“CBR Perspectives from Latin America” is a critical reflection on the multi-dimensional and changing nature of CBR, the perceived benefits, the conundrum of standardized approaches versus community driven processes, the nature of links between CBR and human rights, the resourcing of CBR and the difficulty inherent in taking a short term view in the evaluation of what is a long term process. Not so often are the experiences and perspectives from Latin America shared to a wider audience, making Dr. Grech’s work a remarkable achievement for the Region.”
Taking Better Care looks at the situation facing orphaned and vulnerable children in the Rakai District in Uganda and at the legacy of Save the Children's Child Social Care Project (CSCP) there. The report examines the impact of the CSCP, implemented between 1991 and 1996, and at trends in Rakai since the CSCP ended, as well as outlining the lessons learned and providing recommendations for future action. It concludes that in order to support orphans and vulnerable children in a long-term, sustainable way, child-care models now need to incorporate a maximum of state support and civil society mobilisation, combined with more traditional family support
This case study documents a successful model for facilitating a strong community response to HIV and AIDS. The Salvation Army Change Programme in Ndola and Choma Districts in Zambia illustrates the facilitation process stimulating an appropriate local response to HIV and AIDS and essential component of human capacity development. The model builds on local strengths and resources, stimulating ordinary people to address the barriers that prevent them from using HIV and AIDS information and services to prevent new infections, compassionately care for those who are infected and mitigate the effects of the epidemic on families and the community. Only by addressing personal risk, stigma and the potential for personal and societal change will the demand for and use of voluntary counselling and testing, prevention of mother to child transmission and antiretroviral therapy services increase
This paper describes the work of the Local Development Programme (PRODEL) in the eight cities in Nicaragua where it provided low-income groups with small grants for infrastructure and community works projects, and loans for housing improvement and micro-enterprises. Donor funds were matched by municipal, community, and household contributions. Between 1994 and 1998 more than 38,000 households benefited and both loan programmes achieved good levels of cost recovery. The paper describes the micro-planning workshops and other methodologies, and explains how local governments and the bank responsible for managing the loans learned to work in a more participatory way, and it outlines the measures taken to ensure that the needs and priorities of women and children were addressed. The paper considers lessons learned in sustaining the initiatives and institutionalising citizen participation in social programmes, and describes how PRODEL's methods have come to be used by central and local governments in other programmes. [Publisher's abstract]