Upload
others
View
9
Download
1
Embed Size (px)
Citation preview
Higher Education Institutions’ Partnership Sub-Forum against HIV/AIDS in Ethiopia
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
PREFACEThe Coordination Office of Higher Education Institutions’ (HEIs) Partnership Forum against HIV/AIDS in Ethiopia, together with FMOE, FHAPCO, strategic collaborators of the sectors, member HEIs, NGOs, donors, federal and regional sector institutions working in the field has finalized the preparation of this strategic plan for intensifying HIV/AIDS response at Higher Education Institutions in Ethiopia for the period 2013 - 2015. The document is an outcome from the National HIV/AIDS Policy, Education Sector HIV/ AIDS Response Policy and the HEIs Partnership Forum Policy Framework and Strategy.
The strategic plan is intended to provide guidance to strengthen the capacity, systems and structures of all Ethiopian HEIs to address the causes, challenges and consequences of HIV/AIDS. HEIs have social responsibility to prevent, mitigate and manage the effects of the HIV/AIDS epidemic through all aspects of their core operations of teaching, learning, research, and community engagement.
This strategic plan document will serve as source for the development of annual plans, prevention packages, communication strategies, as well as different intervention areas such as mainstreaming into education, training, and research and community service.
The strategic plan is divided into six parts. Part One gives a brief background of the HIV/AIDS epidemic in HEIs in Ethiopia. It also provides an environmental scan carried out through a SWOT analysis. The chapter briefly examines factors that could present challenges and opportunities in implementing AIDS related activities in HEIs. Part Two is a brief explanation which states the Vision,
i
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Mission, Goal, and the strategic objectives. Part Three stipulates the fundamental guiding principles on which this Plan is based. Part Four focuses on five major thematic areas, each incorporating objectives, strategies and activities. These thematic areas include enabling environment, prevention, treatment, care & support, research, and monitoring and evaluation. Part Five provides detail matrix for thematic areas. This part considers each strategic objective and the identified targets, strategies, activities, as well as performance indicators, verification sources and responsibility centers. Part Six presents issues pertaining to coordination and mobilization. It also highlights institutional arrangements for the execution of this plan.
ii
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
AcknowledgementsThe Ministry of Education (MOE), on behalf of the HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia, would like to take this occasion to express its deep appreciation and sincere thanks to all who participated in the development of this strategic plan. These include all member Universities, international and national institutions who contributed technical support in this participatory approach including drafting, advice, consultation and participation in numerous meetings and workshops.
The Ministry would also like to express sincere thanks and special appreciation to UNICEF for its financial and technical support.The Ministry is exceedingly indebted to acknowledge the unreserved commitment of FHAPCO, Ministry of Health, MOWYC, UNAIDS and COHRA in providing technical and financial support to the successful development of the strategic plan. MOE is grateful to the Executive Committee of the Forum, technical working group members from the HEIs and partners who have shown remarkable devotion in providing priceless expertise and time to the successful accomplishment in developing this document.
The Ministry is also grateful for the contributions of our partners, mainly NASTAD Ethiopia, ICAP Ethiopia, Pathfinder, UNESCO, NEP+, experts from FHAPCO for their gracious support in realizing the objective of developing this SPM. Last but not least, the Ministry also appreciates the National AIDS Resource Center (NARC) for the design works and other related technical supports it has provided for the successful completion of this Strategy document.
iii
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Acronyms:ART: Anti-retroviral therapyBCC: Behaviour Change CommunicationCDC: Centre of Disease ControlECSU : Ethiopian Civil Service UniversityFHAPCO: Federal HIV/AIDS Prevention and Control OfficeHEIs: Higher Education InstitutionsFMOE: Federal Ministry of EducationGBV: Gender-Based ViolenceGIPA: Greater Involvement of People Living with HIV/ AIDSHAPCO: HIV/AIDS Prevention and Control OfficeHCT: HIV Counseling and TestingHEIs PF: Higher Education Institutions Partnership ForumHIV/AIDS: Human Immuno deficiency Virus/ Acquired Immunity Deficiency SyndromeHLI: Higher Learning InstitutionICAP: Columbia University-Centre for International ProgrammeIGA: Income Generating ActivityIEC: Information Education CommunicationIGA: Income Generation ActivitiesIP: Infection PreventionKAP: Knowledge Attitude and PracticeM & E: Monitoring and EvaluationMOH: Ministry of HealthMoU: Memorandum of UnderstandingMOWCYA : Ministry of Women, Children and Youth AffairsNASTAD: National Alliance of States and Territorial AIDS Directors
iv
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
NGOs : Non-Governmental OrganizationsPEP: Policy, Epidemiology & Preventive UnitPLHIV: People Living With HIV/AIDSPSI: Population Services InternationalSLOT: Strength, Limitations, Opportunities and ThreatsSPM: Strategic Plan ManagementSRH: Sexual and Reproductive HealthSTIs: Sexual Transmitted InfectionsSWOT: Strength, Weakness, Opportunities, ThreatsTOT: Training of TrainersUN: United NationsUNAIDS: Joint UN Programme on HIV/AIDSUNESCO: United Nations Education, Scientific and Cultural OrganizationUNFPA: United Nations Fund for Population ActivitiesUNICEF: United Nations Children’s FundWHO: World Health Organization
v
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Table of Contents PagePREFACE ................................................................................... iAcknowledgements ..................................................................... iiiAcronyms .................................................................................... ivPart One: Introduction................................................................. 1Part Two: Vision, Mission, Goal and Strategic Objectives ..........11Part Three: Guiding Principles.....................................................12Part Four : Thematic Areas .......................................................164.1. Enabling Environment (including Strategic Management) ...164.1.1. Leadership and Governance ............................................164.1.2. Capacity Building ..............................................................174.1.3. Mainstreaming ..................................................................194.1.4. Partnership and Coordination ...........................................204.1.5. Community Involvement ...................................................204.2. Prevention............................................................................214.2.1. Behavioral HIV Prevention ...............................................224.2.2. Biomedical Prevention ......................................................234.2.3. Structural Prevention ........................................................254.3. Treatment, Care & Support ................................................. 274.4. Research ............................................................................ 294.5. Monitoring and Evaluation....................................................31Part Five: Detail Matrix for Thematic Areas ................................33Part Six: Coordination and Mobilization of Resources for the Implementation of the SPM .................................. 436.1. Coordination ....................................................................... 436.2. Resource Mobilization .........................................................466.3. Sources of Funding..............................................................49REFERENCES
vi
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Part One: Introduction1.1. Background
The emergence of HIV epidemic is one of the most serious public health and socio-economic development challenges in recent history. Since its emergence, HIV has spread fast and wide impacting all sectors of society. According to Global AIDS progress report 2011, more than 30 million people died from AIDS and an estimated 33 million people are living with HIV. Furthermore, more than 16 million children have been orphaned because of AIDS. The epidemic continues unabated with over 7,000 new HIV infections occurring every day, mostly among people in low- and middle-income countries. What is even worrisome is that only less than half of the people living with HIV are believed to be aware of their infection: the majority unaware of their status and thus fuelling further spread of HIV infection (UNAIDS 2011).
Sub-Saharan Africa is at the epicenter of the epidemic and continues to carry the full brunt of its health and socioeconomic impact. This sub-continent continues to bear the highest share of the global HIV burden. According to the 2011 Global AIDS report, in mid-2010, about 68% of all people living with HIV resided in sub-Saharan Africa, a region with only 12% of the global population. Nearly 2 million people who became newly infected with HIV in 2010 live in sub- Saharan Africa representing 70% of all the people who acquired HIV infection globally. In Ethiopia, since the first AIDS hospital cases were reported in mid-1980s, HIV spread rapidly, peaked in mid 1990s and started to decline in major urban areas since 2000, while stabilizing in rural settings with emerging hot spots in small rural towns. According to mathematical modeling
1
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
estimates there are nearly 800,000 people currently living with HIV/AIDS (612,200 adults and 168,000 children aged 0-14 years), and 1.2 million AIDS orphans (EPP/Spectrum estimates) (HAPCO, 2012).
Soon after the first AIDS hospital cases were confirmed in mid 1980’s, a national task force was formed, and then the department of AIDS was established under the Ministry of Health. In 1998 the government issued the national HIV/AIDS policy. The main objectives of the policy are to encourage government sectors, non-governmental organizations, private sectors and communities to take measures in order to alleviate the social and economic impact of HIV/AIDS and to promote proper care and support for people living with HIV /AIDS and orphans. Additionally, the policy underscores the need to empower women, the youth and other vulnerable groups to take action to protect themselves against HIV/AIDS (FDRE MOH, 1998).
In 2002, The Federal HIV/AIDS Prevention and Control Office (FHAPCO) was established with mandates to coordinate and guide implementation of the national HIV/AIDS policy. The Federal HAPCO took a leading role in organizing the National HIV/ADS Council, National and Regional HIV/AIDS Secretariats and Advisory Boards, and the National Partnership and Donors’ Forum against HIV/AIDS (HAPCO, 2008). In 2009, the Federal Government endorsed the Education Sector Policy on HIV/AIDS which among others underlines the need for mainstreaming and integration of HIV response to the sector. To facilitate implementation of the policy, strategies and guidelines were developed.
2
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Furthermore, the first national five-year strategic plan (SPM I) was implemented from 2004-2008 (HAPCO, 2004). In 2011, the second five year strategic plan (SPM II 2010/11-2014/15) was developed. The SPM II has five thematic areas: creating an enabling environment; intensifying HIV prevention; increasing access to and improving quality of chronic care and treatment; intensifying mitigation efforts against the epidemic; and strengthening the generation and utilization of strategic information (HAPCO, 2010). Moreover, a road map for implementation of SPM II was finalized, manuals on a minimum service package for orphans and vulnerable children, for most at risk populations, on HIV/AIDS mainstreaming, and on partnership, and a framework for behavioral communication were developed (HAPCO, 2010).
The above efforts indicate the different strategies employed to curb the spread of the virus. It is believed that through targeting different sectors in a coordinated way, we can curtail the spread of HIV/AIDS. This strategic plan is envisioned to involve Ethiopian HEIs in the fight against this epidemic. Thus, the need to have a synopsis of HEIs in Ethiopia.
1.2. Higher Education Institutions and HIV/AIDS: Overview
HEIs in Ethiopia comprise of both public and private institutions of higher learning which are authorized to provide under and post graduate programs with mandates of issuance of diplomas and degrees. These institutions are the sole competent institutions or structure, responsible for producing highly qualified, motivated and innovative, equipped with modern managerial, technical, research
3
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
and leadership capabilities, human resources and producing and transferring advanced and relevant knowledge for socio-economic development and poverty reduction with a view to turning Ethiopia into a middle-income country by the year 2025. To this end, the government has made tremendous efforts to open new and to expand the existing institutions with necessary human power and other inputs.
Since the downfall of the military regime in 1993, the number of universities in Ethiopia has increased from one to thirty two public universities and more than 50 private higher education institutions which have been accredited within the planning period. Not only have the number of universities increased, the total number of enrolment, academic staff as well as the number of programs offered has also expanded tremendously. As a result, the overall enrolments as well as the intake capacity of the higher education institutions significantly increased. Thus, the overall enrolments have increased from 264,033 (female 53,577) to 467,844 (female 123,706) in 2006/07 and 2010/11, respectively; of which 79,314 are enrolled in non-government institutions and this accounts 17.3% of the total enrollment. This shows that the private higher institutions have an observable contribution to the education sector. Besides, 447,693 (95.7%) of the enrolments comprise the undergraduate program. The academic staff has also significantly increased from 8,355 in 2006 to 17,402 in 2011 (FMOE, 2011).
