Standard economic models often emphasize inputs, outputs and an examination of the structures in order to conduct an economic performance evaluation. This study applies the Institutional and Development Framework (IAD) in the broader context of New Institutional Economics (NIE) in order to examine the transaction costs of delivering Community and Home Based Care and Support (CHBC) to HIV/AIDS sufferers. For purposes of unveiling the empirical reality guiding decision making processes in the CHBC service delivery, comparative qualitative research techniques of normative variable and concept formation have been adopted to draw out the relative institutional influences from the HIV/AIDS national response partnerships. The study identifies the conflict between the predominantly standardized and more rigid formal management techniques adopted by key members of the national response and the informal cultural techniques familiar to the rural communities, and a lack of motivational incentives in the CHBC structures as the key factors against CHBC capacities to draw external funding for service delivery. CHBCs are also weakened by incoherent governance structures at the district level for facilitation of funding and information flow exacerbating the community vulnerability. Rationalization of the institutional arrangements and a clarification of roles from district to community levels, a shift of focus to facilitation of informal techniques and an integration of performance enhancing incentives are the critical policy insights envisaged to spur CHBCs to work better.

Community-based organizations are considered as one of the major institutions involved in community development apart from the state and non-governmental organizations. The idea of local participation is the one that has resulted into their emergence as participation is considered to be an essential part of human growth. With the advent of democracy in 1994, and the coming in of the HIV and AIDS pandemic in Malawi, there has been a mushrooming of community-based organizations in the country. Now that its over fourteen years since their emergence in Malawi, its high time a study was conducted to establish contributions the community-based organizations are making in the development if the country, identify the challenges they are facing and find possible solutions that can help improve their effectiveness. This thesis presents findings of such a study done in Kasungu district in Malawi. / Development Studies / M.A. (Development Studies)

Community-based organizations are considered as one of the major institutions involved in community development apart from the state and non-governmental organizations. The idea of local participation is the one that has resulted into their emergence as participation is considered to be an essential part of human growth. With the advent of democracy in 1994, and the coming in of the HIV and AIDS pandemic in Malawi, there has been a mushrooming of community-based organizations in the country. Now that its over fourteen years since their emergence in Malawi, its high time a study was conducted to establish contributions the community-based organizations are making in the development if the country, identify the challenges they are facing and find possible solutions that can help improve their effectiveness. This thesis presents findings of such a study done in Kasungu district in Malawi. / Development Studies / M.A. (Development Studies)