desired program outcomes, but few provide field-based evidence on the implementation process itself. This paper fills the gap using ethnographic data on the community-based monitoring tools developed by an HIV prevention NGO for sex workers in south India. The tool was well conceptualized, with potential to enhance community participation in program design. Yet, despite best intentions, our findings show that the quantification process undermined community ownership, discredited existing and locally informed sex work practices and, rather than empowering, monitoring became a means to discipline and judge sex worker peer educators.

Suggested Citation

  • Biradavolu, Monica R. & Blankenship, Kim M. & George, Annie & Dhungana, Nimesh, 2015. "Unintended Consequences of Community-Based Monitoring Systems: Lessons from an HIV Prevention Intervention for Sex Workers in South India," World Development, Elsevier, vol. 67(C), pages 1-10.
    • Handle: RePEc:eee:wdevel:v:67:y:2015:i:c:p:1-10
    DOI: 10.1016/j.worlddev.2014.09.026
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    References listed on IDEAS

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    1. Martina Björkman & Jakob Svensson, 2009. "Power to the People: Evidence from a Randomized Field Experiment on Community-Based Monitoring in Uganda," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 735-769.
    2. Alex Jacobs, 2010. "Creating the Missing Feedback Loop," IDS Bulletin, Blackwell Publishing, vol. 41(6), pages 56-64, November.
    3. Oecd, 2008. "Developments in Fibre Technologies and Investment," OECD Digital Economy Papers 142, OECD Publishing.
    4. Swendeman, Dallas & Basu, Ishika & Das, Sankari & Jana, Smarajit & Rotheram-Borus, Mary Jane, 2009. "Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases," Social Science & Medicine, Elsevier, vol. 69(8), pages 1157-1166, October.
    5. Biradavolu, Monica Rao & Burris, Scott & George, Annie & Jena, Asima & Blankenship, Kim M., 2009. "Can sex workers regulate police? Learning from an HIV prevention project for sex workers in southern India," Social Science & Medicine, Elsevier, vol. 68(8), pages 1541-1547, April.
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    Cited by:

    1. Shukla, Anuprita & Teedon, Paul & Cornish, Flora, 2016. "Empty rituals? A qualitative study of users’ experience of monitoring & evaluation systems in HIV interventions in western India," Social Science & Medicine, Elsevier, vol. 168(C), pages 7-15.
    2. Chicoine, Luke & Guzman, Juan Carlos, 2017. "Increasing Rural Health Clinic Utilization with SMS Updates: Evidence from a Randomized Evaluation in Uganda," World Development, Elsevier, vol. 99(C), pages 419-430.
    3. Nimesh Dhungana, 2020. "Doing Civil Society-Driven Social Accountability in a Disaster Context: Evidence from Post-Earthquake Nepal," Politics and Governance, Cogitatio Press, vol. 8(4), pages 395-406.
    4. Cieslik, Katarzyna, 2016. "Moral Economy Meets Social Enterprise Community-Based Green Energy Project in Rural Burundi," World Development, Elsevier, vol. 83(C), pages 12-26.
    5. Vijayakumar, Gowri, 2018. "Collective demands and secret codes: The multiple uses of “community” in “community mobilization”," World Development, Elsevier, vol. 104(C), pages 173-182.

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