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

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quantitative data, which are then periodically analyzed as part of the<br />

TASO Management Information System. Qualitative data periodically<br />

are analyzed by staff <strong>to</strong> inform decision-making.<br />

• Service access: There are plans <strong>to</strong> evaluate services with the goal of<br />

increasing access <strong>and</strong> utilization, particularly regarding services<br />

addressing gender-based violence.<br />

Evaluation Results • Program reach:<br />

- TASO centers provided services <strong>to</strong> 90,000 people in 2007.<br />

- TASO centers provided counseling <strong>to</strong> 59,949 people (41,962<br />

female <strong>and</strong> 17,987 male) in 2007.<br />

- TASO center drama groups conducted 928 performances reaching<br />

239,884 people (101,444 female <strong>and</strong> 138,440 male) in center<br />

communities.<br />

- Mini-TASOs provided counseling <strong>to</strong> 115,142 people (79,983 female<br />

<strong>and</strong> 35,159 male).<br />

- From the 88 TASO supported-communities, community volunteers<br />

educated 370,458 people on <strong>HIV</strong> <strong>and</strong> AIDS (208,397 female <strong>and</strong><br />

162,061 male) <strong>and</strong> counseled 53,135 clients (20,748 female <strong>and</strong><br />

24,387 male).<br />

Data collected indicate the following:<br />

- Increasing numbers of new people are seeking services.<br />

- More women than men are seeking services (65 percent female<br />

<strong>and</strong> 35 percent male).<br />

- More than 60 percent of TASO clients are in discordant.<br />

partnerships, suggesting a need for greater emphasis on protecting<br />

<strong>HIV</strong>-negative partners.<br />

• Service access: This evaluation has not yet taken place.<br />

Replication <strong>and</strong><br />

Scale-up Activities<br />

• TASO is subgranting <strong>to</strong> mini-TASOs <strong>to</strong> provide TASO-like services in<br />

different districts where TASO service centers are not available.<br />

• By building the capacity of communities <strong>to</strong> h<strong>and</strong>le <strong>HIV</strong> <strong>and</strong> AIDS<br />

challenges through AIDS education <strong>and</strong> sensitization <strong>and</strong> training in<br />

basic <strong>HIV</strong> <strong>and</strong> AIDS counseling skills, TASO broadens its impact<br />

beyond services it can provide directly.<br />

LESSONS LEARNED AND CHALLENGES<br />

Key Findings <strong>and</strong><br />

Lessons<br />

• Involving men has improved progress in some activities, including<br />

condom use, family planning, <strong>and</strong> PPTCT. Activities that have brought<br />

the most benefits include couples counseling, PPTCT, work with<br />

discordant couples <strong>and</strong> peer-<strong>to</strong>-peer education.<br />

• Couples counseling is more effective than individual counseling for<br />

addressing conflicts within a marriage.<br />

• Sensitizing cultural leaders, religious leaders <strong>and</strong> communities <strong>to</strong><br />

address gender issues affecting the transmission of <strong>HIV</strong> creates more<br />

impact than working with individuals.<br />

• Addressing gender-based violence issues effectively requires a<br />

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