Barcelona 2013
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| Abstract #583 - E-Posters English | ||||
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Session: 50.7: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Dr Mosa Moshabela - University of Kwa-Zulu Natal, South Africa |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: In an effort to increase understanding on the dynamics of the community and home-based care economy, we investigated formation and growth of community-based organizations in the era of antiretroviral therapy (ART). We examined patterns of origin and growth primarily among community non-profit organisations (NPOs) providing health and social services in a remote rural area of South Africa. | ||||
| Method / Issue: Over a three year period (2010-2012) we identified and tracked (retrospectively and prospectively) all NPOs providing health care and social services in Bushbuckridge sub-district through the use of local government records, snowballing techniques, and networking meetings, recording both existing and newly formed NPOs. NPO founders and managers were interviewed in face-to-face in-depth interviews, and their records reviewed. Interviewers also observed the interaction of NPOs in their regular monthly networking meetings. The study formed part of a larger project to investigate the quality of care provided in the home environment. | ||||
| Results / Comments: The number of identified organizations increased over the observation period. There were 37 known CBOs in 2010, 43 in 2011, and 61 in 2012. Forty-seven NPOs were formed prior to the study period, and 18 during the study period (six in 2010, six in 2011 and two in 2012), representing a 30% growth in the number of NPOs during the study period. Histories of identified NPOs showed a sharp steady rise in the formation of new NPOs over a 20-year period, from a single organization (1991 to 1995) to 12 (1996 to 2000), 16 (2001 to 2005) and 24 (2006 to 2010). Furthermore, histories of origin revealed three predominant milestones: loosely organised groups, structured organisations and registered organisations. At least 28% of NPOs previously existed as care groups of women occurring at two levels, older women from the care group movement of the 1980s, and younger women from the era of HIV/AIDS-related community care groups. Founders of CBOs were mostly women (62%), with either a religious motivation or a nursing background, and citing need in the community as their drive. Occasionally, founders came with a business or entrepreneurial profile. | ||||
| Discussion: Therefore, a rapid growth in the NPO sector providing community based health and social services was observed in the study, correlating with the increasing burden of HIV/AIDS over time. Furthermore, mushrooming of NPOs occurred during the study period despite availability and expansion of ART programs. Rural women dominated the NPO sector in our study setting, providing them with opportunities for employment and occupation. While coordination and regulation in the formation of NPOs may reduce the undesirable pattern of NPO mushrooming, more progressive structural interventions are needed to accommodate the gendered pattern of the NPO sector. | ||||
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