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CANA STRATEGY DOCUMENT 2015

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CANA - Christian AIDS National Alliance is an Indian National Christian (interdenominational) non-governmental organization, registered under the 'Societies Registration Act' of 1860 with its headquarters in New Delhi. It is a network of networks: Churches, Church based agencies, and Christian practitioners to engage in Christian response to HIV/AIDS and acts as a coalition of member organizations by ways of networking, capacity building, advocacy, program facilitation and consultancy services with Christian perspectives and Biblical mandate. For further information refer to FAQs on CANA.



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CANA STRATEGY DOCUMENT       2009 -2015 
ChristianAIDS/HIVNationalAlliance: STRATEGY DOCUMENT

PART 1: CANA – AN INTRODUCTION.

PART 2: HIV BURDEN IN INDIA.

PART 3: CANA’s STRATEGIC GOALS AND DIRECTIONS.

PART 4: LOGICAL FRAMEWORK ANALYSIS.  

PART 5:  ACKNOWLEDGEMENT

PART 1: CANA – AN INTRODUCTION

 Christian AIDS/HIV National Alliance (CANA) is a Christian interdenominational Faith Based Organization registered as a NGO under the Societies Registration ACT of 1860, with its headquarters in New Delhi, India. CANA aims to create networks and strengthen the Church (the Body of Christ) and Christian organizations and individuals in developing a holistic response to issues related to the HIV pandemic.  VISION STATEMENT The vision of CANA is to encourage the concept of integral mission by networking, capacity building, advocacy, action research and communication through Christian Networks and Christians in Churches, Church based Agencies, NGOs/CBOs/FBOs and professional agencies in public and private health, and social development sectors. CANA, through its programmes, will uphold the Biblical principles in action, imitating the life of Christ by expressing love, faith, hope, compassion, care, sacrifice, and complete obedience to the commandments of God and envisage a HIV free nation. CANA – BRIEF HISTORYThe National Workshop on HIV/AIDS Care organized in March 1997 at New Delhi and attended by Christian leaders from various parts of India representing different Christian denominations, highlighted the need to mobilize the Christian community as a single cohesive unit cutting across the diverse Christian denominations to respond to HIV/AIDS in India. The Christian AIDS/HIV National Alliance (CANA) was born out of this concern as a national Christian network that promotes effective action through individuals, community based organizations, churches, NGOs and those concerned with HIV. CANA MAJOR AREAS OF INVOLVEMENT –SO FAR · In 1997 a core group of Christian NGO's (EHA, EFICOR, Sharan, World Vision, Kolkata Samaritans, ACT etc), who were already committed to doing HIV work, got together and set up CANA in order to facilitate Christians in churches & NGOs to respond to HIV in India.· 1999: CANA got it registered as a Society · Memberships sought, and series of regional workshops organised · Second International conference  organised by CANA in Bangalore conference · Theological colleges were enrolled and HIV curriculum introduced· Schools are being reached through Value Based Education· Children at risk programs are being introduced · Regional/state level networks are being established  CANA EXECUTIVE DIRECORS –SO FAR  
  1. 1998-2003 – Mr. Eddie Mall
  2. 2003-04 - Mr. John Mathai.  
  3. 2004-05 - Rev. Dino L. Touthang – As interim Acting
  4. 2005-08 - Rev Banner Makan
  5. 2008 June – Aug : Dr. Shalendra Awale – As Interim Acting
  6. 2008 September – till date: Mr. S. Samraj
  PROCESS OF DEVELOPING THE CANA STRATEGY DOCUEMENT:  There were key undercurrent stream maintained to introspect, review and refresh the organisational focus, since the new Executive Director has taken charge of the organisation in 1st Sep 2009. The GB meeting held in November 2008, there was a detailed discussion on a stock taking process (also an evaluation of CANA’s work as envisaged in the guidelines by the funding partners), which has resulted in commissioned the study by Mr. Mark Delaney, of Emmanuel Hospitals Association (EHA). He has detailed review of the organisational strength and areas to improve and prepared a background document for the stakeholder consultation. The stake holders consultation held on the 24th Jan 2009, in Christian Medical Association of India (CMAI), and the subsequent GB meeting held in March 09, while endorsing the stakeholders consultation report, had a decision to develop a five year strategy document for CANA.   To take this process further the Executive Director, with a GB approval, appointed Mr. Jacob Varghese, an eminent Social Scientist, who had a long out standing experiences with the Churches in India, and expertise in the areas of HIV/AIDS through his work with Centre for Diseases Control (CDC)/USG in the month of May 2009.   CANA Strategic Document 2009 – 2015 has been prepared with a systematic, interactive process which involved: Desk Review of Available Documents; Interviews (direct and telephonic, with the executive director, board members and well wishers); ‘Visioning’ training for staff of CANA in Delhi June 6, 2009 and their written feedback; Draft Review, discussion with board members, and finalization.List of Documents used for the desk review: 1.       First Draft Document in Feb 20092.       Transcript of deliberations after Mr Mark Delaney’s Consultation Document; Jan 24, 20093.       Post Consultation document: Findings and Recommendations by Mark Delaney: Feb., 20094.       Old documents on CANA constitution history and strategies5.       Micah Network Proposal guidelines6.       NACP III and NRHM document excerpts7.       HIV India by Anurag Sinha, School of International and Public Affairs, Columbia University8.       HIV/AIDS and Development India 2003-2007: SIDA strategy by Indrani Gupta et al.9.       An article on Integral Mission by Vinoth RamachandraThe CANA staff team has a one-day internal workshop to review and fine turn the document, before placing to the Governing Board and AGM of CANA. This document also shared with few key technical experts and CANA well wishers for their feedback before the adoption process.  The GB/AGM of CANA that held in New Delhi, during the 24th July 2009, has approved the strategy document with some constructive feedback. This document has received critical and in-depth feedback from CANA support organisations such as Tear fund, UK and Tear Aus., which was incorporated before the document has been officially adopted by CANA for its execution.  BASIC UNDERSTANDING OF HIV AND AIDS HIV is Human Immuno Deficiency Virus, which debilitates the immune system that protects a person from infections. Due to advances in science in recent years, today there are treatment and lifestyle practices that help a person with HIV to live for many years. Sadly, a person with HIV is shunned by the public since the virus transmission is more often associated with sex outside marriage.  HIV is transmitted through direct exchange of body fluids such as in blood transfusion, mother-to-child transmission during birth, and through unprotected sexual intercourse with lesser known partners. HIV doesn’t transmit through air, mosquito bites, touching or hugging. AIDS or Acquired Immuno Deficiency Syndrome is the physical condition of a person when the immunity is completely gone and the infections (opportunistic infections or OI) can no longer be controlled through medicines. During this time, like in other life threatening diseases such as the tertiary stage of cancer, the patient requires palliative care and counselling. Normally, people cannot live long with AIDS; but they do live long with HIV. Hence, we must minimize the use of the term ‘AIDS’ when we address the issues of HIV, because from the viewpoint of people infected with HIV, AIDS is a hopeless situation, whereas people have succeeded in living a productive life with HIV for many years. As members of CANA, we understand that the HIV virus doesn’t discriminate between a believer and a non-believer, the saved and the unsaved, rich or poor, educated or uneducated, or any such categorisations. Therefore when we talk about those affected by HIV, we are talking about  our people, our spouses, our children, our friends and relatives and our congregation members as the Lord Jesus taught us. Today, CANA cannot exist as a disease-oriented organization. There are enough organizations and scientists in our country to deal with the virus. Repeated surveys have proved that India has a successful model to show the world in controlling the spread of HIV. CANA is more concerned about dealing with a corrupted mindset that is far worse than the disease itself.  THE CHURCH’S ROLE  In 1997, a Consultation organized by the core group of Christian Churches and Church based agendies and individual Christians appealed to the Bishops, Heads of denominations, Pastors, Principals and Teachers of Theological Institutions, Mission Leaders and Youth and Women Leaders the ‘Challenges and Opportunities for the Church in India’ so as to enhance the capacity of the Church to scale new heights in working towards eradicating the pandemic of HIV and AIDS. Historically in India Church has established herself as the major contributor of medical, nursing education and health care services.  The Church in India has enormous potential to address the issue of HIV and AIDS. Crucial to this would be a proper and clear understanding on Integral Mission. Church leaders need adequate and accurate knowledge on HIV and AIDS and the appropriate skills and tools to address the issue. Policies and guidelines on HIV and AIDS for a consistent and positive response would provide the much needed direction and this response has to permeate to all levels in the Church. The Church has to respond collectively to maximize the results. There is a need to impart a proper and compassionate teaching in the Church to be an inclusive community and to use a language that would be sensitive. The members also require adequate teaching on sex and sexuality. The society needs to be presented with the biblical teaching on sex and sexuality and be influenced with the Christian values and morals. The Church needs to mainstream HIV and AIDS in its response. There is a need to increase the areas of influence which at present is minimal. The Church has to position itself as a stakeholder with the government and scale up its efforts at advocacy. It has to also actively seek to network both within and outside the church. There is a vital need to document best practices, disseminate and learn from them, which has often been overlooked. APPLICATION OF ‘INTEGRAL MISSION’ IN CANA An important aspect of CANA’s goal is to propagate the idea of ‘Integral Mission’. “The Micah Declaration on Integral Mission” reflects a commitment to the integral nature of incarnational mission that embodies the Kingdom of Heaven on Earth, where TEAR Fund, a Christian relief and development agency is one of the key actor with whom CANA has established its partnership and strengthen its focus over the years. Integral Mission, according to the Micah Declaration, is the church speaking of and living out its faith in Jesus Christ, in an undivided way in every aspect of life. It is not simply that evangelism and social involvement are to be done alongside each other. Rather, in integral mission, our proclamation has social consequences as we call people to love and repentance in all areas of life. And our social involvement has evangelistic consequences as we bear witness to the transforming grace of Jesus Christ. If we ignore the world we betray the word of God which sends us out to serve the world. If we ignore the word of God we have nothing to bring to the world. Justice and justification by faith, worship and political action, the spiritual and the material, personal change and structural change belong together. As in the life of Jesus, being, doing and saying are at the heart of our integral task. LOOKING AT HIV FROM GOD’s PERSPECTIVE HIV has caused some of the greatest human suffering in the past 25 years. This has been tackled to a great extent by the advancement of human technology, wealth of knowledge, and scientific explosion. There are enormous investments, efforts and attempts already made by the scientific and business communities to curtail the spread of the epidemic. We have been searching for solutions with our own intelligence. Can we see HIV as an opportunity to do God’s work? We may be still thinking of/trying to do God’s work in man’s way. But how about doing God’s work in God’s way? HIV is yet another opportunity to unify Christians to overcome our doctrinal and traditional differences on issues which are not relevant in God’s sight. HIV is a path that brings the children of God closer, as never before. HIV is an opportunity to serve Christ. Even when the injustice of tragedy invades our lives, God’s compassionate love can bring good in the forms of healing and growth. HIV has given us an opportunity to be faithful witnesses to God’s love and healing grace, even in the face of suffering, pain, grief and death.HIV is not something happening outside the Church. Christians must avoid using the terms ‘we’ (the self-righteous) and ‘they’ (the sinners). Today Jesus might ask the Church this question: “What difference does it make between you and a Pharisee?” (Luke 6: 27-36) 

