Strategic Plan IIextranet.who.int/countryplanningcycles/sites/default/... · 2014-05-30 · PMTCT service uptake and ANC coverage are low, there is considerably high vertical transmission

Strategic Plan II

2010/11 – 2014/15

Federal HIV/AIDS Prevention and Control Office | Federal Ministry of HealthAddis Ababa, Ethiopia, February 2010

For Intensifying Multisectoral HIV and AIDS Response in Ethiopia

Strategic Plan II

2010/11 – 2014/15

For Intensifying Multisectoral HIV and AIDS Response in Ethiopia

AIDS Acquired Immune Deficiency SyndromeANC Antenatal CareARC AIDS Resource CentreART Anti-Retroviral TherapyARV Anti-Retroviral BCC Behavioural Change CommunicationBSS Behavioural Surveillance SurveyCBO Community-Based Organization

CC Community ConversationCCM Country Coordination MechanismCSO Civil Society Organizations

CSW Commercial Sex WorkersDA Development Army

DHS Demographic and Health SurveyEIFDDA Ethiopian Inter-faith Forum for Development, Dialogue and Action

EHNRI Ethiopian Health and Nutrition Research InstituteEMSAP Ethiopian Multi‐Sectoral HIV/AIDS Program

ERCS Ethiopian Red cross SocietyFBO Faith-Based Organization

FMOH Federal Ministry of HealthGBV Gender-Based Violence

GFATM Global Fund to Fight AIDS, Tuberculosis and MalariaGIPA Greater Involvement of People Living with HIV/AIDS

HAPCO HIV/AIDS Prevention and Control OfficeHB Health Bureau

HCT HIV Counselling and TestingHEWs Health Extension Workers

HIV Human Immunodeficiency VirusHMIS Health Management Information System

HR Human ResourceHSDP Health Sector Development ProgramICASA International conference on AIDS and STI in Africa

IEC Information Education CommunicationIGAs Income Generating Activities

IP Infection PreventionMAC-E Millennium AIDS Campaign-Ethiopia

MARPs Most At Risk Populations

Acronyms

MC Male CircumcisionMDGs Millennium Development Goals

M and E Monitoring and EvaluationMIS Management Information System

MNCH Maternal,Neonatal,and Child HealthMOE Ministry Of EducationMOH Ministry Of Health

MOLSA Ministry of Labour and Social AffairsMTCT Mother-To-Child Transmission of HIV

MWCYA Ministry of Women,Children and Youth AffairsNAC National AIDS Council

NEP+ Network of Networks of HIV Positive in EthiopiaNGO Nongovernmental Organization

OC Organisational ConversationOI Opportunistic Infections

OVC Orphans and Vulnerable ChildrenPASDE Plan for Accelerated and Sustainable Development to End Poverty

PEP Post-Exposure ProphylaxisPFSA Pharmaceuticals Fund and Supply Agency

PIHCT Provider-Initiated HIV Counselling and TestingPLHIV People Living With HIV/AIDS

PMTCT Prevention of Mother-To-Child Transmission of HIVRAC Regional AIDS CouncilREB Regional Education Bureau

RHAPCO Regional HIV/AIDS Prevention and Control OfficeRHB Regional Health Bureau

SNNPR Region of Southern People Nations and NationalitiesSPM Strategic Plan Management

STI Sexually Transmitted InfectionTB Tuberculosis

TVET Technical and Vocational education and trainingTWG Technical Working Group

UNGASS United Nations General Assembly Special Session on HIV/AIDSVCAP Volunteer Community Anti AIDS Promoters

VCT Voluntary Counselling and TestingWrHO Woreda Health Office

WA Women AssociationsYA Youth Associations

Contents

Acronyms iiPreface viExecutiveSummary viii

Part One: Introduction 11.1. SituationAnalysis 21.2. ResponseAnalysis 6

Part Two: Vision,Mission,Goal,StrategicResults,andGuidingPrinciples 11

Part Three: ThematicAreas 153.1. ThematicAreaOne:CreatinganEnabling

Environment 163.2. ThematicAreaTwo:IntensifyingHIV

Prevention 203.3. ThematicAreaThree:IncreaseAccess

toandImproveQualityofChronicCareandTreatment 28

3.4. ThematicAreaFour:StrengthenCareandSupportServicestoMitigatetheImpactofAIDS 31

3.5. ThematicAreaFive:StrengthenGenerationandUtilizationofStrategicInformation 32

Part Four: Five-yearProgrammaticTargetsandResultsMatrix 354.1.Five-yearProgrammaticTargets 364.2.ResultsMatrix 38

Part Five: ImplementationModalityandInstitutionalArrangements 705.1.MultisectoralHIV/AIDSresponsegoverningandcoordinatingbodies 71

5.2.ImplementationofthemultisectoralHIV/AIDSresponse 71

Part Six: MonitoringandEvaluation 72

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Strategic Plan II for Intensifying Multisectoral HIV and AIDS Response in Ethiopia

The multisectoral response to HIV/AIDS in Ethiopia is guided by the National HIV/AIDS Policy, 1998; the Strategic Plan for Intensifying Multisectoral HIV/AIDS Response, SPM I (2004-2008); the Plan for Accelerated and Sustained Development to End Poverty, PASDEP (2007-2010); the Road Map for accelerated access to HIV prevention, treatment and care in Ethiopia, (2007-2010); and the Plan of Action for Universal Access to HIV prevention, treatment, care and support in Ethiopia, (2007-2010).

This strategic plan (SPM II) is developed as a guide towards universal access to HIV/AIDS services in the country. Various documents have been used as inputs to prepare SPM II. These include:

• Final Evaluation report of SPM I, 2004-2008;• Evaluation documents including Impact Evaluation Report of the Global Fund to Fight AIDS, TB

and Malaria, Mid-term Evaluation Report of HSDP III, Aide memoire and Mid-term review report of EMSAP I;

• Survey reports such as BSS 2005, DHS 2005 , ANC 2005, single point HIV prevalence estimate 2005, HIV/AIDS Epidemiological Synthesis Report, 2008;

• Global Fund project proposals from Round 4 (2005-2010) and Round 7 grants (2008-12) and the Rolling Continuation Channel (2009-2014);

• Road Map for HIV Prevention, Care, and Treatment (2007-2010) and Costed Universal Access Plan for HIV/AIDS Prevention, Care and Treatment (2007-2012);

• Annual Report of 2008 and 2009, proceedings from various review meetings, UNGASS report of 2008 and proceeding and consensus statement of the National Prevention Summit.

• HSDP IV and • Other strategic plans from key sectors.

Preface

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The SPM II has six major parts. Part one covers a synoptic overview of the HIV/AIDS epidemic and the response analysis. Part two consists of the vision, mission, goal and guiding principles of the national response. Part three elaborates on the five thematic areas (along with their objectives and key strategies) including: (1) creating enabling environment; (2) intensifying HIV preventions; (3) increasing access to and improving quality of chronic care and treatment; (4) intensifying mitigation efforts against the epidemic; and (5) strengthening the generation and utilization of strategic information. Part four of the SPM II is about the programmatic targets and result matrix, which outlines selected strategies, major interventions, targets, indicators, means of verification and lead responsible bodies. Part five covers the implementation modality and institutional arrangements for the SPM. Part six covers the monitoring and evaluation of the SPM.

The SPM II has been developed through a collective effort and active participation of key government sectors, faith-based organizations, community-based organizations, civil societies and associations of people living with HIV, the private sector, multilateral and bilateral donors and individuals. The SPM is fully costed and will have a consolidated road map and operational annual plans, facilitating the SPM into action. The implementation process and achievements will be closely monitored and evaluated based on a costed M and E framework that will be developed shortly. Multisectoral actors will have shared responsibilities and accountability in harmony with the “three ones” principles.

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1.EpidemicSituationAnalysisTrend of the epidemicSince the detection of the first two AIDS cases in Ethiopia in 1986, the epidemic has rapidly spread throughout the country. According to the single point estimate, the national adult HIV prevalence is 2.3% in 2009 with an estimated 1.1 million people living with HIV in the country. The epidemic which started in the mid-1980’s, expanded rapidly reaching a plateau around the mid-1990s. Although the epidemic is on the decline in major urban settings and stabilizing in rural areas, there is significant variation in the epidemic among geographic areas and population groups.

Heterogeneity of the Epidemic Across the country, the epidemic is generalized. However, urban areas and females are more affected than rural areas and males. Urban HIV prevalence was 7.7% in 2009 and this accounted for 62% of the total PLHIV in the country, while rural HIV prevalence was 0.9% in 2009, which accounted for 38% of total PLHIV population in the country. The estimated national adult HIV incidence of 0.28% in 2009 translates to over 131,000 new HIV infections. There is variation in the prevalence among regions both by urban and rural settings. The HIV prevalence in urban areas ranges from 2.3% in Somali region to 10.8% in Afar region. There is also variation in the urban HIV prevalence among big regions: Oromia (6.1%), SNNPR (7.2%), Amhara (9.9%), and Tigray (10.7%); whereas the rural HIV prevalence ranges from 0.4% in Somali region to 1.4% in Amhara region. Small towns are becoming hot-spots and can potentially bridge further spread of HIV epidemic to rural settings. Addis Ababa and four regions: Amhara, Tigray, Oromia, and SNNPR account for 93.4% of the total PLHIV population in the country.

In all regions, females are more affected than males in both urban and rural areas. In 2009, female HIV prevalence was 2.8% while male HIV prevalence was 1.8%. Females accounted for 59% of the total PLHIV in the country. According to DHS 2005, females are twice more affected than males.

Executive Summary

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Most- at- Risk Population GroupsBased on the current available information, the most-at-risk populations (MARPs) in the country includes female sex workers, uniformed forces, long distance drivers, discordant couples, refugees, and migrant labourers, including cross-border and mobile populations. However, there are data gaps to show the full picture of MARPs, their magnitude and sexual behaviours as well as their potential in further spreading the epidemic to the general population.

Knowledge and Sexual Behaviour PatternsDespite high awareness about HIV/AIDS, comprehensive knowledge on transmission routes and prevention methods is low. According to BSS 2005, only 57% of the studied population knew all three prevention methods and major misconception was high in the general population. There is an encouraging trend of consistent condom use with over 90% condom use among Commercial Sex Workers and uniformed forces. However, consistent condom use in casual sex with non-regular partner among the sexually active population is low. Only 60% of out-of-school youth who had sex with a non-regular partner used condom. Although there has been a slight decrease in individuals who have had sex with two or more non-regular partners, sexual practices such as premarital and extra-marital sex exist in the society. Never married sexually active young women are at greater risk of HIV due to sexual mixing with older and high risk men.

Determinant Factors of the EpidemicDeterminant factors that drive the epidemic and sexual behaviours among different population groups are not adequately explored. Limited studies and anecdotal evidences indicate that low level of comprehensive knowledge about HIV/AIDS, low level of perceived risk and threat of HIV/AIDS, increased population migration, high prevalence of unprotected sex through concurrent multiple partnerships, intergenerational transactional sex, high prevalence of STIs, alcohol and substance abuse, gender inequality and poverty could be cited as some of the drivers of the epidemic. In addition, as PMTCT service uptake and ANC coverage are low, there is considerably high vertical transmission from mother to child.

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2.ResponseAnalysisThe multisectoral response to HIV/AIDS in Ethiopia was expanded dramatically during the implementation of SPM I (2004-2008). Capacity in the community and in the health sector significantly increased. Over 30,000 health extension workers were deployed into rural Kebeles all over the country. This has ignited public movement against HIV/AIDS through community conversation, which has enabled community members to perceive the problem of HIV/AIDS, create consensus on what fuels the epidemic in their own settings and how to prevent it, by developing plan of actions and passing relevant community bylaws. These have resulted in social transformation and increased demand for & utilization of HIV/AIDS services by communities. Many religious organizations and community groups across the country have instituted the culture of premarital HIV counselling and testing into their by-laws.

The accelerated expansion of primary health care facilities, the decentralization of HIV/AIDS services, and the innovative millennium AIDS campaign- Ethiopia, launched in November 2006 at the eve of the new Ethiopian Millennium, have increased HCT service uptake by nine folds. Individuals counselled and tested for HIV increased from less than half a million per year in 2004, to 4.6 million per year in 2008. The accelerated expansion of free ART program by the government of Ethiopia improved the survival and quality of life for AIDS patients. Patients ever started on ART increased from 8,226 in 2005 to 180,455 by the end of 2008. Although Ethiopia has seen a marked improvement in a number of HIV/AIDS related areas, the performance of the PMTCT program has been below the target for universal access.

Moreover, the capacity of PLHIV associations was also strengthened by empowering them to have a decisive role in the governance, management and service delivery of the HIV/AIDS response. The Network of Networks of HIV Positive in Ethiopia is a member of the National AIDS Council, national management board, Country Coordinating Mechanism for GFATM and review board, as well as the principal recipient of the GFATM Round 7 at national level with decentralized involvement at regional and sub-regional levels. The Ethiopian Inter-faith Forum for Development, Dialogue and Action has become the principal recipient of Round 7 GFATM, along with public sector and NEP+, to enhance the faith-based HIV/AIDS response in the country.

Many public sectors, non-government and private sector organizations have initiated mainstreaming of HIV/AIDS into their core activities during this period. The education sector has integrated HIV/AIDS into the curriculum, initiating peer education, life skills and school community conversation in a considerable number of schools.

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Other initiatives were also undertaken to enhance behaviour change among most-at-risk population groups as evidenced by high consistent condom use by traditional MARPs such as CSWs and uniformed forces. Access to AIDS information increased through the expansion of AIDS resource centres, hotlines for the general population, and the Fetun warm-line for health care service providers. Behaviour Change Communication messages were transmitted using print and radio serial dramas and condoms were supplied principally through social marketing with a limited supply distributed through health care facilities.

However, there were a number of limitations and challenges during the SPM I period. The major challenges included: (1) inadequate capacity in the key strategic sectors, (2) shortage of human resource and rapid turnover of staff, (3) low coverage and poor uptake of PMTCT services, (4) inadequate HIV mainstreaming, (5) weak STI services, (6) low coverage of care and support services, (7) limited coverage of services for MARPs, (8) inadequate strategic information, and (9) weak non-health management information system (MIS).

3.ThematicAreasofSPMIIFive thematic areas were identified after a thorough analysis of the epidemic and the response during the SPM I (its major achievements, gaps and challenges). These include (1) creating enabling environment; (2) intensifying HIV prevention; (3) increasing access to and improving quality of chronic care and treatment; (4) intensifying mitigation efforts against the epidemic; and (5) strengthening the generation and utilization of strategic information

3.1. Creating Enabling EnvironmentThis thematic area has five components: (1) capacity building, (2) community mobilization and empowerment, (3) leadership and governance, (4) mainstreaming, and (5) coordination and partnership.

3.1.1. Capacity BuildingBuilding capacity is of utmost importance to sustain the gains in the fight against HIV/AIDS and accelerate the move towards universal access. Efforts of capacity building during SPM II (2010/11-2014/15) will focus on consolidating the capacity in the health sector and in the community to achieve universal access to HIV/AIDS services and MDG 6. Moreover, emphasis will be given to building the capacity of key strategic sectors, PLHIV associations, CSOs, and vulnerable and at-risk groups including youth and women, along with building the capacity of multisectoral response coordinating & governing bodies.

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3.1.2. Community Mobilization and EmpowermentConcerted efforts will be made to intensify and sustain the anti-HIV/AIDS community movement, engage and empower communities. Furthermore, due attention will be given to bring social transformation and create community ownership. All key actors at community level should be involved in the movement, and institutional support should be strengthened to meet the demands that follow intensified community mobilization.

3.1.3. Leadership and GovernanceLeadership and governance will be strengthened to create responsiveness and accountability in the multisectoral response against HIV/AIDS. The response to HIV/AIDS will be taken as a strategic development issue by all sectors at various levels.

3.1.4. MainstreamingMainstreaming of HIV/AIDS into core mandate of all sectors will be strengthened to prevent HIV epidemic and mitigate its impacts. The focus will be conducting an assessment of sectoral vulnerabilities, existing response capacity, and the impact of HIV/AIDS on the sector and to come up with sectoral polices, strategies, and action plans to mainstream HIV/AIDS using each sector’s own resources. During SPM II period, mainstreaming should be expanded to the private sector, Non Governmental Organisations and civil society organizations.

3.1.5. Coordination and partnershipCoordination of a multi-sectoral response against HIV/AIDS will be guided by this SPM in line with the principle of the “Three Ones”. “One country plan” and “one monitoring and evaluation system” will be taken as key tools to harmonize and coordinate the multisectoral efforts at all levels.

Partnerships will be strengthened to ensure an effective response against HIV/AIDS, create synergy and enhance efficient use of resources. Partnership guidelines will be developed to strengthen partnerships and networking.

3.2. Intensifying HIV PreventionThe fight against HIV/AIDS cannot be successful unless further spread of the epidemic is reversed and ultimately halted. This requires social transformation to reduce social, cultural and economic factors that make people individually or collectively vulnerable to HIV infection, as well as creating comprehensive knowledge and behavioural change on a mass basis among the population with particular focus on MARPS. Prevention of new HIV infection among young people and the adult population must be intensified using a combination prevention approach to address structural, behavioural, and biomedical issues in HIV prevention. A package of HIV prevention services for MARPs and PLHIV will be developed, implemented and scaled-up towards universal access.

