Integration of HIV/AIDS activities with food and nutrition support in ...

How would this integrated programme strategy be monitored?
Monitoring and evaluation of this strategy should focus on changes in knowledge, attitudes and
behaviours related to HIV/AIDS, as well as changes in the incidence of HIV infection. Qualitative
research can explore perceptions of the programme among community and target groups.
Programme-level indicators Population-level indicators
Input/process Output Outcome Impact
• No. of IEC materials
developed/procured in
local language
of refugees for use
at GFD site (and % of
planned)
• No. of people/groups
trained and/or
supported to conduct
HIV/AIDS prevention/
IEC activities at GFD
site (and % of planned)
(could include
food management
committees, IEC
volunteers, etc.)
• % of general distribution
days accompanied by
HIV/AIDS prevention/
IEC activities (and no. of
activities conducted by
type of activity, before,
during and after GFDs)
• No. of condoms or
educational materials
distributed at GFD site
per month (and % of
planned)
• % of target population
reporting exposure to
HIV/AIDS prevention/ IEC
activities at GFD site per
month (and % of planned)
• % of people aged 15-24
who correctly identify
ways of preventing the
sexual transmission of
HIV and who reject major
misconceptions about HIV
transmission
• % of people aged 15-24
reporting the use of a
condom during sexual
intercourse with a nonregular
sexual partner
• % of people
aged 15-24
who are HIVinfected
• % of infants
who are HIVinfected
Experiences from the field…
Mwange Refugee Camp, Zambia. AIDS-related education at the GFD is limited to smallscale
sensitization by peer educators. During distribution, recipients wait in a designated area
organized by administrative sector (area of residence within the camp). It is estimated that about
7000 people attend the distribution per day, on 6 days each month. The Red Cross (ZRCS/
IFRC) and the Mwange Food Committee together suggested that HIV/AIDS prevention activities
could be implemented in the waiting area, including posters, pamphlets, videos, dramas and
songs. Activities targeted to ration recipients mostly reach women, who most frequently pick up
the ration. Activities conducted outside the waiting area reach more men and schoolchildren.
The NGO Right-To-Play, which conducts educational and recreational activities for refugee
children, was observed to be well placed to organize age-appropriate awareness-raising activities
for children at the distribution site, to try to avoid exposing children to messages felt to be more
appropriate for adults.
Kyangwali Refugee Settlement, Uganda. As part of an AAH-led GFD, one food management
committee was enthusiastic about incorporating HIV/AIDS sensitization into their distribution-related
activities. They requested training on the links between nutrition and HIV/AIDS,
since they had participated in only one related workshop in the past. They believed that exten-
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