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Integrating GIS in HIV Program Monitoring. Presented by: Sheri Warren & Jeff Eisman. MET overview. Mobilizing, Equipping and Training 5-year PEPFAR funded grant in rural districts of 4 African countries TOT model Targets: 700K youth; 19K educators
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Integrating GIS in HIV Program Monitoring Presented by: Sheri Warren & Jeff Eisman
MET overview Mobilizing, Equipping and Training • 5-year PEPFAR funded grant in rural districts of 4 African countries • TOT model • Targets: 700K youth; 19K educators • Goal: help youth 15-24yo make healthy choices in regard to sexual practices, emphasizing abstinence and faithfulness
MET activities • Community mobilization • Stakeholders meetings • Community sensitization meetings • Staff development • Monitoring and Evaluation • Initial 5-day workshop • Commitments from the initial 5-day workshop • Advanced 5-day workshop
MET activities • Community conversations on sexual abuse and exploitation • Formation of Community Based Volunteer Teams (CBVT’s) • Commitments from the advanced workshop • First follow-up meeting • Final Networking/follow-up meeting
MET activities • Each catchment area is broken in to 6 supervisory areas • KAP surveys every six months • Utilizing the LQAS method • Separate married from unmarried Monitoring and Evaluation
Method Evaluations Evaluation One: M&E system was cited as a “promising practice for program development” and “continuous learning” by an independent group of auditors hired by USAID
Method Evaluations Evaluation Two: When evaluated by USAID technical officers a few months later they determined: “LQAS is an innovative and useful method to monitor overall community change in HIV/AIDS prevention behaviors. The model should be shared with other USG partners.”
Method Strengths Strengths: • Easy to implement in the field due to small sample size (19 HH surveys) • Data is useful for informed program management
Method Challenges Challenges: • Cannot draw conclusions across countries due to small sample size; limited to catchment area only • Measuring perception and self-reported data
MET indicators PEPFAR I: Strategic Objectives • Increase abstinence until marriage. • Increase secondary abstinence until marriage. • Increase fidelity in marriage/ monogamous relationships. • Increase avoidance of unhealthy sexual behaviors.
MET indicators LQAS Indicators • Increase HIV/AIDS knowledge Percent of youth (married and never married) who correctly identify ways of preventing sexual transmission, and reject major misconceptions about HIV transmission
MET indicators LQAS Indicators • HIV/AIDS accepting attitudes, stigma Percent who express accepting attitudes towards those living with HIV and AIDS
MET indicators LQAS Indicators • HIV/AIDS Behavior Change, Practices • Percent who believe they have the ability to refuse unwanted sex • Percent who perceive their friends having sex
Informed Program • Know: 21% to 82% • Tested: 14.7% to 28% • Gap remains between knowledge and action
Informed Program Why does the gap remain? What can we do to improve? • In 2008, we conducted a social desirability survey (SDS) to investigate the relationship between HIV testing uptake and HIV-related knowledge • The data collection has been completed and the survey results are currently being analyzed
Intro to Technology With all this success, why do we want to take it further? • Data entry: resources, time and accuracy • Mapping benefits for expanded learning • Data access and sharing
Conclusion “The quality of our work is the platform for our witness.” Ken Isaacs, VP for Samaritan’s Purse