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

• National Survey on the Reproductive Health and Sexual Behavior of
Young People and Adolescents (INJAD): This is a nationally
representative, population-based survey of youth ages 15–24 designed
to provide estimates at the national, regional, and provincial levels.
Baseline data were collected in 2001; a follow-up survey is proposed
for 2010. Data are collected on attitudes toward sexuality and gender;
reproductive history and maternal outcomes; and sexually transmitted
infections and HIV and AIDS-related knowledge, attitudes, and
behaviors.
• Management and Organizational Sustainability Tool (MOST):
Developed by Management Sciences for Health, this tool provides a
qualitative assessment of the effectiveness of program activities and
recommendations for improvement. It addresses, for example, strategic
planning and use of data for decision-making purposes. This tool is
used to assess the effectiveness of program management in each of
the three components: school-based program, out-of-school program
and youth-friendly sexual and reproductive health services.
• Focus groups (community-based or program-based): Conducted
biennially as part of the KAPB survey, focus group discussions identify
the range of attitudes and beliefs on relevant topic areas that are later
addressed in outreach materials. These are conducted to facilitate
materials development and evaluation, and can be used to explore the
perceived need for services, barriers to care, quality of care, and
program improvement ideas. This tool assesses all programmatic
activities: the school-based program, out-of-school program, and youthfriendly
sexual and reproductive health services.
• Recall studies for mass media activities: In these studies, a population
sample is selected and surveyed to assess if the media activity was
remembered and how well, if key messages were understood and
retained, and if any action was taken as a result of exposure. This is
used to assess all mass media programs.
Evaluation Results • Formative evaluation process: No results provided.
• Client exit interviews: Data currently are being analyzed using EPI
INFO and SPSS. A follow-up survey will be conducted by March 2009.
• KAPB survey: A steadily increasing proportion of respondents report
obtaining information about sexual and reproductive health from
activists (44 percent in 2003, compared to 66 percent in 2005 and
87 percent in 2007). Results show an inconsistent pattern over time
among respondents who agree with the statement that a woman who
carries a condom is interested in having sex (19.5 percent in 2003,
compared to 13 percent in 2005 and 18 percent in 2007).
• INJAD: Results are pending the follow-up survey in 2010.
• MOST: The implementers involved at the national and local level have
good information about the objective, mission, and values of the
program. Strategies, systems, and monitoring and evaluation are in
place. Results indicate that some areas for improvement include
logistics, human resource policies, and integration of the financial
procedures of the Mozambique government and those requested by
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