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3.3. Increasing access to and improving quality of chronic care & treatmentAs a result of improved ART services, HIV/AIDS is becoming a manageable chronic disease. Chronic care and treatment services will be further decentralized through the expansion of services, task shifting and improving service integration, linkages and referral systems.

Barriers to service delivery will be addressed by increasing the number and quality of human resources, availing treatment for opportunistic infection and ARV drugs, as well as strengthening logistic, laboratory and health management information system. Special emphasis will be given to improve adherence and retention of patients on treatment.

3.4. Strengthening care and support services to mitigate the impact of AIDSMitigating the devastating impacts of HIV/AIDS is essential to improve the livelihoods of those infected and affected. Care and support services will be provided to orphans and vulnerable children (OVC) and PLHIV in their familial network through a sustainable approach. Efforts will be made to reduce dependency by scaling-up income generation activities to the needy OVCs and PLHIVs.

3.5. Enhancing generation and utilization of strategic informationTo institute evidence based/informed policy making, program planning and management of HIV/AIDS response, generation and utilization of strategic information will be improved. Efforts will be enhanced to match the response to the epidemic by continuous generation and use of strategic information. Capacity to generate and use strategic information will be strengthened in key sectors by integrating of HIV strategic information into sectors’ management information system.

4.MonitoringandEvaluationMonitoring and evaluation of the multi-sectoral response to HIV/AIDS will be strengthened at all levels. Response inputs, processes, outputs, outcomes, and impacts will be monitored and evaluated using routine reports, surveillances, surveys, and studies. A functional M and E system will be instituted by developing an appropriate system and strengthening M and E capacities at all levels. Appropriate indicators are identified in order to verify the achievement of the set targets for SPM II. Mid-term and final evaluations of the SPM will be conducted.

5.8 millionpeople were tested for HIV just in one year (in 2009)

200,000 students received life skills trainings

millionsof people were reached by CC

condoms were distributed during 2004-2008286 million

self-help groups were established49,147PLHIV ever started ART73%

IntroductionPart One

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1.1. Situation Analysis

1.1.1. General Background Ethiopia has a population of 79.8 million. The country is a Federal Democratic Republic and administratively composed of nine National Regional States and two city administrations, with 750 Woredas (districts). The major health problems of the country are communicable diseases, most of which are preventable. In 2007/2008 potential access to primary health care had reached 89.6%.

1.1.2. Trends and Status of the HIV EpidemicEthiopia is among the countries most affected by HIV and AIDS. The existence of HIV infection in Ethiopia was recognized in the early 1980s with the first two AIDS cases reported in 1986. Since then, the epidemic has rapidly spread throughout the country. The epidemic peaked in the mid-1990s. Since 2000 the epidemic has declined in major urban areas and stabilized in rural settings. According to projections based on the single point estimate the national adult HIV prevalence for 2009 was estimated at 2.3% with 1,116,216 People Living With HIV/AIDS (PLHIV) and 855,720 orphans due to AIDS. For the same period the total number of Orphans and Vulnerable Children (OVCs) in the country was estimated at 5.4 million. There were an estimated 44,751 deaths due to AIDS in 2009. The number of AIDS-related deaths would have been much higher had it not been for the free Anti-Retroviral Therapy (ART) program which has been scaled-up in an accelerated manner since 2005. The estimated national adult HIV incidence of 0.28% in 2009 translates to over 131,000 new HIV infections. With the current status, it is evident that HIV and AIDS remains a formidable development challenge to the country.

1.1.3. Heterogeneity of the EpidemicThe HIV epidemic in Ethiopia is heterogeneous between different geographic areas and population groups. Five regions: Amhara, Tigray, Oromia, Region of Southern People Nations and Nationalities (SNNPR) and Addis Ababa account for 93.4% of total PLHIV population in the country. Across all the regions, urban and female populations are more affected than rural and male population.

Part One:Introduction

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In 2009, the national urban HIV prevalence was 7.7% and an estimated 695,413 people living with HIV (PLHIV) resided in urban areas, which accounted for 62.3% of the total HIV positive population in the country. While the urban HIV epidemic presents a declining trend in major urban settings, small towns are emerging as hot-spots, according to findings of Demographic and Health Survey (DHS) 2005. There is considerable variation in urban epidemics from region to region with urban HIV prevalence ranging from 2.3% in Somali region to 10.9% in Afar region in 2009, and urban HIV incidence ranging from 3.52% and 3.0% in Afar and Amhara to 0.56% and 0.71% in Somali and Gambella regions respectively. There is also variation in the urban HIV prevalence among big regions: Oromia (6.1%), SNNPR (7.2%), Amhara (9.9%), and Tigray (10.7%).

The national rural HIV prevalence was 0.9% in 2009. The number of PLHIV living in rural areas estimated to be 420,802, accounts for 37.7% of the total population of PLHIV in the nation. The epidemic in rural settings is generalized but varies significantly from region to region with rural HIV prevalence ranging from 0.4% in Somali region to 1.4% in Amhara.

The likelihood of the further spread of HIV to rural settings is increasing as small towns are becoming hot-spots and bridging the urban epidemic with rural settings. As a result, it is necessary for combination prevention packages be intensified and scaled up to the hot-spots.

According to various surveys and studies, women are more affected than men. DHS 2005 found that HIV prevalence among the female population to be twice that of the male population. In 2009, national HIV prevalence was 2.8% among women and 1.8% among men. An estimated 658,843 women were living with HIV in 2009, which accounted for 59% of total HIV positive population in the country.

Further look into age-specific HIV prevalence has indicated that young females aged 15-24 years are three times more affected than males in the same age group. HIV prevalence peaks at age group 15-24 years in females as opposed to 25-29 years in males.

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Table 1: HIV prevalence region, residence and sex in 2009

Region

AdultHIVprevalence(%)in2009

HIVprevalencebyResidencein2009

AdultHIVincidence(%)in2009

HIVincidencebyResidencein2009

HIVprevalencebysexin2009

Urban(%)

Rural(%)

Urban(%)

Rural(%)

Females(%)

Males(%)

Tigray 2.9 10.8 0.9 0.35 2.95 0.13 3.5 2.4Afar 2.1 10.9 0.9 0.27 3.52 0.25 2.5 1.7Amhara 2.8 9.8 1.4 0.34 3 0.36 3.4 2.2Oromia 1.5 6.1 0.6 0.17 1.82 0.11 1.8 1.2Somali 0.8 2.3 0.4 0.1 0.56 0.11 1 0.7Benshangul Gumuz 2 5.5 1.3 0.26 1.35 0.38 2.4 1.6

SNNPR 1.6 7 0.8 0.22 1.91 0.29 1.9 1.3Gambela 2.4 6.6 1.1 0.2 0.71 0.33 2.8 1.9Harari 3.5 5.2 0.3 0.51 1.51 0.06 4.2 2.8Addis Ababa 8.5 8.5 1.53 1.53 10.1 6.8Dire Dawa 4.6 5.9 0.5 0.68 1.74 0.16 5.5 3.7National 2.3 7.7 0.9 0.28 1.91 0.19 2.8 1.8

1.1.4. Most-at-Risk Population GroupsPopulation groups with most-at-risk of HIV infection include female sex workers, migrant workers, long distance drivers, uniformed forces, and discordant couples. Common settings with most-at-risk populations (MARPs) include economic and infrastructure development schemes, brothels, high transport corridors, refugee camps and surrounding populations.

1.1.5. Risk Factors Driving HIV Epidemic in EthiopiaThe two primary modes of HIV transmission in Ethiopia are heterosexual intercourse (87%) and vertical transmission from mother to child (10%) during pregnancy, delivery and breast-feeding.

The behaviour related risk factors for the epidemic in the country include:

• Practice of multiple concurrent sexual partnerships • Early initiation of sexual practices: The proportion with sexual debut before age 15 among the

15-19 years old boys and girls is high, and significantly higher among girls (11.1%) than boys (1.7%).

• Low and inconsistent condom use: Although there is a remarkable improvement in consistent condom use among female sex workers and uniformed forces, which reached as high as 90%, condom use among sexually active young people is still low. For instance, the 2005 DHS showed that only 40% of sexually active out-of-school youth aged 15-24 used condoms while having sex with a non-regular partner.

• Intergenerational and transactional sex. • Repeated episodes of Sexually Transmitted Infection (STIs) and low treatment seeking behaviours

for STIs.• Mobility/migration of population: Due to the current development investments, there are a

number of seasonal and migrant labourers in different parts of the country. Separation from their families for a prolonged time increases the likelihood of risky sexual practices.

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• Unprotected sexual practices among discordant couples and HIV positives: The DHS 2005 showed that HIV prevalence among cohabitating individuals in urban areas was 10.9% of whom 72% were discordant.

• PMTCT and vertical transmission: The emerging epidemic pattern among couples of reproductive age, together with low prevention of mother-to-child transmission of HIV (PMTCT) service up take, means that vertical transmission continues to contribute significantly to the spread of HIV.

• Emerging behaviours: There are a number of emerging behaviours that make individuals and communities more at risk of acquiring and transmitting HIV infection in the country. These are injection drug use, substance abuse/dependency, anal sex and men having sex with men.

1.1.6. Vulnerability Factors and Drivers of the EpidemicThere are individual, socio-cultural, structural and institutional factors that influence and contribute to the spread of HIV in the country. These are:

• Lack of adequate knowledge and skills to protect one-self: According to the DHS 2005, only 55.3% of the in-school youth knew the three HIV prevention methods for sexual transmission of HIV and 26.6% had comprehensive knowledge about HIV and AIDS. In addition to the low level of the comprehensive knowledge, there is knowledge variation by sex.

• Socio-cultural norms: Harmful traditional practices such as female genital mutilation, abduction, women inheritance, acceptance of premarital and extramarital sexual practices, etc... are some of the beliefs and practices that may be fuelling the spread of the epidemic.

• Inaccessible and inadequate basic HIV service coverage, including information and education: PMTCT services and STI control and prevention services are not widely available in all health facilities.

• Poverty: Women disproportionately bear the burden of poverty due to low control over resources. Due to extreme poverty, young women engage in transactional sex with older men, while many women are forced to support their family by selling sex, putting them at greater risk of HIV infection.

• Gender inequality: Women are at greater risk of HIV infection as they are often not in a position to make decisions on matters affecting their own health including, sexual relations due to their socio-cultural and economic positions. Women increasingly bear the burden of AIDS resulting in higher stigma, discrimination and poorer access to services.

1.1.7. Impacts of AIDS There has been a noticeable decline in the estimated number of total annual deaths due to HIV/AIDS. The estimated death was 99,360 in 2005 while in 2009 it was 44,751. The decline in AIDS related deaths is mostly due to the wide availability of the free ART program in the country since 2005, initiated by the government in collaboration with development partners.

As the most sexually and economically active segment of population, 15-49 years old are highly affected by HIV/AIDS. Infection with HIV often results in considerable productivity loss due to recurrent illnesses and deaths with loss of skilled labour across the sectors and as a result, posing a challenge to the socio-economic development of Ethiopia. AIDS disrupts families and increases orphans and vulnerable children. It is estimated that the number of orphans due to HIV/AIDS in 2009 was 885,720.

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1.2. Response AnalysisThe response to the HIV/AIDS epidemic in Ethiopia is a collective effort by the government, communities, faith-based organizations, community-based organizations, civil societies, associations of PLHIV, national and international non-governmental organizations, the private sector, and multilateral and bilateral donors and individuals. The response was guided by the national policy issued in 1998 and Strategic Plan for Intensifying Multi-Sectoral HIV/AIDS Response for the period 2004-2008 (SPM I).

The National AIDS Council was established in 2000, and was charged with directing and overseeing the multi-sectoral response. The Council, chaired by the President of the country and comprising members from government, NGOs, religious bodies, civil society, and PLHIV, has declared HIV/AIDS a national emergency. In June 2002, the National HIV/AIDS Prevention and Control Office (HAPCO) was established by proclamation to coordinate and lead the multi-sectoral response.

1.2.1. Major Achievements of the Response The major thematic areas in the SPM I (2004-2008) were capacity building, community mobilization and empowerment, integration with health programs, leadership and mainstreaming, coordination and networking and targeted responses. The major achievements, challenges and gaps are as follows.

1.2.1.1. CapacityBuildingThe major achievements under the capacity building efforts are: expanding and equipping of health facilities, technical and financial capacity building of public sectors, NGOs, faith-based and PLHIV associations and training of human resources.

The expansion of health infrastructure from 2004 to 2008 included an increase in number of health centres from 600 to 1,500 and a 20 percent increase in the number of hospitals from 119 to 143.

During the SPM-I period the number of service providers has increased, numerous HIV-related in-service and pre-service trainings were offered, new categories of health workers were added at the grass roots level (Health Extension Workers), and task shifting was introduced, to overcome the staff turnover and attrition.

• Short term trainings were provided to a large number of services providers. Intensive trainings have been given on various components of HIV programs by all partners.

• HIV was integrated in school curricula and in multi-purpose educational TV programs.• A number of teacher-training institutions, colleges and universities have incorporated life skills-

based HIV education into their curricula. • Investments were made on strengthening life-skills programs nationwide and in capacitating the

education sector, resulting in the development of education sector’s HIV policy and guidelines.• The capacity of PLHIV organizations has increased considerably and as a result, they have

started to become service providers. Associations of PLHIV are represented at governance and leadership structures of HAPCO, from Federal to Woreda level and are involved in the decision making processes and forums such as the Global Fund County Coordination Mechanism (CCM). In addition, several civil society organizations have been dynamic players in the HIV field.

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1.2.1.2. SocialMobilizationandCommunityConversationSocial mobilization efforts, especially the Community Conversations (CCs), were successful in reaching millions of people and creating awareness about HIV and available services. CCs were used to advocate against harmful traditions and mobilize the community to mitigate the impact of HIV and AIDS.

• Better involvement of communities, mass organizations, faith based and civil society organizations in prevention, care, support, and impact mitigation services for PLHIV and OVC were observed.

• Awareness creation through social mobilization, especially during Millennium AIDS Campaign-Ethiopia (MACs), resulted in increased demand for and utilization of Voluntary Counselling and Testing (VCT), ART and other health services.

• Systematic involvement of community based organizations was observed. • Cultural and normative practices around marriage were challenged and are changing. Many

communities are encouraging or demanding mandatory premarital HIV testing and advocating to outlaw widow inheritance and abduction marriage.

• Income Generating Activities (IGAs) and other social support mechanisms are becoming more available.

1.2.1.3. IntegrationwithHealthProgramsSPM I had greater emphasis on the health sector to HIV/AIDS, and made great progress towards the strategic objective of “integration with health programs”. The Federal Ministry of Health spearheaded the implementation of integration. During this period considerable achievements have been made in expanding health facilities and services to the general population as well as to PLHIVs. Most achievements of health facility based HIV interventions can be attested to this fact. The accomplishments in this regard are highly creditable. However, the period has been criticized for putting insufficient emphasis on primarily prevention and non-health sector responses.

Availability and accessibility of health facility-based HIV services have increased from 658 and 129 in 2005 to 1596 and 843 in 2009, respectively, while free ART sites increased from 3 to 483 during the same period.

• Annual HIV Counselling and Testing (HCT) uptake has increased from 0.4 million in 2005 to 5.8 million in 2009. As a result 37 percent of the adult population know their HIV status. Millennium AIDS Campaign-Ethiopia (MAC-E) has made a significant contribution to this achievement.

• 73 percent of the PLHIV in need of treatment have been enrolled for ART as of 2009.• TB /HIV collaborative work, which started in six hospitals and three health centres in 2004, now

covers more than 330 health facilities in total. • The percentage of Tuberculosis (TB) patients counselled and tested for HIV increased from 10

percent to 80 percent.• Noteworthy investments have been made in infrastructure, including upgrading of health

facilities and procurement of equipment and supplies.

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1.2.1.4. LeadershipandMainstreamingImproved leadership commitments and mainstreaming HIV in the workplace were observed at both national, regional and woreda levels. Most sectoral public agencies have recognized HIV as one of their core activities and some have gone as far as establishing a coordination office and allocating funding for HIV and AIDS activities. Noticeable strides have been made in involving leadership to actively guide HIV activities at all levels.

• Allocation of up to two percent of their budget for HIV has been initiated in many sectoral offices; additional funds are also raised through voluntary individual contributions of 0.5% to 1% of staff salaries, mainly to augment care and support activities.

• The level of commitment and active involvement of leaders from federal to woreda level has increased.

• The involvement of the First Lady in HIV work nationally and globally is a testimony to the leadership’s commitment to fight HIV.

• Provision of active leadership was evidenced by formation of AIDS councils at all levels, management and technical boards and Kebele AIDS committees broadly.

• Parliamentarians were trained to incorporate and monitor HIV activities in their respective constituencies.

• The involvement of religious and community leaders, as well as eminent Ethiopian personalities, in advocacy of HIV issues was greater than before.

• Some sectors developed workplace HIV policies and guidelines.

1.2.1.5. CoordinationandNetworkingTo ensure synergy of HIV programs in order to yield maximum impact and to increase efficient use of resources, it is necessary to work in coordination and through networking

• Responses guided by one agreed national action framework and use of one monitoring and evaluation system.

