![]() During this process, all of the groups interviewed as part of the review process unanimously selected HIV and AIDS, stigma and discrimination suffered by people living with HIV, and care and support of orphans and vulnerable children as their top concerns. During this concern exploration phase, group members are encouraged to explore the magnitude of each concern and to examine the underlying factors that led to the concern. The facilitators help the group reach a consensus about the top three to five concerns and prioritise them. Concern Exploration - This phase analyses and prioritises the concerns identified in the first phase.The process of identifying community concerns takes significant time, as the group must be given the opportunity to explore all of their shared concerns. Groups also map high-risk areas and label them "red grasses". The mapping exercise also involves identifying key community resources, such as government offices, health clinics, schools, religious facilities, and other support services, which are labeled "green grasses". One of the exercises for this phase requires CCE-CC groups to walk through their community catchment areas and map out community concerns. ![]() Concern Identification - The concern identification phase incorporates several tools and activities to assist the CCE-CC groups to identify and select the key areas of concern for their community.The facilitator works to gain the trust and confidence of all members and establish expectations. This is the time for the CCE-CC members to get to know one another and construct relationships built on mutual trust. Relationship Building - The first phase of the CCE-CC process is relationship building.The typical time necessary for completion of all of the phases is 9 to 12 months (approximately 18 to 24 sessions) requiring significant time to promote participation, reach consensus, and implement action plans. The process includes a clear set of phases that must be completed in order. The process mobilises communities through facilitated dialogue to identify their concerns within the framework of their culture, values, norms, and traditions and then prioritises them according to their magnitude, severity, feasibility, and other criteria. CCE-CC is a participatory process that focuses on building the community’s capacity to assess their sociocultural, demographic, and economic conditions that contribute to HIV and AIDS and related problems, such as discrimination, stigma, and care for OVC. It is important that CCE-CC is not seen in isolation but considered as part of a comprehensive behavioral intervention, where CCE-CC specifically addresses the creation of an enabling environment for behaviour change at the community level. The CCE-CC methodology was incorporated into the home- and community-based care (HCBC) programme as a way of enhancing and strengthening their work to improve behavioural practices to prevent disease, encourage people to seek treatment when needed, and engage communities for change.ĬCE-CC is a collective learning process designed to enable and strengthen community decision making and action related to HIV and AIDS and other issues affecting the community. FHI focuses on areas where there is unmet need and where interventions will contribute to improving the public health and social welfare of the population. In this context, CCE-CC specifically addresses the creation of an enabling environment for behaviour change at the community level.Īs a technical assistance agency, FHI 360 works to build the capacity of government institutions and civil society organisations to provide an expanded and comprehensive response to HIV and AIDS throughout the country. FHI considers CCE-CC to be one of several methodologies that should be used within a comprehensive behavioural intervention. CCE-CC was introduced into FHI 360 programming in 2006 with a focus on supporting the Home and Community-based Care Program (HCBC). This report details the experiences of FHI 360 and its partners in Ethiopia in implementing the methodology known as Community Capacity Enhancement through Community Conversation (CCE-CC).
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