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									Aids Competence Process (ACP)
Facilitators Manual

                                   Papua New Guinea
                                                                    November 2008

Supported by

               Aids Competence Process Manual PNG – November 2008               1
                       FIELD GUIDE FOR
                       FACILITATORS OF

Page 3    Introduction
Page 4    The Constellation for AIDS Competence
Page 5    The AIDS Competence Process
Page 7    SALT Visit

          The Process

Page 8    Step One: Where do we want to be?
Page 10   Step Two: Where are we now?
Page 14   Step Three: Where do we want to be in 12 months?
Page 15   Step Four: How will we know if we have got there?
Page 17   Step Five: “Do it”
          Step Six: How will we know if we have got there?
          Step Seven: Back to Step 1 and now start all over again


Page 18   Annex One: The Self-Assessment Framework in English
Page 20   Annex Two: The Self-Assessment Framework in Pidgin
Page 24   Annex Three: After Action Review
Page 25   Annex Four: Facilitators’ Self-Assessment

               Aids Competence Process Manual PNG – November 2008   2

This document is a guide to the AIDS Competence Process (ACP) for facilitators who are introducing
the ACP to communities in Papua New Guinea.

A workshop held in Lae on the 19-22 August 2008 brought together a group of people with experience
of implementing the ACP in PNG. The document is thus firmly based on experience of ACP in PNG
and we believe that the text is particularly suited to the needs of facilitators of the ACP in PNG.

The first part of the document contains a short description of the thinking that lies behind the AIDS
Competence Process and a description of the steps in the process. The second, and main, part of the
document goes through the process step-by-step. The process step is described, the purpose of the
step is explained and a step-by-step description is given to carry out that process step in the
community. Finally there is a list of hints and tips for facilitators that come directly from the
experiences of facilitators of the ACP process in PNG.

The illustrations used here have, for the most part, been developed and tested during the workshop.

                      Aids Competence Process Manual PNG – November 2008                              3
The Constellation for AIDS Competence

The experiences of the members of the Constellation for AIDS Competence tell them that individuals
and community can respond to challenges, and, in particular, the challenge of HIV/AIDS. The
Constellation acknowledges that communities need condoms, ARVs and other commodities to deal
with the disease. However, our experience tells us that the community response is essential.

And so the role of the Constellation for AIDS Competence (‘the Constellation’) is to stimulate, to
support and to transfer such responses around the world. We do this in a very particular way.

We stimulate and we support and we transfer the responses to HIV/AIDS through the identification
and the development of STRENGTHS in communities and individuals around the world. A strength is
any characteristic or trait that helps people and communities to respond to the challenges.

The consequences of this simple statement are huge. When we meet with communities we look for
their strengths. We do not start from their weaknesses. Communities take action from strengths, not
from problems. Looking for strengths is a very large challenge to many of us who consider ourselves
to be experts.

We use the word SALT to remind us of our Way of Working:

S stands for Support
A stands for Appreciate
L stands for Learn
T stands for Transfer

The Constellation engages with communities through SALT visits.

We work with communities through the AIDS Competence Process. We implement the process steps
during SALT visits. All the steps in the process are carried out with a Way of Working that is captured
by the acronym SALT.

Our hope is that this document will help you in your work with communities in Papua New Guinea to
stimulate, to support and to transfer their response to HIV/AIDS through the identification and the
stimulation of the strengths of people of Papua New Guinea.

Our challenge as facilitators is to help build communities that are AIDS Competent.
In an AIDS Competent Society, we as people, in communities, in organisations and in policy making
act from strength:

    •   to acknowledge the reality of HIV/AIDS
    •   to build our capacity to respond
    •   to reduce our vulnerability and risk
    •   to allow everyone to live to their full potential and
    •   to share our experience with others

                           Communities have many
                           strengths to respond to                                Facilitators can help
                           issues like HIV.                                       the community to
                                                                                  identify their own

                           But sometimes                                          We propose the AIDS
                           communities struggle to                                Competence Process
                           respond, because they do                               to do this .
                           not know their own

                       Aids Competence Process Manual PNG – November 2008                                 4
The AIDS Competence Process

The AIDS Competence Process is made up of a few simple steps and the rest of this document
describes each of these steps.

In each section, you will find:
    • A description of the step
    • An explanation of why the community does the step
    • A step-by-step description of how the facilitator works with the community to complete the
    • Hints and tips that your fellow facilitators of the process in PNG have found useful in their
        work with communities.

In the first step, the Community describes ‘Where we want to be’. Using the words of the
Constellation, the people describe their community when it is AIDS Competent. In this step, we use
the tool called ‘Building the Dream’. The purpose of the step is to give the community a target to aim
for even though it might be very distant and even though it might at the moment seem impossible to

In the second step, the Community works to define ‘Where we are now’. So the community describes
its current situation with regard to HIV/AIDS. In order to do this, the community will use the ‘Self
Assessment Framework’. The community looks at 10 Practices that help it to understand how they
currently deal with HIV/AIDS. For each practice, there are 5 levels and the community assesses itself
on each of the 10 practices.

In the third step, the Community defines their own three priority practices. It begins to think about
what it is going to do in order to move from where it is today towards where it wants to be. For this
step we use a tool called ‘Action Planning’.

In the fourth step, the Community thinks about how it will keep a check on the progress that it is
making as it carries out its actions and for this step we use a tool called ‘Measurement of Change

In the fifth step, the Community carries out the actions that it has planned and keeps track of its
progress using the measures it has decided on in the planning stage.