• Plan of action for Universal Access to HIV Treatment, Care and Support, 2007-2010 and a Road Map for Accelerated Access to HIV Prevention, Treatment, Care and Support, 2004-2006, and 2007-2010 were developed.

• Coordination and networking was achieved through regular joint review meetings and joint integrated support supervisions.

• Various task forces, and technical working groups comprising of stakeholders were established.• Efficient resource utilization was noted. • The national partnership forum was formed and hosted at federal level.

1.2.1.6. SpecialTargetGroupsHIV responses were generally targeting the whole community with some specific attention to certain groups like the urban population, military, OVC, PLHIV, in-and out-of-school youth, long distance track drivers, and commercial sex workers. These activities are the main areas for involvement of Nongovernmental Organization (NGOs), Community-Based Organization (CBOs) and Faith-Based Organization (FBOs).

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• Over 400 school-based anti-AIDS clubs, more than 200 out-of-school anti-AIDS clubs, and 206 youth and recreational centres were established.

• 200,000 students received life skills trainings.• Over 286 million condoms were distributed during 2004-2008.• Over 450,000 orphans received various support services.• 92,537 PLHIV received basic social and financial services.• 195,000 benefited from free health care and education services. • 49,147 self-help groups were created.• 40,521 people were provided with short training on small business management and

employment.• Successful high risk corridor initiative focusing on prevention activities for long distance drivers.

1.2.1.7. MonitoringandEvaluation,SurveillanceandResearchIn addition to producing the routine monthly, quarterly, biannual and annual performance reports, Ethiopia has been conducting many researches and surveillances. The key ones are:

• ANC-based sentinel surveillances, 2005 and 2007• Behavioural surveillance surveys, 2005• Demographic health surveys, 2005• UNGASS report, 2006 and 2008. • Epidemiological synthesis, and • Health facility survey, 2005

1.2.2. Major challenges and gaps of the response • Lack of adequately trained and experienced human resources both in technical and administrative

areas.• Frequent turnover and attrition of skilled human resources.• Capacity building efforts for non-health sectors and the private sector appears to be limited.• Health centres in rural areas and hospitals are under equipped and understaffed.• Shortage of Opportunistic Infections (OI) drugs, test kits, laboratory reagents, Infection Prevention

(IP) materials and limited capacity in equipment maintenance were among the challenges. • The inadequate coverage and targeting of primary prevention programs and services, especially

those addressing most-at-risk populations and vulnerable groups.• The insufficient coverage of impact mitigating programs. • Continual inadequate performance in PMTCT and STI programs. • The referral system from primary health care units up to the tertiary level is frail, which creates

problems for ART compliance.• The response did not address the MARPs well.• Limited strategic information on HIV/AIDS • Delay in dissemination of results of surveys and surveillances.• The inadequacy of the monitoring and evaluation system for non-health HIV/AIDS activities.

”“The fight against HIV/

AIDS needs enhanced multisectoral and gender sensitive response, which empowers communities, and moves with shared sense of urgency, stronger partnership, greater involvement of PLHIV, and best use of resources...

Vision, Mission, Goal, Strategic Results, and Guiding Principles

Part Two

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Vision:To see Ethiopia free of HIV/AIDS

Mission:To prevent and control HIV/AIDS epidemic and mitigate its impacts by creating universal access to HIV prevention, treatment, care and support services through intensified community mobilization and empowerment, by building capacity and ensuring the active involvement and ownership across sectors, enhancing partnership under the principle of the “three ones”, and mobilizing and ensuring appropriate use of resources.

Goal:To reduce new HIV infections, AIDS related morbidity and mortality and mitigate its impacts.

Strategic Results:• Comprehensive knowledge and behavioural change created on individual and mass bases,• Reduced new HIV infection, and• Improved quality of lives of infected and affected people.

Guiding Principles

Multisectoralism: The HIV/AIDS epidemic is posing a formidable challenge to the development of all sectors as illnesses and deaths from AIDS reduce productivity of their labour force. Responding effectively to the behavioural, social, cultural, and economic factors that make individuals and communities vulnerable to HIV infection and mitigating the associated crises of AIDS requires organized and concerted efforts from all actors in the public and private sector, NGOs, FBOs, PLHIV and communities at large. All sectors should mainstream HIV/AIDS prevention and control into their core mandates, plans and programmes. Hence, multi-sectoralism remains to be the core guiding principle of comprehensive and expanded response against HIV/AIDS.

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Empowerment: Families and communities should be empowered and own the HIV programs so as to halt and reverse the epidemic.

Shared sense of urgency: HIV/AIDS needs to be combated with a shared sense of urgency by all actors to reverse and stop further spread of the epidemic, mitigate its impacts and succeed in our fight against poverty.

Partnership: All sectors of the society have to be involved in order to effectively respond to the epidemic by minimizing duplication of efforts, pooling resources together, creating synergy and maximizing impact. Effective scale up of the HIV services requires a coalition approach, which accommodates all partners working within the national HIV strategic plan framework.

Gender sensitivity: The fight against HIV/AIDS cannot be successful unless it effectively addresses the social, cultural, and economic causes of gender inequality in our society. Women should be actively involved in the fight against HIV/AIDS and gender sensitive HIV/AIDS prevention and control programs should be ensured by all actors.

Together with PLHIV: Greater involvement of people living with HIV (GIPA) should be ensured in all programs of HIV/AIDS prevention and control at all levels.

Result Oriented: The investment on HIV/AIDS prevention and control programs should yield the expected results in averting new infections and improving quality of life of the infected and affected population. The response should be led by evidence based/informed planning and programming.

Best use of resources: Resources mobilized from external development partners, the government and communities should be utilized in an effective and efficient manner with accountability.

”“In order to effectively

progress towards achieving MDG 6 by 2015, there is a pressing need to intensify HIV Prevention, increase access to quality chronic care and treatment, and strengthen care and support services by creating enabling environment, and establishing system for an effective strategic information...

Thematic AreasPart Three

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3.1. Thematic Area One: Creating an Enabling EnvironmentGeneral Objective: To create an enabling environment for scaled up and comprehensive HIV/AIDS multisectoral response.

This thematic area has five sub-thematic areas: (1) capacity building, (2) community mobilization and empowerment, (3) leadership and governance, (4) mainstreaming, and (5) coordination and partnership.

3.1.1. Capacity Building Specific Objectives:• To ensure the capacity of the health sector to achieve Millennium Development Goals 6 (MDG

6) by 2015. • To build the capacity of key and strategic sectors, civil society organizations (CSOs) and private

sectors to contribute to the achievement of MDG 6 by 2015.Strategies:• Strengthen the capacity of the health sector.• Build the capacity of key sectors, CSOs and the private sector

Strengthening the health sector is indispensable to ensure effective HIV/AIDS multisectoral response. The expansion and equipping of health facilities together with availing adequate skilled human resource in the health facilities as well as at different levels of management of the health system is an important component of building the capacity of the health sector.

Building the capacity of key sectors and communities is also of utmost importance to intensify the fight against HIV/AIDS. In order to move towards the achievements of MDG 6 by 2015 (“to halt and reverse the spread of HIV”), there is a real and pressing need for creating adequate capacity at community and institution levels.

Capacities of key sectors that can have significant effect on the fight against HIV/AIDS such as, Education, Health, Mining, Defence, Industry, Communication , Culture and Tourism, Transport, Women, Children and Youth , Labour and Social, Water and Energy, Trade, Agriculture, Civil service, Urban Development and Construction, Federal affairs and Ministry of Finance and Economic Development, need to be

Part Three:ThematicAreas

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strengthened. In addition, the building of leadership across sectors and communities and strengthening the capacity among stakeholders such as Most At Risk Populations (MARPs), Network of Networks of HIV Positive in Ethiopia (NEP+), Ethiopian Inter-faith Forum for Development, Dialogue and Action (EIFDDA) and other Civil Society Organizations (CSOs) is crucial to synchronize and harmonize efforts towards a common goal.

Interventions:• Support the expansion of health centres.• Support universities and colleges to provide pre-service training for health science students.• Train health workers on HIV/AIDS.• Staff key sectors with experts on prevention and impact mitigation.• Provide support to federal sectors to build the capacity of regional sectors on HIV. • Prepare health facilities for people with disability.• Build the capacity of networks of associations of PLHIV, OVC, elderly people, people with

disability, CSOs and FBOs.• Provide support to associations of PLHIV, OVC, the elderly, people with disability, CSOs and FBOs.

3.1.2. Community mobilization and empowermentSpecific objective: • To sustain community movement and attain social change by 2015.

Strategies:• Ensure community ownership and leadership of HIV/AIDS.• Augment community mobilization with behavioural change interventions.• Strengthen institutional support to community anti-AIDS movement.

Community mobilization and empowerment is crucial to attain success in the fight against HIV/AIDS. The anti-HIV/AIDS community movement should be anchored with the development and implementation of a concrete action plan. The community must own the movement and integrate an HIV/AIDS response into the existing socio-cultural and economic activities. Anti-AIDS community movement was intensified and over 80% of Kebeles across the nation covered with community conversation by the end of 2009.

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However, social transformation, which can bring the required level of changes in behaviour and social norms, has not been fully realized in the community at large. Hence, there is a need to consolidate and intensify the anti-HIV/AIDS community movement to bring social transformation.

The movement should engage key players in the community including the youth, women, farmers through their associations, kebele administrations, health extension workers (HEWs), teachers and agricultural development agents, Iddirs, faith-based organizations, NGOs and PLHIV. The overall movement should be led by the Kebele administration with technical leadership provided by the HEWs.

Interventions:• Train community leaders. • Conduct community conversation.• Enforce relevant community by-laws.• Train Health Extension Workers (HEW) on Behavioural Change Communication (BCC).• Train community anti-AIDS promoters from model households.• Train health development armies (DA) on BCC.• Strengthen Kebeles to provide support to community anti-AIDS movement. • Document, share and scale-up best practices.

3.1.3. Leadership and Governance Specific objective: • To ensure responsiveness and accountability in the leadership and governance of the

Multisectoral HIV/AIDS response. Strategies:• Build the capacity of leadership and governing bodies at various levels.• Avail regular updates on the HIV/AIDS epidemic situation and response to leadership and

governance.• Ensure inclusion of HIV plans in the overall sector plan and oversight sector performance.

Strengthening leadership and governance is essential to create transparency, responsiveness and accountability in the multisectoral response against HIV/AIDS. Setting the response to HIV/AIDS as a national priority and strategic development issue by different sectors and enforcing its implementation requires a sustained leadership commitment from the executives and governing bodies at various levels.

Interventions:• Provide training on strategic leadership on the fight against HIV/AIDS to leadership and

governing bodies.• Select and document best practices.• Arrange experience sharing visits for leadership and governing bodies from the regions.• Disseminate annual performance reports and analytical reports on the epidemic and response.

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• Establish AIDS Resource Centres (ARC) in the federal and regional parliament. • Provide oversight in the inclusion of HIV/AIDS plans in the overall sectors’ plans. • Conduct periodic review by the parliament and other governing bodies.

3.1.4. MainstreamingSpecific objective: • To enhance the HIV/AIDS response across sectors.

Strategies:• Strengthen ownership of HIV/AIDS programs across sectors.• Ensure the inclusion of HIV M and E into sectors’ management information system (MIS).

Mainstreaming HIV/AIDS prevention and control into core mandates and activities of various sectors (public, private and CSOs) is crucial to prevent further spread of the epidemic and mitigate its impacts. As HIV/AIDS is a development problem affecting all sectors, mainstreaming HIV/AIDS should be taken as a strategic issue to attain the development goals at all levels.

Interventions:• Conduct assessment on vulnerability and impact of HIV/AIDS and the capacity of the existing

response.• Develop sector specific policies, strategies and plans on HIV/AIDS.• Establish a unit for mainstreaming HIV/AIDS in both public and non-public sectors.• Ensure allocation of resources by all sectors for HIV/AIDS mainstreaming. • Incorporate monitoring and evaluation of HIV/AIDS into sectors’ MIS.

3.1.5. Coordination and Partnership Specific objective:• To ensure synergy of multisectoral HIV/AIDS response at all levels.

Strategies:• Build the capacity of HIV/AIDS response coordination of HAPCOs/ Health Bureau (HBs) at all

levels. • Strengthen partnerships at all levels.• Strengthen networking among service providers.

Strong leadership and broader coordination is required to translate the strategic plan into a viable annual plan of action. Adherence of a wide range of actors to the ‘Three Ones’ principles will anchor the production of a synchronized and harmonized annual plan and report. HAPCO will ensure coherence and close collaboration among development partners, CSOs, FBOs and the private sector with the aim of further aligning and harmonizing HIV activities in the country. Strengthening partnership forums and sub-forums is essential for effective coordination of the Multisectoral response.

Interventions:• Provide training on coordination.• Develop a joint annual plan guided by SPM II.• Institute one national multisectoral monitoring and evaluation system.• Develop partnership guidelines.

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• Establish/ strengthen partnership forums at national, regional and woreda levels.• Strengthen partnerships for cross-boarder interventions. • Map HIV/AIDS service providers and stakeholders at all levels.• Establish/ strengthen linkages and networking of HIV/AIDS services.

3.2. Thematic Area Two: Intensifying HIV PreventionGeneral Objective: To reduce the rate of new HIV infections by 50 percent (from 0.28% in 2009 to 0.14% by 2014/15).

Specific Objectives:• To increase comprehensive knowledge on HIV among the adult population aged 15-49 from

22.6 percent in 2005 to 80 percent by 2014/15.• To reduce the percentage of young people, aged 15-19 years, who start sexual debut at age of

15 years from 8.4 percent in 2005 to 1.7 percent (Female from 11.1 percent to 2.2 percent and male from 1.7 percent to 0.34 percent) by 2014/15.

• To increase the percentage of young people aged 15-24 years, who use condoms consistently while having sex with non-regular partners from 59 percent in 2005 to 80 percent by 2014/15.

• To increase percentage of female sex workers reporting consistent use of condom from 93.4 percent in 2005 to 98 percent in 2014/15.

There were enormous efforts by the Government of Ethiopia to increase the availability and accessibility of HIV prevention services during the SPM I period. However, the evaluation of SPM I revealed that the scale of primary HIV prevention efforts was insufficient to stop the progress of the HIV epidemic. Moreover, primary HIV prevention efforts must target non-infected individuals that are vulnerable and at risk to HIV infection.

In general, all preventive services need to be expanded and made available to the broader population in both urban and rural areas. These services should also be expanded to specific population groups, including sex workers, in-school and out-of-school youth, uniformed services, migrants, residents of small market towns and new business opportunity sites (large scale farms, construction sites, mining, etc...) refugees and displaced populations including cross-border populations and populations with special needs like people with disability and the elderly.

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 national HIV response in Ethiopia. Creating comprehensive HIV knowledge, increasing self-risk perception and promoting behavioural changes at a population level must be intensified, targeting highly vulnerable and at- risk populations to maximize the yield of efforts. The universal access targets can be achieved only if primary prevention is intensified to the level that can enable a reduction of new infections.

To achieve maximum impact, prevention of new HIV infection should utilize a combination of proven behavioural, structural and biomedical approaches. HIV prevention strategies and interventions need to be evidence based and should work in a concerted manner towards shared prevention goals. Knowing the epidemic and matching the response to the epidemic is the key guiding principle in developing successful prevention interventions. Under this thematic area, there are three sub-thematic areas: behavioural, structural and biomedical HIV prevention approaches.

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3.2.1. Behavioural HIV Prevention Approach Expansion of behavioural change programs addressing the general population and MARPs is a key component of the combination prevention intervention strategy. The behaviour change intervention approaches need to be refined, re-focused, intensified and scaled-up in all communities to result in increased comprehensive knowledge on HIV/AIDS, delay of onset of initiation of sexual intercourse, increased self-risk perception, decrease in the number of unprotected sexual acts, reduce the number of sexual partners, increase demand for biomedical HIV prevention services like counselling and testing, STI treatment and use of condom. Behavioural intervention should be combined with interventions that address structural issues and the provision of biomedical HIV prevention services.

Strategies:• Strengthen community based HIV prevention interventions to address the general population.• Strengthen workplace HIV prevention interventions.• Strengthen school based HIV prevention interventions.• Scale-up comprehensive prevention interventions addressing MARPs.• Strengthen out-of-school youth HIV prevention programs.• Intensify secondary prevention. • Intensify HIV prevention in development schemes including new business opportunity locations.• Scale-up HIV prevention among population groups with special needs.

3.2.1.1. StrengthencommunitybasedHIVpreventioninterventionstoaddressthegeneralpopulation

Community Conversation has evolved as one of the key tools for community capacity enhancement to bring about sustained social change at individual, family and community level. CC is used for diagnosis, priority setting and community level response to fight against HIV/ AIDS in the country. In addition, CC was recently taken as a best practice by the health sector and adopted as a way to strengthen health promotion and prevention of other communicable diseases such as malaria and TB.

Interventions:• Ensure the scale-up of quality CC and integrate with existing community structures.• Review existing CC guidelines and training manuals.• Conduct training for volunteer community anti-AIDS promoters (VCAP) or model families.• Develop and disseminate HIV prevention messages using print and electronic media.

3.2.1.2. StrengthenWorkPlaceHIVpreventioninterventionMainstreaming HIV/AIDS is a process of analysing how HIV/AIDS impacts on all sectors now and in the future, both internally and externally. It entails sectors to conduct risk assessment and design appropriate work place interventions accordingly.

