HIV|AIDS
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...
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...
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...
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...
Support for HIV-Vulnerable Women in Rural Malawi: Economic Empowerment and HIV Prevention
Since January 2010, CARE Malawi has been implementing an HIV Prevention and Economic Empowerment Program with funding from Johnson & Johnson Foundation. The grant piloted and built on lessons that sought to reduce the risk of HIV infection and increase economic empowerment for 1310 women who were assessed to be at highest risk of HIV infection in the rural villages of Lilongwe District in Malawi. CARE hypothesized that integrating HIV prevention and economic empowerment would address economic vulnerabilities to HIV infection and support behavior change. The program was implemented in two phases or economic cycles as follows: (a) Pilot Phase (January to December 2011) covering villages in Traditional Authorities (TA) of Chitekwere, Kalumbu, and Mazengera. An interim evaluation was done in December 2011 at the end of this first economic cycle. (b) Followup Phase (January to December 2013) covering villages in two Traditional Authorities (TA Kalumbu, and TA Mazengera). In 2012 prior to the start of this Phase, the Program expanded to new areas or villages in the two Traditional Authories after dropping out TA Chitekwere’s area. This warranted conducting an Phase II Baseline Survey which was done in March 2013 to establish the situation at the start of the Folloup Phase. 1 Read More...
Mid-term Performance Evaluation of the “Continuum of Prevention, Care and Treatment (CoPCT) of HIV/AIDS with Most at-Risk Populations in Cameroon (CHAMP)” Project
The USAID/West Africa, Cameroon field office requested a mid-term performance evaluation in 2017 to determine which approaches are best contributing towards the USAID-funded “Continuum of Prevention, Care and Treatment (CoPCT) of HIV/AIDS with Most at-Risk Populations in Cameroon (CHAMP)” program’s purpose to “improve the Government’s and civil society technical capacity to implement evidence-based prevention, care and treatment services to key populations (KPs) in Cameroon,” and the extent to which this program purpose will likely be achieved at the end of the program in 2019. This Executive Summary presents highlights of the evaluation findings and summarized recommendations, followed by the full report which includes further detail.
Review of findings from this mid-term evaluation show that the USAID and PEPFAR-supported CHAMP program has made significant strides in expanding services to key populations in Cameroon over the life of the project to date, despite significant challenges and violence directed towards KPs. While CHAMP’s predecessor program, the USAID HIV/AIDS Prevention Program (HAPP), focused on the provision of prevention services from 2009-2013, CHAMP has since 2014 expanded services across the full cascade from HIV/AIDS prevention to treatment and retention. While HAPP had a relatively small budget under $1 million a year, CHAMP is an $18.5 million program over 5 years, with concurrent scale-up of key populations reached with prevention, testing, linkage to, and retention in treatment in Yaoundé, Douala, and Bamenda city clusters. The Global Fund and PEPFAR are the major donors for KPs in Cameroon and have worked closely to align and harmonize efforts and monitoring approaches, including a joint PEPFAR/Global Fund KP cascade assessment in 2016 that was organized through the LINKAGES project working through CHAMP.
Particularly notable advancements are the introduction of enhanced peer education and mobilization (EPEM) models for outreach and extensive microplanning used to identify new individuals and new networks beyond traditional peer to peer contacts for intensified case finding, and key populations living with HIV (KPLHIV) receive extensive support from peer navigators, counselors and linkage and retention agents in both community-based drop-in-centers (DICs) and in linked referral health facilities providing ART initiation and tertiary care. The drop-in center “one-stop shop” model now has added community based ART dispensation at the DIC, and there has been systematic engagement, collaborative training
and partnership between CHAMP and the Government of the Republic of Cameroon, other PEPFAR agencies including CDC and DOD, and the Global Fund, to reinforce the provision of improved quality services to KPs and to build capacity and coverage and data within the national program. Prevention efforts led by CHAMP and the Global Fund have contributed to a documented decline in HIV prevalence among female sex workers in Cameroon in recent years. Moreover, CHAMP’s research initiatives have produced high-quality data to document the KP epidemics in Cameroon, allowing for far more accurate measurement and tracking of results of prevention, care and treatment approaches. Read More...
Review of findings from this mid-term evaluation show that the USAID and PEPFAR-supported CHAMP program has made significant strides in expanding services to key populations in Cameroon over the life of the project to date, despite significant challenges and violence directed towards KPs. While CHAMP’s predecessor program, the USAID HIV/AIDS Prevention Program (HAPP), focused on the provision of prevention services from 2009-2013, CHAMP has since 2014 expanded services across the full cascade from HIV/AIDS prevention to treatment and retention. While HAPP had a relatively small budget under $1 million a year, CHAMP is an $18.5 million program over 5 years, with concurrent scale-up of key populations reached with prevention, testing, linkage to, and retention in treatment in Yaoundé, Douala, and Bamenda city clusters. The Global Fund and PEPFAR are the major donors for KPs in Cameroon and have worked closely to align and harmonize efforts and monitoring approaches, including a joint PEPFAR/Global Fund KP cascade assessment in 2016 that was organized through the LINKAGES project working through CHAMP.
Particularly notable advancements are the introduction of enhanced peer education and mobilization (EPEM) models for outreach and extensive microplanning used to identify new individuals and new networks beyond traditional peer to peer contacts for intensified case finding, and key populations living with HIV (KPLHIV) receive extensive support from peer navigators, counselors and linkage and retention agents in both community-based drop-in-centers (DICs) and in linked referral health facilities providing ART initiation and tertiary care. The drop-in center “one-stop shop” model now has added community based ART dispensation at the DIC, and there has been systematic engagement, collaborative training
and partnership between CHAMP and the Government of the Republic of Cameroon, other PEPFAR agencies including CDC and DOD, and the Global Fund, to reinforce the provision of improved quality services to KPs and to build capacity and coverage and data within the national program. Prevention efforts led by CHAMP and the Global Fund have contributed to a documented decline in HIV prevalence among female sex workers in Cameroon in recent years. Moreover, CHAMP’s research initiatives have produced high-quality data to document the KP epidemics in Cameroon, allowing for far more accurate measurement and tracking of results of prevention, care and treatment approaches. Read More...
Lift ii-drc final report-aug-2016
This 13 page report highlights the final report of CARE's work on Livelihoods and Food Security Tech... Read More...