In each of these steps, you will facilitate the community to complete the step during a SALT Visit and
we will now discuss the SALT Visit

                       Aids Competence Process Manual PNG – November 2008                                5
Aids Competence Process Manual PNG – November 2008   6
SALT Visits
                                                        What is a SALT Visit?

                                                        A ‘SALT Visit’ is a visit to a community by a
                                                        SALT Team in which the SALT Team has a
                                                        conversation with a community. The ‘SALT
                                                        Team’ conducts the conversation with the
                                                        SALT principle as a way of working.

                                                        The SALT principle:

                                                        S: Support/Share/Stimulate
                                                        A: Appreciate/Analyse
                                                        L: Listen/Learn/Link
                                                        T: Transfer/Team

Why do we have a SALT Visit?

    A SALT Team visits a community:
       1. to help the community to identify its strengths, concerns, hopes and its own resources.
       2. to help the community to identify existing service providers within their community.
       3. to share information with the community about network partners outside their community
           and to help to create links with them.
       4. to give the community support necessary to continue to do the things they have been
           doing to improve their lives.

How do you do a SALT Visit?

Before the visit
        1. Plan the visit (re the timing, venue, the purpose of the visits, etc.) with the community
            leaders e.g. Chiefs, women leaders, Church leaders etc.
        2. A member of the SALT Team notifies partners/stakeholders to plan a visit to the
            community that has invited them to make a visit.
        3. Prepare the visit among the SALT team with regard to the purpose of the visit, the
            process of the visit and the roles of each team member.

During the visit
        4. A visit, the SALT team introduces itself as people who are there to learn, and each
            member introduces themselves as a person, not by title.
        5. The SALT Team applies the elements of SALT during the visit.

After the visit
         6. The SALT Team does an After Action Review (AAR), reflects the results of the visit, what
              we learned, what might be next steps, and how the team could improve its practice of

Our approach is to listen and learn from the community and appreciate their strengths and what is
already being done.

Key questions can be
   • What are your concerns and hopes?
   • What is already being done in the community?
   • How do they do it?
   • What have they learned?
   • And what they want to do next.

                       Aids Competence Process Manual PNG – November 2008                               7
Process Step One: Where do we want to be?
Tool: Building the dream
                                                     What is a Dream (or Vision)?

                                                     ‘Building the Dream’ is a tool used in the AIDS
                                                     Competence Process.

                                                     A ‘Community Dream’ is a dream or vision that
                                                     the Community shares and it works together to
                                                     achieve that vision.

                                                     A ‘Community Dream’ is a guide to the
                                                     Community so that it knows where they are
                                                     going and what it will be like when they have
                                                     become an AIDS Competent Community.

                                                     A Community Dream is a description of where
                                                     the Community intends to go.

Why does the Community build a Dream (or Vision)?

The Community builds a Dream:

    1. To establish a common vision to guide and to support the Community.
    2. To help the Community to look at their life in the future with respect to their existing
       challenges and problems with HIV/AIDS.
    3. To let individual members of the community to reflect on their own vision for the community.
    4. To support the community as it works to achieve its dream of being an AIDS Competent
       Society (perhaps by linking the Community with prospective service providers and partners).

How the Community builds a Dream (or Vision)?

   1. A member of the SALT Team notifies partners/stakeholders to plan a visit to the community
      that has invited them to make a visit.
   2. A member of the SALT Team notifies focal persons in the community. They set dates and
      times for the visit using the appropriate means of communication-phone, letter or radio.
   3. The SALT Team meets the community with formalities (welcome address, opening prayer
      and introduction).
   4. The community is divided into focus groups, e.g. girls group, boys group, mothers group,
      fathers group.
   5. SALT Team interacts and guides the discussion towards dream building.
         1) Individual Dream
               “You are working on HIV/AIDS in the community. When you
               think about HIV/AIDS, how do you see the ideal community?
               Dream of that ideal community. What is it like?”
               Draw a picture of that ideal community.
         2) Small Group Dream
               All members show their drawing to the group and talk about it
               The group discusses what is the same and what is different
               about the dreams.
               The group draws a picture that reflects the dreams of all
         3) Community Dream
               One person from each group presents their drawing to the whole
               The plenary discusses what is the same and what is different
               about the dreams.

                     Aids Competence Process Manual PNG – November 2008                              8
              The group draws a picture that reflects the dreams of all
   6. SALT Team summarises the community dream and link to the next step which is assessing
      ourselves of ‘where are we now?” compare to our dream.

Hints and Tips

   1. Find out who is new to the group and adjust our process based on that information. Brief
      people on what we did last time and ask them if they have any concerns or comments with
      the previous visit.
   2. The community needs to know why we are visiting them, just as the SALT Team needs to
                                                              3. Before we go to the field, do the
                                                              4. Don’t introduce pens and paper
                                                                 too early. Discuss first and then
                                                                 give out the pens and the paper.
                                                              5. People often need
                                                                 encouragement to draw.
                                                              6. Make sure that there are some
                                                                 literate people in every group.
                                                              7. Make sure that those with quiet
                                                                 voices are heard.
                                                              8. Separate women from men and
                                                                 encourage their contributions.
                                                              9. Behave and dress in the way that
                                                                 the villagers do.

                     Aids Competence Process Manual PNG – November 2008                         9
Process Step Two: Where are we today and where do we want to
Tool: Self Assessment

What is a Self Assessment?

The community uses the Self Assessment tool to measure its own competence.
In a Self Assessment, the community assesses itself. It is not assessed by anyone or any
organisation outside the community.

