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HIV- vulnerability assessment for programmes MADAGASCAR

HIV- vulnerability assessment for programmes MADAGASCAR. CONTEXT. Madagascar is characterized by a low HIV prevalence Activities targeted at high risk vulnerable groups (prostitutes, MSM, marginalized youth ...).

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HIV- vulnerability assessment for programmes MADAGASCAR

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  1. HIV- vulnerability assessmentfor programmes MADAGASCAR

  2. CONTEXT • Madagascar is characterized by a low HIV prevalence • Activities targeted at high risk vulnerable groups (prostitutes, MSM, marginalized youth ...). • HIV /Aids Project focus on mots at risk population and offers technical support to the MS interventions

  3. CONSULTATION PROCESS AT COUNTRY LEVEL • MS Workshop • Develop pertinent, cost-effective and proven interventions • comply with the national HIV strategies of targeting high risk populations → study of the risk and vulnerability of ongoing activities → to review the ToR of the focal points accordingly

  4. DEFINITIONS • Risk: the probability of an individual becoming infected by either through his or her own actions, knowingly or not, or via another person’s actions ( IDU, unprocted sex with multiple partners) (*unaids) • Vulnerability: individual’s or community’s inability to control their risk of hiv infection (poverty, gender inequality, displacement,…) (*unaids) • A project is vulnerable if these conditions are completed : • the HIV epidemic threaten to undermine or reverse the project’s or the programme’s outputs, use of outputs or outcomes • this sector’s programmes/projects inadvertently contribute to the spread of the epidemic ( *Rapport de la Réunion du Réseau Francophone des Points Focaux VIH de la Coopération Allemande, Kigali, du 30 Mars au 2 Avril 2009, *)

  5. PROCESS • Questionaries relates to: • Does the HIV epidemic threaten to undermine or reverse the project’s or the programme’s outputs, use of outputs or outcomes? • Does this sector’s programmes/projects inadvertently contribute to the spread of the epidemic? • Interviews , 1 hour (CTP, responsible of projects, employee, partners), • Analyses: • no risk to activities of ¾ projects/ and no change the way of life of the employee • No contact with MARP • No desplacement (conflict, natural desasters,…) for the 3 projects • Two potential areas(Ambilobe, Ambanja): MARP are partners • HIV/aids project targeted MARP

  6. RESULTS • LITTLE VULNERABILITY AND RISK FOR THE PROJECTS • TWO POTENTIAL AREAS OF INTERVENTIONS EM (VULNERABLE GROUP) • ACTION PLAN NEEDS TO BE DEVELOPED

  7. ACTIONS • External Mainstreaming : limited to the identified areas of sectoral interventions • Internal Mainstreaming : no change, activities are developed as before. (integrated them: FP, STI, ..) • ToR of national HIV focal point was reviewed (5 to 10% of a full time job, person intergrated as a staff member of HIV/aids project)

  8. THANKS A LOT FOR YOUR ATTENTION

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