An Organizational Network Analysis of HIV/AIDS Programming in India

Background: The goal of India's “Children Affected by AIDS (CABA) Pilot Scheme” program evaluation is to identify and understand the most effective pathways for coordination and linkage of multi-sectoral government departments and non-governmental organizations resulting in needed health and social services for HIV infected and affected children.

Methods: Organizational network analysis (ONA) content areas and structured questionnaires have been adapted to district level National AIDS Control Organization (NACO) structures, other government departments and NGOs. Five districts including Northeast Delhi and the states of Karnataka and Andhra Pradesh are included in the study. The sample is based on a fixed identification of district and below district level (taluka and mandal) key staff.

The following measures were used in the analysis.

Centrality; Density; Multiplexity; Strong vs. Weak ties; Fragmentation; Dyads and Cliques;

Results: Results will be available over the summer but we expect varied district level network linkages and relationship patterns based on the length and presence of organizations supporting CABA implementation, the district leadership and extent of pre-existing inter-departmental avenues for routine communication and collaboration. Social networks may play a role in maintaining ties across organizations. A comparison of pre and post program levels of service delivery will inform the extent to which improved networking leads to increased use of health and social services in children affected by AIDS.