                      Aids Competence Process Manual PNG – November 2008                   10
The Community measures its own progress towards achieving an AIDS Competent Community.
The Community identifies its strengths and areas for improvement.

The assessment measures the key practices that lead to AIDS competent nations, communities and
organisations. There are 10 key practices each with 5 levels from BASIC to HIGH.

The Description of the 10 Practices

 Practice                       Description
 1. Acknowledgement and         We know HIV/AIDS is around us and is affecting us

 2. Inclusion                   We work together with all people who are affected, infected and at

 3. Linking Care with           When we work to prevent new infection, we also care for those
 Prevention                     infected and affected by HIV/AIDS

 4. Access to Treatment         We know that treatment is available, we know where to get it and
                                we use it appropriately and regularly.

 5. Identify and address        We identify/find and know risk factors and we address them.
 6. Gender                      We understand gender differences and issues, how they relate to
                                HIV/AIDS and we address them accordingly.

 7. Learning and Transfer       We learn from our work and we share with others.

 8. Measuring progress and      We check the outcomes of our work and change the way of
 adapting our response          working if we need to.

 9. Ways of working             We use many good ways of working (e.g. teamwork, networking,
                                interacting, respecting, partnership etc) to address the issues in our

 10. Mobilising resources.      We come together and use available resources in our community
                                and look for outside resources/help/support when needed.

                        Aids Competence Process Manual PNG – November 2008                               11
The Description of the Levels

         We act naturally/ this is part of our life

                                                      Why does the Community do the Self

                                                      The Community assesses its level of AIDS
                                                      Competence and measures/checks where it is:

                                                      To set a certain point or mark to reach for
                                                      improving practices for AIDS Competence

                                                      To learn from each other from within the community
                                                      to understand community situations

How does the Community do its Self Assessment?

   1. Make a formal appointment with the focal person and partners.
   2. The Community through the focal person sets the date and the time for the visit.
   3. The facilitation team comes together to draw up a plan for the visit, e.g. prepare open-ended
       questions and other logistics.
   4. The visit to the community is done on the agreed date and time.
   5. On arrival, introductions and other formalities are done.
   6. The facilitator/focal person recaps what has been covered in the previous visit (Building the
       Dream) and then introduces the purpose of the current visit (Self Assessment).
   7. A more detailed introduction to the Self Assessment Framework is done by the Facilitator.
   8. The community is divided into various groups and stationery is distributed to each group.
   9. Each group does the Self Assessment and they assess their progress against the 5 levels.
   10. The groups identify 3 or 4 priority practices that suit them and set target levels for each of the
       priority practices.
   11. A representative from each group is given time to present their discussions/points to the
       whole community.
   12. Comments are put forward by other group members.
   13. The Facilitator appreciates and acknowledges the efforts of the individual groups in the
       presentations and concludes the programme.
   14. The plan for the next visit to do the Action Plan is discussed.

                      Aids Competence Process Manual PNG – November 2008                               12
Hints and Tips for the Self Assessment

   1. Introduce the process steps using Simple Language. So use ‘Where are we today?’ rather
       than ‘Self Assessment Framework’. Or ‘Where do we want to be?’ rather than ‘Building the
   2. Show the Practices to the Community. Do not give them a copy of the Self Assessment
   3. Introduce one Practice at a time to the Community and assess the level for that Practice
       before moving on to the next Practice.
   4. The Self Assessment Framework is for Facilitators to read and to understand. They are not
       for the Community
   5. Facilitators have to know the 10 Practices very well, preferably by heart. They have to be able
       to express them clearly in Pidgin.
   6. Each group in a Community assesses its own Competence Levels in the Community. The
       group does NOT assess the Competence Levels for the whole Community.
   7. When different groups arrive at different Levels for the same Practice, the differences are
       resolved by discussion and consensus, not by averaging or voting.
   8. Provide refreshments to the Community after the session.
   9. Facilitators must give consistent messages to the community. Facilitators must have a
       common understanding of the AIDS Competence Process. Facilitators need a discussion
       before starting the visit to achieve this.
   10. Facilitators must ask the groups WHY they have assessed themselves at a particular level
       and ask for stories that illustrate this.
   11. If we have the time, doing the Self Assessment with different groups on different days.
   12. Understand the schedule of the community so that we suit their schedule, rather than making
       the community suits our schedule.
   13. Between 6pm and 8pm is a good time to ‘get’ people in the settlements. But make sure that
       this is safe for you.
   14. Facilitation skills required for this exercise include good oratory skills, knowledgeable about
       the self assessment framework, a wide vocabulary (in the local language preferably), flexible,
       open minded, able to use stories to illustrate a point.
   15. One lead facilitator, but real time coaching of that facilitator by others works well. If the group
       is to split several facilitators will be needed.
   16. Use a single practice to demonstrate the process, let people appreciate there are steps from
       one level to another. Walk them up the steps, and then get them to choose the level they are
       currently at. Encourage discussion about why people in the group chose different levels,
       giving concrete examples, and how they obtain an agreed level.

                      Aids Competence Process Manual PNG – November 2008                               13
Process Step Three: How can we get there in the next ....months?
Tool: Action Planning

                                                What is an Action Plan?

                                                An Action Plan is a tool used to guide the
                                                community to develop a list of activities to achieve
                                                the desired level for the particular priority practice
                                                they had chosen.

                                                An Action Plan enables the community to put
                                                forward what they should achieve and at what level.
                                                It tells the community how its competence can be
                                                improved and then be measured by the community
                                                and others over a certain period of time.

