How an AIDS NGO Survives:Based on the Dual Perspective of"Institutional Environment-Social Needs"
Most of the existing studies on AIDS Non-Governmental Organizations(NGOs)have emphasized the decline of NGOs in the process of transformation,neglecting the adjustment of some of the organizations'strategies in the new institutional environment and social needs.With the changes in the institutional environment and social needs,the AIDS NGO,Xiaoyao changed its organizational positioning and main work content in a timely manner,which enabled it to survive and develop in an era when a large number of similar organizations were shut down.Specifically,in the first stage,the main institutional environment faced by the AIDS NGOs was the international funding program and its relatively loose fund management system,which made the work of the AIDS NGOs more flexible.At that time,China's AIDS prevention and treatment system was not yet perfect,and the rights of people living with HIV were not guaranteed.Therefore,fighting stigma and improving the relevant system were the main social needs,and the main work of AIDS NGOs was to advocate for policies and provide reliable knowledge about AIDS to the community.In the second phase,with the improvement of the relevant systems,the withdrawal of international funding,and the changing situation of the AIDS epidemic,social organizations cooperated with the government and faced an institutional environment in which the state strengthened its funding and supervision of the organizations,and the government became the main source of resources for the organizations.With the improvement of the social environment and the popularization of free antiretroviral treatment,the expansion of testing,the early detection of infected persons,and access to accurate and privacy-guaranteed testing counseling and post-infection care services have become the main social needs,and at this time,the main content of the work of the AIDS NGOs has begun to shift towards the provision of services.
AIDS NGOinstitutional environmentsocial needssurvival strategies