Strengthening National HIV Community Based Programs Reporting A case of Community – Based Organizations Reporting System in Kenya Presented by: Patrick M. Kaburi

Background Kenya has a generalized HIV epidemic with a HIV prevalence of 5.6% (KAIS 2012) –Peak adult prevalence of 12 percent in Mid-1990s –Estimated 1.6 million living with HIV (2013) Kenya has over 20,000 Registered CBOs providing community based HIV services Community Based Organization (CBOs), first to mobilize and provide HIV prevention and care services. Significant HIV program resources have been spent on CBOs over the years

Background cont’ There is evidence that Community based response is key in HIV programming –WB/DFID evaluation (2010) showed that: High CBO engagement results in greater in HIV knowledge and behavior change –Increased condom use at high risk sex CBO engagement on National policies have a significant impact on political and legal transformation –Advocacy for human rights

Issues Lack of dedicated reporting system from CBOs –Unable to demonstrate the CBOs contribution to the national HIV response –Unable to link the CBOs expenditure to program results –Focus on accountability for funds but not results –A threat to sustainability of CBOs led response

Description In 2006, National AIDS Control Council and partners prioritized to develop a dedicated Community Based Program Organization Reporting (COBPAR) system. Developed a reporting tool, database and user guide tools. Piloted and rolled out training for over 12,000 CBOs. There has been continuous capacity building of CBOs on information management.

NACC Regional Field Offices Partners Constituency Control Committees CBO/FBO/NGO Data Flow

Achievements Improved rates of reporting by CBOs –From 2000 to over 8000 CBOs reporting to local AIDS coordination agencies per quarter Better coordination at the decentralized levels –The structures are aware of who is doing what and where Improved national project performance –Achievement of project targets. –Verification of targets –Validation by beneficiaries –Value for money –More results for less amount of funds

CBO program sustainability –Able to mobilize funds from multiple sponsors –Better capacity to write good proposals that attract funding –Likely to remain active No long spells of inactivity due to lack of funds Improved coordination –Likely to be involved in planning, implementation and review of HIV programs –More recognized by the community and beneficiaries as valuable partners

Lessons learnt Enhanced community M&E systems greatly improves: –CBOs performance –Resource mobilization for community response –Sustainability of CBOs response –Quality of community based programs Requires a strong decentralized coordination structure –For continuous capacity building –For information use and program improvement

Conclusion Strengthened community based reporting systems improves sustainability of community HIV based response.

Acknowledgements  USAID – Measure Evaluation  UNAIDS  National M&E TWG