Why does the Community build an Action Plan

To roadmap/to guide our thoughts and actions to stay focused towards achieving our dream as an
AIDS Competent community using available resources (people, money, materials) and or outside
support more appropriately.

How the Community builds its Action Plan

   1. The Focal Person is notified of the visit and he arranges the visit with the community.
   2. The Facilitation Team goes to the Community. On arrival the introduction and other formalities
      are done.
   3. The Facilitation Team recaps on the previous visit (Self Assessment) and then introduces the
      purpose of the current visit (Action Plan). What are we going to do to get to move from where
      we are today to where we want to be in 12 months time?
   4. The community is split into their respective groups and stationery is distributed.
   5. The Community then does its Action Plan.
   6. The groups present their work to the whole community.
   7. The Facilitation Team appreciates and asks questions to clarify (if needed).
   8. A consolidated plan is produced, if people the community feel that it is necessary.

                     Aids Competence Process Manual PNG – November 2008                              14
Process Step Five: How will we know that we are making progress?
Tool: Self Measurement of Change Planning

What is Self Measurement of Change?

Self Measurement of Change is a tool that is used to check our progress against our Action Plan for
the target priorities identified in the Self Assessment. The process of Self Measurement of change
documents the results of the actions that we take in carrying out our Action Plan.

                                           Why does the Community Self Measure Change?

                                               1. To measure our progress of our planned activities
                                               2. To help the community to see the changes that are
                                                  taking place in their community.
                                               3. To keep what worked well in the Action Plan and to
                                                  improve what did not work so well.
                                               4. To check our actions to see that we are moving
                                                  towards our target.

How the Community Self Measures its Change

A. Self Measurement of Change Planning

    1.    Plan and arrange visit with the focal person/partners
    2.    Visit the Community at the appointed time . Introduction and other formalities.
    3.    Review of earlier visits and purpose of current visit.
    4.    Divide the Community into Focus Groups and distribute stationery.
    5.    Explain details of the activity.
    6.    Focus group work in their groups to develop their Self Measurement of Progress.
    7.    Focus Groups display or present to a bigger group their indicators.
    8.    Appreciate/Summarise
    9.    Agree date for next visit
    10.   Team departs

                        Aids Competence Process Manual PNG – November 2008                        15
B. Self Measurement of Change Actions (see Process Step 7 below)

                                                        Aids Competence Process Manual PNG – November 2008   16
Process Step Six: DO IT!

Perhaps this is easy. Perhaps it is hard.

Usually, this is the time that communities need help and encouragement. If you are doing a project,
seek support from your neighbours. If your neighbours are doing a project remember to give them
help and support.

Process Step Seven: How will we know if we have got there (Self
Measurement of Progress – 2)

So we have taken the action. Did we reach our target? Now is the time to look back at what did

One step is to look at our table. Have we reached our target? We have a measure that tells us. Can
we convince someone else that we have reached our target? Perhaps this will need some kind of
documentation that shows what we have done and what we have achieved.

Another step is the After Action Review (see Annex Three page 22). This is an easy way to look back
over any action you have taken. The purpose of the Review is to understand what went well and what
didn’t go so well. And the purpose of that is to make sure that we retain the things that worked well for
us and to think of ways to avoid the problems that we met.

Process Step Eight: Now start it all over again!

And now we have to start all over again!

Perhaps our dream has changed. Perhaps there are some ideas that we would like to emphasise.
And then we do the Self Assessment. Where are we now?
And so it goes on…..

                       Aids Competence Process Manual PNG – November 2008                             17
                                                                    Annex One
                                                            Self-Assessment Framework

                              Level 1.                                                                            Level 4.
                                                            Level 2.                  Level 3.                                                Level 5.
                         Indicators that                                                                  Continuous action,
                                                                                                                                       The practice is part
                         show us we are                                                                   systematizing what
                                                           We react                   We act                                             of our life-style
                             aware                                                                              we do
                                                                               We publicly recognize
                                                     We know enough about                                   We regularly discuss       Our response to AIDS is
                                                                                  that HIV/AIDS is
1. Acknowledgement      We know that HIV and          HIV/AIDS to respond                                    AIDS, and have a         part of our daily life. We
                                                                                  affecting us as a
and Recognition              AIDS exist.                when something                                      common program of         know our own HIV status
                                                                               group/community and
                                                           happens.                                          action to respond.        and act from strength.
                                                                               take occasional action

                         We are aware of the                                     We in our separate         Various groups share      Because we work together
                                                        We co-operate with
                        importance of involving                                groups meet to resolve     common goals and define       on HIV/AIDS we can
2. Inclusion                                          some people to resolve
                        others. - those affected                                common issues (e.g.            each member’s          address and resolve other
                                                         common issues.
                             and infected                                      PLWA, youth, women).             contribution.           challenges facing us.

                          We have the basic           We understand the link                                We systematically link       Care strengthens our
3. Linking care and                                                            some of our actions link
                            knowledge for               between care and                                    care and prevention       relationships and helps us
prevention                                                                       care and prevention
                         prevention and care.              prevention.                                           activities.           to change our behaviour

                                                                                 We access treatment                                   All those in need of ARV
4. Access to               We access basic              We have access to                                   Some of us are using
                                                                                for more opportunistic                                  drugs are using them
Treatment                    medicines                  simple treatment.                                     ARVs regularly.
                                                                               infections, but not ARV.                                       effectively.

