Coalition Contract Management as a Systems Change Strategy for HIV Prevention Article

Darrow, WW, Montanea, JE, Sánchez-Braña, E. (2010). Coalition Contract Management as a Systems Change Strategy for HIV Prevention . Health Promotion Practice, 11(6), 867-875. 10.1177/1524839909345247

cited authors

  • Darrow, WW; Montanea, JE; Sánchez-Braña, E

abstract

  • Racial and Ethnic Approaches to Community Health (REACH) 2010 provided a unique opportunity for minority community-based organizations (CBOs) to work together to eliminate disparities in HIV disease. A coalition was formed in Broward County to respond to the REACH 2010 program announcement, a university was chosen to coordinate efforts, and contracts were negotiated with CBO partners to develop, implement, and evaluate a community action plan. Contract management provided stability, focus, and a mechanism for coalition partners to measure progress toward achieving project objectives. By emphasizing documentation as well as the delivery of services, however, contract conditions also placed a heavy burden on educational outreach workers, restricted the reimbursable activities of member organizations, and created friction between minority agencies and university staff. Although the coalition met many of its objectives, the introduction and enforcement of a mutually agreed on set of rules and obligations as a way of promoting systems change in Broward County failed to make a lasting impact among community partners. CBOs continued to compete with one another for HIV prevention project funding and stopped collaborating as closely with another when federal support for our REACH 2010 community demonstration project ran out. © 2010, Society for Public Health Education. All rights reserved.

authors

publication date

  • January 1, 2010

published in

Digital Object Identifier (DOI)

start page

  • 867

end page

  • 875

volume

  • 11

issue

  • 6