Contracting Non-Governmental Organizations for HIV/AIDS: Brazil Case Study. Special Initiatives Report No. 30

摘要

Non-governmental organizations (NGOs) have led the way in providing HIV/AIDS services and extending the reach of national and international programs, yet there is little information on the successful procedures for selecting, contracting, and supervising NGOs. Brazil has had a very successful experience contracting NGOs under AIDS I and II, two projects co-financed by the World Bank and the government of Brazil. Since 1994, more than US; 25 million has been distributed to over 200 local NGOs to implement almost 800 subprojects. The Ministry of Health established a unit dedicated to working with HIV/AIDS NGOs that conducted an annual competitive process to select projects in prevention, service delivery, and institutional development. Many factors contributed to the success of the contracting process in Brazil, including the NGOs participation in project design, the inclusion of NGO contracting as part of a broader country strategy to fight the HIV epidemic, emphasis on transparency and collaboration, experience and capacity to manage contracts in both the NGO and pubic sectors, and the infusion of donor funding and support for NGO involvement.