HIV helps us to be stronger in faith, in practising what we preach, and in teaching the younger generation the application of God’s commandments within their home, community and church.

 JAN 2009 CONSULTATION ON CANA STRATEGIES Mr. Mark Delaney, in his recommendations following the consultations with the CANA leaders, held in January 2009, has given a poignant explanation on why CANA exists: Till now CANA has seen its mandate as supporting both NGOs and churches to respond to the HIV pandemic. However, there are three complementary tracks to this role which are:·        Prophetic: Awaken / Challenge the Church to respond compassionately to PLHIV·        Pastoral: Encourage churches and NGOs already involved in HIV and·        Activist: Facilitate the most comprehensive HIV care and prevention response possible, primarily through Christian Churches and NGOs. CANA’s PROGRAMME PRIORITIES IN A NUTSHELL: Distilled from various consultations and documents written during the past years, the following list has evolved as recommendations for CANA’s programme priorities: a.       To strengthen the Christian foundation and values among families and children and facilitate prevention of HIV/AIDS, and care for those within and outside the Church through churches and church based institutions.b.      To build pastors and lay church leaders as advocates for HIV prevention and care and support. To encourage advocacy in their local and regional capacities and contribute towards the national efforts.c.       To build congregations as caring communities and make them change agents in HIV prevention.d.      To form Christian networks, coalitions, associations, collectives, and professional forums to strengthen the Church and to actively engage them in the Christian response towards HIV in their local environment.e.      To conduct trainings to sensitize Christian on the issue of HIV/AIDS. An important achievement of CANA so far has been its training programmes, through which a few churches have broken their silence on HIV. They are now able to talk about it openly; there is willingness and initiative by the churches to respond from a Christian perspective.f.         To engage FBOs, Christian NGOs, theological institutions and individual Christians; strengthen and build capacities of the churches to exercise Christian responses to address HIV issues on a larger scale.g.      To identifies and promote replicable models of Christian care and support, and engage in the reduction of vulnerability of the infected and affected through the churches.h.       To actively involve in resource mobilization, not only for its own programmes and organizational sustainability, but also for supporting the cost of programmes initiated by its networks; and for meeting the needs of the infected and affected persons, families and communities across the nation through the churches in India.i.         To progress towards Universal Access(We) commit ourselves to pursuing all necessary efforts to scale up nationally driven, sustainable and comprehensive responses… towards the goal of universal access to comprehensive prevention programmes, treatment, care and support by 2015.” In India Universal Access implies that all people should be able to have access to information and services that are equitable, accessible, affordable, comprehensive and sustainable (Political Declaration, UN General Assembly, 15 June 2006) 


