Cambridge MA: USAID, 2010. 45 p.
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Les défis rencontrés dans le développement des capacités : analyse de la documentation et de certains outils
Retos encontrados en el desarrollo de la capacidad: revisión de la literatura y de herramientas seleccionadas
Management Sciences for Health
United States Agency for International Development, USAID
As the responses to the AIDS pandemic change from emergency services to long-term care for those infected and affected and as the responses by governments and international and local organizations put greater emphasis on implementing country-owned, sustainable programs to address the spread of the disease, the need for capacity building within the HIV/AIDS community becomes increasingly apparent. Growing demand for and recognition of the importance of capacity building in HIV/AIDS work leads to a corresponding need to ensure that capacity building is implemented effectively, efficiently, and sustainably; however, consensus on capacity building indicators is rare, and documentation of their impact is scarce. The AIDSTAR-Two Project, funded by the US Agency for International Development (USAID), carried out an extensive literature and tools review that identified critical needs, including improved monitoring and evaluation, increased focus on basing capacity building programs on assessment, and wider dissemination of tools and approaches. After reviewing more than 300 tools, approaches, and articles, the AIDSTAR-Two researchers and authors of this position paper identified four key challenges in capacity building: an urgent need for standardized indicators and evaluation of capacity building; a continuing lack of understanding regarding the definition and scope of capacity building as a field and as an approach; lack of local ownership; limited uptake of tools, which affects the implementation of capacity building programs. Based on the findings of the review of the literature and tools, AIDSTAR-Two makes the following four recommendations for enhancing the impact of capacity building on health outcomes: capacity building must be subject to rigorous monitoring, evaluation, and reporting; be participatory, based on the needs of organizations, and focused on sustainability; make tools and approaches available and adaptable; be recognized as fundamental to all development interventions. These recommendations will help individuals, organizations, donors, local implementing organizations, and capacity building providers alike to change their assumptions and behaviors in simple and fundamental ways. A mutual, concerted effort will ensure that capacity building contributes meaningfully to sustainable development.
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