Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW

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Timeframe 1987–ongoing; the current strategic plan runs from 2008 to 2012 Funders • Danish International Development Agency (DANIDA) • Irish Aid • The Republic of Uganda • Swedish International Development Cooperation Agency (Sida) • UK Department for International Development (DFID) • The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID) and the United States Centers for Disease Control and Prevention (CDC) Partner Organizations Implementation partners: • AIDS service organizations, including AIDS Information Center (AIC), Mildmay International Charity and UGANDA CARES • Civil society, including WFP, ACDI/VOCA, Heifer International, World Vision, FOCCAS Uganda, and Uganda Red Cross Society • Communities affected by HIV • Ministry of Health, Uganda • People living with HIV • Uganda AIDS Commission IMPLEMENTATION AND RESULTS Start-up and Implementation Process TASO was founded in 1987 by a group of people directly living with or affected by HIV who were unified by common experiences of stigma, ignorance and discrimination. The founders met informally in each other’s homes or offices to provide mutual psychological and social support, and voluntarily used their time and other resources to visit AIDS patients, carrying them to the hospital and sometimes providing basic material and counseling support. Currently, 11 TASO centers provide services, within center facilities and at outreach clinics and home visits. Four TASO regional centers provide oversight to the TASO service centers within the region and build the capacity of mini-TASOs, which provide services in districts beyond the main centers. Between the TASO centers and the mini-TASOs, the program works in 74 of Uganda’s 81 districts. Local Involvement/ Ownership Communities and the government recognize the benefits of the program and therefore are interested in and supportive of it. Stakeholders, including client representatives, participate in the strategic plan design. Clients are also part of TASO governance, with representatives on the Board of Trustees, the Regional Advisory Council and the Center Advisory Council. Clients who qualify to be counselors are given priority to participate in providing counseling services. Clients also provide feedback on the quality of services through client exit interviews conducted every quarter. Evaluation Methodology • Program reach: Service providers collect qualitative and quantitative data on program reach. Forms are computerized for entry of 172
quantitative data, which are then periodically analyzed as part of the TASO Management Information System. Qualitative data periodically are analyzed by staff to inform decision-making. • Service access: There are plans to evaluate services with the goal of increasing access and utilization, particularly regarding services addressing gender-based violence. Evaluation Results • Program reach: - TASO centers provided services to 90,000 people in 2007. - TASO centers provided counseling to 59,949 people (41,962 female and 17,987 male) in 2007. - TASO center drama groups conducted 928 performances reaching 239,884 people (101,444 female and 138,440 male) in center communities. - Mini-TASOs provided counseling to 115,142 people (79,983 female and 35,159 male). - From the 88 TASO supported-communities, community volunteers educated 370,458 people on HIV and AIDS (208,397 female and 162,061 male) and counseled 53,135 clients (20,748 female and 24,387 male). Data collected indicate the following: - Increasing numbers of new people are seeking services. - More women than men are seeking services (65 percent female and 35 percent male). - More than 60 percent of TASO clients are in discordant. partnerships, suggesting a need for greater emphasis on protecting HIV-negative partners. • Service access: This evaluation has not yet taken place. Replication and Scale-up Activities • TASO is subgranting to mini-TASOs to provide TASO-like services in different districts where TASO service centers are not available. • By building the capacity of communities to handle HIV and AIDS challenges through AIDS education and sensitization and training in basic HIV and AIDS counseling skills, TASO broadens its impact beyond services it can provide directly. LESSONS LEARNED AND CHALLENGES Key Findings and Lessons • Involving men has improved progress in some activities, including condom use, family planning, and PPTCT. Activities that have brought the most benefits include couples counseling, PPTCT, work with discordant couples and peer-to-peer education. • Couples counseling is more effective than individual counseling for addressing conflicts within a marriage. • Sensitizing cultural leaders, religious leaders and communities to address gender issues affecting the transmission of HIV creates more impact than working with individuals. • Addressing gender-based violence issues effectively requires a 173
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| AIDS AIDSTAR-One Support and Tech
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INTEGRATING MULTIPLE GENDER STRATEG
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CONTENTS Acronyms..................
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Mama’s Club Memory Book .........
