Building a theory of change for community development and HIV programming: The impact of social capital, stigma reduction and community-level changes on HIV-related health outcomes for orphans and vulnerable households in Mozambique

Figures & data

Figure 1. Causal model for CCP program case study.

Figure 2. Health pathways.

Figure 3. Economic pathways.

Figure 4. Food security pathways.

Figure 5. Emotional and relational pathways.

Figure 6. Synergistic effects and variables.

Table 1. Summary of CCP impacts across community capitals.

Social	- Increased interactions between OVCs and their families as a result of peoples’ observations of the activistas visits to OVC housholds - Sensitized OVCs, PLHIVs, extended families, and entire community on issues, leading to reduced stigma and discrimination of vulnerable persons
Natural	- Educated people on how to treat the water they drink - Taught people about the importance of conserving fruit trees and how to start vegetable gardens
Finance	- Empowered OVC households to manage their own money through financial education programming - Encouraged savings groups in the community that are self-sustaining and help families in the community who were previously dependent on others
Built	- Supported housing improvements indirectly through participation in savings groups - Expanded broader community infrastructure by encouraging community members to build small buildings for their businesses, such as street vendors
Cultural	- Reinforced cultural values by encouraging people to visit their extended families - Encouraged people to go to the hospital when sick and have HIV testing
Human	- Increased overall level of health knowledge in the community - Reinforced the community’s ability to control their savings and investments through financial education
Political	- Facilitated the process of documentation for poverty certificates to help referrals to INAS