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Anchoring Awareness in the Community - Handicap International

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Project goals<br />

General goal<br />

Contribute to reduc<strong>in</strong>g HIV/AIDS transmission<br />

and improv<strong>in</strong>g <strong>the</strong> quality of life of persons<br />

liv<strong>in</strong>g with HIV/AIDS <strong>in</strong> <strong>the</strong> northwest region of<br />

Somalia and <strong>the</strong> nor<strong>the</strong>ast region of Ethiopia.<br />

Specific goal<br />

Re<strong>in</strong>force HIV prevention and provide access<br />

to cont<strong>in</strong>ued, comprehensive treatment for<br />

persons liv<strong>in</strong>g with HIV <strong>in</strong> <strong>the</strong> neighborhood of<br />

<strong>the</strong> Hargeisa – Jijiga / Dire Dawa – Djibouti /<br />

Djibouti – Loggia corridors.<br />

Expected results<br />

1. Availability of and access to objective and<br />

culturally appropriate <strong>in</strong>formation for <strong>the</strong><br />

migratory and sedentary populations of <strong>the</strong><br />

target areas.<br />

2. Availability of voluntary counsel<strong>in</strong>g and<br />

test<strong>in</strong>g services <strong>in</strong> four secondary health<br />

structures and re<strong>in</strong>forcement of <strong>the</strong>se services<br />

<strong>in</strong> three reference centers.<br />

3. Improvement <strong>in</strong> and better performance of<br />

comprehensive care services, <strong>in</strong> particular<br />

treatment services, <strong>in</strong> <strong>the</strong> reference hospitals.<br />

4. Effective implementation of skill exchanges<br />

on <strong>the</strong> regional scale and promotion of<br />

experience capitalization.<br />

<strong>Handicap</strong> <strong>International</strong> is <strong>in</strong> charge of<br />

<strong>the</strong> implementation of <strong>the</strong> project <strong>in</strong> <strong>the</strong><br />

two countries: Ethiopia and Somaliland.<br />

The <strong>in</strong>tervention logic is ma<strong>in</strong>ly based on<br />

partnership through <strong>the</strong> coord<strong>in</strong>ation and<br />

re<strong>in</strong>forcement of local <strong>in</strong>itiatives.<br />

A STRONG AWARENESS COMPONENT<br />

At <strong>the</strong> different sites of project <strong>in</strong>tervention,<br />

development of awareness represented a<br />

fundamental aspect of <strong>the</strong> project, with its<br />

implementation entrusted to local partner<br />

associations.<br />

“House-to-house” awareness action<br />

In each community concerned, awareness<br />

was developed at different levels, <strong>in</strong> different<br />

contexts and through target<strong>in</strong>g different<br />

groups. First, a “house-to-house” awareness<br />

action, implemented daily, enabled contact<br />

with persons present <strong>in</strong> <strong>the</strong> home dur<strong>in</strong>g <strong>the</strong><br />

day, ma<strong>in</strong>ly women. This method consisted<br />

<strong>in</strong> mak<strong>in</strong>g <strong>the</strong> contact aware of <strong>the</strong> HIV/AIDS<br />

problem by provid<strong>in</strong>g <strong>in</strong>formation and creat<strong>in</strong>g<br />

a discussion on <strong>the</strong> topic with<strong>in</strong> <strong>the</strong> <strong>in</strong>timacy<br />

of <strong>the</strong> home. To do this, animator would make<br />

several visits to a home; dur<strong>in</strong>g <strong>the</strong>se visits, <strong>the</strong><br />

animator would talk about different subjects<br />

that enabled know<strong>in</strong>g <strong>the</strong> disease better<br />

and how to prevent it. At each <strong>in</strong>tervention<br />

site, a team of five animators was <strong>in</strong> charge<br />

of a daily program of awareness development<br />

throughout <strong>the</strong> three project years.<br />

Involv<strong>in</strong>g community leaders<br />

In parallel to this “house-to-house” program,<br />

extensive collaborative work with <strong>the</strong><br />

community was carried out to make <strong>the</strong><br />

project possible. Religious and community<br />

leaders were actively <strong>in</strong>volved <strong>in</strong> <strong>the</strong> project<br />

through <strong>the</strong> creation of “Project Advisory<br />

Committees” responsible for promot<strong>in</strong>g <strong>the</strong><br />

project with<strong>in</strong> <strong>the</strong> community, giv<strong>in</strong>g advice<br />

on project orientations and resolv<strong>in</strong>g <strong>the</strong><br />

conflicts encountered by <strong>the</strong> organizers.<br />

Without <strong>the</strong> support of <strong>the</strong>se leaders, project<br />

acceptation with<strong>in</strong> <strong>the</strong> community would have<br />

been difficult.<br />

Creat<strong>in</strong>g an environment<br />

of comprehensive awareness<br />

In addition to develop<strong>in</strong>g awareness <strong>in</strong><br />

8

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