Education sector is among those affected by the emergence of HIV/AIDS. The epidemic has led to illness and death among staff and students. Education is also at the center of HIV/AIDS response. Underscoring this link, the education sector policy and strategy on HIV/AIDS spells out that HIV/AIDs not only affects quality of
4
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
education but it also reduces the number of teachers and other staff and diverts resources in the sector. With this respect, studies show that universities are high risk institutions for the transmission of HIV/AIDS for several reasons, including behavioral, social and economic factors (FMOE, 2009).
Realizing these facts, institutions of higher learning in Ethiopia, under the auspices of the Ministry of Education and leadership from Federal HAPCO, established HEIs Partnership Forum against HIV/AIDS in Ethiopia. A Memorandum of Understanding (MoU) was signed in November 2010 (HEIs PF, 2010). The forum has opened dedicated coordination office in Addis Ababa to work closely together to create an environment that enables the promotion of information sharing, joint planning, undertake basic preventive and curative research on HIV/AIDS, implementation and promoting supportive supervision, monitoring and technically assisting HEIs response related to HIV/AIDS/SRH interventions among forum member HEIs in Ethiopia in collaboration with MOE, FHAPCO, strategic partners in the field.
1.3. Situational and HIV/AIDS Response Analysis
The distribution of HIV varies among different population groups due to socio-demographic, awareness, behavioral, and other fac-tors. Available data indicate that sero-discordant couples, sex workers, men in uniformed services, long-distance truckers, mo-bile workers, cross-border populations, street children, and out-of-school youth are among most-at-risk populations. Other emerging at-risk-groups are high school and college students – in particular
5
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
girls - who often are engaged in trans-generational sexual net-works with older men in return for money and gifts (Mekonen & Demisie, 2010). However, the size and distribution of these emerg-ing at-risk- groups, their sexual networks and bridging populations remain largely unknown, making determinations of the epidemic scope in these groups largely speculative. Nevertheless, various studies and/or reports indicate that 50% of all new HIV infections are among young people 15 and 24 years of age, out of which two third of newly infected young people age 15-19 years in Sub-Saharan Africa are female (Amare, 2009; http://www.unfpa.org/hiv/people.htm).
In the context of Ethiopia, about 35% of the total populations are young people in the age bracket of 10-24 years. The majority of students in higher education institutions’ are youth, between age18 and 24 years. Studies have shown that young people have high risk taking behaviors including as a result of peer pressure, igno-rance and lack of access to preventive services. A review of re-search work among in-school-youth and out-of-school-youth docu-mented that 49.7% were sexually active; and more than half of these (53.3%) reported two or more sexual partners . Similarly, a study among high school students in northwest Ethiopia reveals that while most are well informed about the major modes of HIV transmission, 39% reported having unprotected sex (sex without condom); and 43.3% of sexually active students had more than one sexual partner (Mitikie &Tamru ,2007).
The situation among students in higher learning institutions is related to their high school counterparts. A study among Addis Ababa University students revealed that 34.2% respondents were sexually active during the survey. Of these, 23.8% had sexual
6
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
intercourse with their partner or someone in the last 6 months. Consistent to the risk factors in high school students; the study also identified watching pornographic films; drinking alcohol, chewing khat (a mild stimulant locally grown green leaf), and cigarette smoking were associated with risk taking behavior. Similarly, unpublished data from a 2010 study conducted in five public higher education institutions has indicated the existence of risk factors for acquiring HIV. For instance, ever use of substance was reported by about quarter, 25.8% (1504/5824), of the students with almost similar proportion across the universities, more than a quarter of the students in the five universities, 1702 (29.71%), ever had sexual intercourse. Out of those who were sexually active in the last 12 months, 281 (31.0%) had sexual intercourse with more than one sexual partner and 207 (26.6%) had sex without condom (Regassa & Kedir, 2011).
These findings show that higher education students are vulnerable to HIV and related reproductive health problems. Moreover, certain aspects of social life place members of tertiary and higher education institutions at risk of contracting HIV. Enhanced personal freedom coupled with the attractions and pressures of life in tertiary and higher education institutions is a recipe for sexual activity and experimentation. Even though there is no nationally representative of HIV/AIDs survey among populations of higher learning, it is plausible to speculate vulnerability to HIV.
Cognizant of these factors and the risk posed to students of HEIs, the government and HEIs have initiated response actions. The education sector policy on HIV was endorsed, HEIs Partnership Forum against HIV/AIDS in Ethiopia was established; and MOU was signed among member HEIs. Several universities have
7
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
developed institutional HIV/AIDS policy aligned to national sectoral & sub-forum’s policy & strategy framework, established dedicated office for coordination of response, and allocated resources. However, it is clear that these responses are far from adequate considering the magnitude of the problem. Hence, this strategic plan is formulated to enhance the above responses and address the existing gaps identified (vide Table 1). The proposed strategic document aims to provide guidance, decision making and strategic direction for AIDS response in HEIs within the overall scope of the SPM II and its road map.
This SPM will be implemented for the coming three years essen-tially through spearheading or coordination and facilitation of HEIs Partnership Coordination office and in harmony with FMOE, FHAP-CO, strategic collaborators of the sectors, member HEIs, NGOs, donors, federal and regional sector institutions working in the field.
8
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Strength WeaknessEstablishment of HEIs Partnership sub forum Inadequate mainstreaming into curriculum,
research & training programsEndorsement of HEIs Partnership sub forum’s policy and strategy framework.
Activities poorly guided by evidence & poor communication system
Presence of focal persons and offices in the majority of HEIs
HIV/AIDS and/or SRH services not user-friendly & not integrated
Presence of ICT service. Inadequate leadership commitment and lim-ited implementation capacity
Presence of institutional HIV/AIDS policies in some HEIs
Absence of workplace policy in most of HEIsLack of inclusion of HIV/AIDS issues in the legislation & senate representation in many HEIs
Active involvement of students in HIV/AIDS intervention
Poor coordination with partners & commu-nity outreach servicesPoorly addressed gender inequalities & GBV
Initiation toward working with potential part-ners
limited resources (human and material)Lack earmarking up to 2% budget allocation for mainstreaming
Presence of highly qualified and diversified professionals
Poor contextualization and standardization of interventionsPoor monitoring and evaluationAbsence of AIDS fund and adequately allo-cated budget
Opportunity ThreatsPresence of international and national con-cern.Presence of university community in localized areas and easy accessibilityPresence of Information Technology
Misuse of internet technology
Immense effects on the productive work force and the youth
Appreciation of the problem by external stake-holders and the community.
Incurability of the HIV AIDS
Presence of partners working on HIV/AIDS & other national forums
Influence of surrounding environment (night clubs, khat, shisha houses, pimpers, etc)
Presence of national policies, guidelines, pro-grams and decentralized structure.High level of awareness about HIV/AIDS/SRH
Socio-economic differentials of target com-munity
9
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Scope and Application This SPM embodies the HEIs, their community and surrounding communities geared towards their commitment to effectively re-spond to the pandemic in a socially responsible and institutionally effective manner. It will be applied in all the communities of private and public HEIs and the surrounding communities.Thematic areas were identified following a thorough analysis of the HIV/AIDS response undertaken by HEIs. These include:
• Creating enabling environment• Intensifying HIV prevention• Strengthening Treatment, Care and Support service
to mitigate impacts of the epidemic.• Strengthening the generation of strategic information
through research• Monitoring and evaluation.
10
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Part Two: Vision, Mission, Goal and Strategic Objectives
Vision
To see Higher education Institutions free of HIV/AIDS and thereby contribute to the national vision of seeing HIV/AIDS free Ethiopia
Mission
Help harness effectively the efforts and resources of HEIs in combating HIV/AIDS among their communities as well as the society at large.
Goal
To prevent and control the spread of the HIV/AIDS virus and mitigate its impact among the HEIs population and the community through enhanced services, capacity and improved system.
Strategic Objective
To create conducive environment for reducing rate of new infection, mitigating impact of the epidemic and generation and utilization of strategic information.
11
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Part Three: Guiding Principles The fundamental guiding principles of this SPM are:
• Sense of Urgency: Education is considered as a ‘social vaccine’ while targeted information and communication are instrumental for achieving the desired attitude and behaviour change, reduction of risks and vulnerabilities as well as mitigation of the impact of the epidemic. The HEIs must, therefore, act immediately, conceptualizing the multi-dimensional nature of HIV/AIDS responses as a matter of urgency.
• Commitment, Ownership and Sustainability: HEIs communities should ensure that HIV/AIDS become a prime focus area in teaching, research, training and community involvement services and spearhead the overall HIV/AIDS management with a sense of fostering institutional ownership, commitment and sustainability through advocacy, effective communication, and allocation of adequate resources at all level of their core business.
• Partnership and Multi-sectoral Approach: Given the complex and multi-dimensional nature of HIV/ AIDS, HEIs should work in harmony and partnership with core ministries, community based organizations, private sector, nongovernmental organizations, religious organizations, PLHIV and other collaborators. Multi-sectoral approach of strategic partnership effort has to be fine-tuned with the legal and local contexts of the HEIs and partners with a view to ensuring synergy for effective implementation of this policy framework.
12
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Human Rights: The policy framework emanated from the general principles and perspectives of human rights in light of HIV/AIDS prevention and control. In the spirit of descent work and respect for human right and dignity of HIV positive or affected person by HIV/AIDS, there should be no discrimination on the basis of real or perceived HIV status.
• Efficient utilization of resources: HEIs shall recognize that there is an increasing realization that there are multitude of possible interventions that can be pursued in reducing risks and vulnerabilities averting the spread of HIV and mitigating the impacts on HEIs and the community at large. The application of this policy framework shall be fine-tuned with measuring the performances of HIV/AIDS responses of all public and private HEIs with the focus of innovative, effective and efficient use of resources
• Harmonization and Mainstreaming: Considering the risks and/or vulnerabilities and the impact of the epidemic on HEIs and overall growth and transformation plan of Ethiopia to realize sustainable development, this policy framework fosters effective mainstreaming of HIV/AIDS interventions into everyday core businesses of all HEIs. The policy framework critically emphasizes on the importance of standard and comprehensive HIV/AIDS responses into all aspects of work, participatory planning, allocation of adequate budget and human resources, innovative and result-oriented implementation,
13
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
systematic monitoring and evaluation. All HEIs shall ensure that the HIV/AIDS related transformational planning, implementation and monitoring should be well coordinated, standardized and harmonized to related national policies and strategies.
• Gender Sensitivity and Responsiveness: It is well known that HIV/AIDS affects and has different impacts on men and women due to biological, economic and socio-cultural factors. All key thematic areas of this SPM will consider and be applied with respect to the different risks and vulnerabilities of both genders.
• Holistic Wellness Approaches: Beyond the development and maintenance of key partnerships, supporting more comprehensive broader issues of sexual health as a key element of health and wellness for the targeted population requires clear and consistent communication. This will provide an opportunity to work together to advance a public health approach to sexual health that includes HIV prevention as one component and helps to prevent HIV/AIDS related co-morbidities.
• Evidence-Based Interventions: All HEIs shall proactively develop evidence-based strategies, knowledge transfer practices that take the implementation of key focus areas into account with due attention to continuous learning and research contexts.