                                                                                                                                       Our actions to address
                                                                                Our response includes
                        We know who is most            We help those more                                 We systematically address     vulnerability to HIV
5. Identify and                                                                some specific actions to
                        vulnerable within our         vulnerable to HIV than                                 our own factors of          strengthens us in
address vulnerability                                                             address our own
                             community                      ourselves.                                          vulnerability            addressing other
                                                                                 vulnerability to HIV.

                                                                                       28 June 2007 © The Constellation for AIDS Competence

                                                   Aids Competence Process Manual PNG – November 2008                                                              18
                            Level 1.                                                                           Level 4.
                                                         Level 2.                   Level 3.                                                Level 5.
                        Indicators that                                                                 Continuous action,
                                                                                                                                     The practice is part
                        show us we are                                                                  systematizing what
                                                        We react                    We act                                             of our life-style
                            aware                                                                             we do

                                                      We notice gender         We have started to         We regularly consider
                      We are aware of gender                                                                                         We have mainstreamed
                                                   issues in our HIV/AIDS    address gender issues       gender in our HIV/AIDS
6. Gender             issues and how they are                                                                                        gender issues in all our
                                                     work and respond to      in some of our AIDS         prevention, care and
                         related to HIV/AIDS                                                                                            HIV/AIDS work.
                                                             them                    work                        support

                                                                                                        We learn, share and apply
                                                                              We sometimes share                                    We continuously learn how
                                                                                                        what we learn regularly,
7. Learning and        We want to learn and       We adopt good practice      our points of view to                                 we can respond better to
                                                                                                          and seek people with
transfer                share with others             from outside.          draw lessons from our                                   HIV/AIDS and share our
                                                                                                         relevant experience to
                                                                                    actions.                                         experiences with others.
                                                                                                                help us.
                                                                                                                                     We see implications for
                        We are aware of the       We begin consciously to    We adapt our response                                       the future and
8. Measuring change                                                                                     We systematically adapt
                      importance of measuring     self measure but we do       and occasionally                                      continuously adapt to
and adapting our                                                                                         and can demonstrate
                      change and adapting our     not yet adapt the result        measure the                                          meet them while
response                                                                                                measurable improvement
                             response.                for improvement.           improvement                                         measuring the change
                                                                             We work as teams to
                                                                                                        We regularly find our own    We continuously seek to
                      We are aware that AIDS                                   use our collective
                                                   We focus on our own                                     solutions to access        improve our ways of
9. Ways of working    challenges our ways of                                 strengths and resolve
                                                   strengths to respond.                                experiences and lessons      working and share our
                             working.                                           problems as we
                                                                                                           learnt from others.       experience with others.
                                                                                recognize them

                                                                                                                                     We continuously use our
                                                                                                        We regularly identify and
                       We wait for resources       We act when resources           We take some                                     own resources and access
10. Mobilizing                                                                                          access additional sources
                      from others who tell us       are provided to us.      initiatives based on our                               other resources to achieve
resources                                                                                               of support to complement
                         how to use them.                                         own resources.                                     more, and have plans for
                                                                                                            our own strengths.
                                                                                                                                            the future.

                                                                                     28 June 2007 © The Constellation for AIDS Competence

                                                Aids Competence Process Manual PNG – November 2008                                                               19
                                                                    Annex Two
                                                        Self Assessment Framework in Pidgin

                                   Level 1.
                                                              Level 2.
                                                                                                                                                   Level 5.
                             Mipela i save long                                          Level 3.
                                                        Mipela i save long                                           Level 4.
                              hevi i stap pinis
                                                         wanem samting                                                                     Wok mipela i mekim
                             tasol mipela i no                                     Mipela i mekim
                                                        bai mipela mekim                                     Mipela oltaim i save          long daunim dispela
                             save long wanem                                      wok wan wan taim
                                                         long daunim na                                      mekim wok long                   sik i kamap hap
                            samting bai mipela                                     bilong daunim
                                                         abrusim dispela                                     daunim dispela sik              bilong laip bilong
                            mekim long stopim                                        dispela sik
                                                        sik tasol mipela i                                                                          mipela
                             or banism mipela
                                                            no mekim
                                    yet .

                                                                                                                                            Mipela i mekim wok long
1. Acknowledgement                                                                                                                          daunim dispela sik AIDS
and Recognition                                                                    Mipela i klia tru olsem
                                                                                                                                           long wan de wan de long
                                                                                     sik HIV na AIDS i          Mipela olgeta taim i
                            Mipela i save pinis olsem                                                                                       laip bilong mipela. Na tu
                                                         Mipela save inap pinis   bagarapim yumi olgeta        toktok long sik AIDS.
mipela olgeta i klia long    sik HIV na AIDS I stap                                                                                        mipela yet i painim aut na
                                                        long kirapim wok bilong   (grup/komuniti). Olsem       Olsem na miplea i gat
dispela sik ol kolim HIV          pinis long hia.                                                                                              save long laip bilong
                                                                 stretim.         na sampela taim mipela     wankain wok long mekim
na AIDS. Em i stap pinis                                                                                                                   mipela yet long dispela sik.
                                                                                    i wok long en long       long daunim dispela sik.
long ples bilong yumi.                                                                                                                     Olsem na moa yet long en
                                                                                                                                           mipela i mekim wok long
                                                                                                                                                daunim dispela sik.
2. Inclusion
                              Mipela i save olsem
                             bikpela samting yumi                                   Mipela i save bung
                                                                                                             Mipela i skelim as tingting
bung wantain man or            mas bung na wok                                    insait long grup bilong
                                                         Mipela i wok bung                                   bilong stretim hevi (sik) i    Mipela wok na stretim ol
meri husait i gat dispela   wantaim ol man husait i                               mipela yet long stretim
                                                        wantaim ol sampela                                     bungim mipela. Na tu           narepela hevi tu long
sik na famili bilong en.     karim binatang na tu                                     hevi. Em olsem
                                                        man long stretim hevi                                 mipela skelim wok mak        wanem mipela i wok bung
Na tu wantaim olgeta        wantaim ol man husait                                  manmeri husait i stap
                                                         blong dispela sik.                                   bilong mipela wan wan        pinis long sik HIV na AIDS.
                            famili i stap klostu long                              wantaim sik AIDS, ol
man na meri na ol                                                                                               bai mekim long en.
                               en na karim hevi                                   yanpela na ol meri tu.
yanpela tu.                        wantain ol.

