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

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Sessions center around small group activities. Groups are determined by two criteria. The first is age, with groupings of 7- to 10-year-olds, 11- to 14- year-olds, and 15- to 24-year-olds. The communication messages are adapted according to age and sexual habits of the age group. The second criterion is by sex, with groups of only girls, only boys, or a mix of the two. The division between sexes allows the children to speak without inhibition. Members of the Epouses des Militaires de Côte d'Ivoire (AEMCI), a military wives association, are trained to conduct sessions with parents, particularly mothers, on how to discuss sexual and reproductive health issues with their children. Peer educators use information, education, and communication (IEC) materials and educational kits to cover issues such as mutual fidelity and other means of prevention such as correct and consistent condom use. Discussions around the fight against stigma and discrimination also occur. HIV mobile and fixed counseling and testing sites deliver services based on national norms. Clients are also referred to health centers, local associations, and nongovernmental organizations for palliative care services. Peer educators help ensure that uniformed service personnel and their families are aware of and use available services. Gender-related activities were planned for and included at the beginning of the program. OHP addresses gender equity by working with AEMCI to improve women’s abilities to negotiate condom use, to advocate for orphans and vulnerable children, and to advocate for the rights of women who test positive and are rejected by their spouses. In small-group peer education sessions, the program also seeks to improve knowledge of the link between HIV transmission and high-risk behaviors, such as genderbased violence. OHP also uses sessions to target male norms, such as the perception that infidelity among males is a proof of virility, as well as improve awareness of harmful masculine behaviors, such as crossgenerational sex, transactional sex, multiple concurrent partnerships, and substance abuse. Target Audience Uniformed personnel, their partners, and their children Level of Intervention • Individual • Family • Community • District • National Geographic Location Nationwide Timeframe October 2005–September 2009 Funders • The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Centers for Disease Control and Prevention (CDC) 24
Partner Organizations Implementation partners: • Côte d’Ivoire Ministries, including Ministry of Defense; Ministry of Interior Security; Ministry of Environment, Water Resources and Forests; Ministry of Public Health; Ministry of the Fight Against AIDS; Ministry of Transportation; Ministry of Tourism and Handicrafts • Network of Ivorian Associations Living with HIV (RIP+) • Caritas Côte d’Ivoire • Ivorian Agency for Social Marketing (AIMAS) • Espoir Fanci • Epouses des Militaires de Côte d'Ivoire (AEMCI) • Bouake Eveil • Lumière Action Korogho • ADA Man • Pompon Rouge • Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs (JHU/CCP) • Jhpiego • Family Health International (FHI) • Elizabeth Glaser Pediatric AIDS Foundation • Academy for Educational Development (AED) • International HIV/AIDS Alliance • ACONDA • HOPE worldwide Evaluation partners: • Cabinet de Consultants Associés C.Y. (CCACY) IMPLEMENTATION AND RESULTS Start-up and Implementation Process The support of unformed personnel hierarchies is essential for program work with this target population. Sites, including military camps, were selected in collaboration with the related Ministries and unformed personnel branches. OHP then worked with the branches to develop criteria for training participants. Senior military personnel identified liaison officers and site supervisors to plan and implement activities. Peer educators were identified and trained, and receive yearly refresher trainings from trained unformed personnel. Uniformed personnel as well as members of the Military Wives Association have been trained as trainers, and OHP’s national trainers are used when the unformed personnel trainers are unavailable. When a peer educator departs, a replacement is trained. Messages are evidence-based and appropriately targeted to address desired behavior change outcomes. Key partners, including the armed services and PEPFAR, have validated OHP’s monitoring and evaluation tools. Baseline and follow-up survey findings are conducted to ensure the program is maximizing resources and health impact. OHP partnered with local nongovernmental organizations to ensure provision of services that it cannot offer. For example, OHP provides information on antiretroviral treatment facilities in the area for HIV care and treatment. 25
Page 1 and 2: | AIDS AIDSTAR-One Support and Tech
Page 3 and 4: INTEGRATING MULTIPLE GENDER STRATEG
Page 5 and 6: CONTENTS Acronyms..................
Page 7 and 8: Mama’s Club Memory Book .........
