Assessing the need for specific services for HIV/AIDS affected people using participatory needs assessment processes

Abstract

The purpose of the study undertaken is to develop knowledge to assist service providers in their planning and implementation of community -based programmes and projects. The thesis explores the most appropriate way of conducting a needs assessment, relating to HIV/AIDS services in a particular community; thereafter the needs assessment was carried out. This qualitative research study is conducted using participatory methods and techniques. The research reviews literature pertaining to HIV/AIDS, specifically in Africa, South Africa and the Eastern Cape and incorporates a discussion on the concept of community, community development and poverty. The design of the needs assessment tool, implementation and analysis is conducted through focus group discussions and individual semi-structured interviews. The theory on participatory approaches and community development are central to this study. The study found that HIV / AIDS as an issue is not perceived by the community under study to be an immediate need in light of basic needs being identified as priority. The use of participatory methods in this study highlighted the diversity within communities. Service providers who wish to initiate community - based projects need to take note of diversity and personal interests of individuals or groups who become involved in community- based projects. The study further highlighted the need for service providers to provide training, to their staff in participatory approaches and techniques, before embarking on community development projects. The study concludes that services relating to the HIV/AIDS epidemic cannot be carried out in isolation, but that an integrated approach is needed in the planning and implementation of services and programmes to address those affected by HIV/AIDS.