Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 173

6 Programme Management and Organizational Capacity-building
• setting milestones coupled with field oversight for both quality and progress; regular review of progress against targets to adjust strategies and tactics; and use of programme experience and data to make mid-course corrections.
• establishing an organizational culture that aims to:
›› empower sex workers to manage the programme
›› empower staff at all levels to use local monitoring data to improve the programme.
Figure 6.3 Illustrative management structure for a national HIV prevention and care programme with sex workers( programme roles are not exhaustive)
Programme level Programme role Other possible relationships
Central
• Management oversight
• Technical assistance / Standards / Quality assurance
• Commodity procurement and demand forecasting
• Media production
• Communication with national / international stakeholders on results
• Advocacy on violence, stigma, discrimination, legal reform, service access, funding
• Coordination with other sex worker programmes and national government
• Identification of programme evaluation group
• Coordination with other donors / government for services / leveraging
• Contracting centralized capacity-building organization
• Advocacy for structural interventions for stigma, discrimination and violence
State / Province
• Programme and technical management
• Capacity-building systems
• Communication with state / provincial stakeholders on coordination issues, dissemination of results
• Advocacy on response to violence, stigma, discrimination
• Coordination with other sex worker programme implementers, police and state-level government
• Coordination for service referral / leveraging
• Identification of state-level training resources
District / County
• Programme and technical management
• Services support( commodities, staffing, quality assurance)
• Communication with district stakeholders on coordination issues, dissemination of results
• Advocacy with authorities on response to stigma, violence
• Coordination with other sex worker programme implementers
• Coordination with police and district-level government for structural interventions addressing violence, stigma and discrimination
• Coordination for referral services that are acceptable to sex workers
Municipality / Sub-municipality
• Service delivery / referral
• Quality assurance of referral services with respect to stigma / discrimination
• Commodity distribution
• Communication / advocacy with local authorities, coordination with referral services
• Active coordination with referral services and positive networks for services acceptable to sex workers
• Coordination with police, media, etc.
• Active response to stigma, discrimination and violence
Frontline worker / Community
• Outreach
• Commodity distribution
• Referral to services and monitoring quality
• Crisis response
• Coordination with other self-help groups, sex worker groups, positive networks
• Engagement with police, media, government at all levels
• Representation in key governing bodies at all levels
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