14
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Greater Involvement of People Living with HIV (GIPA): Greater involvement of people living with HIV should be ensured in all programs of HIV/AIDS prevention and control at all levels.
• Addressing the special HIV/AIDS related needs of people with disabilities.
15
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Part Four : - Thematic areas
4.1. Enabling Environment (Including Strategic Management)
This thematic area emphasizes on leadership, capacity building, mainstreaming, partnership and community involvement, which are crucial elements for creating enabling environment to intensify comprehensive HIV/AIDS response in HEIs.
General objective: - To create a conducive environment for scaled up and comprehensive HIV/AIDS response in HEIs.
4.1.1. Leadership and Governance
Specific objective: To ensure responsiveness and accountability in the leadership and governance of HIV/AIDS response in the HEIs of Ethiopia.
Strategies:
1. Build the capacity of the leadership and governing bodies at various levels of HEIs.
Interventions:• Provide training on HIV/AIDS strategic leadership for
HEIs governing bodies• Conduct experience sharing visit for good
governance on HIV/AIDS• Scale up and document the best practices of the
HEIs
16
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Conduct sub forum review meetings• Conduct general assembly meetings
2. Avail updated information on HIV/AIDS situation and response to leadership and governance of the HEIs.
Intervention:• Disseminate performance reports on the epidemic
and responses in HEIs
3. Ensure the inclusion of HIV/AIDS programs and budget in the institutions’ plan.
Interventions:• Prepare HIV/AIDS plan with the HEIs strategic/
operational plan• Allocate budget for HIV program in HEIs
4. Ensure the development of HIV/AIDS work place policy.
Intervention: • Develop/amend, and endorse HIV/AIDS work place
policy in HEIs
4.1.2. Capacity Building
Specific objective: To build the capacity of the institution for the implementation of HIV/AIDS programs.
17
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Strategies:
1. Strengthen the capacity of HIV/AIDS program coordinators.
Interventions:• Establish/strengthen HIV/AIDS program coordinating
office in HEIs• Provide training for coordinators of the HIV/AIDS
program in HEIs• Empower HIV/AIDS program coordinators in HEIs• Establish/strengthen the capacity of anti-AIDS clubs
in the institutions
2. Equip the HIV/AIDS program coordinating office and service provision centers of HEIs.
Interventions:• Capacitate the coordinating office with necessary
human and material resource• Establish/strengthen mini media and AIDS Resource
centers• Establish/strengthen standardized health facilities in
HEIs
18
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
4.1.3. Mainstreaming
Specific objective: To enhance and sustain the HIV/AIDS response in the HEIs.
Strategies:
1. Strengthen the ownership of HIV and AIDS programs in HEIs.
Interventions:• Implement M and E manual in HEIs• Include the HIV/AIDS programs in the HEIs’ core and
support business
2. Ensure the mainstreaming of HIV/AIDS issues into the existing curriculum.
Interventions: • Conduct training on curriculum designing or
integration• Develop course curriculum and syllabus • Develop standardized stand alone course on HIV/
AIDS• Integrate HIV/AIDS in the existing curriculum• Provide comprehensive training on HIV/AIDS for
academic staff
19
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
4.1.4. Partnership and coordination
Specific Objective: Enhance partnership and collaboration to avoid duplication of effort and maximize effectiveness.
Strategies:
1. Ensure the existence of joint planning among HEIs and partners.
Interventions: • Strengthen the HEIs Partnership Forum• Facilitate experience sharing among HEIs and
concerned bodies • Conduct joint operational plan development with
stakeholders• Sign MOU with concerned parties
4.1.5. Community Involvement
Specific objectives: To strengthen collaboration between the community of HEIs and the external community.
Strategies:
1. Scale up involvement of the surrounding community on HIV/AIDS responses.
20
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Intervention:• Conduct community sensitization workshop• Establish joint committee comprising of members
from the surrounding. community and the HEIs
4.2. Prevention
There were enormous efforts by the government of Ethiopia to increase the availability and accessibility of HIV prevention services for beneficiaries in HEIs and surrounding community. However, the results of some study papers revealed that the scale of primary HIV prevention efforts was insufficient to stop the progress of the HIV epidemic in HEIs. Moreover, primary HIV prevention efforts must target non-infected individuals that are vulnerable and at risk to HIV infection.
Even though there is a need to expand treatment, care and support services further, prevention of new HIV infections needs to remain the cornerstone of the HEIs HIV response in Ethiopia. Creating comprehensive HIV knowledge, increasing self-risk perception and promoting behavioural changes at HEIs and surrounding community level must be intensified to maximize the yield of efforts.
To achieve maximum impact, prevention of new HIV infection should utilize a combination of proven behavioral, structural and bio-medical approaches. HIV prevention strategies and interventions need to be evidence based and should work in a concerted manner towards shared prevention goals. Under this thematic area, there are three sub-thematic areas: behavioral, structural and bio-medical HIV prevention approaches.
21
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
General objective:• To reduce the rate of new infection among HEIs’
community.
4.2.1. Behavioural HIV Prevention
Specific Objectives:
• To increase comprehensive knowledge on HIV/AIDS in HEI community
• To reduce risky behaviours of STI/HIV and SRH problems among HEI students
• To improve health seeking behaviour for HIV services such as HCT, and use of condoms among sexually active populations (student & staff)
Strategies: 1. Strengthen HEIs based HIV prevention interventions.
Interventions:• Develop minimum package of preventive services in
HEIs targeted staff and students• Adapt training manuals on prevention of HIV and
SRH issues and problems • Provide facilitators training on peer education,
community conversations, life skill and other relevant areas as appropriate
• Develop/revise/update, produce and distribute HIV/AIDS, SRH education and other IEC/BCC materials on HIV and SRH issues
22
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Conduct orientation on HIV prevention and SRH problems
• Provide training (peer education. life skill, campus life community conversation, SISTA, mentorship) and other relevant training deemed necessary among HEIs students
• Conduct talk shows, debates and panel discussion in campuses
2. Strengthen work place HIV prevention interventions.
Interventions:• Sensitize the HEIs community on the national
organizational conversation guidelines and training manuals
• Provide TOT on organizational conversation• Conduct organizational conversation• Promote consistent use of condom• Conduct condom promotion and distribution
4.2.2. Biomedical prevention
Specific objectives:• To increase demand for, availability and use of
biomedical HIV and SRH preventive services including HCT, PEP and post-abortion care
• To increases supply, distribution and utilization of male/female condoms
• To increase STI diagnosis and treatment • To increase access for positive prevention
23
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• To establish referral linkages for services not available in HEIs health facilities (for HIV testing, treatment, and post-abortion care)
Strategies:
1. Ensure access and enhance uptake of HIV counseling and testing, and SRH services.
Interventions:• Educate the HEIs community on benefits of HIV
testing through peer education, media, brochures, etc
• Provide training to HCT service providers at student clinics
• Provide HCT IEC/BCC materials to HEIs community• Provide HCT IEC/BCC materials with brail for the
visually impaired where necessary • Provide uninterrupted supply of test kits and other
medical equipment• Apply IP practices and utilize PEP
2. Increase availability and utilization of STI services
Interventions:• Establish STI programs at HEIs clinics, health
centers and hospitals • Intensify health information and education to improve
treatment seeking behavior and utilization of STI services
• Provide drugs and supplies pertinent to STI in all HEIs health facilities
24
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Train health care workers on user friendly STI services
• Provide STI services at HEIs health facilities• Promote/encourage sexual partner notification during
STI case detection
3. Intensify prevention among HIV positives in HEI community
Interventions:• Provide HIV information, education and risk
reduction education and counseling for infected people
• Strengthen HIV counseling for students and staff living with HIV and AIDS
• Provide education on correct and consistent condom use for PLHAs
• Distribute condoms
4.2.3. Structural prevention
Specific objectives:• To mainstream HIV/AIDS, SRH and gender issues in
HEI structures and programs• To establish a system that provides academic,
economic and counseling support to female students • To improve HEIs community knowledge, attitude and
practices on GBV and SRH issues, and prevention and mitigation services
25
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Strategies:
1. Ensure inclusion of gender issues into HEIs HIV/AIDS/SRH program.
Interventions:
• Include gender issues related to HIV/AIDS and SRH in program activities of HEIs
• Include gender related issues in relevant policies/or strategies and guidelines of HIV/AIDS programs of HEIs
• Strengthen working relationship between HIV/AIDS and gender coordination offices
2. Strengthen psychosocial and academic support for female students
Interventions:• Establish/strengthen student counseling services in
HEs• Organize orientation programs for new entrance
female students• Provide materials for needy female students • Identify females at need of academic and financial
support and link to support (tutorials, stationary, books, sanitation/hygiene supplies)
• Arrange financial, skills development and other IGAs support for drop-outs
• Facilitate transportation support during entrance and vacation mobility for students collaboration with relevant sectors.
26
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
3. Protect human rights and provide legal support.
Interventions:• Conduct sensitization workshop on human rights,
women right & GBV• Incorporate gender based violence issue in student
code of conduct• Advocate about GBV (such as measures, code of
conduct….)• Provide legal support for female students at HEIs in
case of GBV• Effect disciplinary actions for violation of GBV code
of conduct in HEIs community
4.3. Treatment, Care & Support
Under this thematic area, due attention is given to ensure the greater involvement of affected and infected people by providing necessary support to improve quality of life and mitigate health and economic impact.
General objective:• To mitigate health and socio-economic impacts of
HIV/ADS through improving access and quality to treatment and livelihood of the needy HEIs students and staff PLHIV
Specific Objective: • To improve access to treatment for people with AIDS• To avail care and support services for affected and
infected HEIs communities
27
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Strategies:
1. Improve access to treatment for PLHIV.
Interventions:• Counsel and identify PLHIV who require ART
services • Strengthen ART services or establish linkage with
ART facilities • Provide treatment adherence counseling and follow
up
2. Strengthening involvement of the HEIs in care and support.
Interventions:• Organize fund raising events for care and support
services • Establish/strengthen AIDS social support clubs• Support establishment of HEIs PLHIVs associations• Train care providers, including volunteers and family
members on care and support• Provide care and support services as per the
national package including psychosocial, economic, placement, and educational support
3. Strengthening income generating activities to sustain the program.
Interventions:• Establish AIDS fund
28
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Identify care and support needs and gaps among the PLHIV in HEIs
• Map care and support service providing organizations in the surrounding areas of the HEIs and establish referral linkage
• Engage the PLHIVs in HEIs on IGAs
4.4. Research
Conducting research to solve the socio-economic problems of the country is the main core mandate for which the HEIs are established. HIV/AIDS is one of the urgent socio-economic problems of the country which the HEIs is expected to intensely engage in generating evidences for the prevention, treatment and impact mitigation interventions in the HEIs and the country.
General objective: To generate evidence based information that addresses the existing and emerging HIV/AIDS challenges in the HEIs and country at large.
