Clinic-CBO Collaboration

Clinic-CBO Collaboration (C3)

Between 2014 and 2020 PATA worked with Positive Action Children’s Foundation (Now ViiV Healthcare Positive Action) across twelve countries and strengthened over 50 community-clinic collaborations. Together, PATA and PACF demonstrated how transformative collaboration at a local level between clinics and community-based organisations (CBOs) can be to the health response. C3 outcomes have demonstrated that clinic-community partnerships are feasible, acceptable, and can result in joint ventures that positively impact HIV services and community action.

C3  has made a significant contribution to a growing community of practice centred around clinic-CBO collaboration, and has been endorsed and integrated into many processes and programmes as a central methodology.  The C3 methodology invests in building effective and structured clinic and community relationships, provides the necessary capacity-building and tools, works to strength local ownership, joint monitoring and district co-ordination. This can build and strengthen effective pathways for HIV case finding and management, improving service delivery, care and support across clinic and community platforms for children, adolescents and their families.

Two toolkits and a Be Connected e-learning course informed by the C3 successes and lessons learnt will continue to be the integrated into PATA programmes and will be shared across the PATA network to strengthen the continual adoption of the C3 methodology and approach.

See C3 in Action.


The Be Connected e-learning course

The Be Connected e-learning course aims to further scale the results of collaboration by providing a practical ‘how to’ application in the methodology of working together that is centred on cooperation, joint planning and structured partnership.

While the course is based on lessons from C3, which aimed to strengthen linkage and retention along the paediatric and adolescent treatment cascade, its intention is to be applicable to all target populations and service areas. The course provides transferable building blocks for cooperative planning, implementation and monitoring of community engagement strategies and activities. The course has also integrated lessons and contributions from key stakeholder projects.


Achieving global fast track targets, scaling up comprehensive PMTCT and rolling out WHO guidance on the immediate initiation of ART will require up-skilling of health providers and expanded service delivery. In a health system that has limited human resources and whose clinics are already overburdened, high impact interventions, together with community-based models need to be identified at each step of the HIV prevention, care, and treatment cascade. Greater efforts are needed to build and document a growing body of evidence, demonstrating the impact of community engagement and clinic – community-based collaboration. PATA will draw upon lessons and opportunities from C3 Phase I (2014-2017) where 36 clinic-CBO partnerships were initiated across 9 countries to expand and deepen the program in C3 Phase II (2017 -2020).

Globally, children under age 15 account for about 5 percent of all people living with HIV, 9 percent of new HIV infections and 13 percent of all AIDS-related deaths. Children under 1 year of age are among those most vulnerable to HIV. Globally, just more than half (54%) of the estimated 1.7 million children living with HIV aged 0–14 years are on treatment. Without improvements, treatment coverage among children will continue to stagnate and lag behind adults. Out of 21 high burden countries, 12 countries account for 80% of this treatment gap, and include South Africa, Nigeria, Mozambique, Tanzania, Ethiopia, DRC, Uganda, Côte d’Ivoire, Malawi, Zambia, Kenya and Zimbabwe.

Leverage and Integrate C3 Learning and Methodology

  • Consolidate C3 learning into a Toolkit for local and global distribution
  • Develop a complementary online set of interactive tools and infographics
  • Link learning to a Community of Practice on clinic – community engagement

Scale up clinic-community partnerships and joint initiatives

  • Scale-up and initiate 60 new clinic-CBO partnerships across 6 countries
  • Facilitate Partnership Initiation Forums and the development of Joint Activation Plans
  • Undertake operational deep dive case study on C3 methodology

Grow the C3 Community of Practise to document and share lessons

  • Establish an online set of tools and e-learning platform
  • Share information, tools, and resources
  • Document and share promising practices and operational research
  • Host a biennial Regional Collaborative Learning Forum on the prevention of mother-to-child transmission (PMTCT), early infant diagnosis (EID), paediatric case finding, and HIV treatment and care

Advocate for increased investment, integration and monitoring of C3

  • Communication strategy on C3 methodology developed and distributed
  • C3 presentations, papers and policy briefing documents or case studies delivered
  • Promote increased investments into C3 and community engagement
  • Advocate for improved monitoring and reporting on clinic-community engagement

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