Interventions:• Develop Organisational Conversation (OC) guidelines and training manual. • Provide training on OC.• Conduct OC in work places.• Conduct condom promotion and distribution in the work place.

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3.2.1.3. Strengthenschool-basedHIVpreventioninterventions.Preventive interventions must start at a younger age in order to create behaviour change and generate far-reaching knowledge on HIV/AIDS. School interventions must be age-appropriate and particular emphasis should be given to rural areas, secondary schools and tertiary education. Gender sensitive HIV and reproductive health interventions, which are expected to enhance life skills, including negotiation, decision making and adoption of safer sexual behaviours, will be implemented in all primary and secondary schools, as well as in public and private tertiary education institutes.

Interventions:• Conduct peer education programs in schools, higher education institutes and Technical and

Vocational education and training (TVET).• Conduct life-skill education in schools, higher education institutes and TVET.• Conduct school based CC in high schools, higher education institutes and TVET. • Integrate HIV/AIDS into school curriculum.• Train teachers on management of school HIV/AIDS programs.• Develop and disseminate targeted BCC message in schools, higher education institutes and

TVET. • Strengthen youth leadership development programs.• Develop an HIV intervention strategy for school and higher education. • Strengthen anti-AIDS clubs in schools, and higher education institutes and TVETs.• Ensure active participation/ membership of students in anti-AIDS clubs of schools in higher

education institutes and TVET.• Expand ARC in schools, higher education institutes and TVET.

3.2.1.4. HIVpreventionprogramsforout-of-schoolyouthHIV prevention programs are important to young people who are out of the school system. The coverage and quality of the existing HIV prevention services needs to be further intensified. These include peer education, outreach HIV education and youth friendly HIV services. HIV prevention interventions focusing on young women, including domestic workers and expansion of edutainment centres to all Woredas will be given due attention.

Interventions:• Expand/strengthen educational entertainment (edutainment) in youth centres in district towns. • Train Peer educators on HIV.• Implement outreach youth interventions.• Conduct youth dialogue.

3.2.1.5. CombinationPreventioninterventionsaddressingMARPsImproving the effectiveness of efforts to contain and reverse the spread of HIV requires identification of populations at risk of HIV infection, define what prevention measures are essential for these populations, and ensure adequate delivery of essential prevention measures to the identified populations. Prevention strategies and activities will be tailored and delivered as a package to address

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the needs of the MARPs. Regions must have specific intervention plans based on evidence on the regional situation and their respective response analysis to give special attention to risk groups existing in their respective areas.

Interventions:• Determine the identity, size, behavioural characteristics and HIV prevalence among MARPs.• Map MARPs service providers.• Develop a package of HIV behavioural services for MARPs.• Develop comprehensive communication strategy for MARPs.• Build the capacity of CSOs to provide outreach HIV education to MARPS.• Provide comprehensive HIV prevention services to MARPs.

3.2.1.6. IntensifyingHIVpreventioninthedevelopmentschemesIt is important to focus on newly created development opportunities and commercial activities that can provide fertile ground for the spread of HIV due to increased vulnerability and/ or lack of access to HIV prevention services. Construction sites (dam and road), large-scale farms (flowers and sugar cane), mining, and the likes will be given due attention and will be targeted by HIV prevention programs. Assessment of the response capacity in development schemes of public and private sectors will be taken as the initial step to either revitalize or scale-up HIV prevention interventions. Based on the assessment of vulnerability and response capacity, development schemes/ projects will create workplace interventions and guidelines, integrating HIV prevention into their overall development program/ projects. HIV/AIDS activities will be included in the appraisal criteria of projects of development schemes. Ensuring implementation of HIV/AIDS activities will be among the duties and responsibilities of project coordinators.

Interventions:• Target business opportunity locations, industries and private development schemes. • Integrate HIV prevention in the project proposals of development schemes. • Develop and disseminate targeted HIV/AIDS messages.• Conduct peer education. • Referral and linkages with health facilities for VCT, STI and ART services. • Ensure HIV prevention among development schemes/projects areas communities.

3.2.1.7. Scale-upHIVpreventionamongpopulationgroupswithspecialneedsTailored HIV prevention programs will be scaled-up to reach population groups with special needs such as people with disability and elderly. Interventions to such groups will be designed in a manner that addresses and fits the groups’ special need.

Interventions:• Conduct risk and vulnerability assessment.• Develop prevention strategy for people with special needs.• Customize HIV intervention guidelines and implementation manuals.• Integrate BCC interventions in ARC of youth centres for people with disability. • Develop and disseminate BCC materials for people with special needs.

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3.2.2. Structural HIV Prevention Approach Reduction of vulnerability factors that impair the ability of individuals and communities to avoid HIV infection will have great contribution to curb the spread of HIV in the country. Structural interventions that address factors such as gender inequality, poverty, socio-cultural norms, stigma and discrimination need to be intensified.

Strategies:• Address gender inequality.• Reduce economic vulnerability.• Address socio-cultural factors.• Protect human rights and provide legal support.

3.2.2.1. AddressgenderinequalityAddressing gender inequality, including gender-based violence (GBV) will be promoted. HIV programs will be encouraged to systematically mainstream gender, including integration into sectoral policies and programs. Awareness creation and punitive approaches must be implemented on perpetrators of GBV. HIV post exposure prophylaxis will be available to victims of rape.

Interventions:• Mainstream gender into sectoral policies. • Avail PEP to victims of rape.• Advocate for punitive measures on perpetrators of GBV.• Ensure inclusion of gender dimension in HIV programs.

3.2.2.2. ReduceeconomicvulnerabilityPoverty is one of the driving factors that increase individual’s vulnerability to HIV infection. Women with low income, unemployed youth and orphans are such groups who need support to enhance their ability to avoid HIV infection.

Interventions:• Provide IGA support to vulnerable women.• Integrate HIV/AIDS services with safety-net programs.

3.2.2.3. Addresssocio-culturalfactorsSocio-cultural norms and deep rooted beliefs and practices are fuelling factors that increase people’s vulnerability to HIV/AIDS. Addressing socio-cultural issues that contribute to the spread of the epidemic such as harmful practices and GBV need to be intensified.

Interventions:-• Address harmful traditional practices that fuel HIV/AIDS.

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3.2.2.4. ProtecthumanrightsandprovidelegalsupportInterventions targeting stigma and discrimination, and protection of human rights will be given due consideration during SPM II.

Interventions:• Implement the principles of the “greater involvement of people living with HIV/AIDS (GIPA)”.• Conduct the national stigma index study.

3.2.3. Biomedical HIV Prevention Approach Biomedical HIV prevention consists of strategies and interventions implemented as part of the health sector response to HIV/AIDS. The services need to be accessible and meet the demands of the general population, MARPs and population groups with special needs.

Strategies:• Ensure access and enhance uptake of HIV counselling and testing services.• Ensure access and enhance uptake of PMTCT services. • Increase availability and utilization of STI services.• Increase supply, distribution and utilization of male and female condoms.• Ensure infection prevention and safe blood supplies in health system. • Avail post exposure prophylaxis (PEP).• Accelerate male circumcision, in areas needed.• Provide user-friendly biomedical services to people with special needs and MARPs.• Intensify positive prevention.

3.2.3.1. EnsureaccessandenhanceuptakeofHIVcounsellingandtestingservicesThis strategy aims at enabling knowledge of one’s HIV status and linking those who test positive to HIV to relevant chronic care services.

Interventions:• Promote HIV testing using CC and health extension workers as well as mobile, outreach services. • Promote HCT by the development armies.• Educate households on HCT by health development armies.• Promote HIV testing through religious leaders, local community leaders.• Educate the general public on HIV testing though mass media campaigns.• Provide training to HCT service providers.• Provide HCT to people with disability.• Ensure uninterrupted supply of test kits and other accessories. • Rollout HCT services into private health facilities.

3.2.3.2. EnsureaccessandenhanceuptakeofPMTCTservicesPMTCT is one of the weakest programs that requires multiple and combined strategies to address the current challenges and improve service utilization.

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Interventions:• Strengthen the integration of PMTCT with MNCH in all health facilities.• Mobilize the community to be actively involved in PMTCT. • Promote PIHCT for all pregnant women attending ANC and delivery services.• Ensure male involvement in PMTCT service.• Train health extension workers on PMTCT and delivery service provision.• Promote PMTCT by the health development armies.• Provide training to health development armies on PMTCT.• Provide education to households on PMTCT by health development armies.• Expand PMTCT services.• Equip health facilities with ANC and delivery equipment.• Train health workers on basic and emergency obstetric care and PMTCT service provision. • Deploy mother support mentors in each PMTCT site.• Provide PMTCT training for service providers to people with disability.• Build capacities of private health facilities to rollout PMTCT service.• Involve private health facilities to provide PMTCT services.

3.2.3.3. IncreaseavailabilityandutilizationofSTIservicesSTI services need to be revitalized in all health facilities through implementation of syndromic case management.

Interventions:• Create strong leadership for STI programs.• Expand STI services to all health facilities. • Intensify health education to improve treatment seeking behaviour and utilization of STI services. • Promote partner notification during STI case detection.• Ensure availability of drugs and reagents in all public health facilities.• Train heath care workers on syndromic STI case diagnosis and management. • Train laboratory technicians to perform various bacteriological and serological tests.• Develop STI follow-up and data validation system.• Provide STI training for service providers to provide user-friendly services to people with

disability.

3.2.3.4. Increasesupply,distributionandutilizationofmaleandfemalecondomsAdequate supply and distribution of male and female condoms to distribution points that are easily accessible is among one of the important HIV prevention strategies for which a number of interventions are designed.

Interventions:• Develop national condom strategy. • Promote and conduct campaigns on correct and consistent use of condom.

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• Expand peripheral outlets of condom distribution.• Conduct targeted condom distribution, particularly to MARPs.• Ensure adequate supplies of condoms.• Distribute male and female condoms.

3.2.3.5. EnsureinfectionpreventionandsafebloodsuppliesinHealthsystemInfection prevention (IP) and safe blood supply are important strategies to ensure safe environment of the health facilities with regard to HIV transmission, and HIV free blood supply.

Interventions:• Ensure the availability of adequate infection protective materials. • Improve waste disposal management in health facilities. • Provide IP trainings to staff.• Implement national blood transfusion services strategy.

3.2.3.6. Availpostexposureprophylaxis(PEP)treatmentAccessible post exposure prophylaxis is an important strategy that needs to be ensured for all eligible individuals, according to the National guideline.

Interventions:• Conduct assessment on prevalence needle pierce/ prick & other sharp materials in health

facilities.• Avail PEP at health facilities.

3.2.3.7. AcceleratemalecircumcisioninareasneededRecent studies conducted in three African countries show that male circumcision has about a 60 percent protective effect to male. The evidence suggests that it is a highly cost-effective strategy in preventing HIV among non-circumcised adolescent and adult male population. In some parts of the country, such as in Gambella, the reported male circumcision prevalence is less than 50 percent while the male HIV prevalence in the region is high. Cognizant of this fact, male circumcision is proposed as one HIV prevention strategy in selected areas.

Interventions:• Promote male circumcision.• Provide trainings on male circumcision.• Avail male circumcision kits.• Provide safe male circumcision services.

3.2.3.8. EnsureuserfriendlybiomedicalservicestospecialpopulationgroupsInterventions:• Conduct consultative meetings to identify modalities of providing biomedical HIV/AIDS services

for people with disability and the elderly.

28


• Conduct assessment of health facilities to evaluate user friendliness to the elderly and people with disability.

• Develop strategic documents to define package of HIV /AIDS services and modalities of delivering the services for People with disability and the elderly.

• Customize and disseminate HIV/AIDS-related training manuals for people with disability and the elderly.

3.2.3.9. IntensifyingpositivepreventionEffective positive prevention requires information, training and support for HIV positive people and their partners. It is important to ensure that HIV positive people have access to information, education, commodities and services they need so that they are better able to exercise positive living that helps in preventing transmission of HIV to others.

Interventions:• Provide HIV information, education and risk reduction education and counselling.• Strengthen couple counselling and testing.• Conduct family-based HIV counselling and testing.• Develop a special package on HIV counselling, Reproductive Health, and related issues for

adolescents on chronic care and treatment. • Provide services to HIV positive adolescents based on the package.• Establish/ strengthen post-test clubs and other peer support groups.• Distribute condom sand provide education on correct and consistent condom use. • Provide STI services.• Provide family planning services.

3.3. Thematic Area Three: Increase Access to and Improve Quality of Chronic Care and Treatment

General Objective: To reduce HIV-related morbidity and mortality and improve quality of life of PLHIV.

Specific Objectives:• To increase ART enrolment from 73 percent in 2009 to 95 percent in 2014/15.• To increase survival rate among those who started ART to 85 percent in 2014/15.• To increase patient retention rate among those who started ART from 73 percent to 85 percent

in 2014/15.• To improve paediatric ART coverage from 66 percent in 2010/11 to 90 percent in 2014/15.• To increase percentage of pre-ART patients eligible for and taking cotrimoxazole prophylaxis

from 68 percent in 2009 to 95 percent in 2014/15. Strategies:• Expand treatment and care services with strengthened service linkage and integration.• Strengthen laboratory and referral systems.• Improve TB/HIV collaborative activities.• Ensure availability of essential OI and ARV drugs and reagents.

2010/11-2014/15

29

• Enhance treatment literacy and adherence counselling.• Strengthen provision of chronic care and treatment services in the private sector.• Address human resource issues.

3.3.1. Expand chronic care and treatment services Provision of chronic care and treatment is an indispensable strategy for the effective prevention and control of HIV/AIDS. The services need to be accessible in all hospitals and health centres, and adherence to the treatment needs to be improved.

Interventions:• Provide training of health personnel on chronic care and treatment.• Strengthen intra-and inter-facility service linkages by developing standard operating procedures

(SOP).• Increase number of health facilities providing ART.• Develop and disseminate ART-related service package and training manual for people with

disability.• Integrate ART-related service package for people with disability in the existing health facilities.

3.3.2. Strengthen TB/HIV Collaborative activitiesThis is an important strategy to reduce the burden of TB and HIV in patients affected by both diseases.

Interventions:• Screen all diagnosed TB patients for HIV.• Link HIV positive TB cases to HIV services.• Screen all HIV positive cases for TB.• Provide INH prophylaxis for eligible patients.• Strengthen TB-HIV co-infection management.

3.3.3. Strengthen laboratory and referral system Chronic care and treatment sites require access to laboratory services directly or through an effective laboratory referral system.

Interventions:• Avail minimum laboratory services at chronic care sites.• Strengthen preventive and curative maintenance (training, workshop and spare parts).• Strengthen quality assurance system. • Strengthen laboratory information system.• Build capacity of laboratory personnel.• Strengthen HIV laboratory services.

3.3.4. Ensure supply management system in relation to availability of essential OI, ARV drugs and reagents

The availability of essential OI and ARV drugs and reagents must be ensured all the time in the sites that provide the services. This requires ensuring the existence of strong supply management system.

30


Interventions:• Forecast the need for OI, ARVs and reagents.• Ensure timely procurement and distribution of OI and ARV drugs and reagents.• Expand warehouses.• Strengthen logistics management information system.• Equip the supply management system with transportation services.

3.3.5. Enhance treatment literacy and adherence counsellingTreatment literacy and adherence are very important strategies to ensure effective provision of chronic care and treatment services. This includes interventions that will help to reduce patients who discontinue treatment, as well as interventions that will help to trace lost to follow up patients.

Interventions:• Develop and enforce guidelines on treatment literacy and adherence.• Strengthen adherence counselling by health care workers, case managers and adherence

supporters.• Disseminate treatment literacy education through mass media.• Institute periodic monitoring and follow-up of lost to follow-up patients.• Provide ART training for service providers on user friendly service provision to people with

disability.• Rollout ART services into private health facilities.• Strengthen clinical mentoring. • Increase number of adult and paediatric service beneficiaries receiving ART.

3.3.6. Strengthen provision of chronic care and treatment in the private Health sector

The number of private health facilities is growing with time. Private health facilities are mainly found in urban areas. Availing HIV/AIDS services in these facilities is very important to increase access, reduce the burden on public health facilities, as well as provide alternatives to patients so they access services wherever it is convenient for them. Considerable number of the urban population utilizes private health facilities. There is a clear indication of the need to strengthen the ongoing public-private partnership in order to improve access and utilization of HIV/AIDS services.

Interventions:• Map and create directory of private health facilities.• Organize public-private partnership forum.• Develop and avail guidelines, which direct the process of providing chronic care and treatment

service.

3.3.7. Address human resource issuesEnsuring availability of adequately trained human resource is among the major strategic issues to achieve universal access to HIV/AIDS services.

2010/11-2014/15

31

Interventions:• Support higher learning institutions to provide pre-service HIV/AIDS training to all health science

students.• Provide in-service training on HIV/AIDS in health sector.• Strengthen task-shifting, clinical mentoring and supportive supervision.• Train health facility leaders on HIV/AIDS program management and integration of services.• Promote involvement of staff in health facilities to conduct operational research.

3.4. Thematic Area Four: Strengthen Care and Support Services to Mitigate the Impact of AIDS

General Objective: To improve the livelihood of the needy OVC and PLHIV.