Specific objectives:• To identify risk and vulnerability factors in the HEIs
and community• To investigate the impacts of HIV/AIDS illness on
HEIs & community• To document and disseminate experiences, lessons
and best practice• To inform key policy and strategic decisions related
to HIV/AIDS and SRH
29
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Strategies:
1. Identify research gaps, needs and priority areas.
Intervention:• Conduct survey to identify gaps and priority areas
2. Allocate necessary resources for research on HIV/ AIDS & SRH
Interventions:• Based on research plan, mobilize budget or fund for
research undertakings• Ensure logistic support: space, time, data processing
materials and stationary • Organize capacity building trainings on research
priority setting, proposal development, conduct of field work, analysis and scientific writing to ensure technical quality
• Establish/strengthen research partnership with other centers of excellence and program stakeholders
3. Coordinate, guide and conduct research work and its use.
Interventions:• Conduct base line survey on KAP and vulnerability• Conduct preventive and curative HIV/AIDS
researches• Perform cost-benefit analysis of HIV/AIDS
interventions
30
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Undertake outcome and impact studies of HIV interventions
• Establish database for access and use of research outputs
• Conduct validation and dissemination workshops and technical seminars
4.5. Monitoring and evaluation
Monitoring and evaluation of HIV/AIDS response in HEIs will focus on tracking the progress on attaining results and its system will be strengthened to improve program performance. Outcomes and impacts of the response will be monitored and evaluated by conducting surveillances, surveys, and studies. Moreover, appropriate indicators will be selected with clear targets for each thematic area for whole period of the SPM I and annually.
The HEIs Partnership Forum, in collaboration with FHAPCO and other stakeholders, is responsible for the coordination of the multi-sectoral monitoring and evaluation, and will conduct semi-annual and annual joint review meeting and joint support supervision at national level. Similarly, the HIV/AIDS response coordination units of HEIs will coordinate HIV/AIDS monitoring and evaluation at their respective institution levels and they will report quarterly report to the Coordination Office of the HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia
General Objective: To ensure timely generation and utilization of information to enhance evidence-based decision making.
31
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Specific Objectives:• To ensure the generation of quality data from routine
program monitoring and evaluation • To disseminate and utilize strategic information to
guide program planning and improvement
Strategies: 1. Strengthen the capacity for monitoring and evaluation.
• Assign HIV/AIDS M and E officer at multi level• Develope/adopt M&E implementation manual and
training manual• Conduct training for M&E officers
2. Strengthen timely generation of quality information.
Interventions:• Implement HIV/AIDS indicators within the HEIs
monitoring and evaluation systems• Conduct regular supportive supervision
3. Enhance dissemination and utilization of information.
Interventions:• Prepare, print and distribute HIV/AIDS M&E reports
regularly
32
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Them
atic
are
a O
ne:-E
nabl
ing
Envi
ronm
ent (
incl
udin
g st
rate
gic
man
agem
ent)
Gen
eral
Obj
ectiv
e: -
To c
reat
e a
cond
uciv
e en
viro
nmen
t for
scal
ed u
p an
d co
mpr
ehen
sive
HIV
/AID
S re
spon
se in
HEI
s.
Sub
them
atic
are
a 1.
1 Le
ader
ship
and
Gov
erna
nce
Spec
ific
Obj
ectiv
es
To e
nsur
e re
spon
siven
ess a
nd a
ccou
ntab
ility
in th
e le
ader
ship
and
gov
erna
nce
of H
IV/A
IDS
resp
onse
in th
e H
EIs o
f Eth
iopi
a
Prov
ide
train
ing
on H
IV/A
IDS
stra
tegi
c le
ader
ship
for H
EIs g
over
ning
bod
ies
10 le
ader
s fro
m e
ach
HEI
*7
2 H
EIs p
er y
ear f
or 3
ye
ars.
(2,1
60 )
The
num
ber o
f lea
ders
trai
ned
Rep
ort
HEI
s Par
tner
ship
Sub
Fo
rum
,
Uni
vers
ity H
IV
coor
dina
ting
offic
e M
OE
Con
duct
exp
erie
nce
shar
ing
visit
for g
ood
gove
rnan
ce o
n H
IV/A
IDS
in H
EIs
30
per
yea
r for
3 y
ears
(9
0)
The
num
ber o
f peo
ple
parti
cipa
ted
in E
xper
ienc
e sh
arin
g vi
sits
R
epor
t M
OE,
HEI
s Par
tner
ship
Sub
Fo
rum
Sc
ale
up a
nd d
ocum
ent t
he b
est p
ract
ices
of t
he
HEI
s 3
best
pra
ctic
es
docu
men
tatio
n p
er y
ear
for 3
yea
rs
( 9)
The
num
ber o
f bes
t pra
ctic
es
docu
men
ts
Rep
ort
MO
E,
H
EIs P
artn
ersh
ip S
ub
Foru
m
Con
duct
sub
foru
m re
view
mee
tings
60
0(10
0 pe
r mee
ting
* 2*
3)
The
num
ber o
f peo
ple
parti
cipa
ted
on re
view
mee
ting
R
epor
t
HEI
s Par
tner
ship
Sub
Fo
rum
, M
OE
Bui
ld th
e ca
paci
ty o
f the
le
ader
ship
and
gov
erni
ng
bodi
es a
t var
ious
leve
l of
HEI
s
Con
duct
gen
eral
ass
embl
y m
eetin
gs
200
par
ticip
ants
per
yea
r fo
r 3 y
ears
(600
) Th
e nu
mbe
r of p
eopl
e pa
rtici
pate
d on
gen
eral
ass
embl
y R
epor
t
HEI
s Par
tner
ship
Sub
Fo
rum
, M
OE,
FH
APC
O
Ava
il up
date
d in
form
atio
n ab
out H
IV /A
IDS
Situ
atio
n an
d re
spon
se to
lead
ersh
ip
and
gove
rnan
ce o
f the
H
EIs.
Dis
sem
inat
e pe
rform
ance
repo
rts o
n th
e ep
idem
ic a
nd re
spon
ses i
n H
EIs
4 p
erfo
rman
ce re
ports
per
ye
ar fo
r 3 y
ears
( 12
) Th
e nu
mbe
r of p
erfo
rman
ce re
ports
di
ssem
inat
ed
Rep
ort
HEI
s Par
tner
ship
Sub
Fo
rum
,
Uni
vers
ity H
IV
coor
dina
ting
offic
e
33
Part
Fiv
e : -
Det
ail M
atrix
for T
hem
atic
Are
as
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Prep
are
HIV
/AID
S pl
an w
ith th
e H
EIs
strat
egic
/ope
ratio
nal p
lan.
1
oper
atio
nal p
lan
per y
ear
for 3
yea
rs. (
3)
The
num
ber o
f per
iodi
cal r
evie
ws
cond
ucte
d
Rep
ort
MO
E,
H
EIs P
artn
ersh
ip S
ub
Foru
m
Ens
ure
the
incl
usio
n of
H
IV/A
IDS
prog
ram
s and
bu
dget
in th
e in
stitu
tions
' pl
an.
A
lloca
te b
udge
t for
HIV
pro
gram
in H
EIs
72 H
EIs
The
No
of u
nive
rsiti
es a
lloca
ted
budg
et
Rep
ort
MO
E,
H
EIs P
artn
ersh
ip S
ub
Foru
m
U
nive
rsity
man
agem
ent
Ensu
re th
e de
velo
pmen
t of
HIV
/AID
S w
ork
plac
e po
licy
Dev
elop
/am
end
,and
end
orse
HIV
/AID
S w
ork
plac
e po
licy
in H
EIs
72 H
EIs
Num
ber o
f pol
icie
s de
velo
ped/
amen
ded,
and
end
orse
d.
Rep
ort
HEI
s Par
tner
ship
Sub
Fo
rum
, H
EIS
Sub
them
atic
are
a 1.
2 C
apac
ity B
uild
ing
Spec
ific
Obj
ectiv
es: -
To
build
the
capa
city
of t
he in
stitu
tion
for t
he im
plem
enta
tion
of H
IV/A
IDS
prog
ram
s.
Esta
blis
h/St
reng
then
HIV
/AID
s pro
gram
C
oord
inat
ing
offic
e.
1 in
eac
h H
EI (7
2)
Num
ber o
f HEI
s with
es
tabl
ished
/stre
ngth
ened
co
ordi
natin
g of
fice.
Rep
ort
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m, M
OE
Prov
ide
upda
ted
train
ing
for c
oord
inat
ors o
f the
H
IV/A
IDS
prog
ram
in H
EIs
1 c
oord
inat
or p
er H
EI p
er
year
(216
) N
umbe
r of c
oord
inat
ors t
rain
ed
Rep
ort
HEI
s Par
tner
ship
Sub
Fo
rum
,
MO
E Em
pow
er th
e H
IV/A
IDS
prog
ram
coo
rdin
ator
s in
HEI
s 1
in e
ach
HEI
s (72
) N
umbe
r of f
ocal
per
sons
em
pow
ered
R
epor
t H
EIs,
HEI
s Par
tner
ship
Sub
Fo
rum
Stre
ngth
en th
e ca
paci
ty o
f H
IV /A
IDS
prog
ram
co
ordi
nato
rs
Est
ablis
h/st
reng
then
the
capa
city
of a
nti-A
IDS
club
s in
the
inst
itutio
ns
1 cl
ub p
er c
ampu
s of H
EIs
Num
ber o
f Ant
i AID
S cl
ubs
esta
blish
ed/s
treng
then
ed
Rep
ort
HEI
s, M
OE,
HEI
s Par
tner
ship
Sub
Fo
rum
Cap
acita
te th
e co
ordi
natin
g of
fice
with
nec
essa
ry
hum
an a
nd m
ater
ial r
esou
rce
1 in
eac
h H
EIs
Num
ber o
f HEI
s coo
rdin
atin
g of
fices
equ
ippe
d
Rep
ort &
su
perv
isio
n M
OE,
HEI
s Par
tner
ship
Sub
Fo
rum
,
HEI
s
Equi
p co
ordi
natin
g of
fice
and
serv
ice
prov
isio
n ce
nter
s.
Esta
blis
h/st
reng
then
AR
C a
nd M
ini m
edia
in
HEI
s 1
per e
ach
HEI
s N
umbe
r of A
RC
cen
ters
and
the
num
ber o
f min
i med
ias
esta
blish
/stre
ngth
ened
Rep
ort
FHA
PCO
, H
EIs,
MO
E,
HEI
s Par
tner
ship
Sub
Fo
rum
34
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Es
tabl
ish/
stre
ngth
en st
anda
rdiz
ed h
ealth
faci
litie
s in
HEI
s. 1
per
cam
pus o
f HEI
s N
umbe
r of s
tand
ardi
zed
heal
th
faci
litie
s est
ablis
hed/
stre
ngth
ened
R
epor
t FM
OH
, M
OE,
HEI
s Par
tner
ship
Sub
Fo
rum
, H
EIs
Sub
them
atic
are
a 1.
3 M
ains
tream
ing
Spec
ific
obje
ctiv
e: T
o en
hanc
e an
d su
stai
n th
e H
IV/A
IDS
resp
onse
in th
e H
EIs.
Impl
emen
t M &
E m
anua
l/ fo
rmat
on
HIV
/AID
S m
ains
tream
ing
prog
ram
s.
72
HEI
s N
umbe
r of H
EIs i
mpl
emen
ting
M
and
E.
Rep
ort
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m, M
OE
Stre
ngth
en th
e ow
ners
hip
of H
IV a
nd A
IDS
prog
ram
s in
HEI
s
Incl
ude
the
HIV
/AID
S pr
ogra
ms i
n th
e H
EIs
cor
e an
d su
ppor
t bus
ines
s 72
HEI
s N
umbe
r of u
nive
rsiti
es in
clud
ed th
e H
IV/A
IDS
prog
ram
s in
thei
r co
re
and
supp
ort b
usin
ess
Rep
ort
MO
E,
HEI
s, H
EIs P
artn
ersh
ip S
ub
Foru
m
Con
duct
trai
ning
on
Cur
ricul
um D
esig
ning
or
inte
grat
ion
150
(2 p
er H
EIs)
N
umbe
r of t
rain
ees p
artic
ipat
ed
Rep
ort
HEI
s,MO
E,
HEI
s Par
tner
ship
Sub
Fo
rum
D
evel
op c
ours
e cu
rric
ulum
, syl
labu
s.