 

  CANA PARTNERS AND STAKEHOLDERS: 
  1. Individual churches, academic institutions, Church based Non-Governmental Organisations (NGOs) and international agencies
  2. Networks of churches, Christian NGOs, Community-Based Organisations (CBOs), networks of People living with HIV, individuals, institutions, national and international agencies
  3. Theological institutions, Christian colleges, and universities
  4. Individual Christian professionals, pastors, teachers, researchers, care givers and consultants
  5. Interns, students and volunteers
   CANA GOVERNING BOARD AS ON 2008-09:  1.       Dr. Vinod Shah, Coordinator, D.E Unit, CMC Vellore
Chairman
2.       Mr. Sunder Daniel, Asia Coordinator, Micah Network
Secretary
3.       Rev. Dino L. Touthang, Executive Director, EFICOR
Treasurer
4.       Fr. Sebastian Ousepparampil, Director, CHAI
Member
5.       Rev. Viju Abraham, Chairman ACT
Member
6.      Dr. K.I. Jacob, Director, St. Paul's Trust
Member
7.       Mr. Samuel Peter, Consultant, HFHISA
Member
8.       Dr Nalini Abraham, Former Health Adviser, Plan International
Member
9.       Dr Saira Paulose, Director SHALOM (EHA)
Member
10.   Dr Shailendra Awale, Chief Functionary, CNI SBSS
Member
11.   Dr Alita Ram, Director, ACT
Member
12.   Mr. S. Samraj, Executive Director, CANA - Ex-officio  


 

