IDEAS home Printed from https://ideas.repec.org/p/ags/fcnddp/60399.html

Scaling up HIV/AIDS intervention through expanded partnerships (STEPs) in Malawi

Author

Listed:
  • Kadiyala, Suneetha

Abstract

This paper discusses enabling and constraining factors related to the scaling-up of the Scaling Up HIV/AIDS Interventions Through Expanded Partnerships (STEPs) initiative, supported by Save the Children U.S.A. (SC), to combat HIV/AIDS in Malawi. It also discusses potential threats to and contextual factors limiting scaling up of STEPs. The report draws primarily upon the available literature and qualitative data collected during a five-day visit to SC Malawi in December 2002. STEPs started in 1995 as Community-Based Options for Protection and Empowerment (COPE). COPE was a service-delivery program in Mangochi District to assist children affected by HIV/AIDS. Through evaluations, SC realized that such an approach was unsustainable, not cost-effective, and not scalable. Based on the recommendations of the evaluations and on field experience, the program changed course to mobilize collective action to combat the epidemic. Working in the Namwera community in Mangochi under the National AIDS Commission (NAC), STEPs revitalized the dormant decentralized AIDS committees and their technical subcommittees at the district, community, and village levels. Based on the positive experience in Namwera, the program changed its initial strategy to that of an external change agent, assisting communities with community mobilization and capacity building so that communities became empowered to act collectively to address their problems. Village AIDS committees (VACs) first identify the vulnerable. Then VACs plan responses on the basis of the nature and magnitude of vulnerability within the villages, needs of the vulnerable, and capacity within villages to respond. The committees also monitor activities and mobilize resources. As the needs of the most affected communities are crosscutting, the program has become truly multisectoral, with activities along the continuum of prevention, care, support, and mitigation. STEPs has also been influencing national policies related to HIV/AIDS and children.

Suggested Citation

  • Kadiyala, Suneetha, 2004. "Scaling up HIV/AIDS intervention through expanded partnerships (STEPs) in Malawi," FCND Discussion Papers 60399, CGIAR, International Food Policy Research Institute (IFPRI).
    • Handle: RePEc:ags:fcnddp:60399
    DOI: 10.22004/ag.econ.60399
    as

    Download full text from publisher

    File URL: https://ageconsearch.umn.edu/record/60399/files/fcndp179.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.22004/ag.econ.60399?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. World Bank, 2003. "World Development Report 2003," World Bank Publications - Books, The World Bank Group, number 5985, April.
    2. Lawrence Haddad & Stuart Gillespie, 2001. "Effective food and nutrition policy responses to HIV|AIDS: what we know and what we need to know," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(4), pages 487-511.
    3. Hunter, Susan S., 2002. "Supporting and expanding community-based HIV/AIDS prevention and care responses : a report on Save the Children (US) Malawi COPE Project," Social Protection Discussion Papers and Notes 25526, The World Bank.
    4. World Bank, 2003. "World Development Report 2004," World Bank Publications - Books, The World Bank Group, number 5986, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hiroyuki Yamada & Yasuyuki Sawada & Xubei Luo, 2013. "Why is Absenteeism Low among Public Health Workers in Lao PDR?," Journal of Development Studies, Taylor & Francis Journals, vol. 49(1), pages 125-133, January.
    2. Carmen Diana Deere & Rosa Luz Durán & Merrilee Mardon & Tom Masterson, 2004. "Female Land Rights and Rural Household Incomes in Brazil, Paraguay and Peru," UMASS Amherst Economics Working Papers 2004-08, University of Massachusetts Amherst, Department of Economics.
    3. Tugrul Gurgur, 2016. "Voice, exit and local capture in public provision of private goods," Economics of Governance, Springer, vol. 17(4), pages 397-424, November.
    4. Barrett, Christopher B. & Swallow, Brent M., 2006. "Fractal poverty traps," World Development, Elsevier, vol. 34(1), pages 1-15, January.
    5. Landes, Rip & Gulati, Ashok, 2003. "Policy Reform and Farm Sector Adjustment in India," Policy Reform and Adjustment Workshop, October 23-25, 2003, Imperial College London, Wye Campus 15735, International Agricultural Policy Reform and Adjustment Project (IAPRAP).
    6. Kis-Katos, Krisztina & Sjahrir, Bambang Suharnoko, 2017. "The impact of fiscal and political decentralization on local public investment in Indonesia," Journal of Comparative Economics, Elsevier, vol. 45(2), pages 344-365.
    7. Jishnu Das & Alaka Holla & Aakash Mohpal & Karthik Muralidharan, 2016. "Quality and Accountability in Health Care Delivery: Audit-Study Evidence from Primary Care in India," American Economic Review, American Economic Association, vol. 106(12), pages 3765-3799, December.
    8. Dereje Alemayehu, 2022. "Challenges to The Assumption That Economic Success Could Enhance State Legitimacy in Africa, Ten Years Later," Development, Palgrave Macmillan;Society for International Deveopment, vol. 65(2), pages 161-177, December.
    9. Shashank Vikram Pratap Singh & V. K. Shrotryia, 2024. "Economic Growth and Human Well-being in India: Evidence through adjusted GDP measure," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 171(3), pages 987-1018, February.
    10. T. Paul Schultz, 2006. "Does the Liberalization of Trade Advance Gender Equality in Schooling and Health?," Working Papers 935, Economic Growth Center, Yale University.
    11. Robert J. Brent, 2014. "Cost–Benefit Analysis and Health Care Evaluations, Second Edition," Books, Edward Elgar Publishing, number 14892, June.
    12. Tahmina Khatun, 2009. "Measuring environmental degradation by using principal component analysis," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 11(2), pages 439-457, April.
    13. Bushara, Mohammed O. A. & Abdelmahmod, Murtada Kh. A., 2016. "Efficiency of selected camel markets in Sudan: A multivariate approach (1995-2011)," 2016 Fifth International Conference, September 23-26, 2016, Addis Ababa, Ethiopia 246910, African Association of Agricultural Economists (AAAE).
    14. Barbier, Edward B., 2016. "Is green growth relevant for poor economies?," Resource and Energy Economics, Elsevier, vol. 45(C), pages 178-191.
    15. Sanjaya Acharya, 2004. "Measuring and Analyzing Poverty," European Journal of Comparative Economics, Cattaneo University (LIUC), vol. 1(2), pages 195-215, December.
    16. Herschel I. Grossman & Minseong Kim, 2003. "Educational Policy: Egalitarian or Elitist?," Economics and Politics, Wiley Blackwell, vol. 15(3), pages 225-246, November.
    17. Alan Gilbert, 2007. "Water for All: How To Combine Public Management with Commercial Practice for the Benefit of the Poor?," Urban Studies, Urban Studies Journal Limited, vol. 44(8), pages 1559-1579, July.
    18. Edward Barbier, 2007. "Frontiers and sustainable economic development," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 37(1), pages 271-295, May.
    19. Marco Grasso & Enzo Di Giulio, 2003. "Mapping sustainable development in a capability perspective," HEW 0309001, University Library of Munich, Germany.
    20. Rainer Schweickert & Rainer Thiele & Manfred Wiebelt, 2005. "Macroeconomic and Distributional Effects of Devaluation in a Dollarized Economy: A CGE Analysis for Bolivia," Ibero America Institute for Econ. Research (IAI) Discussion Papers 120, Ibero-America Institute for Economic Research.

    More about this item

    Keywords

    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ags:fcnddp:60399. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: AgEcon Search (email available below). General contact details of provider: https://edirc.repec.org/data/ifprius.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.