Ryan White CARE Act and Collaborative Governance in South Florida James Korku Agbodzakey Nova Southeastern University H.W. Huizenga College of Business and Entrepreneurship
Background This study seeks to examine collaborative governance of HIV/AIDS Health Services Planning Councils as it relates to the Ryan White CARE Act in Broward and Palm Beach Counties of South Florida to ascertain how collaborative governance works in providing care and treatment to People With AIDS (PWAs) The Councils are responsible for making allocation priorities to fund various categories of services for target populations. The allocations include funds for Minority AIDS Initiative (MAI) geared toward addressing health concerns of minorities infected and affected by HIV/AIDS and to supplement Ryan White funds to meet various needs of PWAs
Methods The study uses interviews, surveys, observations, and document reviews to garner data from all relevant sources of the Councils and focuses on 2000-2006; 2009-2013 time periods. The collected data is subjected to integration of themes and concepts based on category analysis, and complemented by descriptive and multivariate analysis. The analysis highlights the similarities and differences between the Councils as it relates to the critical variables such as facilitative leadership, institutional design, system context, people/community; collaborative process variables such as shared understanding, commitment to process, communication, consensus, empowerment; allocation priorities in collaborative governance.
Results and Conclusion Furthermore, the analysis reveals representation and participation of target populations (HIV/AIDS infected and affected), service providers, non-elected community leaders and other relevant stakeholders i.e. the grantee, staff in decision making enable collective problem solving. The study broadens knowledge and understanding of collaborative governance in policy and administration contexts by accentuating how collaborative governance presents public managers the viable option to serve as advocates of various interests in society. The study's model highlights the nexus between legislation, efforts, outputs, outcomes, modification and reauthorization as essential for collective problem solving, particularly, as it relates to the fight against HIV/AIDS in the U.S.