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PROGRESSO DO DREAMS NO DISTRITO DA BEIRA FHI360- PROJECTO CHASS Maputo, 20 de Junho de 2019

PROGRESSO DO DREAMS NO DISTRITO DA BEIRA FHI360- …progresso do dreams no distrito da beira fhi360- projecto chass maputo, 20 de junho de 2019

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  • PROGRESSO DO DREAMS NO DISTRITO DA BEIRAFHI360- PROJECTO CHASS

    Maputo, 20 de Junho de 2019

  • Community Partner “World Education-WE”

    • Demand creation for clinical partner

    • Development of personal and social

    skills

    • Programs for parents, families and

    caregivers (Social protection)

    • Educational support

    • Combination of socio-economic

    approaches

    Clinical Partner ”CHASS”• HIV and GBV Education for Prevention

    • Condom Promotion and provision (male and female)

    • HIV Testing and Counseling/ART linkage

    • Contraceptive method mixed & Access Expansion

    • Post Violence Care

    • Community mobilization and Norms Change

    • Referrals to VMMC (JHPIEGO provides services)

    • Assessment for reduction of new HIV infections (40%)

    DREAMS Mozambique (Beira District)Interventions for layering

    Pop. AGYW: 67.951; Health facilities: 14;Schools: 10; 3 Universities; 3 Technical Schools; HIV Prevalence in AGYW 21.6%

    Year 1 (March – Sept 2016)Year 2 ( Oct 2016 – Sept 2017)Year 3 (Oct 2017 – Sept 2018)

  • FB Interventions

    • Strengthen the capacity of Health Personnel and Health Facilities (YFHS);

    • Increase the demand for the YFHS, with use of IEC, Internet, CBO, Case Managers/Activists, Adolescent groups;

    • Promote and provide services:• Education for HIV and GBV Prevention

    • HIV counseling and testing;

    • Family planning;

    • GBV screening

    • Post GBV care;

    • Condom promotion and provision;

    • Reference to VMMC

    • Referral & Counter referral to the Community Partner (Layering)

    OHF Interventions

    • Collaboration with community-based partners

    • Strengthen the capacity of staff and facilities in schools

    • Mobile Brigades to schools and communities including “WE” with promotion and provision of:

    • Condoms,

    • HIV counseling and testing,

    • Family planning,

    • Reference to YFHS

    • Layering

    • Community dialogues on ASRH, HIV/GBV, harmful social and gender norms

    InterventionsFacility-based (FB) & Outside Health Facility (OHF)

  • CHASS DREAMS Goals/ Progress from year 1 to 3 Goal: Reduce in 40% new infections in AGYW

  • Condom Promotion and Provision in

    AGYW

    Source: DHIS2 and Layering Platform

    3115

    1855514970 15305

    2239025390

    40861

    1451

    13091

    8443

    14157

    1967121550 21057

    0

    5000

    10000

    15000

    20000

    25000

    30000

    35000

    40000

    45000

    FY16Q03 FY16Q04 FY17Q01 FY17Q02 FY17Q03 FY17Q04 FY18Q01

    15-24 Y.O

    Female Male

  • HIV Testing and Counseling in AGYW

  • Family Planning Through DREAMS

    Beneficiaries and Method and AGYW

  • PP_PREV and Gender Norms

    1405

    3250

    1240

    1880

    3270

    0

    2343

    28

    325657

    69%

    159%

    61%

    94%

    164%

    -10%

    10%

    30%

    50%

    70%

    90%

    110%

    130%

    150%

    170%

    0

    500

    1000

    1500

    2000

    2500

    3000

    3500

    FY17Q02 FY17Q03 FY17Q04 FY18Q01 FY18Q02

    # O

    F A

    GY

    W

    PP_PREV GENDER NORM % Achieved

    Source: DHIS2

  • Services provided VS effect on pregnancy relapse

    and new infections by (HIV) in AGYW from 15 to 24

    years

    3316

    2521 2695 24502918

    2406 24421688

    2685

    4081

    3190

    4569 4552

    7207

    19%

    16% 16%17%

    15%

    16%14%

    0%

    5%

    10%

    15%

    20%

    25%

    0

    1000

    2000

    3000

    4000

    5000

    6000

    7000

    8000

    FY16Q03 FY16Q04 FY17Q01 FY17Q02 FY17Q03 FY17Q04 FY18Q01

    Pregnancies Contraceptive Methods % PositivesSource: DHIS2

  • Services provided VS effect on pregnancy relapse

    and new infections by (HIV) in AGYW from 15 to 24

    years

    33162521 2695 2450 2918 2406 2442

    3115

    18555

    14970 15305

    22390 25390

    40861

    19%

    16% 16%17%

    15%16%

    14%

    0%

    5%

    10%

    15%

    20%

    25%

    0

    5000

    10000

    15000

    20000

    25000

    30000

    35000

    40000

    45000

    FY16Q03 FY16Q04 FY17Q01 FY17Q02 FY17Q03 FY17Q04 FY18Q01

    Pregnancies Condoms % PositivesSource: DHIS2

  • Satisfaction of SAAJ Users

    Number of Users of SAAJ Beira Happy Reasonable Sad Total

    3498 962 292 4752

    2094 264 101 2459

  • Next Steps..

    • Assessment for reduction of HIV new infections in DREAMS beneficiaries (40%) using

    the DREAMS Platform (Layering)

    Source: DREAMS Layering Platform 10/6/2019

  • Agradecido..