72
Num
ber o
f uni
vers
ities
dev
elop
ed
stan
d al
one
cour
se
Rep
ort
HEI
s,MO
E,
HEI
s Par
tner
ship
Su
b F
orum
D
evel
op st
anda
rdiz
ed st
and
alon
e co
urse
man
ual
1
Dev
elop
ed st
and
alon
e co
urse
m
anua
l R
epor
t M
OE,
H
EIs P
artn
ersh
ip
Sub
For
um,
Inte
grat
e H
IV/A
IDS
in th
e ex
iting
cur
ricul
um
72 H
EIs
Num
ber o
f HEI
s int
egra
ted
in th
eir
exis
ting
curr
icul
um
Rep
ort
HEI
s, M
OE,
H
EIs P
artn
ersh
ip
Sub
Foru
m
Ensu
re th
e m
ains
tream
ing
of H
IV a
nd A
IDS
issu
es i
n to
the
exis
ting
curr
icul
um
Prov
ide
com
preh
ensi
ve tr
aini
ng o
n H
IV/A
IDS
for a
cade
mic
staf
f
20 st
aff p
er H
EI p
er y
ear
for 3
yea
rs (4
320)
N
umbe
r of p
eopl
e pa
rtici
pate
d R
epor
t H
EIs,
HEI
s Par
tner
ship
Su
b Fo
rum
Su
b th
emat
ic a
rea
1.4
Partn
ersh
ip a
nd c
oord
inat
ion
Spec
ific
Obj
ectiv
e:- E
nhan
ce p
artn
ersh
ip a
nd c
olla
bora
tion
to a
void
dup
licat
ion
of e
ffort
and
max
imiz
e ef
fect
iven
ess
Stre
ngth
en th
e H
EIs p
artn
ersh
ip F
orum
1
foru
m
HEI
s su
b fo
rum
stre
ngth
ened
R
epor
t M
OE,
FH
APC
O
Org
aniz
e co
nsul
tativ
e m
eetin
gs w
ith p
artn
ers
150
per y
ear f
or 3
yea
rs.
(450
) N
umbe
r of p
eopl
e pa
rtici
pate
d on
th
e co
nsul
tativ
e m
eetin
g
Rep
ort
MO
E, H
EIs P
artn
ersh
ip
Sub
Foru
m
Con
duct
join
t ope
ratio
nal p
lan
deve
lopm
ent w
ith
stak
ehol
ders
1
per y
ear
Plan
dev
elop
ed jo
intly
R
epor
t, do
cum
ent
HEI
s Par
tner
ship
Su
b Fo
rum
, H
EIs,
Stak
ehol
ders
Ensu
re th
e ex
iste
nce
of
Join
t pl
anni
ng a
mon
g H
EIs a
nd
partn
ers
Sign
MoU
with
con
cern
ed p
artie
s 1
per y
ear p
er H
EIs (
3 in
ea
ch H
EIs f
or y
ears
) N
umbe
r of M
OU
sign
ed
Doc
umen
t M
OEU
, HEI
s, p
artn
ers
35
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Sub
them
atic
are
a 1.
5 C
omm
unity
invo
lvem
ent
Spec
ific
obje
ctiv
es:-
To
stren
gthe
n co
llabo
ratio
n be
twee
n th
e c
omm
unity
of H
EIs a
nd e
xter
nal c
omm
unity
.
Con
duct
com
mun
ity se
nsiti
zatio
n w
orks
hop
2 pe
r yea
r per
HEI
s fo
r 3
year
s N
umbe
r of p
artic
ipan
ts
R
epor
t ,
HEI
s C
omm
unity
sens
itiza
tion
on H
IV/A
IDS
Es
tabl
ish
com
mitt
ee c
ompr
isin
g m
embe
rs fr
om
the
surro
undi
ng c
omm
unity
and
the
HEI
s .
1 in
eac
h H
EIs (
72 )
Num
ber o
f HEI
s est
ablis
hed
HEI
s &
com
mun
ity c
omm
ittee
R
epor
t H
EIs,
surro
undi
ng
com
mun
ity le
ader
s Th
emat
ic a
rea
Two:
- Pr
even
tion
Gen
eral
Obj
ectiv
e:-
To re
duce
the
rate
of n
ew in
fect
ion
at H
EI’s
Su
b th
emat
ic a
rea
2.1:
- Beh
avio
ral H
IV p
reve
ntio
n ap
proa
ch
Spec
ific
Obj
ectiv
es
To in
crea
se c
ompr
ehen
sive
kno
wle
dge
on H
IV/A
IDS
in H
EI c
omm
unity
To
redu
ce ri
sky
beha
viou
rs S
TI/H
IV a
nd S
RH
pro
blem
s am
ong
HEI
stud
ents
To
impr
ove
heal
th s
eeki
ng b
ehav
iour
for H
IV se
rvic
es su
ch a
s HC
T, a
nd u
se o
f con
dom
s am
ong
sexu
ally
act
ive
popu
latio
ns
To in
crea
se c
ompr
ehen
sive
kno
wle
dge
on H
IV/A
IDS
in H
EI c
omm
unity
Dev
elop
min
imum
pac
kage
of p
reve
ntiv
e se
rvic
es in
HEI
s 1
docu
men
t N
umbe
r of
docu
men
ts d
evel
oped
R
epor
t H
EIs,
HEI
s Par
tner
ship
Su
b fo
rum
Ada
pt tr
aini
ng m
anua
ls o
n pr
even
tion
of H
IV
and
SRH
issu
es a
nd p
robl
ems
6 m
anua
ls a
dapt
ed
Num
ber o
f m
anua
ls a
dapt
ed
Rep
ort
HEI
s Par
tner
ship
S
ub F
orum
Prov
ide
faci
litat
ors t
rain
ing
on p
eer e
duca
tion,
co
mm
unity
con
vers
atio
ns, l
ife sk
ill a
nd o
ther
re
leva
nt a
reas
as a
ppro
pria
te
6*72
*3=1
296
Num
ber o
f fac
ilita
tors
trai
ned
Rep
ort
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m, M
OE
Dev
elop
/revi
se/u
pdat
e, p
rodu
ce a
nd d
istri
bute
H
IV/A
IDS,
SR
H e
duca
tion
and
othe
r IEC
/BC
C
mat
eria
ls o
n H
IV a
nd S
RH
issu
es
72*
3=21
6 ty
pe o
f m
ater
ials
(1 ty
pe o
f m
ater
ial p
rodu
ced
per
HEI
s per
yea
r)
Num
ber o
f ty
pe o
f mat
eria
ls
prod
uced
R
epor
t H
EIs,
HEI
s Pa
rtner
ship
Su
b Fo
rum
, M
OE
Con
duct
orie
ntat
ion
on H
IV p
reve
ntio
n an
d SR
H
prob
lem
s 1
*72*
3=21
6(1
orie
ntat
ion
per H
EI p
er y
ear)
Num
ber o
f or
ient
atio
n pr
ovid
ed
Rep
ort
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m
Prov
ide
train
ing
(Pee
r edu
catio
n. L
ife sk
ill,
cam
pus l
ife c
omm
unity
con
vers
atio
n, S
ISTA
, m
ento
rshi
p) a
nd o
ther
rele
vant
trai
ning
dee
med
ne
cess
ary
amon
g H
EIs s
tude
nts
6*40
*72*
3=51
840
(6
type
s of
train
ing
per H
EI
per y
ear)
Num
ber o
f tra
inee
s tra
ined
R
epor
t H
EIS,
HEI
s Par
tner
ship
Su
b Fo
rum
, M
OE
Stre
ngth
en H
EI b
ased
HIV
pr
even
tion
inte
rven
tions
Con
duct
talk
show
pan
el d
iscu
ssio
n in
cam
pus
2*7
2*3=
432
(2 p
er y
ear
per H
EI)
Num
ber o
f dis
cuss
ions
con
duct
ed
Rep
ort
HEI
s,. H
EIs P
artn
ersh
ip
Sub
Foru
m
Stre
ngth
en w
ork
plac
e H
IV
prev
entio
n in
terv
entio
ns
Sens
itize
the
HEI
s com
mun
ity o
n th
e na
tiona
l O
C g
uide
lines
and
trai
ning
man
uals
100*
72*3
=216
00 (1
per
ye
ar p
er H
EI)
Num
ber o
f par
ticip
ants
par
ticip
ated
R
epor
t H
EIs,
HEI
s Par
tner
ship
Su
b-Fo
rum
36
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Con
duct
org
aniz
atio
nal c
onve
rsat
ion
72
HEI
s N
umbe
r of H
EIs c
ondu
cted
OC
R
epor
t
Hea
d of
HEI
, H
EIs
Partn
ersh
ip S
ub F
orum
C
ondu
ct c
ondo
m d
istri
butio
ns
450,
000*
30%
*52
*3=2
1,06
0,00
0 (n
o of
se
ctua
ly a
ctiv
e stu
dent
us
ed c
ondo
ms i
n th
ree
year
in
all
HEI
s
Num
ber o
f con
dom
s dis
tribu
ted
R
epor
t H
EIs
Prom
ote
cons
iste
nt u
se o
f con
dom
3
prom
otio
n pe
r yea
r per
H
EI
Num
ber o
f pr
omot
ion
sess
ions
co
nduc
ted
Rep
ort
HEI
s, H
EIs P
artn
ersh
ip
Sub-
Foru
m
Sub
them
atic
are
a 2.
2:- B
iom
edic
al P
reve
ntio
n Sp
ecifi
c O
bjec
tives
To
incr
ease
dem
and
for a
vaila
bilit
y an
d us
e of
bio
med
ical
HIV
and
SR
H p
reve
ntiv
e se
rvic
es in
clud
ing
HC
T, P
EP a
nd p
ost-a
borti
on c
are
To in
crea
ses s
uppl
y, d
istri
butio
n an
d ut
iliza
tion
of m
ale/
fem
ale
cond
oms
To in
crea
se S
TI d
iagn
osis
and
trea
tmen
t To
incr
ease
acc
ess f
or p
ositi
ve p
reve
ntio
n
Educ
ate
the
HEI
s com
mun
ity o
n be
nefit
s of H
IV
testi
ng th
roug
h p
eer e
duca
tion,
med
ia,
broc
hure
s, et
c
4*72
*3=8
64 (
4 se
ssio
ns
per H
EIs p
er y
ear)
N
o of
sess
ions
pr
ovid
ed
Rep
ort
HEI
s
Prov
ide
train
ing
to H
CT
serv
ice
prov
ider
s at
stude
nt c
linic
’s
2*72
*2=2
88 (2
trai
ning
for
2 H
CT
serv
ice
prov
ider
s pe
r HEI
S in
thre
e ye
ar)
Num
ber o
f tra
inee
s tra
ined
R
epor
t H
EIs P
artn
ersh
ip
Sub
Foru
m, M
OE
Prov
ide
HC
T IE
C/B
CC
mat
eria
ls to
HEI
s co
mm
unity
1*
72*3
=216
(1 H
CT
IEC
/BC
C m
ater
ials
di
strib
uted
per
HEI
s per
ye
ar)
Num
ber o
f HC
T IE
C/B
CC
m
ater
ials
dis
tribu
ted.
