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Management Sciences for Health

MSH Building Local Capacity Project

Stronger health systems. Greater health impact.

Strengthening Community Responses through the Building Local Capacity Project’s Small Grants Program in Lesotho

Kathryn Reichert, Joe Kumadzulo, Naume Kupe

HIV Capacity Building Partners’ Summit

March 2013

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Management Sciences for Health

MSH Building Local Capacity Project

BLC in Lesotho

• BLC: August 2010 - August 2015

• In Lesotho goal by 2015: o reach 25% (46,585) of

the estimated 182,000 OVC

o reach 15,972 caregiverso deliver services in 5

districts

• To date BLC has given small grants to 12 CSOs: reached 53,000 OVC and caregivers

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Management Sciences for Health

MSH Building Local Capacity Project

Community-based organizations have low capacity & reach

• Majority of OVC are in hard to reach rural communities

• BLC worked with local CSOs to improve capacity and increase reach:o Organizational & management

capacityo M&E & reporting capacityo resource mobilization

& funding

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Management Sciences for Health

MSH Building Local Capacity Project

BLC Grants & Capacity Building Approach

• Flexible and adaptable • Performance-based focus on

results and beneficiaries• Capacity building at all levels

o workshopso data verificationo on-site support

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Management Sciences for Health

MSH Building Local Capacity Project

Capacity Building Support

Proposal writing• BLC provides formal proposal-writing

training to potential sub-granteesGrants management

• Pre-award assessment• Tailored award and support based on ability

Organizational capacity building• Conduct organizational capacity assessment• on-going needs-based capacity building

through trainings, mentoring, and coaching

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Management Sciences for Health

MSH Building Local Capacity Project

Evidence of Success and Achievements

• 2011-2012: 53,194 OVC and caregivers reached vs. a target of 51,700

• 23% (42,719) of OVC reached with a minimum of one care service

• 10,475 caregivers reached

• after grant ended CSOs still provided services

Dec

-11

Jan-1

2

Feb

-12

Mar

-12

Apr-

12

May

-12

Jun-1

2

Jul-

12

Aug-1

2

Sep

-12

Oct

-12

Nov-

12

Dec

-12

0

10000

20000

30000

40000

50000

60000

186

6826

16647

38578

53194

Cumulative OVC and Caregivers Reached

OV

C a

nd C

areg

iver

s R

each

ed

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Management Sciences for Health

MSH Building Local Capacity Project

Lessons Learned

• Flexibility is important• tools in local languages• manageable awards

• Programmatic, M&E, registration support required

• Mentored grants leads to stronger organizations

8Management Sciences for Health

HIV Prevention & Support to GF PR

1 Grant 2 Awards

in progress

1 Grant

1 Grant

1 Grant

14 Grants

6 Closed/in process grants

2 Sub-agreements

OVC service delivery and M&E for HMIS

HIV Prevention Curriculum

Quality improvement in

hospitals

Quality improvement in

hospitals

PMTCT and M&E for HMIS

REGIONAL FOCUS: HIV Prevention & Capacity Building

1 Closed award

1 MOU 1 IQC1

Contract

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Management Sciences for Health

MSH Building Local Capacity Project

Conclusion

CSOs need capacity building support together with

performance-based grants to more effectively reach communities in

need

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Management Sciences for Health

MSH Building Local Capacity Project

Questions & Comments