Specific objectives: • To increase care and support to needy OVC from 30 percent in 2009 to 50 percent by 2014/15.• To increase care and support to needy PLHIV from 60,000 in 2009 to 100,000 in 2014/15.

Strategies:• Strengthen the involvement of local communities in care and support.• Enforce the provision of standardized care and support to OVC and PLHIV. • Enhance school based OVC support.• Strengthen income generation activities to sustain the program.

3.4.1. Strengthen the involvement of local communities in care and supportThe involvement of the community and growing ownership of care and support services to OVCs is the basis for sustainable provision of the services.

Interventions:• Strengthen and use existing community structures.• Map care and support needs in each Kebele with existing care and support projects and identify

gaps.• Provide care and support to OVC in their familial networks.

3.4.2. Enforce the provision of standardized care and support to OVC and PLHIVThere is a need to have appropriate standards for the provision of care and support services to OVCs as well as to PLHIV. This helps to ensure efficient use of resources in providing effective care and support services in terms of HIV prevention and control.

Interventions:• Develop OVC care and support standard and service delivery guidelines. • Conduct OVC situational analysis and map OVC services. • Develop referral networks among service providers. • Strengthen school-based OVC support activities.• Provide home-based care services for PLHIV.

32


3.4.3. Strengthen income generating activities to sustain the program Income generation activities will be strengthened to ensure productivity of the beneficiaries thereby ensuring self-reliance which in turn significantly contributes to the sustainability of the care and support services.

Interventions:• Provide IGA support.• Follow and support IGA beneficiaries and create links to markets.

3.5. Thematic Area Five: Strengthen Generation and Utilization of Strategic Information

General Objective: To ensure timely generation and utilization of strategic information and thus enhance evidence-based decision making for the multisectoral HIV/AIDS response.

Specific Objectives:• To ensure the generation of quality data from routine program monitoring, surveys, surveillances

and studies. • To disseminate and utilize strategic information to guide policy formulation, program planning

and improvement. Strategies:• Build the capacity for monitoring and evaluation.• Institute a culture of evidence-based/informed decision-making.• Strengthen timely generation of strategic information.• Enhance dissemination and utilization of strategic information.

3.5.1. Build the capacity for Monitoring and Evaluation (M & E)Building M and E capacity at all levels requires due attention. This includes developing various manuals and ensuring availability of skilled human resource at various levels of implementation.

Interventions:• Ensure availability of HIV/AIDS M and E HR capacity at multilevel. • Develop M and E implementation manual and training manual.• Conduct training for M and E officers.• Establish/strengthen regional HIV M and E Technical Working Groups.

3.5.2. Institute culture of evidence-based/ informed decision makingThe monitoring and evaluation of HIV /AIDS multisectoral response at various levels, as well as the planning process need to be based on evidence for which it is important to institute culture of informed decision making. This helps to ensure timely and progressive achievements.

2010/11-2014/15

33

Interventions:• Establish framework for generation and utilization of strategic information. • Enforce evidenced-based planning and prioritization.• Conduct regular review of HIV programs performance.• Establish database for HIV/AIDS M and E• Conduct advocacy workshops on M and E at all levels.

3.5.3. Strengthen timely generation of strategic informationThe timeliness of information that will be generated for use is very important to ensure an appropriate response during an appropriate period of time.

Interventions:• Work with sectors to include HIV/AIDS indicators within their own monitoring and evaluation

systems. • Conduct HIV surveillance.• Conduct effectiveness study on interventions.• Identify priority research agendas and conduct research. • Develop and implement community based information system to be used at all levels.

3.5.4. Enhance dissemination and utilization of strategic informationIt is important to take into account that the strategic evidence/information generated should be disseminated and utilized for practical purposes. It also helps to disseminate best practices which will help to strengthen the overall response to the epidemic.

Interventions:• Disseminate research and evaluation findings regularly. • Prepare, print and distribute HIV/AIDS M and E reports regularly.• Prepare summary of key HIV evaluation and research findings and post reports on web sites.• Document and disseminate best practices.

By the end of 2014/15:

384health centers will be constructed and equipped

3,303health centers will provide ART service

85%of HIV positive women will receive ARV prophylaxis

9.27 millionpeople will be tested for HIV annually

condoms will be distributed1.967 billion

students will receive HIV education each year13 millionpeople will receive BCC community outreach60 million

MARPs will be reached with HIV prevention programs1 million

will be ever started on ART484,966 PLHIV

will receive IGA support75,000 OVC and PLHIV

Five-year Programmatic Targets and Results Matrix

Part Four

36


4.1 Five-year Programmatic Targets

Ser. No Programs Indicators

Targets by yearBaseline(2009) 2010/11 2011/12 2012/13 2013/14 2014/15

1. Prevention1.1 BCC:

community outreach

Number of people reached through outreach with at least one HIV IEC/BCC

35M 50M 52M 55M 58M 60M

1.2 BCC: School Percentage of schools that provide life skills-based HIV education in the last academic year

38% 60% 75% 90% 95% 98%

Number of students ( 10 years& above) who received HIV education per academic year

11.7 M 12M 12M 13M 13M 13M

1.3 BCC: MARPs Number of most-at –risk population reached with HIV prevention programs

200,000 400,000 700,000 1,000,000 1,000,000 1,000,000

1.4 Testing and counselling

Number of adult people who received testing and counselling in the last 12 months

5.8M 9.271M 9.271M 9.271M 9.271M 9.271M

1.5 Condom Number of condoms distributed during the last 12 months

93M 367M 400M 400M 400M 400M

1.6 PMTCT Percentage of HIV positive pregnant women who received ART to reduce the risk of MTCT.

10% 80% 80% 82% 82% 85%

1.7 Treatment of STI

Number of cases of STI treated

39,267 180,000 180,000 180,000 180,000 180,000

Part Four:Five-yearProgrammaticTargetsandResultsMatrix

2010/11-2014/15

37

Ser. No Programs Indicators

Targets by yearBaseline(2009) 2010/11 2011/12 2012/13 2013/14 2014/15

1.8 IGA: Vulnerable women and FSWs

Number of vulnerable women and FSWs supported to engage in IGA

34,661 48,789 56,920 55,000 50,630 37,000

1.9 Post-exposure prophylaxis

Number of health facilities with PEP available

NA 1,355 1,842 2,329 2,816 3,303

1.10 Blood safety & universal precaution

Percentage of donated blood units screened for HIV in Quality assured manner

100% 100% 100% 100% 100% 100%

2. Treatment2.1 Antiretroviral

therapy and monitoring

Number of adults and children with advanced HIV infection receiving antiretroviral therapy

241,250 397,539 429,384 453,134 471,189 484,966

Number of health facilities that offer ART

481 1355 1842 2329 2816 3303

2.2 Prophylaxis for opportunistic infections

Percentage of pre-ART patients eligible for and taking cotrimoxazole prophylaxis

68% 75% 80% 85% 90% 95%

3. Impact Mitigation: Care & Support3.1 Support for

OVCPercentage of orphan and vulnerable children aged 0-17 years whose households received free basic external support in caring for the child

30% 35% 40% 43% 45% 50%

3.2 Care and support for PLHIV

Number of People living with HIV who receive support( financial or IGA)

60,000 70,000 80,000 85,000 95,000 100,000

38


4.2

Resu

lts M

atri

x

Them

atic

Are

a O

ne: CreatingEnablingEnvironment

GeneralObjective:T

o cr

eate

an

enab

ling

envi

ronm

ent f

or sc

aled

up

and

com

preh

ensiv

e H

IV/A

IDS

mul

tisec

tora

l res

pons

e

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsSo

urce

of V

erifi

catio

nLe

ad A

genc

y

CapacityBuilding:

Spec

ific

Obj

ectiv

e 1:

To

ens

ure

the

heal

th se

ctor

cap

acity

to a

chie

ve M

DG 6

by

2015

Spec

ific

Obj

ectiv

e 2:

To

bui

ld th

e ca

paci

ty o

f key

and

stra

tegi

c se

ctor

s, ci

vil s

ocie

ty o

rgan

izat

ions

(CSO

s) a

nd p

rivat

e se

ctor

s to

cont

ribut

e to

the

achi

evem

ent o

f MDG

6 b

y 20

15St

reng

then

the

Hea

lth S

ecto

r Ca

paci

ty

Supp

ort t

he e

xpan

sion/

cons

truc

tion

of h

ealth

cen

tres

384

heal

th c

entr

es

cons

truc

ted

Num

ber o

f hea

lth

cent

res c

onst

ruct

ed

Repo

rts,

supp

ortiv

e su

perv

ision

s M

oE/ M

oHM

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onal

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& M

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t equ

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lth

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equi

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N

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s equ

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vers

ities

and

co

llege

s to

prov

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pre-

serv

ice

trai

ning

for h

ealth

scie

nce

stud

ents

40 u

nive

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es a

nd

colle

ges w

ill p

rovi

de

pre-

serv

ice

trai

ning

fo

r hea

lth sc

ienc

e st

uden

ts

Num

ber o

f hig

her

lear

ning

inst

itutio

ns

prov

ided

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-ser

vice

tr

aini

ng fo

r hea

lth

scie

nce

stud

ents

Trai

n he

alth

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kers

on

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w

ill b

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anda

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lth

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Pack

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ovid

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rvic

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H

ealth

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s for

Peo

ple

with

di

sabi

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and

the

elde

rly

All H

ealth

faci

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pr

ovid

e us

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iend

ly

serv

ices

to p

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lity

Num

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vidi

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ser

frien

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nal

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key

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xper

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n pr

even

tion

& im

pact

miti

gatio

n17

key

fede

ral s

ecto

rs

will

ass

ign

expe

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Num

ber o

f key

sect

ors

that

ass

igne

d ex

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port

s and

su

ppor

tive

supe

rvisi

ons

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ors

cont

inue

d...

2010/11-2014/15

39

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsSo

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of V

erifi

catio

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genc

ySt

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then

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paci

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f key

se

ctor

s, CS

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nd

priv

ate

sect

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al se

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build

th

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paci

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f reg

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l sec

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on

HIV

(gui

delin

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rain

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gist

ics)

17

key

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ral s

ecto

rs

will

supp

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resp

ectiv

e bu

reau

s in

all

regi

on a

nd c

ity

adm

inist

ratio

ns

Num

ber o

f Fed

eral

se

ctor

s sup

port

ing

thei

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spec

tive

bure

aus i

n al

l reg

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and

2 c

ity

adm

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ratio

ns

Repo

rts a

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supp

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perv

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the

capa

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ple

with

di

sabi

lity,

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s

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netw

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of

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ions

will

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ngth

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Num

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of a

ssoc

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ns

stre

ngth

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rts a

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supp

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e su

perv

ision

s

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wor

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orks

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ide

supp

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Communitymobilizationandempowerment:

Spec

ific

Obj

ectiv

e 3:

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sust

ain

com

mun

ity m

ovem

ent a

nd to

atta

in so

cial

cha

nge

by 2

014/

15En

sure

com

mun

ity

owne

rshi

p an

d le

ader

ship

of H

IV/

AID

S

Trai

n co

mm

unity

lead

ers (

4 pe

r ke

bele

/yea

r)35

0,00

0 Co

mm

unity

le

ader

s will

be

trai

ned

Num

ber o

f com

mun

ity

lead

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rain

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rvey

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port

s, su

ppor

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supe

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co

nver

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dult

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artic

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f adu

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in C

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of a

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lest

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e un

its o

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cou

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zatio

n w

ith

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rven

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n H

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n BC

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will

be

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ned

Num

ber o

f HEW

s tr

aine

d on

BCC

cont

inue

d...

40


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsSo

urce

of V

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catio

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ad A

genc

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gmen

t co

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unity

m

obili

zatio

n w

ith

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inte

rven

tion

Trai

n co

mm

unity

ant

i-AID

S pr

omot

ers f

rom

mod

el

hous

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ds

770,

000

anti-

AID

S pr

omot

ers w

ill b

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d fro

m m

odel

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useh

olds

Num

ber o

f com

mun

ity

anti-

AID

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omot

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e su

perv

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ent a

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s w

ill b

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aine

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Num

ber o

f Hea

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s tr

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d on

BCC

Repo

rts

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ngth

en

inst

itutio

nal

supp

ort t

o co

mm

unity

ant

i-AI

DS

mov

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ngth

en K

ebel

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pro

vide

su

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t to

com

mun

ity a

nti-

AID

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ovem

ent

100%

of K

ebel

es

will

stre

ngth

ened

to

prov

ide

supp

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o co

mm

unity

ant

i-AID

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ent

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enta

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f Keb

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st

reng

then

ed to

pr

ovid

e in

stitu

tiona

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t

Repo

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supp

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e su

perv

ision

, sur

veys

RHB/

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t, sh

are

and

scal

e up

be

st p

ract

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Best

pra

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ill b

e do

cum

ente

d, sh

ared

, &

scal

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p

List

of b

est p

ract

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do

cum

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d, sh

ared

, &

scal

ed u

p

Repo

rts,

supp

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e su

perv

ision

, sur

veys

LeadershipandGovernance:

Spec

ific

Obj

ectiv

e 4:

To

ensu

re, r

espo

nsiv

enes

s and

acc

ount

abili

ty o

f the

lead

ersh

ip a

t all

leve

ls in

the

HIV

/AID

S m

ultis

pect

ral r

espo

nse

Build

cap

acity

of

lead

ersh

ip a

nd

gove

rnin

g bo

dies

at

var

ious

leve

ls

Prov

ide

trai

ning

on

stra

tegi

c le

ader

ship

in th

e fig

ht a

gain

st

HIV

/AID

S to

lead

ersh

ip a

nd

gove

rnin

g bo

dies

10,0

00 le

ader

s fro

m

the

gove

rnin

g bo

dies

of

all

regi

ons w

ill b

e tr

aine

d

Num

ber o

f lea

ders

tr

aine

dRe

port

sH

APCO

s

Sele

ct a

nd d

ocum

ent b

est

prac

tices

of r

egio

ns55

bes

t pra

ctic

e do

cum

enta

tions

will

be

pre

pare

d (5

by

each

Reg

ion

)

Num

ber o

f be

st p

ract

ices

do

cum

enta

tions

pr

epar

ed (

by e

ach

regi

on)

Doc

umen

tatio

ns,

Repo

rts

Arra

nge

expe

rienc

e sh

arin

g vi

sits f

or le

ader

ship

and

go

vern

ing

bodi

es fr

om re

gion

s

All L

eade

rshi

p an

d go

vern

ing

bodi

es

in th

e 11

regi

ons

will

par

ticip

ate

in

expe

rienc

e sh

arin

g vi

sits

Num

ber o

f gov

erni

ng

bodi

es fr

om e

ach

regi

on p

artic

ipat

ed

in e

xper

ienc

e sh

arin

g vi

sits

Repo

rts

cont

inue

d...

2010/11-2014/15

41

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsSo

urce

of V

erifi

catio

nLe

ad A

genc

yAv

ail r

egul

ar

upda

te o

n H

IV/

AID

S ep

idem

ic

situa

tion

and

resp

onse

to

lead

ersh

ip a

nd

gove

rnan

ce

Publ

ish a

nd d

issem

inat

e an

nual

per

form

ance

repo

rt

and

anal

ytic

al re

port

on

the

epid

emic

and

resp

onse

1 an

nual

per

form

ance

re

port

and

1

anal

ytic

al re

port

w

ill b

e pr

oduc

ed a

nd

diss

emin

ated

yea

rly

Num

ber o

f pe

rform

ance

and

an

alyt

ical

repo

rt

publ

ished

&

diss

emin

ated

Repo

rts

HAP

CO/ M

OH

Esta

blish

AID

S re

sour

ce C

entr

es

in th

e fe

dera

l and

regi

onal

pa

rliam

ents

12 A

IDS

Info

rmat

ion

cent

res w

ill b

e es

tabl

ished

Num

ber o

f AID

S re

sour

ce c

entr

es

esta

blish

ed

Repo

rts,

site

visit

sPa

rliam

ent

and

coun

cils

Ensu

re in

clus

ion

of H

IV p

lans

in

the

over

all s

ecto

r pl

an a

nd o

vers

ight

se

ctor

per

form

ance

Ove

rsig

ht th

e in

clus

ion

of H

IV/

AID

S pl

an in

the

over

all s

ecto

rs’

plan

All s

ecto

rs a

t eac

h le

vel w

ill in

clud

e pl

an

in th

e se

ctor

s pla

n

Num

ber o

f Sec

tors

de

velo

ped

plan

s on

HIV

/A

IDS

Repo

rts,

site

visit

sPa

rliam

ent

and

coun

cils

Cond

uct p

erio

dic

revi

ew b

y th

e pa

rliam

ent a

nd o

ther

gov

erni

ng

bodi

es

Bian

nual

revi

ews w

ill

be c

ondu

cted

by

gove

rnin

g bo

dies

at

each

leve

l

Num

ber o

f rev

iew

se

ssio

ns c

ondu

cted

by

gove

rnin

g bo

dies

Repo

rts,

site

visit

sPa

rliam

ent,

NAC

, RAC

s, W

ACs

Cond

uct r

egul

ar H

IV/A

IDS

boar

d m

eetin

gs a

t eac

h le

vel

Regu

lar b

oard

m

eetin

gs w

ill b

e co

nduc

ted

at e

ach

leve

l as p

er th

e gu

idel

ines

Num

ber o

f Reg

ular

bo

ard

mee

tings

co

nduc

ted

at e

ach

leve

l

Min

utes

, Rep

orts

,H

APCO

s

Mainstreaming:

Spec

ific

Obj

ectiv

e 5:

To

enha

nce

the

HIV

/AID

S re

spon

se a

cros

s sec

tors

Stre

ngth

en

owne

rshi

p of

HIV

/AI

DS

prog

ram

s ac

ross

the

sect

ors

Cond

uct a

sses

smen

t on

vuln

erab

ility

and

impa

ct o

f HIV

/AI

DS

and

exist

ing

resp

onse

ca

paci

ty

All s

ecto

rs w

ill

cond

uct a

sses

smen

t on

vul

nera

bilit

y &

impa

ct o

f HIV

and

th

e ex

istin

g re

spon

se

capa

city

Num

ber o

f sec

tors

co

nduc

ted

impa

ct

asse

ssm

ent /

Num

ber

of se

ctor

s doc

umen

ted

impa

ct a

sses

smen

t fin

ding

s.