PART 2: HIV BURDEN IN INDIA

 In the previous part, we have seen how CANA has uniquely positioned itself to give spiritual leadership to Christians in their response to a virus that challenges the core of our faith. Jesus Christ said: “There is nothing that enters a man from outside which can defile him; but the things which come out of him; those are the things that defile a man.” (Mark 7:15)  This section will give one an understanding of the national HIV statistics, issues related to HIV and on the probable areas of Christian action, where other agencies have limited impact. HIV PREVALENCE IN INDIA (Source: NACO)
Each year since 1998, the National AIDS Control Organization (NACO), the National Institute of Health and Family Welfare and the National Institute of Medical Statistics (a body under ICMR) bring out estimates of India’s population living with HIV and AIDS. The recent available data represent the most accurate reading yet of India’s HIV and AIDS numbers. The process of enumeration and the results have been attested to and backed by international agencies – UNAIDS and WHO.
 The revised estimates in 2006 suggest the national adult HIV prevalence in India is approximately 0.36 percent, amounting to between 2 and 3.1 million people. If an average figure is taken, this comes to 2.5 million people living with HIV and AIDS; almost 50 percent of the previous estimate of 5.2 million. More men are HIV positive than women. Nationally, the prevalence rate for adult females is 0.29 percent, while for males it is 0.43 percent. This means that for every 100 people living with HIV (PLHIV), 61 are men and 39 women. Prevalence is also high in the 15-49 age group (88.7 percent of all infections), indicating that AIDS still threatens the cream of society, those in the prime of their working life. While adult HIV prevalence among the general population is 0.36 percent, high-risk groups, inevitably, show higher numbers. Among Injecting Drug Users (IDUs), it is as high as 8.71 percent, while it is 5.69 percent and 5.38 percent among Men who have Sex with Men (MSM) and Female Sex Workers (FSWs), respectively. Breaking Down the Numbers: In terms of geographical break-up, 118 districts have HIV prevalence more than 1 percent among mothers attending ante-natal clinics. The revised estimates indicate that the epidemic has stabilised or seen a drop in Tamil Nadu and other southern states with a high HIV burden. Yet, new areas have seen a rise in HIV prevalence, particularly in the northern and eastern regions. Twenty-six districts have been identified with high prevalence, largely in the states of Madhya Pradesh, Uttar Pradesh, West Bengal, Orissa, Rajasthan and Bihar. HIV prevalence continues to be higher among vulnerable groups. For instance, there is a significant population living with HIV and AIDS among IDUs in four of India’s biggest cities – Chennai, Delhi, Mumbai and Chandigarh. Young people are at greater risk, with the under-15 category accounting for 3.8 percent of all HIV infections, as against 3 percent in 2002. Between 2005 and 2006, prevalence has fallen in some major states – Maharashtra from 0.80 to 0.74 percent, in Tamil Nadu from 0.47 to 0.39 percent – for instance. Yet, new areas of concern have emerged. In West Bengal, prevalence has gone up from 0.21 to 0.30 percent and in Rajasthan from 0.12 to 0.17 percent. The Big Picture In terms of treatment and prevention interventions, lower estimates for HIV positive people are both heartening and challenging for NACO. At one level, the need for treatment and the need to access ART may be lower. Yet, this makes it is all the more imperative that an effective and universal roll-out of the ART programme is completed at the earliest.  More accurate data is a sort of force-multiplier and allows the country to fine-tune and pinpoint its responses. New AIDS estimates will allow NACO, its partners and the State AIDS Control Societies (SACS) to focus on emerging districts of concern even if these be located within states that show low prevalence overall. Indeed, this is also the strategy being followed in the Third National AIDS Control Programme (NACP-III), which makes the district the unit of intervention. As the new numbers indicate, national figures alone are not enough; they have to be seen in the context of local and district-level HIV and AIDS situations.  Though overall trends are encouraging, injecting drug use and homosexual activity among men have emerged as important routes of HIV transmission in different parts of the country. In the North East, besides IDU, HIV prevalence among the FSWs is increasing, suggesting a dual nature of the epidemic. Rising HIV prevalence among ANC clinic attendees in North Indian states is an alarming signal for focused attention. Yet it is important to understand that a more accurate model indicating lower estimates than before does not mean a decline in the epidemic. It only points out that the epidemic is under control because of enormous effort and mobilisation over the past decade. This guard cannot be lowered. While the percentage of the adult population affected by HIV and AIDS may have dropped, in absolute numbers, India’s AIDS figure is still substantial. It is the third largest in the world, and remains the largest in Asia. POVERTY, WOMEN AND HIVIn India, the infection is spreading mainly through sexual transmission, especially heterosexual transmission, injecting drug use, HIV infected blood supply, and from an infected mother to her child. All these modes are closely correlated to poverty and underdevelopment. Poverty is the reason why many women are forced into prostitution and remain there, why many women cannot ensure the safe sexual behaviour of their partners, why many youths and adults take to drugs and then cannot come out of it, why individuals cannot access the more costly but safe blood, why individuals and households migrate from rural to urban areas or across borders even though their status in the areas of destination is little more than that of slum dwellers.  Poverty also makes people more vulnerable to discrimination – whether based on caste, gender, sexual preference, or religious beliefs. Further, the socio-economic impact is felt most by the poor, sending many individuals and households into fresh or further poverty. Finally, poverty defined in this broad sense, is also the reason why messages of prevention and control do not make their impact on a large majority of vulnerable individuals.  Women are biologically very vulnerable to transmission in terms of the rate of infection after unprotected intercourse with infected people. And, as a result of the general lack of autonomy of Indian women as regards sexuality or economic power, this vulnerability turns into a social one. STIGMA AND DISCRIMINATIONFear of contagion coupled with negative, value-based assumptions about people who are infected leads to high levels of stigma surrounding HIV/AIDS. (Source: Avert/USAID)Factors that contribute to HIV/AIDS-related stigma:
  • HIV/AIDS is a life-threatening disease.
  • HIV infection is associated with behaviours (such as homosexuality, drug addiction, prostitution or promiscuity) that are already stigmatized in many societies.
  • Most people become infected with HIV through sex. Sexually Transmitted Infections (STI) are always highly stigmatized.
  • There is a lot of inaccurate information about how HIV is transmitted.
  • HIV infection is often thought to be the result of personal irresponsibility.
  • Religious or moral beliefs lead some people to believe that being infected with HIV is the result of moral fault (such as promiscuity or 'deviant sex') that deserves to be punished.
The fact that HIV/AIDS is a relatively new disease also contributes to the stigma attached to it. The fear surrounding the emerging epidemic in the 1980’s is still fresh in many people’s minds. At that time very little was known about the transmissibility of the virus, which made people scared of those infected due to fear of contagion.From early in the AIDS epidemic a series of powerful images were used that reinforced and legitimized stigmatization.
  • HIV/AIDS as punishment (e.g. for immoral behaviour)
  • HIV/AIDS as a crime (e.g. in relation to innocent and guilty victims)
  • HIV/AIDS as war (e.g. in relation to a virus which must be fought)
  • HIV/AIDS as horror (e.g. in which infected people are demonized and feared)
  • HIV/AIDS as otherness (in which the disease is an affliction of those set apart)
AIDS-related stigma has had a profound effect on the epidemic’s course. The WHO cites fear of stigma and discrimination as the main reason why people are reluctant to be tested, to disclose HIV status or to take antiretroviral drugs. These factors all contribute to the expansion of the epidemic (as a reluctance to determine HIV status or to discuss or practice safe sex means that people are more likely to infect others) and a higher number of AIDS-related deaths. An unwillingness to take an HIV test means that more people are diagnosed late, when the virus has already progressed to AIDS, making treatment less effective and causing early death.Research by the International Centre for Research on Women (ICRW) found the possible consequences of HIV-related stigma to be:
  • Loss of income/livelihood
  • Loss of marriage and childbearing options
  • Poor care within the health sector
  • Withdrawal of care-giving in the home
  • Loss of hope and feelings of worthlessness
  • Loss of reputation
The fear and prejudice that lie at the core of the HIV discrimination need to be tackled at the community and national levels. A more enabling environment needs to be created to increase the visibility of people with HIV as a 'normal' part of any society. The presence of treatment makes this task easier for where there is hope, people are less afraid of HIV and AIDS; they are more willing to be tested for HIV, to disclose their status, and to seek care if necessary. In the future, the task is to confront the fear-based messages and biased social attitudes, in order to reduce the discrimination and stigma of people who are living with HIV or AIDS. CANA is committed to presenting integrated approaches in education, medical and pastoral care, while addressing the needs of the people living with HIV (PLHIV). It will target geographical areas that need immediate attention, and bring in its stakeholders from various parts of the country to pool in a wide variety of resources such as technical expertise in medical care, governance, management, fundraising and government relations.Throughout history, when the world feared to deal with diseases such as leprosy, tuberculosis and plagues, Christians have responded compassionately, sacrificially and fearlessly by becoming one among the infected, to the extent of facing death itself. CANA has the opportunity to tell this story and song of life itself, where Christ is ‘lived’, witnessed and practised.    CHURCH AND HIV/AIDS A decade ago, majority of the Churches, church based organizations, NGOs run by Christians and hospitals run by Christian churches and professional networks are working in isolation without much financial assistance from the Government or donor agencies. CANA was founded with a vision of providing a national platform to represent the Indian Christian Community’s interests. It was proposed that CANA would facilitate the collective strength of Christians and their credibility in public health service; and that CANA would create a single window to express the Christian concern and the organization would take part actively in the national programme. There is a great paradigm shift in the last one decade. With a growing numbers of Churches and Church based agencies over the decade, which are responding positively with vigour and higher potential, CANA see them as a potential and complementary partners for leveraging CANA’s vision. For CANA, with the mandate to nurture and build the body of Christ, partnering with as many potential players and envisage active involvement in the process of facilitating the growth of responses is a key strategy. Now there are very good signs of partnerships, well planned programs, resources within many of the Christian Churches and Agencies to address the HIV/AIDS issues. There are many evidences, to explain linkages by the Church based agencies with the government, bi/multilateral agencies and other donors to combat HIV. But still there is a larger gap, especially in the northern Hindi belt, still the availability and capacities of the Churches and Church based agencies are to be explored, and directed towards this purposes. The scenario of A&B category districts is now spread across the number of northern states, which are not considered formally as a high prevalence states. This has an in-built demand for exploring the Churches in these districts and gear them up to respond to HIV/AIDS. CANA, while retaining the national focus, in the next five years provide special concentration to the northern states (the three zones on CANA), to build and activate the Christian responses towards HIV/AIDS by the Churches, Church based agencies, and Christian Individuals. CANA envisages by equipping them, they will be influence programs, policies, and practices that mitigate the vulnerabilities of HIV/AIDS and prevent new infections.    