Page 9 and 10: ACRONYMS AED AEMCI AIDS AMREF AOSCI
Page 11 and 12: ACKNOWLEDGEMENTS We would like to t
Page 13 and 14: EXECUTIVE SUMMARY The public health
Page 15 and 16: INTRODUCTION The public health and
Page 17 and 18: • Identify current, promising pro
Page 19 and 20: • Snowball sampling of gender and
Page 21: LIMITATIONS This compendium is limi
Page 24 and 25: program, and small-scale programs s
Page 26 and 27: Child Security Project in South Afr
Page 28 and 29: elated efforts. The Mozambique SSTO
Page 30 and 31: RECOMMENDATIONS 1. Programs should
Page 32 and 33: PROGRAM DESCRIPTIONS TARGETING AND
Page 34 and 35: transmission and explain how the pr
Page 36 and 37: Tel: + 267 319 1816 / Fax: + 267 31
Page 40 and 41: Supervision occurs on two levels: s
Page 42 and 43: issues. • Involve uniformed perso
Page 44 and 45: a new bridge to the health care sys
Page 46 and 47: and among working girls, 77 percent
Page 48 and 49: ETHIOPIAN RADIO SERIAL DRAMAS TO PR
Page 50 and 51: • Ministry of Health Evaluation p
Page 52 and 53: 64 percent at baseline. • Ethiopi
Page 54 and 55: • Conduct a post-intervention sur
Page 56 and 57: promotes HIV prevention through pee
Page 58 and 59: Evaluation Methodology • Monitori
Page 60 and 61: ADDITIONAL INFORMATION Program Refe
Page 62 and 63: and produces materials in media tha
Page 64 and 65: During implementation, participants
Page 66 and 67: • Communities claim ownership of
Page 68 and 69: part of this strategy, Maanisha has
Page 70 and 71: the cultural practices and sexual b
Page 72 and 73: Langata Road, P.O Box 27691 - 00506
Page 74 and 75: developing memory books, scrapbooks
Page 76 and 77: • Quantitative data collection: D
Page 78 and 79: POST RAPE CARE LEAD ORGANIZATIONS:
Page 80 and 81: Funders • Trócaire • The U.S.
Page 82 and 83: Recommendations for Replication •
Page 84 and 85: seminars with invited guest speaker
Page 86 and 87: Local Involvement/ Ownership Commun
Page 88 and 89:
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
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Gender and HIV component (Sisters-f
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Evaluation Results • Cluster rand
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Rural South Africa: A Cluster Rando
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accompanied by djembe drumming. Onc
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staff intended for partner organiza
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Young men also build knowledge arou
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• Project completion report: The
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character, Matlakala, is in an abus
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• The Presidency • Society For
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society stakeholders. • While eve
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4. Contraception, conception and me
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IMPLEMENTATION AND RESULTS Start-up
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Challenges and Unforeseen Outcomes
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WOMEN’S HEALTH COOP, PRETORIA LEA
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female condoms to distribute in com
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to contraceptives (particularly con
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• Periodic household surveys: A b
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Resources Promises an Exciting Year
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stressed families in their home env
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generating activities and home visi
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LESSONS LEARNED AND CHALLENGES Key
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HIV & AIDS COUNSELING AND SERVICES
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Timeframe 1987-ongoing; the current
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multisectoral approach and that res
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Peer educators also aim to increase
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Challenges and Unforeseen Outcomes
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In collaboration with legal organiz
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Replication and Scale-up Activities
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THE SASA! ACTIVIST KIT FOR PREVENTI
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Timeframe 2008-ongoing Funders •
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• Engaging a cross-section of act
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CORRIDORS OF HOPE II LEAD ORGANIZAT
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Geographic Location Seven towns: Ka
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of HIV counseling and testing and t
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APPENDIX 1: ONLINE SEARCH PROCESS T
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APPENDIX 2: SURVEY INSTRUMENT BACKG
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1.10 Does the project address incre
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Section 5: LESSONS LEARNED AND FEAS
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Country Program Name Lead Organizat
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Gender Strategy Addressed Type of H
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AIDSTAR-One John Snow, Inc. 1616 No
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