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The HAPA Support Program - usaid

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CARE/Rwanda<br />

Headquatters in New Yorlc, New York, and<br />

programs in 65 countries<br />

Overview<br />

<strong>The</strong> CARE/Rwanda <strong>HAPA</strong> grant was implemented in five rural communes in the Byumba<br />

district of Rwanda, a region approximately 100 km from the capital, Kigali. <strong>The</strong> project<br />

incorporated AIDS education and training activities into existing water and agroforestry<br />

development activities sponsored by CARE. Entitled the "AIDS Education and Training<br />

Pilot Project" (AETPP), the purpose of the project was to promote changes in attitudes and<br />

behavior to decrease personal risk of my infection and to help prevent the spread of<br />

HIV!AIDS.<br />

Counterpart<br />

<strong>The</strong> primary counterpart of the project was the National AIDS Control <strong>Program</strong> (NACP) in<br />

the Ministry of Health. <strong>The</strong> NACP worked closely with CARE in designing the project,<br />

training project personnel and in materials development. At the communal level, AETPP<br />

coordinated closely with the Bourgmestre and the Communal Center for Development and<br />

Permanent Training.<br />

Methods<br />

AETPP was one of the first rural liN!AIDS prevention projects to be implemented in<br />

Africa. <strong>The</strong> major activities during the start-up year included training project staff, carrying<br />

out the baseline KABP survey, conducting focus group discussions and developing<br />

educational materials. During four months of this initial period, significant delays in<br />

implementing project activities occurred due to rebel activity near the border between<br />

Rwanda and Uganda. In its second year, AETPP focused on community training and<br />

outreach education activities. Six CARE extensionists hired for the AIDS project received<br />

education in HIV/AIDS prevention and training techniques. AETPP's strategy was to use the<br />

CARE extensionists to train leaders of community groups to reach the population and serve<br />

as local resources on mvIAIDS prevention.<br />

<strong>The</strong> key activities planned by the project were: 1) to reach 30 percent of the adult<br />

population in the target area through general education and awareness raising about AIDS; 2)<br />

to train 36 community groups and 60 group leaders to design, implement and evaluate<br />

liN!AIDS education and training activities; 3) to develop flip charts and distribute 3,000<br />

brochures to the general population in the impact area; and 4) to disseminate lessons learned<br />

from the project through an AIDS Education in Africa workshop to be held for CARE<br />

personnel from several countries.<br />

Accomplishments<br />

Through the above activities, CARE/Rwanda successfully reached 25 percent of the target<br />

population directly with educational sessions and up to 72 percent through its educational<br />

materials on HIV/AIDS prevention. <strong>The</strong> survey results showed the proportion of<br />

55<br />

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