Alliance India has implemented innovative programmes in partnership with civil society, government and communities since 1999.
Home and Community-Based Care & Support (HCBCS)
With support from the Abbott Fund’s Step Forward programme, the Home and Community-Based Care & Support (HCBCS) project was implemented by Alliance India in partnership with MAMTA, PWDS, and VMM and 37 community-based organisations (CBOs) in Delhi, Tamil Nadu, and Andhra Pradesh. The primary goals of this programme were to reduce stigma and discrimination through community mobilisation and improve the quality of life of people living with HIV (PLHIV) and their families, in particular children affected by the epidemic.
By working in partnership with district, state and national stakeholders, Alliance India and our partners were able to identify to strategic opportunities to broaden the national response by providing care & support services to children affected by HIV/AIDS. In addition, linkages with other government services and advocacy efforts at various levels placed care & support more firmly on the agenda. HCBCS was the first programme for children and families affected by HIV/AIDS in India, and it formed the basis of the subsequent CHAHA programme supported by the Global Fund.
Community-Driven Approaches to Address the Feminisation of HIV/AIDS in India
Using a strategy that integrated HIV with sexual & reproductive health (SRH) services, this programme assessed the impact of community-driven approaches to address the feminisation of HIV/AIDS in India. Supported through the DFID Challenge Fund, the programme was implemented in 14 districts of six states (Andhra Pradesh, Delhi, Manipur, Odisha, Punjab, and Tamil Nadu) in partnership with 17 community-based organisations (CBOs).
Reflecting Alliance India’s experience, the programme developed community-centred approaches to meet the SRH and HIV-related needs of women in low-income settings. It reached out specifically to women living with HIV and their families and emphasised the importance of male involvement in promoting gender equity and health-seeking behaviours. The programme was successful in placing women’s needs and rights at the centre of activities through community sensitisation and mobilisation efforts. It was also instrumental in building the capacity of CBOs and community members, especially women, to implement programme activities and contribute to the longer-term sustainability of services.
Frontiers Prevention Project
Implemented in Andhra Pradesh by Alliance India, the Frontiers Prevention Project (FPP) was a global programme operating in India, Ecuador, and Cambodia with funding from the Bill & Melinda Gates Foundation. FPP’s main aim was to strengthen HIV prevention efforts with key populations at risk.
The programme was based on two principles designed to increase the effectiveness of prevention interventions:
• Reach key populations through campaigns to increase awareness, change behaviour, and reduce their risk of acquiring or transmitting sexually-transmitted infections, including HIV; and
• Develop specific intervention strategies in close collaboration with members of populations targeted by the programme.
FPP prioritised engagement with key populations as an integral part of comprehensive and effective services to reduce HIV transmission in these groups and slow its spread in the population more broadly. FPP complemented and was eventually incorporated into the Avahan programme, which Alliance India also implemented in Andhra Pradesh.
The START AP project built on strengths of Alliance India’s HIV prevention programming supported through Avahan and implemented in partnership with Andhra Pradesh State AIDS Control Society. Funded by the International HIV/AIDS Alliance, the project was designed to fill some of the gaps between prevention and treatment services.
START AP supported antiretroviral treatment with a special focus on female sex workers (FSWs) and men who have sex with men (MSM) to address their access-related issues. The project’s comprehensive approach helped to create a conducive environment at both ends of the supply-and-demand spectrum. The district hospital and the ART Centre supported by the project developed the capacity and infrastructure to provide needed services, and the outreach programme mobilized people living with HIV (PLHIV) and created demand for treatment services among targeted key population groups.
SRH for Young People and Women
With support from the Hewlett Foundation, Alliance India in partnership with Child Survival India developed and implemented an urban community-based programme integrating sexual & reproductive health (SRH) and HIV-related services to increase access for vulnerable women, adolescent girls, other young people, and marginalised groups such as people who inject drugs, female sex workers, and people living with HIV (PLHIV).
The programme was implemented in the relocated slum community of Holumbi Kalan in northwest Delhi and supported interventions to address unsafe sexual behaviours and injecting practices. Through a community-centred model, the programme made a range of SRH and HIV services accessible and available in the community, reducing risky behaviour among vulnerable groups and helping women and young people, including PLHIV, make better SRH choices.
Care & Support for Female Injecting Drug Users
Building on our experience in care & support interventions, Alliance India in partnership with SASO in Manipur implemented a home-based care & support project for people who inject drugs (PWID) living with HIV. Supported with a grant from the International HIV/AIDS Alliance, the project responded to the distinct vulnerabilities that women face in the context of drug use and HIV.
This project was the first of its kind in India and was instrumental in highlighting the impact of injecting drug use on women. It helped establish a night shelter to provide a safe space for women who inject drugs to avoid the violence and sexual abuse faced by many of them after dark. The experience of this project contributed to development of Alliance India’s Chanura Kol project for female injecting drug users (FIDUs).
Supported by UNDP India, Sashakt was designed to build capacity and strengthen community-based organisations (CBOs) serving men who have sex with men (MSM), transgender and hijra populations (collectively MTH). It served as a pilot project to test the effectiveness of the model proposed under the Pehchan programme. The project developed four new CBOs and strengthened two existing ones in six states: Madhya Pradesh, Maharashtra, Manipur, Odisha, Tamil Nadu, and Uttar Pradesh.
The overall objective of Sashakt was to develop stronger CBOs for MTH communities to enable them to play a more substantial role in the national response to the HIV epidemic. The project was implemented in close coordination with national and state governments and reached more than 4,500 MTH community members through its partner CBOs. Sashakt supported CBOs to provide specific services such as mental health counselling, emergency support to PLHIV, and crisis response that were not directly addressed through the government’s Targeted Intervention (TI) programme that provides HIV prevention services to these populations.