Enhancing Mobile Populations Access to HIV and AIDS Services Information and Support (EMPHASIS) Endline Report

CARE’s Enhancing Mobile Population’s Access to HIV/AIDS Services Information and Support program (EMPHASIS) is a 5 year program, which began in 2009, implemented in CARE Country offices in India, Nepal and Bangladesh. EMPHASIS aims to address cross-border mobility-related vulnerabilities focusing primarily on HIV and AIDS and gender programing for mobile and at-risk populations. EMPHASIS is funded by the Big Lottery Fund, UK.
The CARE EMPHASIS project team identified key project and outcome indicators to measure the success of the project. These indicators were drawn from the project log-frame; EMHPASIS specifically designed its interventions to achieve measurable progress across these indicators. The primary goal of the end-line survey activity was to collect the required data to measure the progress of these key project and outcome indicators longitudinally to the baseline data and between purposefully selected control populations at the end-line activity. [67 pages]

Enhancing Mobile Populations Access to HIV and AIDS Services Information and Support (EMPHASIS) Baseline

There are a growing number of people migrating between Bangladesh, Nepal and India. Mobility has long been linked with heightened vulnerability to HIV & AIDS. While overall HIV prevalence is low in Bangladesh and Nepal, there is a growing concern that vulnerable mobile populations are forming a bridge between high prevalence areas of India and low prevalence areas in Bangladesh and Nepal. Enhancing Mobile Populations’ Access to HIV & AIDS Services Information and Support (EMPHASIS) is a regional program being implemented by CARE Bangladesh, CARE India and CARE Nepal and led by CARE International UK (CIUK) to reduce AIDS related vulnerabilities among mobile populations crossing the borders of Bangladesh and Nepal into India. This 5-year (August 2009 – July 2014) program, is funded by the Big Lottery Fund (BIG) of United Kingdom. [57 pages] Read More...

HIV/AIDS Prevention Programme III (HAPP III) in Sierra Leone

The HIV/AIDS Prevention Program (HAPP) III implemented in Sierra Leone, supports the financing of social marketing activities for condoms and the Impact Mitigation Funds (IMF) aimed at mitigating the social impact of HIV/AIDS. The project focuses on the prevention of GBV including FGC; prevention of HIV/AIDS and unplanned pregnancies as well as the empowerment of girls and women.1 The overall goal of HAPP III is to contribute to improved sexual and reproductive health of Sierra Leone. The programme was implemented from June 2013 to July 2017 and granted a no-cost extension to March 2018. This was to make up for 18 months of programme implementation time lost during the outbreak of the Ebola Viral Disease from the 24th May 2014 through 17th March 2016.

The overall purpose of the HAPP III end phase evaluation is to measure improvements in SRHR outcomes (specifically decrease of risk contact of HIV, increased use of condoms by the 15-24 year old generation, reduced stigmatization against people living with HIV and ratio of mother’s age 25-49 years who do not intend their daughters to be subjected to FGC). [70 pages] Read More...

C-Change Endline Report: FP/HIV Integration through SBCC in Zambia

Between November 2009 and June 2011, the Academy for Educational Development (AED)1 partnered with CARE Zambia through the Communication for Social Change (C-Change) initiative to implement a project designed to explore the effects of social and behavior change communication on family planning uptake. The project aimed to increase family planning utilization and as well as address the underlying social norms that influence uptake of family planning services. The project had a particular goal of exploring the effect of these interventions on uptake of family planning among HIV-positive individuals.

The project was implemented in the Mwase Zonal Rural Health Center (Mwase RHC) catchment area in Lundazi District, Eastern Province, Zambia. Study participants included HIV-positive and HIV-negative men and women of reproductive age (18-50). Survey participants were selected from a sampling frame built from the Mwase RHC ART and VCT registers. [122 pages] Read More...

Zambia Prevention, Care & Treatment Partnership Project II Mid-Term

ZPCT II is a five-year, $124 million contract supporting Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) service delivery in six of Zambia’s ten provinces (Central, Copperbelt, Luapula, Muchinga, Northern, and North Western). To date, $82 million has been obligated into the award, spanning nine program areas. The five main objectives of ZPCT II are the following:
1. Expanding existing HIV/AIDS services and scaling up new services, as part of a comprehensive package that emphasizes prevention, strengthening the health system, and supporting the priorities of the Ministry of Health (MOH) and the National HIV/ AIDS/Sexually Transmitted Infection (STI)/ Tuberculosis (TB) Council (NAC).
2. Increasing the involvement and participation of partners and stakeholders to provide a comprehensive HIV/AIDS service package that emphasizes prevention, strengthens the health system, and supports the priorities of the MOH and the NAC.
3. Increasing the capacity of the Provincial Medical Offices (PMOs) and District Medical Offices (DMOs) to perform technical and program management functions.
4. Building and managing public-private partnerships (PPPs) to expand and strengthen HIV/AIDS service delivery, emphasizing prevention, in private sector health facilities.
5. Integrating service delivery and other activities, emphasizing prevention, at the national, provincial, district, facility, and community levels through joint planning with the GRZ, other United States Government (USG), and non-USG partners. [111 pages] Read More...