R
epor
t H
EIs
Prov
ide
HC
T IE
C/B
CC
mat
eria
ls w
ith b
rail
for
visu
ally
impa
ired
whe
re n
eces
sary
1*72
*3=2
16 (1
HC
T IE
C/B
CC
mat
eria
ls w
ith
brai
l dis
tribu
ted
per H
EIs
per y
ear)
Num
ber o
f HC
T IE
C/B
CC
m
ater
ials
dis
tribu
ted.
R
epor
t H
EIs,
HEI
s Par
tner
ship
Su
b Fo
rum
Prov
ide
unin
terru
pted
sup
ply
of t
est
kits
and
ot
her m
edic
al e
quip
men
t.
1*7
2=72
(72
HEI
s HF
prov
ided
with
pac
kage
se
rvic
es)
Num
ber o
f H
ealth
faci
litie
s eq
uipp
ed
Rep
ort
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m
Ensu
re a
cces
s and
enh
ance
up
take
of H
IV c
ouns
elin
g an
d te
stin
g; a
nd S
RH
se
rvic
es s
App
ly IP
pra
ctic
es a
nd u
tiliz
e PE
P 72
HEI
s HFC
N
umbe
r of h
ealth
faci
litie
s pro
vide
d w
ith IP
and
PEP
R
epor
t H
EIs
Esta
blis
h/st
reng
then
ing
STI
pro
gram
s at H
EIs
clin
ics,
heal
th c
ente
rs a
nd h
ospi
tals
7
2 (1
per
HEI
s N
umbe
r of H
EIs w
ith S
TI p
rogr
ams
Rep
ort &
site
vi
sit
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m
Incr
ease
ava
ilabi
lity
and
utili
zatio
n of
STI
serv
ices
Inte
nsify
hea
lth in
form
atio
n an
d ed
ucat
ion
to
impr
ove
treat
men
t see
king
beh
avio
r and
ut
iliza
tion
of S
TI se
rvic
es.
100
% d
istrib
ute
Targ
eted
IE
C/B
CC
mat
eria
l. %
of H
EIS
dist
ribut
ed IE
C
mat
eria
ls
Rep
ort
HEI
s
37
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Prov
ide
drug
s and
supp
lies p
ertin
ent t
o ST
I in
all
HEI
s hea
lth fa
cilit
ies
All
HEI
s N
umbe
r of
faci
litie
s rep
ortin
g ad
equa
te st
ock
of d
rugs
and
su
pplie
s (pe
rcen
t)
Rep
ort
HEI
s
Trai
n he
alth
car
e w
orke
rs o
n us
er fr
iend
ly S
TI
serv
ices
, 2*
72*3
=432
(2 H
CW
per
H
EIs p
er y
ear)
N
umbe
r of t
rain
ed p
erso
nnel
R
epor
t H
EIs P
artn
ersh
ip S
ub
Foru
m, H
EIs
Prov
ide
STI s
ervi
ces a
t HEI
s hea
lth fa
cilit
ies.
All
HEI
faci
litie
s N
umbe
r of h
ealth
faci
litie
s pr
ovid
ing
STI s
ervi
ces
Rep
ort &
su
perv
isio
n
MO
E, M
OH
Prom
ote/
enco
urag
e se
xual
par
tner
not
ifica
tion
durin
g ST
I cas
e de
tect
ion.
A
ll ST
I clie
nts
Num
ber o
f STI
not
ifica
tions
(%)
Rep
ort
HEI
s
Prov
ide
HIV
info
rmat
ion,
edu
catio
n an
d ris
k re
duct
ion
educ
atio
n an
d co
unse
ling
for i
nfec
ted
peop
le
100
% d
istrib
ute
Targ
eted
IE
C/B
CC
mat
eria
l %
of H
EIS
dist
ribut
ed IE
C
mat
eria
ls
Rep
ort
HEI
s
Stre
ngth
en H
IV c
ouns
elin
g fo
r stu
dent
s and
staf
f liv
ing
with
HIV
and
AID
S A
ll P
LHIV
s in
HEI
s will
ge
t the
ser
vice
N
umbe
r of s
ervi
ce b
enef
icia
ries
Rep
ort
HEI
s
Inte
nsify
pre
vent
ion
amon
g H
IV p
ositi
ves i
n H
EI c
omm
unity
Prom
ote
cons
iste
nt c
ondo
m u
se fo
r PLH
As
1*7
2*3=
216
(PLH
IVs
targ
eted
IEC
/BC
C fo
r co
ndom
pro
mot
ion
per
year
per
HEI
S)
Num
ber o
f IEC
/BC
C m
ater
ial
dist
ribut
ed
Rep
ort
HEI
s
Sub
them
atic
are
a 2.
3:- S
truct
ural
To
est
ablis
h a
syst
em th
at p
rovi
des a
cade
mic
, eco
nom
ic a
nd c
ouns
elin
g su
ppor
t to
fem
ale
stude
nts
To im
prov
e H
EIs c
omm
unity
kno
wle
dge
attit
ude
and
prac
tices
on
GB
V a
nd S
RH
issu
es, a
nd p
reve
ntio
n an
d m
itiga
tion
serv
ices
Incl
ude
gend
er is
sues
rela
ted
to H
IV/A
IDS
and
SRH
in p
rogr
am a
ctiv
ities
of H
EIs
% o
f HEI
s inc
orpo
rate
d ge
nder
issu
es
% o
f HEI
s tha
t inc
orpo
rate
d ge
nder
is
sues
in th
eir p
rogr
ams
Rep
ort/o
bser
vatio
n
HEI
s Par
tner
ship
Su
b-fo
rum
,
HEI
s In
clud
e ge
nder
rela
ted
issu
es in
rele
vant
po
licie
s/or s
trate
gies
and
gui
delin
es o
f H
IV/A
IDS
prog
ram
s of H
EIs
2 gu
idel
ines
per
HEI
N
o of
gui
delin
es d
evel
oped
R
epor
t/che
ckup
H
EIs,
H
EIs P
artn
ersh
ip
Sub
form
Ensu
re in
clus
ion
of g
ende
r is
sues
in to
HEI
S H
IV/A
IDS/
SRH
pro
gram
St
reng
then
wor
king
rela
tions
hip
betw
een
HIV
/AID
S an
d ge
nder
coo
rdin
atio
n of
fices
A
ll H
EIs
Num
ber o
f HEI
s est
ablis
hed
unit
Rep
ort/o
bser
vatio
n
HEI
s,
HEI
s Par
tner
ship
Su
b-fo
rum
Es
tabl
ish/
stre
ngth
en st
uden
t cou
nsel
ing
serv
ices
in
HEI
s A
ll H
EIs (
100%
) N
umbe
r of c
ounc
ils e
stab
lishe
d or
str
engt
hene
d R
epor
t H
EIs
O
rgan
ize
orie
ntat
ion
prog
ram
s for
new
ent
ranc
e gi
rl stu
dent
s 1
per y
ear p
er H
EI
Num
ber o
f orie
ntat
ion
prog
ram
s pr
ovid
ed
Rep
ort
HEI
s Par
tner
ship
Su
b-fo
rum
H
EIs
Stre
ngth
en p
sych
osoc
ial
and
acad
emic
supp
ort f
or
girl
stude
nts
Prov
ide
mat
eria
ls fo
r nee
dy fe
mal
e st
uden
ts
200
00 fe
mal
e st
uden
ts(5
%
+ an
nual
con
tinge
ncy/
year
) N
umbe
r of f
emal
e stu
dent
s rec
eive
d m
ater
ial s
uppo
rt R
epor
t H
EIs P
artn
ersh
ip
Sub-
foru
m
MO
E, H
EIs
38
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Prov
ide
acad
emic
sup
port
for n
eedy
fem
ale
stude
nts
(50%
) of f
emal
e stu
dent
s Pr
opor
tion
of fe
mal
e st
uden
ts
acad
emic
supp
ort
Rep
ort
HEI
s Par
tner
ship
Su
b-fo
rum
M
OE,
HEI
s A
rran
ge fi
nanc
ial,
skill
s dev
elop
men
t and
oth
er
IG su
ppor
t for
dro
p-ou
ts
All
need
y dr
op o
ut fe
mal
e stu
dent
s N
umbe
r of f
emal
e stu
dent
s rec
eive
d su
ppor
t R
epor
t H
EIs
Faci
litat
e tra
nspo
rtatio
n su
ppor
t dur
ing
entra
nce
and
vaca
tion
mob
ility
for s
tude
nts i
n co
llabo
ratio
n w
ith re
leva
nt s
ecto
rs
12
prog
ram
s arr
ange
d N
umbe
r of p
rogr
ams a
rran
ged
R
epor
t H
EIs
cond
uct s
ensit
izat
ion
wor
ksho
p on
hum
an ri
ghts
, w
omen
righ
t & G
BV
1
guid
elin
e pe
r HEI
N
umbe
r of g
uide
line
deve
lope
d R
epor
t/obs
erva
tion
HEI
s, H
EIs P
artn
ersh
ip
Sub
foru
m, M
OE
Inco
rpor
ate
gend
er b
ased
vio
lenc
e is
sue
in
stude
nt c
ode
of c
ondu
ct
1 co
de o
f con
duct
in
clus
ive
of G
BV
N
umbe
r of G
BV
issu
es
inco
rpor
ated
R
epor
t H
EIs,
HEI
s Par
tner
ship
Su
b fo
rum
, MO
E A
dvoc
ate
abou
t GB
V (s
uch
as m
easu
res,
code
of
cond
uct…
.) 6
sess
ions
per
HEI
s N
umbe
r of a
dvoc
acy
sess
ions
co
nduc
ted
Rep
ort/
obse
rvat
ion
HEI
s, H
EIs P
artn
ersh
ip
Sub
foru
m, M
OE
Prov
ide
lega
l sup
port
for f
emal
e st
uden
ts a
t HEI
s in
cas
e of
GB
V
6000
0 fe
mal
e st
uden
ts
(50%
) N
umbe
r of f
emal
e stu
dent
s tra
ined
R
epor
t/ ob
serv
atio
n H
EIs,
HEI
s Par
tner
ship
Su
b fo
rum
, MO
E
Prot
ect h
uman
righ
ts a
nd
prov
ide
lega
l sup
port
Effe
ct d
isci
plin
ary
actio
ns fo
r vio
latio
n of
po
licie
s in
HEI
s com
mun
ity
All
disc
iplin
ary
brea
ches
in
HEI
s N
umbe
r of d
isci
plin
ary
actio
ns
take
n R
epor
t/obs
erva
tion
HEI
s
Them
atic
are
a Th
ree:
- Tr
eatm
ent,
Car
e &
Sup
port
Gen
eral
obj
ectiv
e:-
To m
itiga
te h
ealth
and
soci
o-ec
onom
ic im
pact
s of H
IV/A
DS
thro
ugh
impr
ovin
g ac
cess
and
qua
lity
to tr
eatm
ent a
nd li
velih
ood
of th
e ne
edy
HEI
s stu
dent
s and
staf
f PLH
IVs.
