NACO: WB Performance assessment report

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Performance assessment report for India - National AIDS Control

Project

Description: This project performance assessment conducted by the

Operations Evaluation Department of the World Bank reports on the

India National AIDS Control Project. The project's experience

suggests a number of lessons that may be relevant in other countries,

including:

i) Building robust institutions for a national response requires

substantial innovation and flexibility in implementation,

ii) Epidemiological and behavioral surveillance provide key

information to build support for the response where denial is high

and the epidemic is otherwise " invisible " ,

iii) Projects that seek to enlist nongovernmental organizations

(NGOs) to implement HIV/AIDS interventions need to carefully assess

NGO capacity in light of what is expected, and to ensure continuous

training and technical support,

iv) When political commitment is heterogeneous in a decentralized

system, channeling resources to effective programs in areas with

higher commitment can serve as a powerful demonstration of the local

feasibility of otherwise controversial programs,

v) Targeted awareness and interventions for high-risk groups can be

successful only to the extent that complementary efforts are launched

to improve the environment for HIV prevention among these groups,

vi)Campaigns to increase awareness of HIV/AIDS and promote changes in

attitudes and behavior should be informed by local research in their

design and implementation and in such a way as to reduce the stigma

of people living with HIV/AIDS, and

vii) Where most clients seek treatment for sexually transmitted

diseases in the private sector, engaging private and even

traditional, nonallopathic practitioners is necessary to ensure

coverage and impact.

Posted by: Julius P. Gwyer. URL:

http://lnweb18.worldbank.org/oed/oeddoclib.nsf/DocUNIDViewForJavaSearc

h/CF5907844F56853D85256D900073CB1D/$file/India_PPAR_26224.pdf

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