Repo

rts,

site

visit

All S

ecto

rs

Dev

elop

sect

or sp

ecifi

c po

licie

s, st

rate

gies

and

pla

ns o

n H

IV/

AID

S

All s

ecto

rs w

ill d

evel

op

sect

or sp

ecifi

c po

licy,

pl

an &

stra

tegy

on

HIV

/AID

S

Num

ber o

f key

sect

ors

with

sect

or sp

ecifi

c po

licy,

pla

n an

d st

rate

gy o

n H

IV/A

IDS

Polic

ies,

plan

do

cum

ents

All s

ecto

rs

cont

inue

d...

42


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsSo

urce

of V

erifi

catio

nLe

ad A

genc

ySt

reng

then

ow

ners

hip

of H

IV/

AID

S pr

ogra

ms

acro

ss th

e se

ctor

s

Esta

blish

a u

nit f

or H

IV/A

IDS

mai

nstr

eam

ing

in p

ublic

& n

on-

publ

ic se

ctor

s

80%

Pub

lic a

nd 6

0%

non-

publ

ic se

ctor

s w

ill e

stab

lish

unit

or

assig

n fo

cal p

erso

n to

m

ains

trea

m H

IV

Num

ber o

f pub

lic &

no

n-pu

blic

sect

ors w

ith

units

or a

ssig

ned

foca

l pe

rson

to m

ains

trea

m

HIV

/AID

S

Repo

rts,

site

visit

sAl

l sec

tors

Ensu

re a

lloca

tion

of re

sour

ces

by a

ll se

ctor

s for

HIV

/AID

S m

ains

trea

min

g

100%

of s

ecto

rs

will

use

thei

r ow

n re

sour

ces

Perc

enta

ge o

f sec

tors

al

loca

ted

budg

et fo

r H

IV m

ains

trea

min

g

Repo

rts

Ensu

re th

e in

clus

ion

of H

IV M

an

d E

into

sect

ors’

man

agem

ent

info

rmat

ion

syst

em

Inco

rpor

ate

M a

nd E

of H

IV/

AID

S in

to se

ctor

s’ m

anag

emen

t in

form

atio

n sy

stem

17 k

ey se

ctor

s will

in

corp

orat

e H

IV/

AID

S M

and

E in

to

sect

ors’

MIS

& re

view

m

echa

nism

Num

ber o

f key

sect

ors

inco

rpor

ated

HIV

/AI

DS

M a

nd E

into

se

ctor

al M

IS a

nd re

view

m

echa

nism

Repo

rts,

site

visit

sKe

y se

ctor

s

CoordinationandPartnership:

Spec

ific

Obj

ectiv

e 6:

To

ensu

re sy

nerg

y of

mul

tisec

tora

l HIV

/AID

S re

spon

se a

t all

leve

lsBu

ild H

IV/

AID

S re

spon

se

coor

dina

tion

capa

city

of H

APCO

s an

d H

Bs a

t all

leve

ls

Prov

ide

trai

ning

on

HIV

/AI

DS

Mul

tisec

tora

l res

pons

e co

ordi

natio

n an

d pa

rtne

rshi

p

2,00

0 re

gion

al

heal

th a

nd H

IV st

aff

will

be

trai

ned

on

coor

dina

tion

and

part

ners

hip

Num

ber o

f sta

ff tr

aine

d on

Mul

tisec

tora

l re

spon

se c

oord

inat

ion

and

part

ners

hip

Repo

rtRH

APCO

s

Dev

elop

join

t ann

ual p

lan

guid

ed b

y SP

M II

Al

l reg

ions

and

w

ered

as w

ill p

rodu

ce

harm

oniz

ed a

nd

sync

hron

ized

pla

ns

Exist

ence

of

harm

oniz

ed a

nd

sync

hron

ized

ann

ual

plan

s at e

ach

leve

l

Repo

rts,

on si

te v

isits

HAP

COs

Inst

itute

one

nat

iona

l M

ultis

ecto

ral M

and

E sy

stem

O

ne n

atio

nal m

ulti-

sect

oral

M a

nd

E sy

stem

will

be

adop

ted

by a

ll ac

tors

in

the

natio

n

% o

f mul

ti-se

ctor

al

acto

rs u

tiliz

ing

one

natio

nal m

ulti-

sect

oral

M

and

E sy

stem

Repo

rts,

site

visit

s

Stre

ngth

en

part

ners

hip

at a

ll le

vels

Dev

elop

par

tner

ship

gui

delin

esPa

rtne

rshi

p gu

idel

ine

will

be

deve

lope

d E

xist

ence

of

part

ners

hip

guid

elin

e D

ocum

ent

HAP

CO

cont

inue

d...

2010/11-2014/15

43

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsSo

urce

of V

erifi

catio

nLe

ad A

genc

ySt

reng

then

pa

rtne

rshi

p at

all

leve

ls

Esta

blish

/str

engt

hen

part

ners

hip

foru

ms a

t nat

iona

l, re

gion

al a

nd w

ored

a le

vels

11 re

gion

al

part

ners

hip

foru

ms

will

be

esta

blish

ed

or st

reng

then

ed; 7

50

wor

eda

part

ners

hip

foru

ms e

stab

lishe

d.

Num

ber o

f par

tner

ship

fo

rum

s est

ablis

hed

or st

reng

then

ed a

t re

gion

s and

wor

edas

Repo

rts,

Site

visi

ts

HAP

CO

Regu

lar p

artn

ersh

ip

mee

tings

will

be

cond

ucte

d

Num

ber o

f reg

ular

pa

rtne

rshi

p m

eetin

gs

cond

ucte

d

Repo

rts,

min

utes

, pr

ocee

ding

s

Stre

ngth

en p

artn

ersh

ip fo

r cro

ss

boar

der i

nter

vent

ions

. Bi

annu

al c

ross

boa

rder

pa

rtne

rshi

p m

eetin

gs

will

be

cond

ucte

d w

ith e

ach

of th

ree

coun

trie

s

Num

ber o

f cro

ss

boar

der p

artn

ersh

ip

mee

tings

con

duct

ed

Repo

rt, S

ite v

isit

HAP

CO

Stre

ngth

en

netw

orki

ng a

mon

g se

rvic

e pr

ovid

ers

Map

HIV

/AID

S se

rvic

es,

prov

ider

s and

stak

ehol

ders

at a

ll le

vels

Dire

ctor

y of

HIV

/AID

S se

rvic

es p

rovi

ders

, &

stak

ehol

ders

will

be

deve

lope

d

Prod

uced

dire

ctor

y on

HIV

/AID

S se

rvic

e pr

ovid

ers &

st

akeh

olde

rs

Doc

umen

tH

APCO

s

Esta

blish

/str

engt

hen

linka

ges

and

netw

orki

ng o

f HIV

/AID

S se

rvic

es

Impr

oved

Net

wor

k am

ong

all m

appe

d se

rvic

e pr

ovid

ers w

ill

impr

ove

Num

ber o

f ser

vice

pr

ovid

ers n

etw

orke

dSi

te v

erifi

catio

n,

repo

rt, s

urve

y

44


Them

atic

Are

a Tw

o:IntensifyingHIVPrevention

Generalobjective:

To

redu

ce th

e ra

te o

f nat

iona

l HIV

new

infe

ctio

ns in

cide

nce

by 5

0% (f

rom

0.2

8% in

200

9) b

y 20

14/1

5. Specificobjectives:

•To

incr

ease

HIV

com

preh

ensi

ve k

now

ledg

e am

ong

adul

t pop

ulat

ion

aged

15-

49 fr

om 2

2.6%

in 2

005

to 8

0% b

y 20

14/1

5.•

To re

duce

per

cent

age

of y

oung

peo

ple

aged

15-

19 y

ears

who

sta

rt s

exua

l deb

ut a

t age

of 1

5 ye

ars

from

8.4

% in

200

5 to

1.7

% (F

emal

e fr

om

11.1

% to

2.2

% a

nd m

ale

from

1.7

% to

0.3

4%) b

y 20

14/1

5.•

To in

crea

se p

erce

ntag

e of

you

ng p

eopl

e ag

ed 1

5-24

who

use

con

dom

con

sist

ently

whi

le h

avin

g se

x fr

om 5

9% in

200

5 to

80%

by

2014

/15.

•To

incr

ease

per

cent

age

of fe

mal

e se

x w

orke

rs r

epor

ting

cons

iste

nt u

se o

f con

dom

from

93.

4% in

200

5 to

98%

in 2

014/

15

BehaviouralapproachesforHIVPreventionapproaches

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySt

reng

then

co

mm

unity

ba

sed

prev

entio

n in

terv

entio

n to

add

ress

the

gene

ral p

opul

atio

n

Ensu

re S

cale

up

of c

omm

unity

co

nver

satio

n an

d in

tegr

ate

with

ex

istin

g co

mm

unity

stru

ctur

e

All k

ebel

es w

ill

cond

uct C

C on

HIV

in

tegr

atin

g w

ith

exist

ing

com

mun

ity

stru

ctur

es

Num

ber o

f keb

eles

in

tegr

ated

and

co

nduc

ted

com

mun

ity

conv

ersa

tion

on H

IV/

AID

S

Repo

rts,

Site

visi

tsM

OH

/RH

Bs/

HAP

COs

Revi

ew e

xist

ing

CC g

uide

line

and

trai

ning

man

uals

CC g

uide

line

and

trai

ning

man

uals

will

be

revi

ewed

Revi

ewed

CC

guid

elin

e an

d tr

aini

ng m

anua

ls pr

oduc

ed

Doc

umen

ts p

repa

red

MO

H/H

APCO

Cond

uct t

rain

ing

for v

olun

tary

co

mm

unity

ant

i-AID

S pr

omot

ers (

VCAP

) or m

odel

fa

mili

es

100%

of m

odel

ho

useh

olds

rece

ived

VC

AP tr

aini

ng

Perc

enta

ge o

f VCA

P/m

odel

fam

ilies

trai

ned

Repo

rt, s

urve

yM

OH

, HAP

CO

Dev

elop

HIV

pre

vent

ion

mes

sage

s5

mes

sage

s on

HIV

pr

even

tion

will

be

deve

lope

d an

d di

ssem

inat

ed to

all

leve

ls

Num

ber o

f mes

sage

s de

velo

ped

and

diss

emin

ated

Repo

rt, d

ocum

ent

HAP

COs/

RH

Bs

Diss

emin

ate

HIV

BCC

mes

sage

s on

prin

t, an

d el

ectr

onic

med

ia

1,25

0,00

0 pr

int

mat

eria

ls w

ill b

e di

ssem

inat

ed

Num

ber o

f prin

t BCC

m

ater

ials

diss

emin

ated

Stre

ngth

en H

IV

prev

entio

n ac

ross

se

ctor

s

Dev

elop

org

anisa

tiona

l co

nver

satio

n gu

idel

ine

and

trai

ning

man

ual

Org

anisa

tiona

l co

nver

satio

n gu

idel

ine

and

trai

ning

man

ual

will

be

deve

lope

d

Dev

elop

ed

orga

nisa

tiona

l co

nver

satio

n gu

idel

ine

and

trai

ning

man

ual

Doc

umen

ts

HAP

COs/

Sect

ors

HAP

CO

cont

inue

d...

2010/11-2014/15

45

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySt

reng

then

HIV

pr

even

tion

acro

ss

sect

ors

Cond

uct T

OT

on O

rgan

isatio

nal

conv

ersa

tion

for f

acili

tato

rs

sele

cted

from

sect

ors

200

trai

ners

will

re

ceiv

e TO

T on

or

gani

satio

nal

conv

ersa

tion

Num

ber o

f tra

iner

s th

at to

ok T

OT

on

orga

nisa

tiona

l co

nver

satio

n

Doc

umen

tsH

APCO

s/Se

ctor

sH

APCO

Cond

uct o

rgan

isatio

nal

Conv

ersa

tion

in w

ork

plac

esAl

l sec

tors

w

ill C

ondu

ct

orga

nisa

tiona

l Co

nver

satio

n

Num

ber o

f sec

tors

th

at C

ondu

cted

or

gani

satio

nal

Conv

ersa

tion

Prov

ide

trai

ning

to p

rogr

am

man

ager

s of s

ecto

rs o

n H

IV

prev

entio

n pr

ogra

ms

8,00

0 pr

ogra

m

man

ager

s will

be

trai

ned

on H

IV

prev

entio

n

Num

ber o

f pro

gram

s m

anag

ers o

f sec

tors

’ tr

aine

d on

HIV

pr

even

tion

Repo

rts

Sect

ors/

HAP

COs

Cond

uct c

ondo

m p

rom

otio

n an

d di

strib

utio

n in

all

sect

ors

All s

ecto

rs w

ill

cond

uct c

ondo

m

prom

otio

n an

d di

strib

utio

n

Num

ber o

f sec

tors

th

at c

ondu

ct c

ondo

m

prom

otio

n an

d di

strib

utio

n

Repo

rts,

surv

eys,

site

visit

s

Stre

ngth

en

scho

ol b

ased

HIV

in

terv

entio

ns

Prov

ide

trai

ning

on

peer

ed

ucat

ion

500,

000

peer

ed

ucat

ors w

ill b

e tr

aine

d fro

m sc

hool

s, TV

ET, a

nd h

ighe

r ed

ucat

ion

inst

itute

s

Num

ber o

f pee

r ed

ucat

ors t

rain

edD

ocum

ents

/rep

ort

MO

E/RE

B/

Hig

her

educ

atio

n In

stitu

tes /

HAP

COCo

nduc

t pee

r edu

catio

n pr

ogra

ms i

n sc

hool

s, TV

ET a

nd

high

er e

duca

tion

inst

itute

s

Peer

edu

catio

n se

ssio

ns w

ill b

e co

nduc

ted

in 2

6,40

9 pr

imar

y co

mpl

ete

and

seco

ndar

y sc

hool

s in

, 458

TVE

T an

d 72

hi

gher

edu

catio

n in

stitu

tes a

s per

gu

idel

ine

Num

ber o

f sch

ools/

TVET

/hig

her e

duca

tion

inst

itute

s tha

t co

nduc

ted

Wee

kly

peer

ed

ucat

ion

sess

ions

Repo

rt, s

urve

yM

OE/

REB/

H

ighe

r ed

ucat

ion

Inst

itute

s /H

APCO

10 m

illio

n pu

pils

reac

hed

Num

ber o

f pup

ils

reac

hed

Repo

rt, s

urve

yM

OE/

REB/

H

ighe

r ed

ucat

ion

Inst

itute

s /H

APCO

cont

inue

d...

46


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySt

reng

then

sc

hool

bas

ed H

IV

inte

rven

tions

Cond

uct l

ife-s

kill

educ

atio

n in

scho

ols,

high

er e

duca

tion

inst

itute

s and

TVE

T

13 M

illio

n st

uden

ts

will

rece

ive

life

skill

ed

ucat

ion

Num

ber o

f stu

dent

s re

ache

d by

life

-ski

lls

base

d H

IV e

duca

tion

in

scho

ols.