                                                    Aids Competence Process Manual PNG – November 2008                                                                    20
3. Linking care and
                                                                                                                                                Long pasin bilong lukautim
As tingting na wei bilong                                       Mipela i klia long      Long wok bilong mipela       Olgeta wan wan taim
                             Mipela i kisim liklik save                                                                                           and halavim manmeri i
                                                              wanem rot bai yumi           miipela i halivim ol       mipela i wok bilong
lukautim ol manmeri na       long rot bilong lukautim                                                                                             strongim wantok pasin
                                                             lukautim manmeri na          manmeri long wanem       halivim ol manmeri long
yanpela husait igat              manmeri na na tu                                                                                                bilong yumi. Na tu em i
                                                             dispela bai halavim ol       rot bai em inap long      wanem rot bai em inap
dispela sik HIV na AIDS       wanem rot bai ol i nap                                                                                            halavim yumi long senisim
                                                             long ol bai banisim ol     daunim na tu banisim ol        long daunim na tu
na ol famili bilong en, na     long banism ol yet or                                                                                              pasin bilong yumi long
                                                              yet or bai ol abrusim      yet long ol bai abrusim   banisim ol yet long ol bai
ol narepela tu em i                  abrusim.                                                                                                    wok na long ol narepela
                                                                   dispela sik.                dispela sik.           abrusim dispela sik.
bilong banisim ol long
displea sik.

4. Access to                                                                              Mipela kisim marasin
Treatment                                                                               bilong sampela sik i bin
                             Mipela save long wanem                                        painim mipela bihain    Sampela bilong mipela i        Husait inap long kisim
                                                            Mipela kisim ol sampela
painim hap bilong kisim        hap bai mipela kisim                                      long mipela painim SIK    kisim marasin bilong sik      AIDS marasin, ol i kisim
                                                                 liklik marasin.
marasin na kisim                     marasin                                              AIDS tasol mipela i no       AIDS olgeta taim.          gut stret olgeta taim.
marasin long en.                                                                        kisim yet marasin bilong
                                                                                                 sik AIDS.

                                                               Mipela save tru long
                                                               husait man na meri
5. Identify and                                               namel long mipela yet
address vulnerability                                        inap painim dispela sik,
                               Mipela save tru long
                                                               HIV na AIDS. Na tu                                                               Mipela yet i save gut long
                                husait man na meri                                                                 Olgeta taim mipela i save
                                                              long wanem rot stret        Mipela i mekim wok                                    stretim pasin na rot nogut
lukim wanem rot tru ol        namel long mipela yet                                                                mekim wok long stretim
                                                                bai inap kamapim         long lukautim mipela                                   we i save kamapim sik HIV
manmeri na yanpela i         inap painim dispela sik,                                                               na daunim pasin na rot
                                                                    dispela sik.          yet long sik HIV na                                   na AIDS. Olsem na mipela
save bungim dispela sik.     HIV na AIDS. Na tu long                                                                 nogut we i inap long
                                                                                          AIDS bai bagarapim                                      inap tru long stretim ol
Na long dispela tasol bai    wanem rot stret bai inap                                                              mipela painim sik HIV na
                                                                Olsem na wanem                  mipela.                                          narepela hevi bai bungim
ol painim rot bilong          long kamapim dispela                                                                           AIDS.
                                                             mipela i mekim; mipela                                                                       mipela.
stretim.                                                      i halavim ol man na
                                                              meri husait inap long
                                                             painim dispela sik moa
                                                                long MIPELA yet.

                                                          Aids Competence Process Manual PNG – November 2008                                                                 21
                                 Level 1.
                                                              Level 2.
                                                                                                                                                    Level 5.
                           Mipela i save long                                             Level 3.
                                                        Mipela i save long                                             Level 4.
                            hevi i stap pinis
                                                         wanem samting                                                                      Wok mipela i mekim
                           tasol mipela i no                                        Mipela i mekim
                                                        bai mipela mekim                                       Mipela oltaim i save         long daunim dispela
                           save long wanem                                         wok wan wan taim
                                                         long daunim na                                        mekim wok long                  sik i kamap hap
                          samting bai mipela                                        bilong daunim
                                                         abrusim dispela                                       daunim dispela sik             bilong laip bilong
                          mekim long stopim                                           dispela sik
                                                        sik tasol mipela i                                                                           mipela
                           or banism mipela
                                                            no mekim
                                  yet .
6. Gender