PART 3: CANA’s STRATEGIC GOALS AND DIRECTIONS

 During national conferences and roundtable discussions held during the past 12 years, it had always been a unanimous decision that CANA would function as a national body and would fulfil the aspirations of churches and Christian NGOs working in the field and touching the lives of people living with HIV. However, it was also clear that CANA would not act as a funding conduit, or as a mother NGO, or a grant making organization, since there are many other Christian organizations involved in resource mobilization to an extent.Holding on to the vision of the founding members, CANA had been working through three strategies: 1) networking, 2) capacity building and 3) advocacy programmes. Based on the deliberations and past experiences, CANA is proposing, through this document, a revitalized strategy for the forthcoming years 2009 – 2015, while adhering to the original goals and vision of the past.CANA’s WINDOW OF OPPORTUNITY Given the vastness of the country, the Government may be the only body that can cover the whole of India with awareness and prevention measures. The five-year national project implementation plan - National AIDS Control and Prevention: Phase III (NACP-III) has emphasized the need for working through NGOs and mission hospitals. (See NACP III – Inter-sectoral Coordination Initiatives in A & B Category Districts). This is a part of NACO’s DAPCU (District AIDS Prevention and Control Unit) programme which will be soon implemented in all the high prevalence districts. The National Rural Health Mission (NRHM) also emphasizes the need for working together with civil society organizations to achieve its goals. The above opportunities provide the Christian Medical Colleges, hospitals and NGOs to contribute substantially to the cause of HIV. The Catholic Bishop Conference of India (CBCI) has evolved the Church’s HIV policy 2005 which was welcomed widely by the Government of India. CANA has a Christian AIDS policy 20008, for the churches, which are not as part of CBCI.  India is one of the leading world communities to adopt the Millennium Development Goals of the United Nations which emphasizes working towards alleviating the misery of HIV/AIDS. World leaders came together in New York on 25 September 2008 to renew commitments to achieving the MDGs by 2015 and to set out concrete plans and practical steps for action. The goals are: End Poverty and Hunger; Universal Education; Gender Equity; Child Health; Maternal Health; Combat HIV/AIDS; Environment Sustainability and Global Partnership.Above all, CANA draws its inherent strength from the Almighty God, to lead the Christian community, and represent itself like Moses to meet the Pharaohs of this Millennium; like David to meet the Goliaths of different regions; like Paul who touched every port of Asia to fight against principalities in power; and like John who spread the message of the love of Christ Jesus in every Church. The World Council of Churches (WCC) made this public statement in 1996: The church’s response to the challenge of HIV/AIDS comes from its deepest theological convictions about the nature of creation, the unshakeable fidelity of God’s love, the nature of the body of Christ and the reality of Christian hope.” DERIVING AN ACTION PLAN FOR THE NEXT FIVE YEARS: So far we have been building a strong context and foundation based on the beliefs, strengths and opportunities for CANA to function as a national entity that would fill a void among churches to join hands for a common cause. During the past 12 years, CANA has already put its name on the map of HIV, especially in training and conducting regional/state level conferences, workshops and capacity building and advocacy programs. Looking forward with great expectations, CANA has listed out six objectives, to be executed during the next five years. Later, in the Log Frame Analysis (the work breakdown structure (WBS)), although the list of activities may look exhaustive, the CANA team further  develop individual strategies to further in to digestible pieces and create sub objectives that are specific, measurable, achievable, replicable, and time-bound (SMART).  OVER-ARCHING GOALS (2009 – 2015): 1.       Meet the needs of Christian churches and communities in addressing the issues of HIV in their constituencies and communities. Influence theological institutions to integrate issues pertaining to HIV in their syllabus.2.       Facilitate acceptance and care and support to the people living with HIV, especially for the HIV infected and affected women and children, creating a friendly and non-stigmatic environment. Observe World AIDS Day and AIDS Sunday (1st Sunday of December) at churches and Church based agencies.3.       Encourage Christians to participate voluntarily by supporting CANA’s initiatives and making it a national platform on HIV to express their views and opinions, to share their knowledge and technical expertise, and to grow as conscientious citizens of India. Reduce stigma in churches and in communities by inviting PLHIV to address their concerns at various forums.4.       Decrease the negative impact of HIV on vulnerable people through support services for widows, adolescents, youth, children and HRGs and integrate with the national policies on prevention, care and treatment.5.       Advocate for universal access of HIV/AIDS services.6.       Build CANA’s in-house capacity to execute CANA strategy.  THREE STRATEGIC APPROACHES TO MEET THESE GOALS:To meet the mission objectives mentioned above, CANA proposes the following strategic approaches:1.  Networking2.  Capacity Building 3.  AdvocacyCross cutting activity in all three approaches will be Action Research and Communications.
  

 

 

1.              NETWORKING: Create a focused response to HIV issues by developing and sustaining functionally effective networks among churches, church-managed institutions and Christian agencies.ROLE OF CANA: Networking is the relationships fostered among organizations for achieving more than what they can individually achieve by coming together in making the HIV free communities, and facilitatve provisions of care and support to those who are already infected with HIV and reached to the stage of AIDS. Such relationships can create greater output quantitatively and qualitatively while reducing the possibility of duplication of efforts. CANA’s primary strategic approach is to facilitate networking among various churches and Christian organizations/institutions involved in HIV related work. CANA’s UNIQUE STRENGTHS IN NETWORKING:·        Being the national platform that represents Christians from all denominations to respond to HIV prevention and care needs in India, CANA has the potential to network nationally and internationally.·        CANA provides a national representation for all regional network groups. ·        CANA is recognized as a national network agency by the churches, church based  organizations, international NGOs and bilateral agencies, hospitals and physicians’ associations and individual professions.2.              CAPACITY BUILDING: Enable and equip the Church, church-managed institutions and related Christian agencies in responding to HIV issues by developing skills and building competencies.ROLE OF CANA: Capacity building helps an organization to develop skills and capabilities in order to build its operational effectiveness and sustainability. In this process we assist individuals or groups to gain the insight, knowledge and experience needed to carry out their work with better skills and proficiency. CANA will facilitate such sharing of technical support activities, by conducting training, exchange programmes, attendance in conferences and workshops. Many Christian leaders have time and again expressed this urgent need for trained and skilled people to respond to the growing trends of HIV in the country. Hence there is the need to enhance the capacity of the network partners dealing with care, prevention and education of HIV from a Christian perspective. CANA’s UNIQUE STRENGTHS IN CAPACITY BUILDING:·        CANA, with its recognition as a national body for a Christian response to HIV, has a wider access to technical expertise for capacity building, sharing models of care, prevention and support of HIV /AIDS.·        Christian institutions such as Protestant and Catholic Medical Colleges, nursing and allied health/medical institutions have a large volume of intellectual resources, implementation expertise and best practices to show case to the rest of the country and to the world. CANA can facilitate such venues for sharing knowledge and expertise.·        Christian models of care have played a large part in the response to diseases such as leprosy and TB. There have been past experiences where the Christian workers and medical professionals have reached remote rural and tribal belts, which could not be accessed by other agencies.    3.  ADVOCACY: Influence the national and international community, the Church, the Government and the Civil Society Organizations on various issues related to HIV such as sensitivity to the rights of PLHIV, access to information, vulnerability of special sections of the society and care for the widows and orphans affected by HIV.ROLE OF CANA: Advocacy is expressing a strong opinion through words, deeds or even silence; speaking or disseminating information intended to shape or influence individual behaviour or opinion, conduct, public policy or law. CANA can educate, inform and improve the knowledge of issues related to HIV. CANA must initiate advocacy within the Church on care, support and acceptance of PLHIV; and express its collective opinion on government or non-government services. There are treatment issues; moralistic attitudes of the church etc. in this vast constituency. CANA can influence the Church and public policy through sensitisation, campaigns, lobbying etc to create a common platform for action and change. CANA’s UNIQUE STRENGTHS IN ADVOCACY:·        CANA has a very large constituency which is network-based. Church as the one Body of Christ is well understood through ecumenical movements in the country. CANA has the cutting edge to foster collaborations within the Christian denominations under the universal Banner of Christ.·        There are issues that can be brought to the public notice through the field experience of Christian workers – mission-based, medical and non-medical. ·        CANA has been accepted by the Church, whether Catholic or Protestant or any other major congregations. Therefore, any issue raised by CANA will receive strong prayer and financial support.·        CANA’s governing body has eminent subject experts and policy experts who have wider acceptance in the field of HIV AIDS.·        CANA headquarters is strategically placed in Delhi where the nation’s policy making happens and where the leading national and international bodies have their offices. Through CANA, the member organizations get access to the government and other offices. CANA can function as a liaison office for many NGOs, Church and Para-Church organizations that don’t have an office or the capacity to access the key personnel in various offices situated in Delhi·        Identify areas of advocacy and equip them with methods and skills to engage in advocacy. Areas such as:·        Stigma and discrimination ·        Caring for the widows and orphans·        For Christian response to sex and sexuality ·        Ensuring rights of infected and affected·        Equitable distribution of resources (not only money) and treatment in favour of the infected and affected ·        Advocate for universal access to treatment for OIs and ART  4          ACTION RESEARCH AND COMMUNICATIONS - A CROSS CUTTING THEMEOperational research will be conducted to identify needs, opinions and feedback on various issues. In a vibrant and large network, communication is an effective tool by which we can learn, share information and improve competence and disseminate better practices.CANA will develop its capacity as a Knowledge Resource Organisation, and act as a information and resources clearing house of available HIV/AIDS knowledge in India and internationally, which would provide need based, value based, and scriptural information.CANA already has the SCAN newsletter and other IEC materials. This activity must be continued in all the strategic activities during the next five years.  CANA also link other web based/manual data base for the access of Churches, Church based agencies and individuals


