Orphans

1
Orphans Vulnerable Children

• Community Care break out groups

2
Challenges

• The greatest challenge at community and household
  level is poverty, which inexorably increases in
  HIV/AIDS affected communities and households

3
Other important challenges

• addressing the crisis situation while developing
  long term responses
• building government capacity and the ability of
  different departments to work together
• long term support for volunteers

4
Other important challenges continued

• finding the balance between community needs and
  donor requirements
• sustainability in the face of termination of
  donor funding

5
Research

• The most pressing need for research centers on
  how to halt the downward spiral of poverty in
  HIV/AIDS affected communities and households

6
Research

• how to implement microenterprise/microfinance
  programmes
• how to increase the incomes and reward
  carersespecially grandparents
• how to stabilize household incomes to permit
  planning for future food and health care, and
  family survival after the sick parent dies.

7
Other research needs

• the benefit and effectiveness of using income
  generating activities to improve psychosocial
  situation and coping resources
• dialogue between donors and recipient governments
  on the role of government and communities in
  delivering services, the influence of local
  context

8
Other research needs continued

• Costing of effective community mobilization
  programmes
• Level of prevalence of vulnerable children
  compared with the prevalence of HIV/AIDS in
  different country contexts

9
Recommendations for the USG

• The foremost recommendation is to
• recognize that capacity building for scaling up
  is a long term process
• adopt a long term perspective and funding cycle,
  and create a non-competitive environment for
  funding

10
Recommendations continued

• build on, and strengthen, existing community
  structures
• target direct support to care givers
  including/especially to grandparents
• ensure continuity of care (as a holistic issue)
• ensure gender analysis is integral to any
  interventions

11
Recommendations continued

• Acknowledge and support the added value of
  strategies/programmes with capacity for
  community-to-community transfer communication
  of what is successful
• Improve donor collaboration/ programming to
  address multisectoral needs in face of
  unisectoral funding