ol man na meri ol save                                                                                         Taim mipela i mekim wok
long respectim laip                                                                  Mipela i kirapim wok
                                                       Mipela i save long hevi i                               bilong (banisim o abrusim     Taim mipela mekim wok
                          Mipela i save long hevi i                                pinis long stretim hevi i
bilong wan wan yet. Na                                  stap namel long man                                      na tu long lukautim ol      bilong sik HIV na AIDS,
                          stap namel long man na                                   stap namel long man na
tu ol wok bung wantaim                                  na meri. In sait long                                  manmeri na famili husait i   OLGETA taim mipela i save
                          meri. Na tu long wanem                                     meri insait long wok
long stretim hevi na                                     wok ples. Olsem na                                       gat) sik HIV na AIDS,      toktok planti long hevi i
                          rot ol inap kisim sik HIV                                   bilong mipela long
kamapim gutpela                                         mipela yet i wok long                                      mipela i save toktok      stap namel long man na
                                   na AIDS.                                           daunim sik HIV na
sindaun long banisim ol                                    en long stretim.                                      tumas long hevi i stap                meri,
                                                                                                               namel long man na meri.
yet long sik, HIV na
7. Learning and
transfer                                                                                                       Mipela i lainim na skelim,
                                                                                                                                                Olgeta taim, mipela i
                                                                                    Sampela taim mipela i       na mekim wok tru long
skul na tu lainim long                                                                                                                         lainim long wei bilong
                                                                                      save skelim tingting     wanem mipela i bin lainim
                                                       Mipela i lainim na holim                                                                 mekim wok i kamap
gutpela wok i kamap        Mipela i laik lainim na                                  bilong mipela wantaim        long en olgeta taim.
                                                       pas gutpela skul mipela                                                                gutpela long wok bilong
pinis long lukautim na      skelim wantaim ol                                          ol narepela; long           Mipela i painim ol
                                                        i bin kisim ausait long                                                             sik HIV/AIDS. Na tu mipela
banisim long sik HIV na        narepela tu.                                           wanem mipela i bin         manmeri husait igat
                                                             narepela hap.                                                                  i skelim save bilong mipela
AIDS na moa yet                                                                    lainim long wok mipela i     gutpela save long wok
                                                                                                                                                long wok wantain ol
                                                                                     mekim pinis long en.       mak bai i ken halavim
sukurim i go long ol                                                                                                                                narepela tu.
narepela tu.
8. Measuring change
                          Mipela i save olsem em i        Mipela i wok long        Mipela i bihainim senis i   Olgeta taim mipela i save    Mipela i lukim pinis wanem
and adapting our
                          bikpela samting tru long      skelim na painim aut         kamap long en na            bihainim senis i kamap       senis bai i kamap long
response                    skelim na painim aut        mipela yet long wok i          mekim wok tu            long wok. Mipela i mekim             bihain taim.
                          long senis i kamap pinis.     kamap pinis long en.                                     wok wei bai mipela yet

                                                     Aids Competence Process Manual PNG – November 2008                                                                   22
                             Olsem na mipela i ken      Mipela i no bihainim ol    Sampela taim mipela i       inap long skelim na          Olsem na olgeta taim
wokim wok painim aut        bihainim senis i kamap     senis i kamap pinis long    save skelim na painim     painim aut long gutpela       mipela i bihainim senis i
long senis i kamap pinis    long en na mekim wok         kirapim wok igo yet.     aut long ol wok i kamap           bilong en.            kamap long en na mekim
                                 igo moa yet.                                              pinis.                                                    wok.
na behainim wankain
wei long kirapim wok
                                                                                                                                          Na tu mipela olgeta taim i
moa yet long daunim sik                                                                                                                     skelim na mekim wok
HIV na AIDS.                                                                                                                               painim aut long ol wok
                                                                                                                                           mipela i mekim long en.

9. Ways of working                                                                                                                        Olgeta taim, mipela i laik
                                                                                     Mipela wok olsem
                                                                                                                                            long painim wei bilong
                                                                                   wanpela tim o grup        Mipela yet i save painim
                            Mipela i save olsem sik                                                                                       mekim wok na kirapim ol
wei bilong mekim wok                                     Mipela i lukluk long       long skelim strong      rot bilong stretim hevi. Na
                              HIV na AIDS i save                                                                                          wok i kamap gutpela tru.
yumi save mekim long                                    strong bilong mipela         bilong mipela yet.      tu mipela igat sans long
                            kamapim hevi long wok                                                                                           Na tu mipela i laik long
en                                                      yet long mekim wok.        Mipela i stretim hevi    kisim skul long wok bilong
                           yumi laik mekim long en.                                                                                        painim wei bilong skelim
                                                                                   taim em i kamap na               ol nareplea.
                                                                                                                                          save mipela igat wantaim
                                                                                       mipela i lukim.
                                                                                                                                                 ol narepela.

                                                                                                                                              Olgeta taim mipela i
10. Mobilizing                                                                                                                              mekim wok wantaim ol
resources                     Mipela i wet long ol
                                                                                                                                          samting bilong mipela yet.
                             narepela long givim         Mipela i mekim wok                                  Mipela i save painim aut
                                                                                     Mipela i kamapim                                       Wankain olsem mipela i
                           mipela ol samting bilong    taim ol narepela i givim                                 wei bilong kisim ol
bungim olgeta samting                                                               sampela wok pinis                                       painim wei bilong kisim
                           mekim wok. Na tu bai ol        mipela ol samting                                  sampela samting bilong
bilong halvim na kirapim                                                           antap long ol samting                                  halavim long narapela hap
                            i tokim o soim mipela            bilong wok.                                      halivim na tu strongim
wok i kamap gutpela na                                                                mipela yet igat.                                      long kirapim moa wok.
                           long wei bilong mekim                                                             wok mak bilong mipela.
bikpela.                                                                                                                                      Mipela tu igat planti
                                                                                                                                          tingting bilong mekim wok
                                                                                                                                                long bihain taim.

