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Working Synergistically:

Two Possible Mechanisms

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Now that a series of unmet needs have collectively been

identified, how can we work together to address them?

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Yesterday

• Field has matured, but challenges identified in 2003 remain

• Still need to further legitimate and promote mechanisms of engagement beyond CABs

• Huge opportunities to learn from each other

• On-going advocacy needed to create consensus about what constitutes “good practice’ looks like in terms of community engagement

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Yesterday continued

• Turn over and lack of experience among CLOs and educators creates challenges

• GPP good start on setting normative expectations but more thought needed about how to institutionalize

• Need to further explore how best to create synergies between community work and social science teams

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Establishing a Community of Practice

• Communities of practice are networks of people bound together by shared expertise and passion for a joint enterprise

– Allow for personal connections

– Create synergies & foster collective strategic planning and/or problem solving

– Create a level playing field where all experiences & information are valued.

What Makes Communities of Practice Work? Findings from PATH’s CoP Design Team. PATH. Washington, DC. 2005.

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The Most Successful CoPs:

• Have a clear focus & are personally useful to members

• Encourage and reinforce a culture of sharing

• Have ongoing cultivation (moderator plays a key role)

• Have only the most basic of rules

• Encourage everyone to actively participate

What Makes Communities of Practice Work? Findings from PATH’s CoP Design Team. PATH. Washington, DC. 2005.

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COP Example MMCI

• Created in May 2005 to respond to special communication challenges posed by large-scale trials

• Includes communications officers of all sponsoring groups, key advocacy networks, site representatives and allied scientists

• Currently has 36 members. Hosts annual meeting and bi-monthly conference calls

• Division of labor based on need, capacity and interest

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MMCI

Rapid Response Plan

Crisis Team

MDP

Conrad

Pop Council

MTN

NIH

Gates

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CoP Case Study: Kelele

• Kelele (meaning “noise” in Kiswahili) is an e-mail based CoP of regional magnet theatre coordinators in Kenya

• Members share experiences & pose questions to each other such as:– “What can I do about little children attending

shows where we talk openly about sex?”; or

– “How should we bring up issues of fidelity in a society where polygamy is the traditional norm?”

What Makes Communities of Practice Work? Findings from PATH’s CoP Design Team. PATH. Washington, DC. 2005.

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Discussion Points

• Would this be a useful model to explore for community involvement in HIV prevention trials?

• How to manage workload get network buy in?

• Focus? Type of engagement?

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What level to focus at?

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NIH Division of AIDS (DAIDS)

• AIDS Clinical Trials Group (ACTG)

• HIV Prevention Trials Network (HPTN)

• HIV Vaccine Trials Network (HVTN)

• Adolescent AIDS Clinical Trials group (IMPAACT)

• Int’l Network for Strategic Initiatives in Global HIV

Trials (INSIGHT)

• Microbicides Trials Network (MTN)

Int’l Partnership for Microbicides (IPM)

(Up to 20 sites planned)

Stand Alone Sites: (Not part of a network)

• Family Health Int’l 6 site Truvada Study

• CAPRISATenofovir gel

• Population Council

•UCSF/CDC Prep Studies

• Lavalle-University (invisible condom study)

Universe Microbicide Trial Players

Microbicide Development Programme (MDP)

•University Teaching Hospital (Lusaka, Zambia)

•SA MRC & University of Natal (Durban, SA)

•RHRU/University of Witwatersrand

(Johannesburg, SA)

•AMREF/NIMR/LSHTM (Mwanza, Tanzania)

•Imperial College at St. Mary’s Hospital (London, UK)

•MRC/Uganda Virus Research Institute (Entebbe, Uganda)

•Africa Centre for Health & Population Studies

(Mtubatuba, SA)

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Option 2: A Resource Center

• Common collection point for sharing resources, SOPs, articles, tools across sites/networks

• Could have some sections that only members could access

• How to overcome concerns about sharing?

• How could we encourage people to actually use it?

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Check out our new website at:

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