Implementing Comprehensive HIV/STI Programmes with Sex Workers Implementing Comprehensive HIV/STI Programmes with | Page 81

3 Community-led Services

Box 3.6

Case example: Opportunity gap analysis
In Karnataka, India, community outreach workers use a simple tool to analyse the specific barriers that
hinder individual sex workers’ access to programme services. Gaps in access are identified, whether due to
internal factors that the programme can control (e.g. the working times of community outreach workers) or
external factors (e.g. high mobility of sex workers resulting in dropouts from the programme). Site-specific
action plans are then developed to overcome these barriers.
Figure 3.8 shows an opportunity gap analysis by a community outreach worker responsible for 140 men who
have sex with men at a particular site. (Although these men are not necessarily sex workers, and although
the ratio of community outreach workers to men who have sex with men is very high due to the density of
the urban area in this example, the principle is the same.) The community outreach worker has assessed
his activity during the month by listing the number of men who have sex with men who are enrolled, the
number whom he regularly contacts, the number who have visited a clinic in last three months, and the
number who were tested for HIV in the last month. The community outreach worker then analyses with
his supervisor/manager those community members who were not reached by various services and the
reasons for this, and a plan is developed to address these gaps.
The opportunity gap analysis helps both the community outreach worker and the supervisor/manager to
assess whether the programme is reaching the community members with specific project services. The
exercise identifies areas where the community outreach worker needs to focus and areas where the
supervisor/manager needs to support the community outreach worker.

Figure 3.8 Opportunity gap analysis
OPPORTUNITY GAP ANALYSIS
Zone:

Supervisor:

Site:

Community outreach worker:

Hotspot:

Date:
Actual number

Target

Gap

Reasons

Estimation

137

140

—

—

Registration

137

100%

—

—

Regular
contact

125

80%

(+5)

—

Clinic visit

40

35% (monthly)

2

—

Syphilis
Integrated
Counselling
and Testing
Centre (ICTC)

8

0

140
120
42

50% of target for
clinic visits

20
50% of target for
clinic visits

20

12

[Community outreach worker and
supervisor discuss and list reasons and
action plan here.]

12

[Community outreach worker and
supervisor discuss and list reasons and
action plan here.]

Source: Karnataka Health Promotion Trust, Karnataka, India

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