Showing that economic development and public health, often thought of as distinct, are both interdependent and dependent on social and political conditions, this book provides a new appreciation of the close relationship between microenterprise development and health in developing countries. Many of the world's poor earn a living from microenterprises, often outside the formal economy, and international practitioners have recently turned their attention to this underground economy, providing support through group poverty lending and village banking models, but overlooking the potential benefits of linking income generation with public health. This book argues for a conceptual and practical relationship between microenterprise development and household health, nutrition, and sanitation.

To support their framework, the authors look at specific actions for harnessing the power of microeconomic development to improve health and human development. They support their argument further with case studies of innovative programs carried out in Latin America, Asia, and Africa. The book challenges the reader to cross disciplinary and professional boundaries to not only understand the interrelationships between health and income generation but to use available tools to enhance those interrelationships.

In the past decade the global financial assistance for AIDS responses increased tremendously and the donor community provided greater resources to community responses. Yet little is known about the global magnitude of these resources and their allocation among HIV and AIDS activities and services. To address this knowledge gap, this report pulls together evidence from several different sources (donor data bases, surveys of civil society organisations, country funding profiles) to determine, among other things, how funds are reaching civil society and community-based organisations, how these funds are being used, and the degree to which these organisations rely on other sources of funding. The analysis suggests that funding flows have increased dramatically for civil society organisations (CSOs), reaching at least $690 million per year on average during the period 2003 - 2009. However, much smaller funding is reaching organisations at local level. The report documents the impact achieved by this funding. Traditionally, civil society organisations have been perceived at times to be providers of humanitarian aid, innovators in implementing responses adapted to local needs, or inefficient actors diverting public funds from more effective uses. The report argues that current evidence shows that community responses play a useful complementary role to national AIDS programs that has been achieved with relatively little funding. Contrary to a widespread view, the report highlights that community responses add resources to national programs. In Kenya, Nigeria and Zimbabwe, substantial mobilisation of resources in the form of volunteers are mobilised by communities. There is a strong risk that in the current environment of increased resource scarcity, prevention programs implemented by civil society organisations would be cut unless there is strong evidence of value for money being generated. Community-based organisations are ill equipped to answer that question, but there is scope for improving the results that they generate. The report argues that improving coordination with national programs, strengthening consistency between local activities and HIV epidemics, building stronger network of civil society organisations, and mobilising sustainable funding are the most important ways for community responses to move forward and address the challenges faced by community responses.

Investing in Communities Achieves Results fills an important gap in the global knowledge on community level results and resources related to HIV and AIDS. While communities, in spite of their limited resources, have played a key role in the HIV/AIDS response, their contributions and innovative approaches to prevention, treatment, care, and support have not always been the focus of systematic and rigorous evaluations. To address this deficit, a series of studies-including evaluations in Burkina Faso, India, Kenya, Lesotho, Nigeria, Senegal, South Africa, and Zimbabwe-were undertaken over a three-year period (early 2009 to early 2012), helping to build a robust pool of evidence on the effects of community-based activities and programmes. A unique feature of this multicountry evaluation was the collaboration between two international organisations (the World Bank and the United Kingdom's Department for International Development) and a major civil society network (the U.K. Consortium on AIDS and International Development). Other attributes that contributed to the successful outcome were the sustained consultation process with civil society and stakeholders at the local, national, and global levels, and the collaboration among high-calibre, multi-disciplinary researcher teams. The book's findings are promising. At varying levels, depending on the country context, the HIV response in communities was shown to improve knowledge and behaviour and increase the use of health services- and even decrease HIV incidence. Evidence on social transformation was more mixed, with community groups found to be effective only in some settings. Each study in the evaluation provides a partial view of how communities shape the local response; however, taken together they constitute a significant pool of rigorous evidence on the contributions of communities, community groups, and civil society to the national and global HIV and AIDS response. The studies suggest that communities have produced significant results at the local level, which contribute to outcomes at the national level.