Repo

rts

HAP

CO/M

OE/

REB

Cond

uct C

omm

unity

Co

nver

satio

n in

hig

h sc

hool

s, hi

gher

edu

catio

n in

stitu

tes a

nd

TVET

Revi

ew sc

hool

CC

guid

elin

e an

d tr

aini

ng

man

ual

Revi

ewed

scho

ol C

C gu

idel

ine

and

trai

ning

m

anua

l

Doc

umen

tsM

OE/

REB/

H

ighe

r ed

ucat

ion

Inst

itute

s /H

APCO

1,19

7 hi

gh sc

hool

s, 45

8 TV

ET, a

nd 7

2 hi

gher

ed

ucat

ion

inst

itute

s w

ill c

ondu

ct C

C

Num

ber o

f sch

ools

cond

ucte

d CC

Repo

rts,

Site

visi

ts

2.4

mill

ion

pupi

ls w

ill

part

icip

ate

in C

CN

umbe

r of p

upils

pa

rtic

ipat

ed in

CC

Repo

rts

Ensu

re in

corp

orat

ion

of H

IV in

to

scho

ol c

urric

ulum

Scho

ol C

urric

ulum

will

in

corp

orat

e H

IV

Curr

icul

um in

corp

orat

e H

IV

Doc

umen

tM

OE

Trai

n te

ache

rs o

n m

anag

emen

t of

scho

ol H

IV/A

IDS

prog

ram

s 28

,000

teac

hers

w

ill b

e tr

aine

d on

m

anag

emen

t of

scho

ol H

IV p

rogr

ams

Num

ber o

f te

ache

rs tr

aine

d on

m

anag

emen

t of s

choo

l H

IV p

rogr

ams

Repo

rts a

nd si

te v

isits

MO

E/RE

B

2,60

0 hi

gher

ed

ucat

ion

and

TVET

te

ache

rs tr

aine

d on

man

agem

ent o

f sc

hool

HIV

pro

gram

s

Num

ber o

f te

ache

rs tr

aine

d on

m

anag

emen

t of s

choo

l H

IV p

rogr

ams

Repo

rts a

nd si

te v

isits

Dev

elop

and

diss

emin

ate

targ

eted

BCC

mes

sage

for

Uni

vers

ity/c

olle

ges a

nd h

igh

scho

ols

5 ty

pes o

f tar

gete

d BC

C m

essa

ges w

ill

be d

evel

oped

and

di

ssem

inat

ed

Type

s of t

arge

ted

BCC

mes

sage

s dev

elop

ed

and

diss

emin

ated

BCC

mat

eria

l, re

port

s, su

rvey

sM

OE/

REB

2 m

illio

n pu

pils

reac

hed

thro

ugh

scho

ol B

CC c

ampa

igns

Num

ber o

f pup

ils

reac

hed

thro

ugh

scho

ol

BCC

cam

paig

ns

Repo

rts &

site

visi

tsM

OE/

REBs

/H

APCO

s

600,

000

mill

ion

pupi

ls in

hig

her e

duca

tion

inst

itute

s and

TVE

T re

ache

d th

roug

h sc

hool

BCC

cam

paig

ns

Num

ber o

f pup

ils

reac

hed

thro

ugh

scho

ol

BCC

cam

paig

ns

Repo

rts &

site

visi

tsH

ighe

r ed

ucat

ion

Inst

itute

s /M

OE/

REB

cont

inue

d...

2010/11-2014/15

47

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySt

reng

then

sc

hool

bas

ed H

IV

inte

rven

tions

Stre

ngth

en y

outh

lead

ersh

ip

deve

lopm

ent p

rogr

ams

Stud

ent c

ounc

ils in

1,

197

high

scho

ols w

ill

be st

reng

then

ed

Num

ber o

f hig

h sc

hool

s w

ith fu

nctio

nal y

outh

le

ader

ship

pro

gram

s

Repo

rts

MO

E/RE

B/H

ighe

r ed

ucat

ion

inst

itute

sSt

reng

then

HIV

rela

ted

scho

ol

club

s1,

197

seco

ndar

y sc

hool

s will

hav

e at

le

ast 4

stre

ngth

ened

cl

ubs e

ach

Num

ber o

f sch

ools

with

at l

east

4 c

lubs

st

reng

then

ed

Repo

rts

Stre

ngth

en a

t lea

st 4

HIV

re

late

d cl

ubs o

f uni

vers

ities

and

co

llege

s

72 h

ighe

r edu

catio

n in

stitu

tes a

nd 4

58

TVET

will

hav

e at

leas

t 4

club

s str

engt

hene

d

Num

ber o

f hig

her

educ

atio

n in

stitu

tes

and

TVET

with

at l

east

4

club

s str

engt

hene

d

Repo

rts

Ensu

re a

ctiv

e pa

rtic

ipat

ion/

Mem

bers

hip

in c

lubs

of s

choo

ls,

high

er e

duca

tion

inst

itute

s and

TV

ET

598,

500

pupi

ls of

sc

hool

s will

par

ticip

ate

in c

lubs

Num

ber o

f pup

ils

of h

igh

scho

ols

part

icip

atin

g in

clu

bs

Repo

rt, s

ite v

isit,

surv

ey

229,

000

stud

ents

will

pa

rtic

ipat

e in

clu

bs

of h

ighe

r edu

catio

n in

stitu

tes

Num

ber o

f pup

ils o

f TV

ET p

artic

ipat

ing

in

club

s

36,0

00 p

upils

will

pa

rtic

ipat

e in

clu

bs

of h

ighe

r edu

catio

n in

stitu

tes

Num

ber o

f pup

ils

of h

ighe

r edu

catio

n in

stitu

tes p

artic

ipat

ing

in c

lubs

Expa

nd A

RC in

scho

ols,

high

er

educ

atio

n in

stitu

tes a

nd T

VET

1,19

7 hi

gh sc

hool

s; 72

hig

her e

duca

tion

inst

itute

s and

458

TV

ETs w

ill h

ave

ARC

Num

ber o

f hig

h sc

hool

s ha

ving

ARC

Repo

rts,

Surv

eys

MO

E/RE

B/H

ighe

r ed

ucat

ion

inst

itute

sN

umbe

r of h

ighe

r ed

ucat

ion

inst

itute

s ha

ving

ARC

Num

ber o

f TVE

T ha

ving

AR

CM

OE/

REB

2.1

Mill

ion

pupi

ls w

ill

utili

ze sc

hool

bas

ed

ARCs

Num

ber o

f pup

ils

utili

zed

scho

ol b

ased

AR

Cs

cont

inue

d...

48


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySc

ale

up

com

preh

ensiv

e H

IV p

reve

ntio

n in

terv

entio

ns

addr

essin

g m

ost

at ri

sk p

opul

atio

n (M

ARPs

)

Det

erm

ine

the

iden

tity,

size

, be

havi

oura

l cha

ract

erist

ics a

nd

HIV

pre

vale

nce

amon

g M

ARPs

A na

tiona

l MAR

Ps

surv

ey w

ill b

e co

nduc

ted

Prod

uced

nat

iona

l M

ARPS

surv

ey re

port

Doc

umen

t pro

duce

dEH

NRI

/MO

H/

HAP

CO

Map

MAR

Ps se

rvic

e pr

ovid

ers

Serv

ice

prov

ider

s will

be

map

ped

Serv

ice

dire

ctor

y pr

oduc

edRe

port

s & si

te v

isits

HAP

CO

Dev

elop

pac

kage

of H

IV se

rvic

es

for M

ARPs

Min

imum

pac

kage

of

serv

ices

will

be

deve

lope

d fo

r MAR

Ps

Dev

elop

ed p

acka

ge o

f se

rvic

e Re

port

s & si

te v

isits

HAP

CO

Dev

elop

com

preh

ensiv

e co

mm

unic

atio

n st

rate

gy fo

r M

ARPs

A co

mm

unic

atio

n st

rate

gy w

ill b

e de

velo

ped

Dev

elop

ed

com

mun

icat

ion

stra

tegy

The

stra

tegy

do

cum

ent a

nd re

port

sH

APCO

Build

the

capa

city

of C

SOs t

o pr

ovid

e ou

trea

ch H

IV e

duca

tion

to M

ARPS

200

CSO

s will

be

trai

ned

to p

rovi

de H

IV

educ

atio

n to

MAR

Ps

Num

ber o

f CSO

s tr

aine

d to

pro

vide

HIV

ed

ucat

ion

to M

ARPs

Repo

rts,

Surv

eyH

APCO

Prov

ide

trai

ning

to p

eer

educ

ator

s am

ong

MAR

PS

100,

000

peer

ed

ucat

ors w

ill b

e tr

aine

d am

ong

MAR

Ps

Num

ber o

f mem

ber o

f M

ARPs

trai

ned

as p

eer

educ

ator

s

repo

rt, S

urve

yH

APCO

,CSO

s

Prov

ide

com

preh

ensiv

e H

IV

prev

entio

n se

rvic

es to

MAR

Ps1

mill

ion

MAR

PS w

ill

be re

ache

dN

umbe

r of M

ARPS

re

ache

d w

ith H

IV

prev

entio

n pr

ogra

ms

Repo

rt, S

urve

yH

APCO

,CSO

s

Stre

ngth

en o

ut

of sc

hool

you

th

HIV

pre

vent

ion

prog

ram

s

Esta

blish

200

new

you

th c

entr

es20

0 ne

w A

RCs w

ill b

e es

tabl

ished

N

umbe

r of A

RCs

esta

blish

edRe

port

MoW

CYA/

HAP

COD

evel

op m

inim

um se

rvic

e pa

ckag

e fo

r you

th c

entr

esM

inim

um p

acka

ge o

f H

IV se

rvic

es w

ill b

e de

velo

ped

for y

outh

ce

ntre

s

Doc

umen

t dev

elop

ed

with

min

imum

pac

kage

of

HIV

serv

ices

for

yout

h ce

ntre

s

Repo

rtM

oWCY

A/H

APCO

Stre

ngth

en y

outh

cen

tres

to

pro

vide

use

r frie

ndly

HIV

/AI

DS

serv

ices

at y

outh

cen

tre

acco

rdin

g to

the

pack

age

100%

of y

outh

cen

tres

w

ill p

rovi

de u

ser

frien

dly

HIV

/AID

S se

rvic

es

Perc

enta

ge o

f you

th

cent

res p

rovi

ding

us

er fr

iend

ly H

IV/A

IDS

serv

ices

Repo

rt, s

urve

ysM

oWCY

A/H

APCO

Expa

nd/s

tren

gthe

n ed

ucat

iona

l en

tert

ainm

ent (

edut

ainm

ent)

yout

h ce

ntre

s in

dist

rict t

owns

60%

of y

outh

cen

tres

w

ill b

e st

reng

then

ed

Perc

enta

ge o

f you

th

cent

res s

tren

gthe

ned

Repo

rts

MoW

CYA

Trai

n Pe

er e

duca

tors

on

HIV

175,

000

peer

ed

ucat

ors w

ill b

e tr

aine

d on

HIV

Num

ber o

f pee

r ed

ucat

ors t

rain

ed o

n H

IV

Repo

rts,

surv

ey

cont

inue

d...

2010/11-2014/15

49

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySt

reng

then

out

of

scho

ol y

outh

H

IV p

reve

ntio

n pr

ogra

ms

Prov

ide

Peer

edu

catio

n 80

% o

f out

of s

choo

l yo

uth

will

be

reac

hed

Num

ber o

f out

of

scho

ol y

outh

reac

hed

with

HIV

& A

IDS

educ

atio

n

Surv

ey, r

epor

tsM

oWCY

AIm

plem

ent O

utre

ach

Yout

h in

terv

entio

ns

Cond

uct y

outh

dia

logu

e 60

% y

outh

cen

tres

w

ill c

ondu

ct y

outh

di

alog

ue

Num

ber o

f You

th

cent

res c

ondu

ctin

g yo

uth

dial

ogue

Repo

rts,

surv

ey

Inte

nsify

HIV

pr

even

tion

in

deve

lopm

ent

sche

mes

Targ

et b

usin

ess o

ppor

tuni

ty

loca

tions

, ind

ustr

ies a

nd p

rivat

e de

velo

pmen

t sch

emes

150

busin

ess

oppo

rtun

ity lo

catio

ns,

indu

strie

s and

priv

ate

deve

lopm

ent s

chem

es

will

be

targ

eted

Num

ber o

f bus

ines

s op

port

unity

loca

tions

, in

dust

ries a

nd p

rivat

e de

velo

pmen

t sch

emes

be

targ

eted

Repo

rts,

HAP

CO

Inte

grat

e H

IV p

reve

ntio

n in

de

velo

pmen

t sch

emes

’ pro

ject

pr

opos

als

100%

of d

evel

opm

ent

sche

mes

/pro

ject

s w

ill in

tegr

ate

HIV

pr

even

tion

Perc

enta

ge o

f de

velo

pmen

t sch

emes

/pr

ojec

ts in

tegr

ated

HIV

pr

even

tion

Surv

eys,

Repo

rts,

Doc

umen

tsRe

spon

sible

se

ctor

s

Dev

elop

and

diss

emin

ate

targ

eted

HIV

mes

sage

on

5 iss

ues

5 m

essa

ge w

ill b

e de

velo

ped

and

diss

emin

ated

on

HIV

iss

ues

Num

ber o

f mes

sage

de

velo

ped

and

diss

emin

ated

on

HIV

iss

ues

Surv

eys,

Repo

rts,

Doc

umen

tsH

APCO

Con

duct

Pee

r edu

catio

n 10

0 %

of d

evel

opm

ent

sche

me/

proj

ect

will

con

duct

pee

r ed

ucat

ion

Perc

enta

ge o

f de

velo

pmen

t sch

emes

/pr

ojec

ts c

ondu

cted

pe

er e

duca

tion

Repo

rts,

site

supe

rvisi

ons,

surv

eys

Resp

ectiv

e se

ctor

s and

In

vest

men

t Ag

ency

M

ap d

evel

opm

ent s

chem

es fo

r ou

trea

ch se

rvic

esD

evel

opm

ent

sche

mes

will

be

iden

tified

for o

utre

ach

serv

ices

Num

ber o

f de

velo

pmen

t sch

emes

id

entifi

ed fo

r out

reac

h se

rvic

es

Repo

rts,

surv

eys

Cond

uct o

utre

ach

prog

ram

s for

de

velo

pmen

t sch

emes

All d

evel

opm

ent

sche

mes

will

be

netw

orke

d fo

r ou

trea

ch se

rvic

es

Num

ber o

f de

velo

pmen

t sch

emes

re

ceiv

ed o

utre

ach

HIV

/AI

DS

serv

ices

Repo

rts,

surv

eys

Ref

erra

l lin

kage

with

hea

lth

faci

litie

s for

VCT

, man

agem

ent

of S

TI a

nd A

RT fo

r the

HIV

po

sitiv

e

100%

of d

evel

opm

ent

sche

mes

/pro

ject

s will

cr

eate

refe

rral

link

ages

w

ith h

ealth

faci

litie

s fo

r HIV

serv

ices

Perc

enta

ge o

f de

velo

pmen

t sch

emes

cr

eate

d re

ferr

al

linka

ges w

ith h

ealth

fa

cilit

ies

Repo

rt

cont

inue

d...

50


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yIn

tens

ify H

IV

prev

entio

n in

de

velo

pmen

t sc

hem

es

Ensu

re H

IV P

reve

ntio

n am

ong

com

mun

ities

in a

reas

of

deve

lopm

ent s

chem

es/p

roje

cts

100%

of d

evel

opm

ent

sche

mes

/pro

ject

s will

co

nduc

t pre

vent

ion

inte

rven

tions

am

ong

com

mun

ities

in th

e pr

ojec

t are

as

Perc

enta

ge o

f de

velo

pmen

t sch

emes

/pr

ojec

ts c

ondu

cted

pr

even

tion

amon

g co

mm

uniti

es in

the

proj

ect a

reas

Repo

rt

Resp

ectiv

e se

ctor

s and

In

vest

men

t Ag

ency

Expa

nd H

IV

prev

entio

n am

ong

popu

latio

n gr

oups

w

ith sp

ecia

l nee

ds

(eld

erly

and

peo

ple

with

disa

bilit

y)

Cond

uct r

isk a

nd v

ulne

rabi

lity

asse

ssm

ent

One

ass

essm

ent

addr

essin

g th

e di

ffere

nt fo

rms o

f pe

ople

with

spec

ial

need

s will

be

cond

ucte

d

Asse

ssm

ent c

ondu

cted

Doc

umen

t with

As

sess

men

t res

ult

HAP

CO/

MO

LSA

Dev

elop

pre

vent

ion

stra

tegy

for

peop

le w

ith sp

ecia

l nee

dsPr

even

tion

stra

tegy

w

ill b

e de

velo

ped

Stra

tegi

c do

cum

ent

deve

lope

dD

ocum

ent

Cust

omiz

e H

IV in

terv

entio

n gu

idel

ines

, im

plem

enta

tion

man

uals,

and

BCC

inte

rven

tions

BCC

guid

elin

e an

d im

plem

enta

tion

man

ual w

ill b

e pr

oduc

ed

Prod

uced

BCC

gu

idel

ine

and

impl

emen

tatio

n m

anua

l doc

umen

ts

Doc

umen

ts

Inte

grat

e BC

C in

terv

entio

ns in

AR

C of

you

th c

entr

es fo

r peo

ple

with

disa

bilit

y

All y

outh

cen

tres

of

ARC

will

inte

grat

e BC

C in

terv

entio

ns fo

r pe

ople

with

disa

bilit

y

Num

ber o

f you

th

cent

res w

ith A

RC

that

inte

grat

ed B

CC

inte

rven

tion

for p

eopl

e w

ith d

isabi

lity

Repo

rts,

site

visit

s, su

rvey

s

Dev

elop

and

diss

emin

ate

BCC

mat

eria

ls fo

r peo

ple

with

spec

ial

need

s

5 ty

pes o

f mes

sage

s on

HIV

will

be

deve

lope

d to

peo

ple

with

spec

ial n

eeds

Type

of m

essa

ges

deve

lope

d D

ocum

ents

80,0

00 c

opie

s BCC

pr

int m

ater

ials

will

be

dev

elop

ed a

nd

diss

emin

ated

for

peop

le w

ith d

isabi

lity

Num

ber o

f BCC

prin

t m

ater

ials

deve

lope

d an

d di

ssem

inat

ed fo

r pe

ople

with

disa

bilit

y

Doc

umen

ts

cont

inue

d...