 

PART 4: LOGICAL FRAMEWORK ANALYSIS

 Objective 1: Meet the needs of Christian churches and communities in addressing the issues of HIV in their constituencies and communities. Influence theological institutions to integrate issues pertaining to HIV in their syllabus.Rationale: CANA was established to unite the Christian Churches and Christian organizations in India to work together for the cause of HIV issues in India. Many of the pastors and missionaries, physicians and other health care providers have limited access to information and technical exposure. Although the field workers have the heart and will to serve, they require motivation, and monetary and non-monetary resources to address all the issues related to HIV care. More than the physical trauma that inflicts the PLHIV, there are cases of mental torture, legal injustice, discrimination at the workplace, in the community and in schools, depression, family discordance and spiritual alienation. Christians and churches have a Biblical mandate to address these issues. But it also requires enhanced knowledge on clinical solutions and a plethora of skills in project management, counselling, legal aid, and pastoral care. CANA can facilitate activities to address these issues under each strategic approach:ActivitiesNETWORKING:1.      Conduct a needs assessment survey of various communities under church and church related organizations.2.      Establish and strengthen links with regional, national and international organizations and agencies.3.      Initiate and operationalise thematic networks such as that of Pastors, Physicians, Counsellors and Care givers.4.      Increase membership of CANA from various church constituencies. CAPACITY BUILDING:1.      Facilitate workshops and seminars on issues related to HIV and project management.2.       Incorporate HIV/AIDS training into the curriculum of the Vacation Bible School (VBS) and Bible Colleges.3.       Collect resources such as training materials, create a resource pool of organizations, experts and facilitators with specific expertise and arrange venues for such information and skills sharing.4.       Christian missionaries, leaders and workers need equipping with the latest updates on HIV prevention and care, and drug trends. Attending workshops, seminars and training programmes will help better facilitation of church initiatives.  5.       Popularise life-skills education for youths through all church-managed schools and colleges. Incorporate this topic in  youth camps and  youth centred programmes of the church. 6.      Understand the training needs of various constituencies within the geographical area where CANA is focusing from time to time. 7.      Raise funds (or teach how to raise funds) for workshops, seminars and conferences. 8.      Get sponsorship for professionals and pastors to attend national and international conferences. ADVOCACY:1.    Develop and adopt good standards of procedures and best practices among the network members.2.    Gain acceptance and participate in policy making meetings, build relationships with national and international bodies, and present papers in conferences voicing the needs of the Christian organizations in India.3.    Encourage CANA members to write articles in leading newspapers and magazines; provide access to publishing services like editing; prepare strategic documents for focused activities by member institutions.4.    Encourage the Church and Christian organizations to participate in national campaigns and efforts with which churches are able to identify in extending national efforts into local communities. Expected outcome:After implementing these activities, there will be more coordination and collaboration among churches and church related organizations in addressing the issues faced by those who are infected and affected with HIV/AIDS. The activities will be documented and disseminated widely to learn various practices and innovative approaches that resulted in this positive outcome and the impact on the lives of those who are infected and affected in the respective operational areas of CANA networks Objective 2Provide acceptance, care and support to the people living with HIV, especially for the HIV infected and affected women and children, creating a friendly and non-stigmatic environment. Observe World AIDS day and AIDS Sunday (1st Sunday of December) at churches. Rationale:CANA cannot exist without making its Christian mandate, expressed openly, to reach out and touch the people who are desperately in need of Christ’s love. Being a non-implementing agency, CANA is faced with the challenge of finding strategies to make this happen. But, looking from a national perspective, CANA is the larger body of Christian agencies put together, and this provides a larger canvas to communicate and activate theology into action. CANA can motivate, guide, facilitate, provide innovative ideas and explore numerous opportunities for its member organizations to practise proven procedures of care, create models of care continuum, and find solutions for better service to the affected and infected communities. Although many Christian organizations are engaged in good work, the gap is still wide between the haves and the have-nots, in terms of skills, technical expertise and resources.Activities:NETWORKING1.       Encourage churches to get acquainted with the district and state-level HIV communities.2.       Facilitate provision of care and counselling to PLHIV accessing Christian Hospitals and churches. 3.       Disseminate best practices and clinical Standards of Procedures (SoP) in treating opportunistic infections to all Christian hospitals and Churches4.       Build a database for people those (women and children) infected and affected by HIV to access Christian assistance, care and refuge, available in different states. (Such as referral linkages and format for standard database).  CAPACITY BUILDING1.       Engage churches and church based agencies to work with the PLHIV communities, assist the needy people in developing skills to generate income. 2.       Contact resource persons who can conduct IGP courses and follow up to avail themselves of funding from the government in various states.3.       Encourage Christian parents to be more involved in their children’s lives. Parenting workshops should be conducted regularly.  4.       Explore capacity building possibilities for the PLHIV in managing networks and raising funds. Facilitate such activities by coordinating with state-level donors and NGOs.5.       Encourage Christian hospitals to conduct training for nurses in counselling HIV affected and infected men, women and children, continuum of care, follow-up counselling, terminal care and counselling, ART and home-based care. ADVOCACY1.       Concentrate advocacy platforms for acceptance at church congregations through a Biblical mandate. 2.       Promote the ways to translate theology into practice, by encouraging churches to share their experiences in opening up doors for PLHIV to participate in its activities.3.       Encourage pastors to use the AIDS Day, the First Sunday of December to give a message of acceptance and love for people living with HIV.4.      disseminate materials and commemorate World AIDS Day on December 1 and AIDS Sunday on the First Sunday of December Expected Outcome:Churches and church organizations, especially the Christian hospitals, will be accepted as a major contributor in mitigating the suffering of people infected with and affected by HIV. Lives will be touched spiritually and healing will happen to those who are affected by HIV. Though this advocacy efforts CANA envisaged a change in the life styles, attitudes and practices of the Christian communities, changes in the policies of the FBOs, access and services by the members and reduction in the stigma and increase acceptance of those who are with the HIV/AIDS.  Objective 3:Encourage Christians to participate voluntarily by supporting CANA’s initiatives and making it a national platform on HIV to express their views and opinions, to share their knowledge and technical expertise, and to grow as conscientious citizens of India. Reduce stigma in churches and in communities by inviting PLHIV to address their concerns at various forums.  