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Africa Region Working Paper Series No. 79 Experience in Scaling up Support to Local Response in Multi-Country Aids Programs (map) in Africa
Abstract This paper is the first in a series of efforts to facilitate exchanges on methodologies of local response interventions inside the World Bank’s Multi-Country HIV/AIDS Program (MAP) for Africa. In its design, the MAP is unprecedented in its flexibility, coverage and the emphasis it places on local, community-driven initiatives responding to the HIV/AIDS crisis. Supporting these local response initiatives took time. In most MAP projects it took one to three years to develop scaling up approaches and to mobilize the population. Research is just starting to gather evidence that local response does work, but methodologies to scale up community mobilization are still new and there are very few publications on practical instruments that have been successfully applied at the national level. The central question of this paper is: What lessons can be learned from the implementation of the Local Response Components under the MAP programs to improve results of future programs against HIV/AIDS? The paper draws lessons from Burkina Faso, Cameroon, Central African Republic, Chad, Ethiopia, Eritrea, Gambia, Ghana, Kenya and Uganda.Full
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