Spec
ific
Obj
ectiv
e:
To im
prov
e ac
cess
to tr
eatm
ent f
or p
eopl
e w
ith A
IDS
To a
vail
care
and
supp
ort s
ervi
ces f
or a
ffec
ted
and
infe
cted
HEI
s com
mun
ities
C
ouns
el a
nd id
entif
y pe
ople
with
PLH
IVs
who
re
quire
AR
T se
rvic
es
All
need
y PL
HIV
s who
re
quire
AR
T se
rvic
es
Num
ber o
f PLH
IVs w
ho re
ceiv
ed
AR
T se
rvic
es
Rep
ort
HEI
s
Stre
ngth
en A
RT
serv
ices
or e
stab
lish
linka
ge
with
AR
T fa
cilit
ies
72 H
EIs
Num
ber o
f HEI
s pro
vide
AR
T se
rvic
es o
r ref
erra
l lin
kage
R
epor
t H
EIs
Impr
ove
acce
ss to
tre
atm
ent f
or P
LHIV
s Pr
ovid
e tre
atm
ent a
dher
ence
cou
nsel
ing
and
follo
w u
p
All
need
y PL
HIV
s who
re
ceiv
e A
RT
serv
ices
N
umbe
r of P
LHIV
s who
rece
ived
tre
atm
ent a
dher
ence
cou
nsel
ing
serv
ices
and
follo
w u
p
Rep
ort
HEI
s
Org
aniz
e fu
nd ra
isin
g ev
ents
for c
are
and
supp
ort
serv
ices
1
per y
ear p
er H
EI
Num
ber o
f fun
d ris
ing
even
ts
Rep
ort/o
bser
vatio
nH
EIs,
HEI
s Par
tner
ship
Su
b fo
rum
Es
tabl
ish/
stre
ngth
en A
IDS
soci
al su
ppor
t clu
bs
1 su
ppor
t clu
b pe
r HEI
N
umbe
r of e
stab
lish
club
R
epor
t/obs
erva
tion
HEI
s Sc
ale
up th
e in
volv
emen
t of
HEI
s in
care
and
supp
ort
Supp
ort e
stab
lishm
ent o
f HEI
s PLH
IVs
asso
ciat
ions
1
PLH
IVs a
ssoc
iatio
n p
er
HEI
N
umbe
r of e
stab
lish
asso
ciat
ion
Rep
ort/o
bser
vatio
n
HEI
s
39
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Trai
n ca
re p
rovi
ders
, inc
ludi
ng v
olun
teer
s and
fa
mily
mem
bers
on
care
and
supp
ort
432
(2 p
er*7
2 H
EIs*
3yrs
) vo
lunt
eer a
nd fa
mily
m
embe
rs
Num
ber o
f tra
inee
R
epor
t H
EIs,
HEI
s Par
tner
ship
Su
b-fo
rum
Prov
ide
care
and
supp
ort s
ervi
ces a
s per
the
natio
nal s
tand
ard
pack
age
All
need
y PL
HIV
s N
umbe
r of P
LHIV
s rec
eive
supp
ort
Rep
ort/s
uper
visi
on/
field
vis
it H
EIs,
HEI
s Par
tner
ship
Su
b-fo
rum
Es
tabl
ish
AID
S fu
nd
1 pe
r HEI
N
umbe
r of H
EI e
stab
lishe
d A
IDS
fund
R
epor
t H
EIs
Iden
tify
care
and
supp
ort n
eeds
and
gap
s am
ong
the
PLH
IV in
HEI
s 1
per H
EI
Num
ber o
f nee
d as
sess
men
t co
nduc
t R
epor
t H
EIs
Map
car
e an
d su
ppor
t ser
vice
pro
vidi
ng
orga
niza
tions
in th
e su
rroun
ding
are
as o
f the
H
EIs a
nd e
stab
lish
refe
rral
link
age.
1 pe
r HEI
N
umbe
r of m
appi
ngs c
ondu
cted
R
epor
t H
EIs
Stre
ngth
enin
g in
com
e ge
nera
ting
activ
ities
to
sust
ain
the
prog
ram
. En
gage
the
PLH
IV in
HEI
s on
IGA
A
ll ne
edy
PLH
IVs
Num
ber o
f PLH
IVs e
ngag
e in
IGA
R
epor
t/sup
ervi
sio
n/fie
ld v
isit
HEI
s, H
EIs P
artn
ersh
ip
Sub-
foru
m
Them
atic
are
a Fo
ur:-R
esea
rch
Gen
eral
Obj
ectiv
e: -
To
gen
erat
e ev
iden
ce b
ased
info
rmat
ion
that
add
ress
es th
e ex
istin
g an
d em
ergi
ng H
IV/A
IDS
chal
leng
es in
the
HEI
s and
cou
ntry
at l
arge
.
Spec
ific
obje
ctiv
e
To id
entif
y ri
sk a
nd v
ulne
rabi
lity
fact
ors i
n th
e H
EIs a
nd c
omm
unity
To in
vest
igat
e th
e im
pact
s of H
IV/A
IDS
illne
ss o
n H
EIs
& c
omm
unity
;
To d
ocum
ent a
nd d
isse
min
ate
expe
rienc
es, l
esso
ns a
nd b
est p
ract
ice;
To in
form
key
pol
icy
and
stra
tegi
c de
cisio
ns re
late
d to
HIV
/AID
S an
d SR
H.
Con
duct
surv
ey to
ide
ntify
gap
s and
prio
rity
area
s O
ne re
sear
ch g
aps
iden
tifie
d pe
r HEI
per
yea
r N
umbe
r of
rese
arch
gap
s ide
ntifi
ed
HEI
s H
EIs P
artn
ersh
ip
Sub-
foru
m, H
EIs
Mob
ilize
bud
get/f
und
for r
esea
rch
unde
rtaki
ngs
2 re
sear
ch p
roje
ct fu
nds
per H
EI p
er y
ear
Am
ount
of f
und
mob
ilize
d H
EIs
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m
Iden
tify
rese
arch
gap
s ,n
eeds
& p
riorit
y ar
eas
Allo
cate
nec
essa
ry
reso
urce
s for
rese
arch
on
HIV
/ AID
S &
SR
H
A
vail
logi
stic
supp
ort:
spac
e, ti
me,
dat
a pr
oces
sing
mat
eria
ls a
nd st
atio
nary
1
logi
stic
and
oth
er
reso
urce
s sup
port
per y
ear
per H
EI
The
num
ber o
f sup
port
secu
red
H
EIs
HEI
s, M
OE,
FH
APC
O,H
EIs
Partn
ersh
ip S
ub fo
rum
C
ondu
ct tr
aini
ngs o
n re
sear
ch p
riorit
y se
tting
, pr
opos
al d
evel
opm
ent,
cond
uct o
f fie
ld w
ork,
an
alys
is a
nd sc
ient
ific
writ
ing
to e
nsur
e te
chni
cal
qual
ity
2 tra
inin
g pe
r HEI
s per
ye
ar
Num
ber o
f tra
inin
g pr
ovid
ed
HEI
s dat
a ba
se
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m,
MO
E,
Iden
tify
rese
arch
gap
s ,n
eeds
& p
riorit
y ar
eas
Allo
cate
nec
essa
ry
reso
urce
s for
rese
arch
on
HIV
/ AID
S &
SR
H
Esta
blis
h/st
reng
then
rese
arch
par
tner
ship
with
oth
er
cent
ers o
f exc
elle
nce
and
prog
ram
stak
ehol
ders
A
t lea
st o
ne n
ew
partn
ersh
ip p
er H
EI p
er y
ear
Num
ber o
f par
tner
ship
est
ablis
hed
HEI
s rep
ort
HEI
s
40
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
Con
duct
surv
ey to
ide
ntify
gap
s and
prio
rity
area
s O
ne re
sear
ch g
aps
iden
tifie
d pe
r HEI
per
yea
r N
umbe
r of
rese
arch
gap
s ide
ntifi
ed
HEI
s H
EIs P
artn
ersh
ip
Sub
Foru
m,
HEI
s
Mob
ilize
bud
get/f
und
for r
esea
rch
unde
rtaki
ngs
2 re
sear
ch p
roje
ct fu
nds
per H
EI p
er y
ear
Am
ount
of f
und
mob
ilize
d H
EIs
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m
Con
duct
bas
e lin
e su
rvey
on
KA
P an
d vu
lner
abili
ty
1 ba
selin
e su
rvey
per
HEI
N
umbe
r of b
ase
line
surv
ey
cond
ucte
d H
EIs r
epor
t H
EIs P
artn
ersh
ip S
ub
Foru
m,
MO
E C
ondu
ct p
reve
ntiv
e an
d cu
rativ
e H
IV/A
IDS
rese
arch
es
Two
rese
arch
per
yea
r per
H
EI
Num
ber o
f res
earc
hes c
ondu
cted
H
EIs r
epor
t and
da
ta b
ase
HEI
s, H
EIs P
artn
ersh
ip
Sub
Foru
m,
MO
E
Perfo
rm c
ost-b
enef
it an
alys
is o
f HIV
/AID
S in
terv
entio
ns
1 re
sear
ch d
urin
g th
e str
ateg
ic p
lan
dura
tion
Num
ber o
f res
earc
h co
nduc
ted
HEI
s rep
ort a
nd
data
bas
e H
EIs,
HEI
s Par
tner
ship
Su
b Fo
rum
, M
OE
Und
erta
ke o
utco
me
and
impa
ct st
udie
s of H
IV
inte
rven
tions
1
rese
arch
dur
ing
the
strat
egic
pla
n du
ratio
n
Num
ber o
f res
earc
h co
nduc
ted
HEI
s rep
ort a
nd
data
bas
e H
EIs,
HEI
s Par
tner
ship
Su
b Fo
rum
, M
OE
Esta
blis
h da
taba
se fo
r acc
ess a
nd u
se o
f res
earc
h ou
tput
s 1
data
bas
e pe
r HEI
N
umbe
r of d
ata
base
est
ablis
hed
H
EIs r
epor
t and
da
ta b
ase
HEI
s
Coo
rdin
ate,
gui
de a
nd
cond
uct r
esea
rch
wor
k an
d its
use
Con
duct
val
idat
ion
and
diss
emin
atio
n w
orks
hops
an
d te
chni
cal s
emin
ars
2 w
orks
hops
per
HEI
per
ye
ar
Num
ber o
f wor
ksho
ps c
ondu
cted
H
EIs r
epor
t and
da
ta b
ase
HEI
s
Them
atic
are
a Fi
ve :-
Mon
itorin
g an
d ev
alua
tion
Gen
eral
Obj
ectiv
e: T
o en
sure
tim
ely
gene
ratio
n an
d ut
iliza
tion
of in
form
atio
n to
enh
ance
evi
denc
e-ba
sed
deci
sion
mak
ing.
Sp
ecifi
c O
bjec
tives
: To
ens
ure
the
gene
ratio
n of
qua
lity
data
from
rout
ine
prog
ram
mon
itorin
g an
d ev
alua
tion
To
diss
emin
ate
and
utili
ze st
rate
gic
info
rmat
ion
to g
uide
pro
gram
pla
nnin
g an
d im
prov
emen
t A
ssig
n H
IV/ A
IDS
M a
nd E
off
icer
at m
ulti
leve
l. 74
( 72
HEI
s & 2
at H
EIs
sub
foru
m)
Num
ber o
f HEI
s tha
t ass
igne
d M
&
E of
ficer
R
epor
t M
OE,
HEI
s, H
EIs
Partn
ersh
ip
Sub
For
um
Ado
pt/d
evel
op M
&E
fram
ewor
k/im
plem
enta
tion
man
ual.
