Health Equity Matters and AIDS Councils’ Theory of Change

This Theory of Change (or Program Logic) draws on academic research and practitioner experience to show how Health Equity Matters and Australia’s State and Territory AIDS Councils’ distinct approach to health promotion leads to efficient and effective programs, making an important contribution to Australia’s HIV response. This diagram highlights the functions of engagement, alignment and adaptation, and shows how Health Equity Matters and AIDS Councils fulfil these functions, increasing their influence.

HIV-affected Communities
Health Equity Matters and AIDS Councils
External Influencing Environment

ENGAGEMENT

ADAPTATION

  • Health Equity Matters and AIDS Councils:
  • combine insights from the community, research and policy environments
  • learn from and support community adaptation to change
  • evaluate their programs and draw on evidence for program design
  • remain committed to the goal of preventing HIV transmission
  • respond rapidly to changing needs of communities

ALIGNMENT

  • Health Equity Matters and AIDS Councils:
  • build strong relationships with relevant organisations, institutions and businesses
  • demonstrate the value of their deep knowledge of HIV- affected communities and their technical expertise
  • provide quality policy advice based on community insights
  • act as an intermediary between communities and governments, academic institutions and health services
HIV-affected Communities
Health Equity Matters and AIDS Councils
Adaptation

ADAPTATION

  • Health Equity Matters and AIDS Councils:
  • combine insights from the community, research and policy environments
  • learn from and support community adaptation to change
  • evaluate their programs and draw on evidence for program design
  • remain committed to the goal of preventing HIV transmission
  • respond rapidly to changing needs of communities
External Influencing Environment
Alignment

ALIGNMENT

  • Health Equity Matters and AIDS Councils:
  • build strong relationships with relevant organisations, institutions and businesses
  • demonstrate the value of their deep knowledge of HIV- affected communities and their technical expertise
  • provide quality policy advice based on community insights
  • act as an intermediary between communities and governments, academic institutions and health services

HEALTH EQUITY MATTERS AND AIDS COUNCILS’ PLATFORM OF INFLUENCE

Responsive

RESPONSIVE

Trusted

TRUSTED

Credible

CREDIBLE

Relevant

RELEVANT

INCREASED REACH

INCREASED EFFECTIVENESS

INCREASED EFFICIENCY

STRONGER PARTNERSHIPS

HEALTH EQUITY MATTERS AND AIDS COUNCILS’ HEALTH PROMOTION

Peer Education

PEER EDUCATION

Peer Service Delivery

PEER SERVICE DELIVERY

Peer Leadership

PEER LEADERSHIP

Environmental enablers and barriers to change

HIV transmissions are reduced

Communities are safe, inclusive and free from stigma and discrimination

People living with HIV have improved health and wellbeing

Demonstrating the value of community control in Australia’s HIV response

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Community controlled HIV organisations in Australia have unique features supporting their agile, targeted and highly effective response to Australia’s HIV epidemic, and other health or social issues within their communities. In 2015, Health Equity Matters and the AIDS Councils across Australia commissioned a report to assess the impact of the community controlled response to HIV as part of the overall Australian response to HIV. The report’s aim was to have an objective and evidence based assessment of the strength and continuing salience of the community response to HIV. The document was prepared for government and similar stakeholders who wish to understand the value of Australia’s community controlled response to HIV.