The Community Life Competence process (CLCP) has been introduced in more than 20 countries with strong results. This is confirmed by the following independent external evaluations. Click on the title to download the pdf file.
The Economic Evaluation of the AIDS Competence Process in Thailand (2011) shows that: Under the scenario assumptions of this study and comparing costs and outcomes of the ACP using various scenarios, it is found that the ACP is likely to be very cost-effective in Thailand when comparing ICERs of the ACP with other HIV prevention programs from the systematic review. The ACP saves one QALY using resources valued less than 1 Gross Domestic Product per capita (approximately 140,000 Baht), which is a cost-effectiveness benchmark defined by the National Health Security Office who manages the HIV prevention program in Thailand. In addition, this study suggests that the higher the number of the population reached the ACP, the more cost-effective it is as the ACP not only averts HIV infection in the population, but also improves individual capability resulting in increased quality of life among individuals. Read a 5 page summary
The UNAIDS evaluation of AIDS Competence (2005) concludes that: "between 83% and 87% [of AIDS Competence Process users] are satisfied and confident that the program achieves impact within communities, based on the experiential outcomes that they see or perceive within their communities."
"Cost-effectiveness—efficiency varies from US$ 0.10 to US$ 2.00 per person reached (>1 Million). Costs/reach may become negligible as AIDS Competence Programme methods and knowledge spread in communities. Costs per Satisfied User likely to spread the process currently vary between US$ 1.00 to US$ 4.50"
The Roll Back Malaria/ PATH evaluation of Malaria Competence in 4 African countries (2008) concludes: “It is possible to conclude that the Malaria Competence process is very likely to foster a strong sense of community ownership. The self-assessment process led to a surge in community-led initiatives to create greater community awareness around malaria. It can be used for monitoring and evaluation, particularly when the assessments are documented and repeated on a regular basis. The National Malaria Control Programme in The Gambia believes that the Malaria Competence approach is instrumental in building sustainable community responses to malaria control.”
The qualitative evaluation of the Action Group on Local responses to HIV in India (2008, UNAIDS Initiative) showed the impact of the facilitation of AIDS Competence. Local responses were facilitated by Samraksha in Raichur and Salvation Army Community Health Action Network (CHAN) in Aizawl. The study concluded: “Stigma and discrimination is reduced due to greater clarity on the nature of the epidemic, and greater reflection on the different driving factors of the epidemic. The approach is a viable strategy, which can be implemented with existing interventions, in order to promote a more sustainable response, which can meet the needs of a varied, advancing and gradually generalizing epidemic.”
The WHO-UNICEF evaluation of AIDS Competence in Papua New Guinea (2009) concludes: “The AIDS Competence Process is an effective approach in combating HIV/AIDS through local empowerment and should be continued and expanded. It meets local needs and its consistent support resulted in sustained local actions. For its low-cost but often labor intensive input of resources, the output has been substantial – awareness, empowerment, plans and actions regarding both HIV/AIDS and related social and other issues.“