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As the HIV/AIDS epidemic has grown to become the fourth biggest
killer in the world and the leading cause of death in sub-Saharan
Africa so the pressure on those working in the field to expand the
scale of their activities has increased. Non-governmental
organizations (NGOs) have been especially influential in the
response to HIV in developing countries and the pressure to
increase the scope and impact of this work is particularly strong.
"Making an Impact in HIV and AIDS" recognizes that scaling up NGO
programmes requires more than just additional resources or the
straightforward replication or expansion of interventions. The book
analyzes when expansion is appropriate, how to make it effective,
how to measure the costs, and what the implications for
organizations may be. It examines these issues through the
experience of NGOs working in different contexts and in all aspects
of HIV/AIDS including prevention, care and support, and mitigating
the impact of the epidemic. The author draws on case studies from a
range of countries in Africa, Asia and Latin America. She
integrates the insights from these experiences with existing
thinking and proposes a new typology of approaches to scaling up.
Key elements of scaling up are discussed, as are issues such as the
risks entailed in growth, motivations for scaling up and the
special challenges related to scaling up work on HIV and AIDS. This
book is aimed at those active in the HIV/AIDS field who are
interested in NGO programmes, and those in the wider development
field who are concerned about the impact of HIV/AIDS and what NGOs
can do about it. It makes an important contribution to thinking
about scaling up NGO activities in general and is particularly
relevant as the pressures of the epidemic concern not only the
organizations directly involved but also those working on all
aspects of development.
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