Stop TB and AIDS through RTTR (STAR): Program Report

The program goal is to end AIDS in Thailand by 2030 (reducing annual new infections to below 1,000 cases (from the current 8,134 estimated new infections annually)) and to reduce the prevalence of TB from 159 per 100,000 to 120 per 100,000 between 2015 and 2019. From 1 October 2016 to 30 September 2017, the program performed outstandingly over the target in three indicators of MSW, FSW and MW reached with HIV prevention program. The percentage of result over target reported at 115.58%, 120.40%, and 119.83% consecutively. Overachieving results of these indicators described as following:

i) For MSW, the program could exceed the reach target because SRs conducting BCC workshop in
bar. At the workshop, SR introduced knowledge and information of HIV prevention including HIV,
VCCT, STIs, TB, PrEP, and PEP. Condom and lubricant were made available for MSWs. SR MPLUS
targeted non-venue based MSW who work around the public park in Chiang Mai. The online
application was also used as a channel to reach non venue-based MSWs. The SRs conducted
face-to-face individual talk for the online-reached MSWs. HIV Testing Center (HTC) operated by
SRs could offer additional service of syphilis testing to MSWs.

ii) For FSW, the outstanding performance of resulting from the high season for tourism in Thailand.
SR SWING engaged with employers and organized outreach session in bar before FSWs started
working. The SR reached out to new FSW area in Surawong.

iii) For MW, SRs reached performance were access the target resulting from combination HIV-TB
service provided to migrants in community and at workplace. SR STM started engaging
employers of FSWs at the border of Songkhla. [20 pages] Read More...

Umodzi Project: Men, Women, Boys and Girls in Alliance to Achieve Gender Equality Endline Report

Umodzi Project: Men, Women, Boys and Girls in Alliance to Achieve Gender Equality, was a research project, whose aim was to test the effectiveness of adding gender conscious practice curriculum (GCP) and intergenerational dialogues on existing Auntie Stella life skills curriculum to accelerate and enhance adolescent life skills and sexual reproductive health programming. The project was implemented in Suza Zone. CARE Malawi, in collaboration with the Ministry of Education, Science and Technology (MoEST) at district level, had already been working in Suza and Linyangwa Zones to implement an enhanced life skills curriculum that was being implemented by public school teachers in two zones in Kasungu District. The initiative was supported by PCTFI under the CARE Malawi Adolescent Girls’ Empowerment (AGE) program.

Under the Umodzi project, the idea was to test the effectiveness of adding a gender conscious practice curriculum to the existing life skills curriculum. Therefore, the main activity that was implemented under the project was the delivery of a gender synchronized intervention through the Gender Conscious Practice (GCP) curriculum to the supplementary life skills curriculum that was delivered after school by trained teachers in Suza and Linyangwa Zones in Kasungu District. To enhance adoption of GCP, the project promoted intergenerational discussions through the Working with Men and Boys to Advance Gender Equality and SRH (WMB/SRH) manual targeting mostly older men, commonly called ‘Male Champions of gender’ that were recruited through the Pathways program.

This document is a report of findings of an end line evaluation of the Umodzi Project implemented in Suza Education Zone in Kasungu District in the Central Region of Malawi. Data collection and analysis for the end line evaluation took place in February 2018 while the report was compiled in March 2018. The end line evaluation was part of evaluation activities for the project, which were subcontracted to CDM to support learning. Read More...

ANCP CHIVI WASH Endline Survey Report

Care International in Zimbabwe, in partnership with Chivi Rural District Council (RDC) with funding from Care Australia has been implementing a WASH project termed; “Putting Women and Girls at the center of WASH and Health in Chivi district”. The funding which Care Australia availed to Care Zimbabwe was obtained from the Australian NGO Cooperative programme (ANCP) and other private and charitable organisations including Thank You. The project is hence commonly referred to as the ANCP Chivi WASH Project. The overall goal was to impact two categories of vulnerable women and children namely; (i) Rural and vulnerable girl children between the ages of 10-19 with limited choices and at high risk of early marriage, pregnancies and HIV and AIDS, and (ii) Poor rural women in female headed households unable to fully exercise their rights and residing in areas dependent on agricultural activities. [67 pages] Read More...

Improving Harm Reduction Program in Thailand: An Assessment of the STOP TB and AIDS Through RRTTR (STAR) Program

Thailand continues to experience significant health and social challenges associated with illicit drug use, including injection drug use. Rates of infectious diseases among people who inject drugs (PWID) in Thailand remain high, and access to evidence-based addiction treatments remain low. This is due in part to Thailand’s continued emphasis on drug law enforcement, and the adverse impacts such emphasis has on the delivery of essential healthcare to people who use drugs. At this time, Thailand is also experiencing a growth in non-injection amphetaminetype substance (ATS) use, which has created new challenges. [38 pages] Read More...

Assessment to improve the Harm Reduction Program

Since 2015, Raks Thai Foundation is the PR under the NFM. Under their Stop TB and AIDS through RRTTR (STAR) Programme, the Harm Reduction program is active in 12 provinces, providing 14 dropin centers (DICs), outreach activities, distribution of needles and syringes, information packages and condoms, referral to HIV and STI testing and treatment and other health services and referrals to Methadone maintenance treatment for PWIDs. The service providers are RTF with two DICs, O-Zone with 8 DICs, and Thai Drug Users Network (TDN) with 4 DICs. NSP is only available in the DICs and through outreach of these centers; the number of NSP has been reduced due to the close down of DICs and the termination of partnerships with local pharmacies under the NFM. The number of needles distributed per person per year is 144. According to program data from RTF, the Harm Reduction program is reaching about 7,000-9,000 PWID per year in the 12 provinces or around 16-20% of the national estimate of PWID in need of Harm Reduction services. [29 pages] Read More...

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