Mid Term EVALUATION PLI II project - CARE International's ...

IBTCI – Mid-Term Performance Evaluation of the Pastoral Livelihoods Initiative Phase II (PLI II) - DRAFT
Maximizing project and policy impact through quality assessment, documentation and coordination: Despite
recent set-backs, an increasing number of policymakers in Ethiopia are beginning to recognize the
relevance and appropriateness of mobile livestock production systems in an age of global climate change.
The project documents lessons and engages with the Ethiopian government to develop appropriate
polices and guidelines to influence their practices.
IR 2.2: Supported Policy Initiatives to Strengthen Pastoral Lives and Livelihoods
Activities in support of this intermediate result are: Policy initiatives to recognize customary institutions
and land tenure systems; roll-out of Ministry of Agriculture and Rural Development’s (MoARD’s)
national animal health minimum standards and guidelines; and strengthening livestock marketing including
export/cross border trade.
PEPFAR wraparound and health activities
The problems of HIV/AIDS and basic health service provision in pastoral areas of Ethiopia are
exacerbated by the relatively lack of access to information, lack of service and high transaction costs of
delivering services to small, mobile populations in large areas with limited infrastructure. USAID/Ethiopia
designed HIV/AIDS and extended health activities under the PLI II project to improve access to health
information and service to pastoral communities through community groups, extension systems
established under the project and by the government and traditional institutions. The following are the
major health activities under the project
• Prevention of Mother to Child Transmission (PMTCT): to avert the vertical transmission of HIV
among HIV positive pregnant women and their new-borns, in the target areas through increasing
availability and utilization of core PMTCT and antiretroviral therapy to enhance safe delivery, breast
feeding and family planning practices,
• HIV/AIDS abstinence (HVAB): to encourage unmarried individuals to abstain from sexual activity as
the best and only certain way to protect themselves from exposure to HIV and other sexually
transmitted infections. Abstinence until marriage programs are particularly important for young
people, as approximately half of all new infections occur in the 15- to 24-year-old age group.
Delaying first sexual encounter can have a significant impact on the health and well-being of
adolescents and on the progress of the epidemic in communities.
• HIV/AIDS Other Prevention (HVOP): aimed at preventing HIV transmission including purchase and
promotion of condoms, STI management and messages to reduce risks of persons engaged in highrisk
behaviors. Efforts at prevention have focused primarily on changes in sexual behavior such as
the practice of abstinence and the use of condoms. Attempts to reduce intravenous drug use and to
discourage the sharing of needles led to a reduction in infection rates in some areas.
• HIV/AIDS Home Based care (HVHC): aimed at extending and optimizing quality of life for HIV
infected clients and their families throughout the continuum of illness through provision of clinical,
psychological, spiritual and social support services. This program focuses on social support. Social
support includes vocational training, income generating activities, social and legal protection and
training and support of care givers.
Maternal, Neo-natal and Child Health (MNCH)
The main objective of this intervention is to improve the health status of mothers and children in
targeted pastoral areas through improved practices of family planning and MNCH; decreased Harmful
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