Rationale:Like any networking agency CANA too requires voluntarism of its member constituents, whether they are individuals or institutions. On the flip side of this time-tested theory, it’s also been proven that a lack of voluntarism and active participation among its members could destroy a network. The zeal for coming together for a common cause is the greatest social phenomenon that marked the progress of humanity. People have reacted violently or peacefully to injustice, contributed proactively in scientific progress, involved aggressively in environmental protection, and participated sympathetically in humanitarian endeavours. CANA is the one voice of solidarity among Indian Christians, to respond to a catastrophic pandemic that is ruining a large number of individuals and families in India. CANA is established as a solution to a problem; its service is to fill a void; it must provide a much needed platform for Christians to commune and congregate nationally and address collectively the issues related to HIV. If the above statements are the reasons for CANA’s existence, then the life breath of the organization is the voluntary participation of its member constituents. How does CANA inculcate this much-needed volunteerism? It requires a strategy that will answer the needs of its members.Activities: NETWORKING1.       Actively coordinate with the member organizations, hospitals, and educational institutions (schools, colleges and theological seminaries) by informing them of the various functions of CANA and inviting their voluntary participation in various functions.2.       Create various rendezvous, such as web-based discussion groups, blogs, virtual market places, where vendors and customers meet. Develop social/spiritual networks; involve the youth in discussions.3.       Encourage professionals to share information on training programmes, conferences, opportunities for sponsorships, and explore the availability of funds for these activities. CAPACITY BUILDING1.       Develop the capacity to explore and build several groups of resource teams for different needs and create a market place for transactions in knowledge and other resource sharing.2.       Source out different training curricula, and make them available to churches and other institutions, to increase participation by Christian volunteers.3.       Disseminate messages through church websites, magazines, newsletters and video documentations. ADVOCACY1.       Gather support from all Christian churches in India, regardless of denominational and theological differences, to make it a functional entity to be recognized by all Christians and people from other faiths in this country. 2.       Develop a Care and Support Manifesto on how to respond to the various issues of HIV, which would be printed and distributed to all major donors and stakeholders. 3.       Prepare fundraising materials, appeal letters, direct mailers, custom designed business cards, stationery and envelopes, for CANA’s brand recognition among people who matter in high places. 4.       Design an exhibition stall with innovative ideas, so that when an opportunity comes during mega conferences in India or abroad, there is no need to re-invent the wheel.5.       Promotional documentaries of various issues related to HIV/AIDS and Christian practices Expected OutcomeThere will be more volunteerism among the churches and Christians in India. CANA will gain acceptance as a national body and will represent the Christian voice in various forums, including in the national policy making consultations and workshops. This will anticipate an increase of churches; Church based agencies involved in running programs on care and support and other activities to support to the infected and affected communities, families and individuals with HIV/AIDS. Objective 4:Decrease the negative impact of HIV on vulnerable people through support services for widows, adolescent youth and children, and integrate with the national policies on prevention, care and treatment.Rationale:  In the case of people affected by HIV, effective prevention (support and treatment) begins at the time of diagnosis and involves a wide range of community- and institution-based services and programmes. A continuum of care can be established by understanding the elements that constitute the health and well being of a person with HIV. In order to have live a minimum quality of life, people – men, women, children – all need the same things - Physical: food, water, shelter, health care, etc, Emotional: self-confidence, ability to love, feel loved; Social: family, friends, involvement in community, work, legal protection, access to social welfare services, etc. Psychological: opportunities to learn, train, develop new skills; spiritual: sense of life meaning, self worth and self esteem. Youth look to the church leadership for an honest morality in the face of HIV/AIDS, a response that no longer hammers on the moralistic and judgemental positions. The Church is responsible as a role model for the youth. Any action or approach that contradicts its values and calling will be questioned. Activities: 1.       Encourage churches and Christian establishments to initiate an effective support programme for People Living with HIV (PLHIV) and People Affected by HIV such as orphans and widows. 2.       Facilitate Linkages and referral services for treatment and counselling. 3.       Seek support from youth-focused organizations. 4.       Train PLHIV with income generating skills. One successful programme which NGOs have implemented is the Self-Help-Groups (SHGs which the Church can adopt). 5.       Talking and preparing the mind of the congregation for the common call to demonstrate Christ’s love. Stigma and discrimination should be wiped away with the right sensitization educational approach. 6.       Equip the Churches to respond through effective ways in communicating with young people. 7.       Identify areas and best practices which have an influence on national policies and promote sharing of this information at the state and national level by CANA members and networks. Expected Outcome:Widows and orphans will find solace in the company of Christian workers and missionaries. Churches will no longer view HIV on moralistic grounds. Stigma and discrimination will be wiped away from communities in India. It will help them to know the love of Christ and thereby to receive the gospel. And emphasis on quality of lives of the widows and orphans –e.g. care and support, income generation, transform of lives, etc Objective 5: Advocate for universal access to treatment for opportunistic infections and antiretroviral treatment.Rationale: At the United Nations General Assembly‘s high-level meeting on AIDS in June 2006, member states agreed to work towards the broad goal of universal access to comprehensive prevention programmes, treatment, care and support by 2010. Working towards universal access is a very ambitious challenge for the international community, and will require the commitment and involvement of all stakeholders, including governments, donors, international agencies, researchers and affected communities. Among the most important priorities is strengthening of the health services so that they are able to provide a comprehensive range of HIV and AIDS services to all those who need them. It has been recognized that the primary health-care strategy, based on practical, scientifically sound and socially accepted methods and technology, should be made universally accessible to individuals and families in the community.Activities1.       Sharing the documents related to ART centres, protocols, and guidelines2.       Facilitate mission hospitals/facilities as host Voluntary integrated counselling and testing centres (ICTC) centres and care and counselling centres as well hospices 3.       Train Theologians as HIV/AIDS counsellors and outreach workers and introduce integral mission. 4.       Train health care providers, nurses, volunteers in Pastoral counselling 5.       Link Church and mission hospitals with the local NGOs and humanitarian agencies that work for the prevention of HIV/AIDS for collaborative efforts. Establish need based relationships between NGOs and Churches. Expected Outcome:There will be an integrated approach to address equity and access to care and treatment. There will be more pastoral care and access to ART medicines for everyone, without discrimination. Objective 6: Build CANA’s in-house capacity in organizational development, communication skills, advocacy, fundraising and management.Rationale: Basic to all the objectives is the increased capacity of the core staff of CANA. As a national organization, CANA has to increase its scope of expertise within the organisation. Organizational Development training helps in improving systems, performance and rapid implementation of cost effective programmes. Advocacy and communication skills are required to represent the Christian community in national forums and policy making levels. Fundraising skills for the staff will bring in revenue for a wide range of activities mentioned in this document.  