Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 160

6 Programme Management and Organizational Capacity-building

6.2 Planning and implementing an HIV/STI programme with sex workers
Creating a scaled programme requires collaboration among partners at different levels:
• the central level (for example, the national AIDS control programme or a central institution, if the
programme is countrywide; a regional or state government/organization, if the programme is a
sub-national one)
• an intermediate level (this could be an NGO or other partner at the level of a state, district or
municipality)
• the local level (implementing organizations).
The elements of a scaled programme are outlined in Table 6.1 and described in detail below. In each
case, the highest-level agency or institution takes the lead in planning each element, in collaboration
with the agencies or organizations at the other levels. Although this chapter is written primarily from
the viewpoint of central-level planning, there are multiple roles and responsibilities for each level of
the programme in management, supervision and monitoring, as shown in Figure 6.3 (Section 6.2.4)
and Figure 6.6 (Section 6.2.7). Many of the elements described for a scaled programme are relevant
for a programme of any size.
Table 6.1 Elements of a scaled HIV/STI programme with sex workers
Designing a scaled
programme for sex workers

• Define programme and standards (Section 6.2.1)
• Establish a data monitoring system for management (Section 6.2.2)
• Plan the programme evaluation (Section 6.2.3)

Organizing a scaled
programme for sex workers

• Define the management structure (Section 6.2.4)

Implementing a scaled
programme for sex workers

• Prioritize (Section 6.2.5)
• Implement in a staged manner (Section 6.2.6)
• Establish a supervision system (Section 6.2.7)
• Progressively ensure full sex worker participation (Section 6.2.8)

Designing a scaled programme for sex workers
6.2.1 Define programme and standards
It is very important to clearly articulate and understand the programme logic model, the specific
interventions of the programme and the expected standards of implementation. Being able to
articulate and understand them will:
• give clarity across the programme on the intervention elements and programme packages
• establish a basis for the design of the monitoring system (e.g. defining the process, input, output,
outcome and impact indicators)
• make it possible to assess programme quality.
A logic model illustrates the programme’s interventions as well as how these are expected to lead
to the desired impact. It identifies the technical skills and human resources required, as well as

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