Event Details

Aug 19 2026

Saksham Mahila Samiti

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Organisational Case Study: Saksham Mahila Samiti

Executive Summary

  • The organisation’s community-led structure appears to be central to identifying and maintaining contact with a geographically dispersed and sometimes hidden population of female sex workers.
  • Outreach activities are adapted to participants’ work settings and availability. Reliance on fixed office hours could therefore create predictable gaps in access.
  • Community-based screening helps reduce distance and scheduling barriers. However, confirmatory testing and linkage to antiretroviral therapy continue to depend on coordination with public-sector health services.
  • The reported monitoring and evaluation system is detailed and multi-layered. Nevertheless, the available evidence places greater emphasis on outputs and compliance than on service quality, participant experience, and longer-term outcomes.

Case Profile

Organisation Saksham Mahila Samiti
Primary Population Female sex workers (FSWs)
Interview Format Joint semi-structured key-informant discussion with programme managers
Study Design Exploratory qualitative organisational case report

Purpose and Analytical Question

The report examines how the organisation described its community-based HIV prevention model, outreach and service pathway, human-resource structure, monitoring and evaluation system, financing arrangements, and implementation barriers.

Central analytical question:
How does the organisation translate a government-supported targeted intervention into accessible services for its population, and where does the reported implementation model remain vulnerable?

Methodology

  • Design: This exploratory qualitative organisational case report is based on one joint key-informant discussion. It documents how programme representatives described implementation and should not be interpreted as an independent performance evaluation.
  • Data preparation: The interview transcript was reviewed alongside nine pages of field notes.
  • Coding: A hybrid codebook was developed using established programme-evaluation domains and issues emerging from the interview. Each evidence unit could receive more than one code. Code counts presented in the appendix refer to evidence units rather than participants or relative importance.
  • Theme development: Codes were grouped into candidate themes, checked against the original timestamps and field notes, and revised to ensure that each theme had a clear organising idea, supporting evidence, and a practical monitoring and evaluation implication.

Scope and Interpretation

The findings reflect the implementation model as described by programme representatives during a single qualitative discussion. They offer useful insights into organisational processes and potential vulnerabilities but do not independently verify programme performance, service quality, or population-level outcomes.

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