Activities:1.       Increase CANA staff capacity to take charge of coordinating CANA activities at the apex level. 2.      Conduct in-house training programmes by inviting professionals and experts.3.      Develop follow up mechanism, impact assessment tools, performance progress formats and train staff.4.      Send the staff for skills building workshops.Expected Outcome:There will be a marked increase in the capacity of CANA’s staff in taking up the responsibilities in a professional way with international quality. The name of CANA will be recognized nationally and internationally.   CANA Organizational Structure is designed after the strategic document reflecting its thematic interventions.  A hierarchical justification is given below which is not an all inclusive job description.   LEVEL 0: The Governing Board is at the apex, responsible for all policy and governance of the organization, giving valuable guidance to the executive team in its strategic directions. Good governance, active support, guidance, continuous feedback and participation are expected of the Governing Board.LEVEL 1: The Executive Team is headed by the Executive Director and he/ she represents CANA in higher level discussions, negotiations and new linkages. S/he makes strategic decisions from time to time, in consultation with the Governing Board. However, s/he is responsible for day-to-day functioning of the entire CANA operations. Technically, s/he will get assistance from a Technical Advisory Group. The ED will be assisted by the Support Services unit, Finance, Administration and Executive Associate. In the absence of the ED, the Manager – Support Service will represent CANA in all discussions, negotiations and day-to-day decision making in the office administratively, where as each section coordinators retain their programmatic responsibilities. LEVEL 2: The Operations Team consists of Programme Coordinators (PC) representing key portfolios such as: 1) Research, Communication and Documentation (RCD), 2) Capacity Building (CB), 3) Advocacy and 4) Projects. The PCs will be assisted by Programme Officers (PO) in their respective thematic portfolios and the cross-cutting theme, Networking.  The PO’s will network, i.e. build partnerships, nurture linkages and engage potential collaborators in five geographical regions: North, North East, East, Central and South of India. LEVEL 3: The Field Team comprises Network Coordinators (NC), positioned in various district headquarters with in the regions. These NCs will link directly to the POs in their respective regions, supervise various projects, send monitoring reports and act as a link with partners and collaborators in various states under their respective regions.  All the above team members of CANA (except the Level -3), will be paid by CANA as its own officers. However, models can emerge in a way that the funding organizations can choose to support parts of the hierarchy or regions or thematic areas depending on the country focus areas of these agencies. For Specific Projects in any region, there will be project officers who will be supported by the respective project budget and not from the core operational budget of CANA. This organizational framework has been presented to the Governing Body and was adopted as a part of the five year strategy of CANA.   RESOURCE MOBILISATION STRATEGY: ·   There are several ways to raise resources for CANA. Few suggestions are below. CANA may adapt and explore more ways of raising its resources to get the strategy executed. o       By applying for funding from various national and international sources. This requires in house or outsourced skill to write proposals for specific activity with a time-line, depending on the terms and conditions of the available resources. o       By appealing to existing stakeholder communities such as churches and church affiliated organizations. A good marketing plan with specific appeals has to be created for the purpose. This could be done by direct mail marketing to a cold list of Christians obtained from churches. The cold list could then be turned into warm list and eventually become major donors. The messages have to be carefully prepared with professional creative inputs. o       By sponsorship of events such as seminars, conferences and training programmes. Sponsors could be Churches or Christian establishments including corporate houses willing to devote funds for a good cause. SCOPE OF GEOGRAPHICAL AREAS OF WORK:CANA is a national entity, representing all regions, all denominations and all believers who call themselves the followers of Jesus Christ. However, the national statistics show an urgent need to focus on northern and north eastern regions. Requirements of technical and financial resources are scarce in the northern areas.  Support is abundant in the southern states, both from the Government and from private or other Government bilateral agencies such as USAID or DFID. CANA take the north regions for its first priority, moves towards the North Eastern states, and lower down to Southern states in terms of prioritising the focus. CANA is at a strong vantage point where it can initiate the facilitation of North-South balance with respect to technical inputs as well as resources.   BUDGET:Budgets would be developed as CANA evolve programs and facilitate implementation plans that would strengthen the achievement of CANA strategic directions.   CALL FOR ACTION: After an indepth review of the draft documents at various levels, within CANA (staff team, GB members) as well with in the larger stake represting the AGM, and donors such as Tear fund UK, CANA has officially adopted this document for its programatiic directions for the peiod 2015. There will be plans to make a mid-review of this strategy for the purpose of improvising and opportunities for mid-course changes, due to any significant change in the context. CANA intend to share, discuss the plan of action in-depth, disiminate the strategic plan. CANA will prepare specific action agenda, develop concept paper, proposals and roll out activities. Also give the freedom for the CANA networks and member institutions to adopt this strategy for the purpose of adressing the needs of those who are infected and affected with HIV/AIDS. We believe in the guidance from Almighty God in every step for the future directions.    PART-5: Acknowledgement: CANA appreciates the contribution for the development of this document by CANA members, networks and special thanks extended to:  1.       Mark Delaney, Consultant , EHA, -for the facilitation of stakeholder consultation2.       Mr. Jacob Varghese, Managing Director, Smart Solutions for drafting the document3.       Board members for support , advices & inputs4.       Stakeholders for participation, recommendations  & inputs5.       thanks extended to other CANA supporters such as Tear Fund UK and Tear Aus - for moral and financial support, 6.       to those reviewers such as Ms. Sally Smith, UNAIDS, Geneva; Mr. Anand, Irish AID, for their inputs AND all those who actively involved in the development process of this document. And 7.       to CANA staff members for inputs, comments and commitments to take forward this strategy further Mr. S. Samraj, Executive Director

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Christian AIDS/HIV National Alliance (CANA)2nd Floor, SAMADHAN Centre, Pocket-2, Sector-2, Dwarka, New Delhi-110 075,

Indiawww.cana-india.org  Tel: 011- 45563813-6 

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There is balm in Gilead,To make the wounded whole;There's power enough in heaven,To cure a sin-sick soul. How lost was my conditionTill JESUS made me whole!There is but one PhysicianCan cure a sin–sick soul. If you can’t preach like Peter,If you can’t pray like Paul,Just tell the love of Jesus,And say He died for all.

 

 
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