BLC Project Final Report - A Regional Response to HIV in Southern Africa: 2010-2015

Management Sciences for Health (MSH), BLC Project

Good healthcare systems are complex, and various sectors—including communities, civil society organizations, governments, international bodies, and the private sector—all have an essential role. These roles include implementation, funding, policy guidance, and coordination. While investments made to counter the epidemic are starting to yield results in reduced new infections and deaths, sustaining these gains requires an effective response led by strong, capable organizations and facilitated by national governments and regional intergovernmental institutions. 

BLC Final ReportThe Building Local Capacity for Delivery of HIV Services in Southern Africa Project (BLC), implemented by Management Sciences for Health and funded by the United States Agency for International Development (USAID), was conceived to address these challenges. BLC’s vision was that by 2015, its partners are stronger, more resilient, and able to support community, national, and regional structures to competently respond to HIV and AIDS issues, resulting in improved overall health in the southern African region. 

BLC built the capacity of government and civil society entities in southern Africa, with country-specific programs in Angola, Botswana, Lesotho, Namibia, South Africa, and Swaziland to implement policies and health services for those infected with and affected by HIV and AIDS. The three key program areas included:

  • Care and support for orphans and vulnerable children (OVC)
  • HIV services
  • Community-based care

BLC sought to maximize the impact of the HIV response in southern Africa by working with key partners at regional, national, and local levels. BLC partnered with a wide range of organizations and goverment bodies and provided them with needs-based, tailored support to grow, able to develop and implement sustainable programs that effectively contribute to regional needs and strategic objectives. BLC’s support was customized to a particular context and need within a particular level, similar to a complex puzzle where BLC fills the gaps and connects various levels.

In BLC’s five years of project implementation, its work at all levels has facilitated greater integration and coordination among them. By ensuring that each link in the prevention and treatment chain is strengthened, BLC promoted a coherent health ecosystem from the regional to the community level. For example, civil society organizations have an important role in providing education and basic services at the community level, but depend on health facilities for more advanced care and treatment, and on national government for resources and support. Regional and national bodies develop policies and guidelines which are only effective when clearly understood and implemented at the health facility and community levels.
January 15, 2016
Year of publication
Resource types
Reports and Fact sheets
MSH BLC, HIV prevention, USAID, healthcare systems, communities, civil society organizations (CSOs), government, international bodies, private sector, implementation, funding, policy guidance, coordination, HIV, treatment, HIV services, orphans and vulnerable children (OVC), community-based care

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