Africa Impact Evaluation Program on AIDS (AIM-AIDS) Cape Town, South Africa March 8 – 13, 2009

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Ethiopia Behavioral Change interventions in

MARPs

Meskele LeraMeskele Lera Tsegay LegesseTsegay LegesseFlorence KondylisFlorence KondylisTiruye DamtewTiruye DamtewMengistu KefaleMengistu Kefale

Tibebu AsfawTibebu Asfaw

Background

• The community conversation which is widely implemented in the country has resulted in increased uptake of services, particularly HCT and ART.

• There are studies indicating increase in risky behavior

Intervention

Target groups: Migrant workers (Construction Industries: Roads, housing, power plantations, agro industries) and people in the surrounding areas.

– Unit of Intervention: Hotspots & surrounding communities

– Planned Coverage: Nation wide, with multi-arm intervention

Intervention (1)

Intervention: MARPs Community Conversation and Peer education

Treatment Group I: sensitization, condom promotion and distribution, STI, peer to peer education,

Treatment Group II: sensitization, condom promotion and distribution, STI, peer to peer education and, MARPs community conversation

Controls: sensitization, condom promotion and distribution, STI

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Questions

“What interventions would lead to better behavioral change among MARPs and surrounding communities?”

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Expected outcome

1. Increase in comprehensive knowledge

2. Reduction in multiple sexual partnership

3. Increase condom use

4. Increase uptake of HCT and STI services

5. Reduction in HIV Prevalence

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Evaluation Design (1)

Mapping of MARPs & their surrounding population, MARPs type and population size

Type & size of surrounding population

Identification of existing interventions

Design: randomized experimental design into treatment

and control groups:

o Intervention areas will be defined as hotspots & surrounding

communities that lie within 5 kms radius of the identified hotspots.

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Sample and Data

• Sample

– Treatment & control sites will be selected

randomly based on: Mapping of MARPs and

their surrounding population

Source of Data

• MARPs Nation wide surveys (2009)

• EDHS (2010)

• BSS (2009)

• Population based Sero-survey

• Service reports

• Baseline for the selected groups

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Staffing Plan

• National Evaluation Team will be established (HAPCO, MoH, EHNRI, CSA, Universities, EPHA, WHO, CDC, World Bank, UNAIDS,

• National & international Consultants

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Timeline

1.Refine and finalize the concept note, End of Mar.09

2. Mapping of MARPs and surrounding

Communities

April –Mid June 09

3. Identify treatment and control groups End of July 09

4. Set Impact Evaluation design Mid of August 09

5. Design evaluation instruments End of August 09

Select and train data collectors Mid of September 09

collect baseline data End of September- 1st Week of November 09

Initiate the interventions in the groups January 2010 onwards

Progress follow up evaluation Every six months

Make Impact evaluation January-Feb. 2011

Disseminate the findings March 2011

Draw lessons learned and scale up April 2011

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Budget

• Using existing resources from various sources

• Integrating with the national plan

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Thank You