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

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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- 39
sive opportunities existed for participation by food management committees in the settlementwide HIV/AIDS prevention effort through their community contact before, during and after distributions, and they asked to be brought into the process as partners. They proposed that food management committee members could actively participate in HIV/AIDS sensitization, dramas (led by community counselling aides) and home-based care visits. It was felt that food management committee members who were involved in some type of HIV/AIDS outreach activity would be better equipped to help target the GFD to vulnerable households affected by chronic illness (a group that is often difficult to reach), as a result of their improved understanding of HIV/AIDS and familiarity with illness-affected households. HIV/AIDS drumming and dance group, Kala Camp, Zambia 40 E. Mathys Kirkcaldy
Page 1 and 2: Integration of HIV/AIDS activities
Page 4 and 5: Contents Acknowledgements 5 Preface
Page 6 and 7: Acknowledgements The document was p
Page 8 and 9: Preface This document provides prac
Page 10 and 11: Executive Summary This document pro
Page 12 and 13: The integrated programme strategies
Page 14 and 15: Care and Support for HIV/AIDS-Affec
Page 16: Care and Support for HIV/AIDS-Affec
Page 19 and 20: to protect children’s welfare and
Page 21 and 22: The 2004 update however did not exp
Page 23 and 24: food and nutrition components into
Page 25 and 26: 24 • Humanitarian charter and min
Page 27 and 28: families have important needs for s
Page 29 and 30: 28 5. Avoidance of stigma and discr
Page 31 and 32: Table 1. Epidemiological and situat
Page 33 and 34: Household Food and Livelihood Secur
Page 35 and 36: Box 2. The integrated programme str
Page 37 and 38: 36 3. A monitoring and evaluation s
Page 39: e gender-balanced, may elect an HIV
Page 43 and 44: pants. SFP staff should be trained
Page 45 and 46: Therapeutic feeding programmes (TFP
Page 47 and 48: How would this integrated programme
Page 51 and 52: and vegetables, dairy products, mea
Page 53 and 54: In populations that are highly affe
Page 55 and 56: practical experience exists at pres
Page 57 and 58: 56 Programme-level indicators Popul
Page 67 and 68: agriculture and horticulture, anima
Page 69 and 70: Palorinya Settlement, Uganda. AAH h
Page 75 and 76: Both types of programme should idea
Page 77 and 78: In medical inpatient settings, part
Page 79 and 80: 78 Integrated Programme Strategy 14
Page 81 and 82: 80 Integrated Programme Strategy 15
Page 83 and 84: Refugee participants enrolled in an
Page 85 and 86: Everyone involved in HIV/AIDS preve
Page 87 and 88: Emphasis on participatory and commu
Page 89 and 90: HIV/AIDS prevention programmes must
Page 91 and 92:
expected to provide their services
Page 93 and 94:
workers and community counsellors -
Page 95 and 96:
Food and related resources are a po
Page 97:
ment. The group Madi AIDS Heroes As
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