                                                     Aids Competence Process Manual PNG – November 2008                                                                23
                                                                        Annex Four
                                                                 After Action Review (AAR)

An After Action Review gives an opportunity to look back on an event, for example a SALT visit, and to learn from that experience. It is best to hold an After
Action Review immediately after the event when everybody is available and memories are still fresh.

The ONLY purpose to hold an AAR is to improve performance by learning from what you have just done. In an AAR, all perspectives are valuable. AARs are
not about blaming people. They are not about how people performed.

Appoint a facilitator. The facilitator of an AAR is there to help the team to learn. The facilitator is there to encourage contributions from everyone, both for their
own learning and the group’s learning.

There are 4 questions in an After Action Review

    • What was supposed to happen?

    • What actually happened?

    • Why was there a difference?

    • What can we learn from that difference?

The idea of an After Action Review is that it becomes a part of the way that you work. They should not, except in exceptional circumstances, be long and
tedious, but simply an opportunity to reflect on what you have just done with the aim of making things better.

                                                     Aids Competence Process Manual PNG – November 2008                                                            24
                                                                        Annex Five
                                                              Facilitators Self-Assessment

                                                                                      I practice this once
                                           I know something        I have a good                             I regularly work   I consistently reflect
              Practice/Skill                                                           in a while or have
                                               about this          understanding                                  like this          and apply
                                                                                        some experience
                                                  1                      2                     3                    4                     5
    I believe in and appreciate
    strengths in people to respond.
    I work by invitation, not by
    I can articulate Human Capacity
    for response (HCR) concepts and
    facilitate group learning around
    I use strategic questions, listening
    and reflection skills.
    I am flexible to local situations
    and group dynamics.
    I create an enabling environment
    including good communication,
    conflict resolution, group
    dynamics, decision making and
    celebrating growth, and freedom
    to participate.
    I ensure application and follow-
    I creatively use methods and tools
    for facilitating people and groups.

                                                      Aids Competence Process Manual PNG – November 2008                                           25
                                                                                       I practice this once
                                            I know something        I have a good                             I regularly work   I consistently reflect
               Practice/Skill                                                           in a while or have
                                                about this          understanding                                  like this          and apply
                                                                                         some experience
                                                   1                      2                     3                    4                     5
     I can summarise multiple
     points/ideas for the group.
     I work with others in a team
     We are able to explore dynamics
     and agree on process. We
     practice facilitation and reflection
     together, and support each other.

11   I share skills with others.

     I learn from local action &
12   experience, and personally apply
     from lessons learned and change.
     I can illustrate the SALT concept
13   and set-up a learning experience
     using SALT principles.
     I can facilitate an After Action
     Review (AAR).
     I can facilitate groups to create a
     common dream.
     I can facilitate a self-assessment
     process (including developing
16   and interpreting the river diagram
     and the stairs diagram*) and a
     self-measurement of change.

                                                       Aids Competence Process Manual PNG – November 2008                                           26
                                                                                              I practice this once
                                             I know something          I have a good                                    I regularly work       I consistently reflect
                Practice/Skill                                                                 in a while or have
                                                 about this            understanding                                         like this              and apply
                                                                                                some experience
                                                      1                       2                        3                        4                        5
17    I can facilitate peer assist

18    I can develop a knowledge asset.

      I can participate in and moderate
      an e-discussion group.
      I am able to listen to stories and
      write them up.

     Note: * This can be done either with the computer or using paper or alternative ways of creating the river diagram and stairs diagram. Please indicate if
     wanting to learn how to use a computer for the process.

     A working culture of facilitation depends for its integrity on a belief that people can respond, and a behaviour that expresses accompaniment, learning and
     stimulation. Facilitation is not only a set of skills, but is characterized by personal attitudes, qualities and behaviours.

     The Facilitator’s Personal Assessment can be used to identify individual strengths and areas for growth, as well as within facilitation teams for mutual
     accountability and team formation based on strengths of various team members.

     To use the Personal Assessment, mark where you are right now for each practice/skill and then indicate 3 practices you would like to improve. Reflect on
     how this can be done individually and as part of a team.

     Set yourself three concrete actions right now and a timescale to assess progress.
     1. ___________________________
     2. ___________________________
     3. ___________________________

                                                          Aids Competence Process Manual PNG – November 2008                                                       27
                       With special thanks to the following communities
           National Capital District: 9 Mile, ATS, Kesi, Morata, Rahamata, Kanusia
            Morobe: Tenth City, 2 Mile, Kamkumung, 3-Mile, Saw Dust, 4 Mile, Umi
        Western Highlands Province: Walis Station, Pis Pond, HMI, Works Compound
     Eastern Highlands Province: Genoka, Banana Block, Pis Wara, Zokozoi, Asaroyufa
                              Bougainville: Ieta, Sohano island

                               And the following organizations
                            WHO, UNICEF, Department of Health
    National Capital District: Provincial AIDS Council, Hope Worldwide, PACSO, Red Cross
          Morobe: Provincial AIDS Council, City Council, The Salvation Army, ADRA,
Western Highlands Province: Provincial AIDS Council, Baptist Union, Red Cross, Dep of Health
         Eastern Highlands Province: The Salvation Army, Red Cross, Dep of Health
       Bougainville: Provincial AIDS Council, Dep of Health, Red Cross, United Church.

                   Aids Competence Process Manual PNG – November 2008                      28

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