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 59