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Ethiopia Behavioral Change interventions in MARPs. Meskele Lera Tsegay Legesse Florence Kondylis Tiruye Damtew Mengistu Kefale Tibebu Asfaw. Background.
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Ethiopia Behavioral Change interventions in MARPs Meskele Lera Tsegay Legesse Florence Kondylis Tiruye Damtew Mengistu Kefale Tibebu Asfaw
Background • The community conversation which is widely implemented in the country has resulted in increased uptake of services, particularly HCT and ART. • There are studies indicating increase in risky behavior
Intervention Target groups: Migrant workers (Construction Industries: Roads, housing, power plantations, agro industries) and people in the surrounding areas. • Unit of Intervention: Hotspots & surrounding communities • Planned Coverage: Nation wide, with multi-arm intervention
Intervention (1) Intervention: MARPs Community Conversation and Peer education Treatment Group I: sensitization, condom promotion and distribution, STI, peer to peer education, Treatment Group II: sensitization, condom promotion and distribution, STI, peer to peer education and, MARPs community conversation Controls: sensitization, condom promotion and distribution, STI
Questions “What interventions would lead to better behavioral change among MARPs and surrounding communities?”
Expected outcome • Increase in comprehensive knowledge • Reduction in multiple sexual partnership • Increase condom use • Increase uptake of HCT and STI services • Reduction in HIV Prevalence
Evaluation Design (1) • Mapping of MARPs & their surrounding population, • MARPs type and population size • Type & size of surrounding population • Identification of existing interventions • Design: randomized experimental design into treatment and control groups: • Intervention areas will be defined as hotspots & surrounding communities that lie within 5 kms radius of the identified hotspots.
Sample and Data • Sample • Treatment & control sites will be selected randomly based on: Mapping of MARPs and their surrounding population
Source of Data • MARPs Nation wide surveys (2009) • EDHS (2010) • BSS (2009) • Population based Sero-survey • Service reports • Baseline for the selected groups
Staffing Plan • National Evaluation Team will be established (HAPCO, MoH, EHNRI, CSA, Universities, EPHA, WHO, CDC, World Bank, UNAIDS, • National & international Consultants
Budget • Using existing resources from various sources • Integrating with the national plan