Supporting civil society organisations to reach key populations in the Latin American and Caribbean region

Published: January 1, 2006

Supporting civil society organisations to reach key populations in the Latin American and Caribbean region

Table of Contents

1. Introduction   

2. Executive summary   
     2.1.    How well do the 13 project designs support CSOs and KPs?
     2.2.    How well have the 13 projects supported CSOs and KPs in implementation?
     2.3.    Recommendations to improve support for CSO-led interventions for key populations   
     7 Chart 1: World Bank financed projects on AIDS in Latin America and the Caribbean against study selection criteria

3. Purpose of study

4. World Bank financed projects on AIDS in LAC

5. Importance of at-risk KPs in countries with World Bank financed HIV/AIDS projects
     5.1.    Importance of at-risk KPs in the Caribbean:
     5.2.    Importance of at-risk KPs in Latin America.

6. Supporting CSOs and reaching KPs in World Bank financed projects
     6.1.    How well do the 13 project designs support CSOs and KPs?
          6.1.1. Project designs do focus on KPs
          6.1.2. Project designs do support CSOs
          6.1.3. Project designs do support CSOs to focus on interventions benefiting KPs
     6.2.    How well do the 13 projects support CSOs and KPs in implementation?
          6.2.1. Emphasis on CSO/KPs in project design, but barriers in execution
          6.2.2. Project delays in supporting CSOs
          6.2.3. Failure to reach key populations
     6.3.    Barriers to supporting CSOs to reach KPs:
          6.3.1. Limited commitment and capacity to deliver behaviour change interventions
          6.3.2. Discriminatory laws undermine project design and implementation
          6.3.3. Support to CSOs fails to be strategic
          6.3.4. Evaluations of CSO efforts are inadequate
          6.3.5. Funders are often unwilling to support CSO ‘core costs’
          6.3.6. Lack of definition in project designs
          6.3.7. Indicators chosen for many projects are over-ambitious or unrealistic
          6.3.8. Human and systems capacity and bureaucratic burden
          6.3.9. CSO capacity is over-estimated
          6.3.10. Mechanisms for coordination can be improved
          6.3.11. Need to improve CSO coordination
          6.3.12. Inadequate systems to share knowledge and experience

7. Recommendations to improve support for CSO-led interventions for key populations  
     7.1. Delays in supporting CSOs reach at-risk KPs    
     7.2.    Limited investment in interventions to support behaviour change and to reach key populations      
     7.3.    Mechanisms for coordination are inadequate

8. Annex # 1: World Bank-financed projects and their focus on KPs via CSOs    23

9. Annex #2 Case Studies
     9.1. Brazil AIDS and STD Control III Project
     9.2. Mexico Basic Health Care Project
     9.3. Jamaica HIV/AIDS Prevention & Control Project Case Study
     9.4. St. Vincent & The Grenadines HIV/AIDS Prevention & Control
     9.5. St. Kitts and Nevis HIV/AIDS Prevention & Control

10. Annex #3    Persons Contacted Annex

11. # 4 BIBLIOGRAPHY

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