1 M
& E
fram
ewor
k/im
plem
enta
tion
man
ual d
evel
oped
D
ocum
ent
MO
E, H
EIs,
HEI
s Pa
rtner
ship
Su
b Fo
rum
Stre
ngth
en th
e ca
paci
ty fo
r M
onito
ring
and
Eval
uatio
n (M
& E
)
Con
duct
trai
ning
for M
&E
offic
ers.
74
Num
ber o
f M
& E
off
icer
s tra
ined
R
epor
t M
OE,
HEI
s, H
EIs
Partn
ersh
ip
Sub
Foru
m
Stre
ngth
en ti
mel
y ge
nera
tion
of q
ualit
y Im
plem
ent H
IV/A
IDS
indi
cato
rs w
ithin
the
HEI
s m
onito
ring
and
eval
uatio
n sy
stem
s. 72
N
umbe
r of H
EIs i
mpl
emen
ted
R
epor
t &
docu
men
t M
OE,
HEI
s, H
EIs
Partn
ersh
ip S
ub F
orum
41
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Sele
cted
Stra
tegi
es
Inte
rven
tions
Ta
rget
s K
ey In
dica
tors
So
urce
of
Ver
ifica
tion
Lead
Age
ncy
info
rmat
ion
Con
duct
regu
lar s
uppo
rtive
supe
rvis
ion
72(1
per
yea
r) N
umbe
r of H
EIs s
uper
vise
d R
epor
t M
OE,
HEI
s Par
tner
ship
Su
b Fo
rum
En
hanc
e di
ssem
inat
ion
and
utili
zatio
n of
info
rmat
ion
Prep
are,
prin
t and
dis
tribu
te H
IV/A
IDS
M&
E re
ports
regu
larly
. 1
M &
E re
ports
pro
duce
d D
ocum
ent
HEI
s Par
tner
ship
Sub
Fo
rum
42
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Part Six: Coordination and Mobilization of Resources for the Implementation of the SPM
6.1. Coordination
The current status of HEIs Partnership Sub Forum against HIV/AIDS is weak within and between HEIs and other stakeholders such as MOE, MOH, HAPCO, and other partners’ agency. The duplication of these efforts resulted in uneven distribution of resources and lack of standardized interventions. Moreover, experiences and lessons among different actors are not shared and disseminated. The experience to date from various HIV responses projects in several HEIs underscores the need for effective coordination mechanism. Recognizing this, HEIs have initiated a partnership forum against HIV/AIDS. This was clearly spelt out in the MOU of November, 2010, which emphasized the need for a strong coordination mechanism among HEIs. The MOU serves as guide for relations among members HEIs and to facilitate a harmonized approach. However, to effectively undertake this role the Forum needs to be strengthened.
6.1.1. Tasks
The coordination office of the HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia, can play critical roles in harmonization of intervention plans, standardization of implementation guidelines and tools and in supervision and mobilization of resources. It also facilitates documentation of experiences, good practices and lessons from and among HEIs. Furthermore, it can serve as a
43
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
liaison among different stakeholders so that number of duplication of effort is minimized and efficient uses of resources.
6.1.2. Inputs
Strengthen the partnership forum with adequate resources, including staffing, office space and communication and other logistics supply and the required budget. To start with, the Forum should have project coordinator to liaise stakeholders, resource mobilization expert, monitoring and evaluation officer and office assistance.
6.1.3. Organizational Structure
Mechanisms for strong linkages between HEIs and the coordination office need to be further defined with clear terms of responsibilities and reporting channels. One proposed approach would be that the coordination office should directly report its performance after getting endorsed by Executive Committee and General Assembly to the Office of State Minister for Higher Education at the Federal Ministry of Education of Ethiopia.
The Forum facilitates regular reporting via the MOE to FHAPCO so that its activities are incorporated into the annual national Multi-sectoral HIV/AIDS implementations progress and performance reports.
The Executive Committee of the Forum is comprised of presidents of eleven HEIs represented from government and privately owned institutions. This committee gives guidance and monitors the overall activities of the coordination office. In return, the
44
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Executive Committee facilitates annual review and reporting of the performance of the coordination office to the General Assembly.
Details on roles and responsibilities of the general assembly, the Executive Committee and the coordination office are described in the MOU for HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia.
Organo-gram of the Higher Education Institutions’ Partnership Sub Forum against HIV/AIDS in Ethiopia
45
Federal HIV AIDS P/C/Office
General Assembly (Member Universities)
Ministry of Education
Executive Committee
Coordination Office
Partners
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
6.2. Resource MobilizationAt present, the few ongoing HIV/AIDS response interventions are mainly driven by or initiated by external funding sources including from multi-lateral and bilateral funding agencies channel through NGOs and sub-contractors. While this approach could serve to quick-start new activities and serve as seed grants, there are also limitations and this minimizes efficient use of resource and duplication of efforts. There is weak ownership of projects, too.All these, in the absence of an exit strategy for mobilization of resources would have short span and limited scope of interventions both in coverage and further continuity. To address this gap, it is imperative to have a well-defined project designed incorporating resource strategy.
6.2.1. Inputs
• Identify immediate and intermediate resource needs and budget
• Map of potential resources funding and other resources such as technical expertise, logistic and other supplies as necessary
• Explore mechanisms for expediting the ongoing mainstreaming of HIV/AIDS programs to HEIs and MOE
• Initiate institutional collaboration, as an exit strategy, with internal and external partners including for AIDS research and girls empowerment projects
• Strengthen and establish data base of experts within HEIs for undertaking sub-contracts of projects in the areas of HIV/AIDS research M&E, development of technical guidelines and tools for potential stakeholders
46
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
• Organize technical seminars, workshops and educational tours on HIV/AIDS on behalf of stakeholders
6.2.2. Assumptions for Source of Budget and other Resources for Implementation of Strategic Plan
The HEIs Strategic plan for HIV/AIDS response is developed within the SPM II framework as per the guidance from the Forum’s policy and strategy framework, and with technical and financial support from FHAPCO, MOH, MOE, MOWCYA, UN agencies (UNICEF, UNAIDS, WHO, UNFPA, UNESCO), and technical partners (NASTAD, PSI, ICAP, CDC, Pathfinder, etc) have identified key strategic interventions for HIV response in HIEs. The Strategy is supported with implementation plan incorporating key activities along with indicators to track progress in implementation. This plan will be primarily implemented by the HEIs directorate and HEIs Forum members, both public and private. The sectoral ministries (MOH and MOE), FHAPCO and other key stakeholders will provide technical and funding support for implementation of the strategic plan.
Critical inputs for execution of the strategic plan include office space with necessary logistic, and human resources budget for implementation of strategic plan activities. While the actual amount of required budget will differ among HEIs and in time, the following need considerations:Critical assumptions for effective implementation with budgetary support
• Political commitment with meaningful action at all
47
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
levels and in a sustained manner • Program ownership by all members of HEIs forum as
expressed by endorsement, allocation of resources and leadership to implement the strategic plan
• Continued support of internal and external stakeholders for technical and funding inputs
While the above assumptions are determinants for the success of the initiative by HEIs forum, even more critical is the availability of required resources for actual implementation of the plan.
48
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
6.3. Sources of Funding
The respective HEIs should implement the strategic plan by paying attention to the following requirements:
• Implement mainstreaming in HEIs with allocation of up to 2% of annual recurrent budget for strategic plan
• Allocate sectoral budget from MOE for interventions in HEIs as part of translation of Education Sector HIV/AIDS Policy and Strategy to public health action
• Allocate budget from the national AIDS response budget as part of translating the multi-sectoral response plan and SPM II and its roadmap
• Develop resource mobilization and financial management strategy either as shared service or institution-based approach
• Develop specified proposals within the strategic plan • Advocate for supporting the strategy- with UN
agencies, bilateral stakeholders, NGOs, private sector etc
• Assign membership fee as pool fund from their internal revenue to support the secretariat and its work
49
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
REFERENCES:
1. Amare D. (2009). Distribution of Most-at-risk population groups, Addis Ababa, Ethiopia;
2. FHAPCO (2012). AIDS Progress Report, Ethiopia;3. FHAPCO (2012).The Drivers of HIV/AIDS Epidemic and
Response in Ethiopia;4. FMOH (1998). National AIDS Policy, Addis Ababa, Ethiopia;5. FHAPCO (2004). Strategic Plan on intensifying multi-sectoral
HIV/AIDS response in Ethiopia (SPM I), 2004-2008);6. FHAPCO (2009). Strategic Plan on intensifying multi-sectoral
HIV/AIDS response in Ethiopia (SPM II), 2009-2014);7. FHAPCO (2010).Multi-sectoral HIV/AIDS response annual
Monitoring and Evaluation Report, July 2010-June 2011);8. FMOE (2009). Education sector HIV/AIDS response policy ,
Addis Ababa, Ethiopia;9. HEIs Partnership Forum (2010). Policy and Strategy
framework;10. Mekonen Y, Demisie Y. (2010). SC-USA- TansACTION
Program. Baseline survey among Most-At-Risk-Populations in 12 towns of Ethiopia (Unpublished report);
11. Memorandum of Understanding for Higher Education Institutions’ (HEIs) Partnership Sub-Forum against HIV/AIDS in Ethiopia, November, 2010, Addis Ababa, Ethiopia;
12. Mitikie G, Tamru M. (2007). The Drivers of HIV Epidemic and Response in Ethiopia;
13. Regassa N, Kedir S. (2011). Attitudes and practices on HIV preventions among students of higher education institutions in Ethiopia: the case of Addis Ababa University East Africa J Public Health. 2011 Jun;8(2):141-54);
50
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I
Higher Education Institutions’ Partnership Sub Forum against HIV/AIDS in Ethiopia
Drafting Committee of the Strategic Plan / SPM 2013-2015/
Name of S. No Participant University/Organization Responsibility
1 Anteneh Mekonnen
Ethiopian Civil Service University
Coordinator, HIV/AIDS Training and Research
2 Lemissa Oljira Haromaya University
Director, HIV/AIDS Prevention and Control Directorate
3 Dr Tariku Tadele Hawassa University
Director, HIV/AIDS Prevention and Control Directorate
4 Kassahun Emiru Gondar University HIV/AIDS Coordinator 5 Tirhas G/medhin Aksum University HIV/SRH Coordinator 6 Solomon Alemayehu Semera University Officer 7 Hailu Marew Addis Ababa University A/Coordinator 8 Belay Abera Arba Minch University HAPCO Officer 9 Miftah Awel FHAPCO Planning Expert 10 Mohammed Abatemam FHAPCO M&E Expert 11 Hadish G/tensay MOE HIV Coordinator 12 Dr. Frehiwot Nigatu FMOH HIV/STI Focal Person 13 Estibel Mitiku MOWCYA HAPCO Department Head 14 Mado Assefa MOWCYA Expert 15 Teshome Admasu Packard Foundation Program Associate 16 Dr. Ayana Yeneabat UNAIDS Consultant 17 Fedesa Tadese NEP+ M&E Officer 18
Philipos Petros ECSU & HEIs Head of HAMU & EC Secretary
19 Abebe Zenebe
St. Mary’s University College
Head, Student Wellness Dev’t & success service
20 Belachew Kahsay Defense University Coordinator 21 Mogeus Menna HEIs P/Forum Coordinator 22 Tigist Girma HEIs P/Forum A/ Coordinator 23 Dr. Dereje Beyene Adama University HAPCO Coordinator 24
Abraham Alano Hawassa University Joined for review and refine the SPM
51
HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I52