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ACRONYMS AED AEMCI AIDS AMREF AOSCI
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ACKNOWLEDGEMENTS We would like to t
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EXECUTIVE SUMMARY The public health
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INTRODUCTION The public health and
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• Identify current, promising pro
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• Snowball sampling of gender and
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LIMITATIONS This compendium is limi
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program, and small-scale programs s
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Child Security Project in South Afr
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elated efforts. The Mozambique SSTO
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RECOMMENDATIONS 1. Programs should
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PROGRAM DESCRIPTIONS TARGETING AND
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transmission and explain how the pr
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Tel: + 267 319 1816 / Fax: + 267 31
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Sessions center around small group
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Supervision occurs on two levels: s
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issues. • Involve uniformed perso
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a new bridge to the health care sys
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and among working girls, 77 percent
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ETHIOPIAN RADIO SERIAL DRAMAS TO PR
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• Ministry of Health Evaluation p
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64 percent at baseline. • Ethiopi
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• Conduct a post-intervention sur
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promotes HIV prevention through pee
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Evaluation Methodology • Monitori
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ADDITIONAL INFORMATION Program Refe
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and produces materials in media tha
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During implementation, participants
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• Communities claim ownership of
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part of this strategy, Maanisha has
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the cultural practices and sexual b
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Langata Road, P.O Box 27691 - 00506
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developing memory books, scrapbooks
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• Quantitative data collection: D
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POST RAPE CARE LEAD ORGANIZATIONS:
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Funders • Trócaire • The U.S.
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Recommendations for Replication •
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seminars with invited guest speaker
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Local Involvement/ Ownership Commun
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ADDITIONAL INFORMATION Program Refe
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treatment of sexually transmitted i
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• National Survey on the Reproduc
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woman’s ability to negotiate and
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skills, human rights, and monitorin
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empowers them to make healthier cho
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Service on replication. TIOS is als
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WOMEN FIRST (MULHERES PRIMERO) LEAD
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Funders • Canadian International
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$45,000 $40,000 $35,000 $30,000 $25
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MALE NORMS INITIATIVE LEAD ORGANIZA
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IMPLEMENTATION AND RESULTS Start-up
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assistance is no longer necessary i
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collaboration with relevant governm
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involvement in protecting the right
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assertiveness, puberty and gender-b
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traditional practices, and knowledg
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POLYCLINIC OF HOPE CARE AND TREATME
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Partner Organizations Implementatio
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international workshop was convened
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THE FATHERHOOD AND CHILD SECURITY P
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• Community leaders including tra
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After the session, 100 percent beli
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KwaZulu-Natal and OR Tambo, Eastern
Page 136 and 137: Gender and HIV component (Sisters-f
Page 138 and 139: Evaluation Results • Cluster rand
Page 140 and 141: Rural South Africa: A Cluster Rando
Page 142 and 143: accompanied by djembe drumming. Onc
Page 144 and 145: staff intended for partner organiza
Page 146 and 147: ADDITIONAL INFORMATION Program Refe
Page 148 and 149: Young men also build knowledge arou
Page 150 and 151: • Project completion report: The
Page 154 and 155: character, Matlakala, is in an abus
Page 156 and 157: • The Presidency • Society For
Page 158 and 159: society stakeholders. • While eve
Page 160 and 161: 4. Contraception, conception and me
Page 162 and 163: IMPLEMENTATION AND RESULTS Start-up
Page 164 and 165: Challenges and Unforeseen Outcomes
Page 166 and 167: WOMEN’S HEALTH COOP, PRETORIA LEA
Page 168 and 169: female condoms to distribute in com
Page 172 and 173: to contraceptives (particularly con
Page 174 and 175: • Periodic household surveys: A b
Page 176 and 177: Resources Promises an Exciting Year
Page 178 and 179: stressed families in their home env
Page 180 and 181: generating activities and home visi
Page 182 and 183: LESSONS LEARNED AND CHALLENGES Key
Page 184 and 185: HIV & AIDS COUNSELING AND SERVICES
Page 188 and 189: multisectoral approach and that res
Page 190 and 191: Peer educators also aim to increase
Page 192 and 193: Challenges and Unforeseen Outcomes
Page 194 and 195: In collaboration with legal organiz
Page 196 and 197: Replication and Scale-up Activities
Page 198 and 199: THE SASA! ACTIVIST KIT FOR PREVENTI
Page 200 and 201: Timeframe 2008-ongoing Funders •
Page 202 and 203: • Engaging a cross-section of act
Page 204 and 205: CORRIDORS OF HOPE II LEAD ORGANIZAT
Page 206 and 207: Geographic Location Seven towns: Ka
Page 208 and 209: of HIV counseling and testing and t
Page 212 and 213: APPENDIX 1: ONLINE SEARCH PROCESS T
Page 214 and 215: APPENDIX 2: SURVEY INSTRUMENT BACKG
Page 216 and 217: 1.10 Does the project address incre
Page 218 and 219: Section 5: LESSONS LEARNED AND FEAS
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Page 222 and 223: Country Program Name Lead Organizat
Page 224 and 225: Gender Strategy Addressed Type of H
Page 226: AIDSTAR-One John Snow, Inc. 1616 No
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