Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
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Supervision occurs on two levels: site supervisors trained by OHP visit<br />
each site monthly, <strong>and</strong> OHP staff <strong>and</strong> select liaison officers conduct<br />
quarterly supervision visits.<br />
Local Involvement/<br />
Ownership<br />
Communities are involved in project management at the central <strong>and</strong> local<br />
levels, <strong>and</strong> all program employees <strong>and</strong> members of target groups receive<br />
training in conducting program activities. Communities also identify trainers<br />
<strong>and</strong> peer educa<strong>to</strong>rs.<br />
Evaluation<br />
Methodology<br />
• Baseline survey: A qualitative <strong>and</strong> quantitative survey was conducted in<br />
the first quarter of 2008 <strong>to</strong> measure baseline key determinants of <strong>HIV</strong><br />
risk among uniformed personnel <strong>and</strong> their partners. A follow-up survey<br />
is expected in 2009.<br />
• Moni<strong>to</strong>ring data collection: Data on program activities are regularly<br />
collected through monthly <strong>and</strong> quarterly reports that measure the<br />
number of people trained, number of people reached by services, <strong>and</strong><br />
number of sites/centers delivering services.<br />
Evaluation Results • Baseline survey: The report on survey findings has not yet been<br />
released. Impact cannot be determined until a follow-up survey is<br />
conducted in 2009.<br />
• Moni<strong>to</strong>ring data collection:<br />
• 474,519 people were reached by program activities from Oc<strong>to</strong>ber<br />
2006 <strong>to</strong> March 2008 (390,727 men <strong>and</strong> 83,792 women).<br />
• As of June 2008, 25,961 people have participated in <strong>HIV</strong><br />
counseling <strong>and</strong> testing (15,452 men <strong>and</strong> 10,507 women).<br />
• More than 1,430 individuals have been trained <strong>to</strong> conduct<br />
education sessions on sexual <strong>and</strong> reproductive health.<br />
Replication <strong>and</strong><br />
Scale-up Activities<br />
• The program originally was limited <strong>to</strong> 40 sites. In the second year, it<br />
was scaled up <strong>to</strong> 50 sites.<br />
• The target group originally was military personnel, their partners, <strong>and</strong><br />
child soldiers. In the second year, the program was exp<strong>and</strong>ed <strong>to</strong> all<br />
uniformed personnel (police, cus<strong>to</strong>ms, water, <strong>and</strong> forests) <strong>and</strong> their<br />
partners <strong>and</strong> children. Child soldiers were demobilized <strong>and</strong> integrated<br />
back in<strong>to</strong> their families <strong>and</strong> communities. All services (prevention,<br />
counseling <strong>and</strong> testing, <strong>and</strong> palliative care) have progressively been<br />
exp<strong>and</strong>ed <strong>to</strong> all program sites.<br />
LESSONS LEARNED AND CHALLENGES<br />
Key Findings <strong>and</strong><br />
Lessons<br />
• Creating a liaison office with personnel designated by uniformed branch<br />
hierarchies promotes buy-in, better coordination across all levels, <strong>and</strong><br />
sustainability.<br />
• Commitment of the uniformed personnel hierarchy is crucial <strong>and</strong> can be<br />
facilitated by formal memor<strong>and</strong>ums of underst<strong>and</strong>ing.<br />
• Peer educa<strong>to</strong>rs should be selected based on distinct criteria <strong>and</strong> should<br />
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