2010/11-2014/15

51

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yEx

pand

HIV

pr

even

tion

amon

g po

pula

tion

grou

ps

with

spec

ial n

eeds

(e

lder

ly a

nd p

eopl

e w

ith d

isabi

lity)

Dev

elop

and

diss

emin

ate

BCC

mat

eria

ls fo

r peo

ple

with

spec

ial

need

s

120,

000

BCC

prin

t m

ater

ials

will

be

diss

emin

ated

for

elde

rly

Num

ber o

f BCC

prin

t m

ater

ials

deve

lope

d an

d di

ssem

inat

ed fo

r el

derly

Doc

umen

tsH

APCO

/ M

OLS

A

Dev

elop

and

diss

emin

ate

BCC

mat

eria

ls fo

r peo

ple

with

spec

ial

need

s

2,50

0 BC

C au

dio/

visu

al m

ater

ials

will

be

diss

emin

ated

for

peop

le w

ith d

isabi

lity

and

elde

rs

Num

ber o

f BCC

aud

io/

visu

al m

ater

ials

deve

lope

d an

d di

ssem

inat

ed fo

r pe

ople

with

disa

bilit

y

Doc

umen

tsH

APCO

/ M

OLS

A

StructuralHIVpreventionapproach

Addr

ess g

ende

r in

equa

lity

Mai

nstr

eam

gen

der i

nto

sect

oral

pol

icie

s Al

l sec

tora

l pol

icie

s w

ill in

tegr

ate

gend

er

issue

s

Num

ber o

f sec

tors

in

tegr

ated

gen

der i

n to

th

eir p

olic

ies

Repo

rts

MoW

CYA

Addr

ess g

ende

r in

equa

lity

Avai

l PEP

to v

ictim

s of r

ape

3,30

3 he

alth

faci

litie

s w

ill p

rovi

de P

EPN

umbe

r hea

lth fa

cilit

ies

prov

idin

g se

rvic

eRe

port

s & su

perv

ision

MO

H

Advo

cate

for p

uniti

ve m

easu

res

on p

erpe

trat

ors o

f GBV

.Si

x ro

und

advo

cacy

ca

mpa

igns

will

be

held

Num

ber o

f cam

paig

ns

by w

omen

gro

ups

Repo

rts

MoW

CYA

Ensu

re in

clus

ion

of g

ende

r di

men

sion

in H

IV p

rogr

ams

All H

IV p

reve

ntio

n pr

ogra

ms w

ill

inte

grat

e ge

nder

co

mpo

nent

Num

ber o

f HIV

pr

even

tion

prog

ram

s w

ith g

ende

r dim

ensio

n

Repo

rts

HAP

CO

Redu

ce e

cono

mic

vu

lner

abili

ty

Prov

ide

trai

ning

on

IGA

to

vuln

erab

le g

roup

s24

8,33

9 vu

lner

able

an

d w

omen

and

FSW

w

ill re

ceiv

e vo

catio

nal

trai

ning

s

Num

ber o

f vul

nera

ble

wom

en a

nd F

SW w

ho

rece

ived

trai

ning

Repo

rts

Regi

ons/

w

omen

as

soci

atio

ns./

Mic

ro &

smal

l en

terp

rise

Prov

ide

seed

mon

ey su

ppor

t to

vuln

erab

le in

divi

dual

s24

8,33

9 W

omen

&

FSW

will

be

supp

orte

d w

ith se

ed m

oney

Num

ber o

f wom

en &

FS

W su

ppor

ted

with

se

ed m

oney

Repo

rts a

nd si

te v

isits

Esta

blish

inte

grat

ion

of H

IV/

AID

S se

rvic

es w

ith sa

fety

-net

pr

ogra

ms

HIV

serv

ices

will

be

inte

grat

ed in

to a

ll re

gion

al sa

fety

-net

pr

ogra

ms

Num

ber o

f saf

ety-

net

prog

ram

s int

egra

ting

HIV

/AID

S se

rvic

es

Repo

rts

RAD

cont

inue

d...

52


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yAd

dres

s soc

io-

cultu

ral f

acto

rs

fuel

ling

HIV

tr

ansm

issio

n

Prov

ide

sens

itiza

tion

and

educ

atio

n on

avo

idin

g ha

rmfu

l tr

aditi

onal

pra

ctic

es

All k

ebel

es w

here

FG

M is

pra

ctic

ed

shal

l enf

orce

byl

aws

agai

nst F

GM

Num

ber o

f keb

eles

(w

here

FG

M is

pr

actic

ed) e

nfor

ced

byla

ws a

gain

st F

GM

Repo

rts

MO

H/

MoW

CYA

Prot

ect h

uman

rig

hts a

nd p

rovi

de

lega

l sup

port

Cond

uct t

he n

atio

nal s

tigm

a in

dex

stud

y2

natio

nal s

tigm

a in

dex

stud

ies

cond

ucte

d

Num

ber o

f stig

ma

inde

x st

udie

s co

nduc

ted

Repo

rts

NEP

+/ H

APCO

Impl

emen

t GIP

A O

pera

tiona

lize

GIP

A (i.

e . P

LHIV

will

be

invo

lved

in p

olic

y an

d st

rate

gy d

evel

opm

ent,

serv

ice

deliv

ery

and

M

and

E)

Invo

lvem

ent o

f PLH

A in

pol

icy

and

stra

tegy

, se

rvic

e de

liver

y an

d M

an

d E

Surv

eyN

EP+

Enha

nce

impl

emen

tatio

n of

yo

uth

and

wom

en

deve

lopm

ent

pack

ages

hum

an

right

s and

lega

l su

ppor

t

Expa

nd y

outh

and

wom

en

lead

ersh

ip d

evel

opm

ent

prog

ram

s

70,0

00 y

outh

and

w

omen

lead

ers

trai

ned

Num

ber o

f you

th a

nd

wom

en tr

aine

d on

le

ader

ship

Repo

rts

MoW

YSA/

YS

A an

d W

A

Rollo

ut th

e im

plem

enta

tion

of

yout

h an

d w

omen

pac

kage

s to

all d

istric

ts

750

Wor

edas

Num

ber o

f Wor

edas

im

plem

entin

g yo

uth

& w

omen

dev

elop

men

t pa

ckag

es

Repo

rts

BiomedicalHIVpreventionservices

Ensu

re a

cces

s and

en

hanc

e up

take

of

HCT

serv

ices

46.3

5 m

illio

n of

pe

ople

will

rece

ive

HIV

te

stin

g

Num

ber o

f peo

ple

rece

ived

HIV

test

ing

Repo

rts

MO

H /

RHB

Prom

ote

HIV

test

ing

usin

g CC

an

d he

alth

ext

ensio

n w

orke

rs,

mob

ile, o

utre

ach

serv

ice

100%

of C

C gr

oups

w

ill a

ddre

ss H

CT

serv

ice

Perc

enta

ge o

f CC

grou

ps th

at a

ddre

ssed

H

CT se

rvic

e

Repo

rts/

Surv

eys

MO

H /

RHB

Inte

grat

e H

CT P

rom

otio

nal

activ

ities

in th

e pa

ckag

e of

H

ealth

dev

elop

men

t arm

ies

HCT

pro

mot

iona

l ac

tiviti

es w

ill b

e in

tegr

ated

in th

e pa

ckag

e of

Hea

lth

deve

lopm

ent a

rmie

s

Doc

umen

t of

deve

lopm

ent

arm

ies w

ith p

acka

ge

inte

grat

ing

HCT

Repo

rts,

surv

eyM

OH

/HAP

CO/

RHB

Educ

ate

hous

ehol

ds o

n H

CT b

y H

ealth

dev

elop

men

t arm

ies

100%

of h

ouse

hold

s vi

sited

by

Hea

lth

deve

lopm

ent a

rmy

mem

bers

will

rece

ive

HIV

edu

catio

n

Perc

enta

ge th

at

rece

ived

HIV

edu

catio

n ou

t of h

ouse

hold

s vi

sited

by

deve

lopm

ent

arm

y m

embe

rs

Repo

rts,

surv

eyM

OH

/HAP

CO/

RHB

cont

inue

d...

2010/11-2014/15

53

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yEn

sure

acc

ess a

nd

enha

nce

up ta

ke o

f H

CT se

rvic

es

Prom

ote

HIV

test

ing

thro

ugh

relig

ious

lead

ers,

loca

l co

mm

unity

lead

ers

80%

Rel

igio

us le

ader

s w

ill re

ceiv

e or

ient

atio

n on

HCT

pro

mot

ion

Perc

enta

ge o

f rel

igio

us

lead

ers r

ecei

ved

orie

ntat

ion

on H

CT

prom

otio

n

Repo

rt, s

urve

yH

APCO

/Re

ligio

us

grou

ps

Educ

ate

Publ

ic o

n H

IV

test

ing

thou

gh m

ass m

edia

ca

mpa

igni

ng

Mas

s med

ia c

ampa

ign

on c

ouns

ellin

g an

d te

stin

g w

ill b

e co

nduc

ted

Cam

paig

n co

nduc

ted

Repo

rts

MO

H/R

HB/

H

APCO

s/

Prov

ide

trai

ning

to H

CT se

rvic

e pr

ovid

ers

200

HCT

serv

ice

prov

ider

s will

be

trai

ned

on H

CT fo

r pe

ople

with

disa

bilit

y an

d el

derly

Num

ber o

f HCT

serv

ice

prov

ider

s tra

ined

on

HCT

for p

eopl

e w

ith

disa

bilit

y an

d th

e el

derly

Repo

rt

Prov

ide

HCT

to P

eopl

e w

ith

disa

bilit

y an

d el

derly

50%

of p

eopl

e w

ith

disa

bilit

y an

d el

derly

w

ill re

ceiv

e H

CT

Perc

enta

ge o

f peo

ple

with

disa

bilit

y an

d th

e el

derly

who

rece

ived

H

CT

Repo

rts,

surv

eys

Ensu

re u

nint

erru

pted

supp

lies

of te

st k

its a

nd o

ther

acc

esso

ries

100%

of S

ervi

ce

rend

erin

g fa

cilit

ies w

ill

get a

dequ

ate

test

kits

an

d ot

her i

tem

s all

the

time

Perc

enta

ge o

f Ser

vice

re

nder

ing

faci

litie

s ge

ttin

g ad

equa

te te

st

kits

and

oth

er it

ems a

ll th

e tim

e

Repo

rts a

nd si

te v

isits

MO

H/P

FSA/

RH

B/

Build

cap

aciti

es o

f priv

ate

heal

th

faci

litie

s to

rollo

ut H

CT se

rvic

eCa

paci

ty b

uild

ing

to

400

Priv

ate

Hea

lth

faci

litie

s will

be

cond

ucte

d to

pro

vide

H

CT se

rvic

es

Num

ber o

f priv

ate

Hea

lth fa

cilit

ies w

ith

ensu

red

capa

city

to

prov

ide

HCT

Repo

rts a

nd v

isits

MO

H/ R

HB

Rollo

ut H

CT se

rvic

es in

to p

rivat

e he

alth

faci

litie

s40

0 pr

ivat

e he

alth

fa

cilit

ies w

ill p

rovi

de

HCT

serv

ices

Num

ber o

f priv

ate

heal

th fa

cilit

ies s

igne

d an

MO

U a

nd p

rovi

de

HCT

serv

ices

Repo

rts a

nd v

isits

cont

inue

d...

54


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yEn

sure

acc

ess a

nd

enha

nce

upta

ke o

f PM

TCT

serv

ices

85%

of H

IV p

ositi

ve

preg

nant

wom

en w

ill

rece

ive

com

plet

e AR

V pr

ophy

laxi

s)

Perc

enta

ge o

f HIV

po

sitiv

e pr

egna

nt

wom

en re

ceiv

ed

antir

etro

vira

l pr

ophy

laxi

s

Repo

rts,

Surv

eys

MO

H/ R

HB

Stre

ngth

en th

e in

tegr

atio

n of

PM

TCT

with

MN

CH in

all

heal

th

faci

litie

s

3,30

3 H

ealth

faci

litie

s w

ill h

ave

effec

tive

inte

grat

ion

of P

MTC

T an

d M

NCH

Num

ber o

f Hea

lth

faci

litie

s with

effe

ctiv

e in

tegr

atio

n of

PM

TCT

and

MN

CH

Repo

rts

MoH

/ RH

B

Mob

ilize

the

com

mun

ity to

be

activ

ely

invo

lved

in P

MTC

T 10

0% o

f Keb

eles

will

co

nduc

t sch

edul

ed

com

mun

ity

mob

iliza

tion

rega

rdin

g PM

TCT

Perc

enta

ge o

f Keb

eles

th

at c

ondu

cted

CC

sess

ions

that

add

ress

ed

PMTC

T iss

ues

Surv

eys

MoH

/ HAP

CO/

RHB

Prom

ote

PIH

CT fo

r all

preg

nant

w

omen

att

endi

ng A

NC

and

deliv

ery

serv

ices

usin

g op

t out

ap

proa

ch

Hea

lth fa

cilit

ies w

ill

Prom

ote

PIH

CT to

all

Preg

nant

wom

en

Num

ber o

f Hea

lth

faci

litie

s Pro

mot

ing

PIH

CT to

all

Preg

nant

w

omen

Surv

eys

MoH

/RH

B

Ensu

re m

ale

invo

lvem

ent i

n PM

TCT

serv

ice

50%

of p

artn

ers o

f HIV

po

sitiv

e PM

TCT

clie

nts

will

be

test

ed fo

r HIV

an

d pr

ovid

e su

ppor

t to

thei

r fam

ily

Perc

enta

ge o

f pre

gnan

t w

omen

who

se p

artn

ers

rece

ived

test

ing

and

prov

ided

supp

ort t

o fa

mily

Surv

eys

MoH

/HAP

CO/

RHB

Trai

n he

alth

ext

ensio

n w

orke

rs

on P

MTC

T an

d de

liver

y se

rvic

e pr

ovisi

on

34,0

00 H

EWs w

ill b

e tr

aine

d on

PM

TCT

and

deliv

ery

serv

ice

prov

ision

Num

ber o

f HEW

trai

ned

& en

gage

d in

PM

TCT

and

deliv

ery

serv

ice

prov

ision

serv

ices

Repo

rts

MoH

/ H

APCO

s/ R

HB

Inte

grat

e PM

TCT

into

the

pack

age

of H

ealth

dev

elop

men

t ar

mie

s

Doc

umen

t of

deve

lopm

ent a

rmie

s in

tegr

atin

g PM

TCT

will

be

pro

duce

d

Doc

umen

t of H

ealth

de

velo

pmen

t ar

mie

s with

pac

kage

in

tegr

atin

g PM

TCT

Repo

rts,

surv

eyM

oH /

HAP

COs/

RH

B

Prom

ote

PMTC

T by

the

heal

th

deve

lopm

ent a

rmie

sPM

TCT

prom

otio

nal

activ

ities

will

be

inte

grat

ed in

the

pack

age

of h

ealth

de

velo

pmen

t arm

ies

Doc

umen

t of

heal

th d

evel

opm

ent

arm

ies w

ith p

acka

ge

inte

grat

ing

PMTC

T

Doc

umen

t, Re

port

s M

oH/ R

HB

cont

inue

d...

2010/11-2014/15

55

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yEn

sure

acc

ess a

nd

enha

nce

upta

ke o

f PM

TCT

serv

ices

Prov

ide

trai

ning

to

deve

lopm

ent a

rmie

s on

PMTC

T10

0% o

f hea

lth

deve

lopm

ent a

rmie

s tr

aine

d on

PM

TCT

Num

ber o

f hea

lth

deve

lopm

ent a

rmie

s tr

aine

d on

PM

TCT

Repo

rts

MoH

/ RH

B

Prov

ide

educ

atio

n to

ho

useh

olds

on

PMTC

T by

de

velo

pmen

t arm

ies

100%

of h

ouse

hold

s vi

sited

by

heal

th

deve

lopm

ent

arm

ies r

ecei

ved

HIV

ed

ucat

ion

Perc

enta

ge o

f ho

useh

olds

visi

ted

by

deve

lopm

ent a

rmy

mem

bers

rece

ived

HIV

ed

ucat

ion

Repo

rts

MoH

/RH

B

Expa

nd P

MTC

T se

rvic

es3,

303

publ

ic h

ealth

fa

cilit

ies w

ill p

rovi

de

PMTC

T

Num

ber o

f pub

lic

heal

th fa

cilit

ies

prov

idin

g PM

TCT

Repo

rts &

site

visi

tsM

oH /

RHB

Equi

p he

alth

faci

litie

s with

AN

C an

d de

liver

y eq

uipm

ent

3,30

3 H

ealth

faci

litie

s w

ill b

e eq

uipp

ed w

ith

ANC

and

deliv

ery

equi

pmen

t

Num

ber o

f hea

lth

faci

litie

s equ

ippe

d w

ith A

NC

and

deliv

ery

equi

pmen

t

MoH

/ RH

B

Trai

n he

alth

wor

kers

on

basic

an

d em

erge

ncy

obst

etric

car

e an

d PM

TCT

serv

ice

prov

ision

13,2

12 h

ealth

car

e w

orke

rs w

ill b

e tr

aine

d on

bas

ic a

nd

emer

genc

y ob

stet

ric

care

and

PM

TCT

serv

ice

prov

ision

Num

ber o

f hea

lth c

are

wor

kers

trai

ned

to

prov

ide

PMTC

T se

rvic

es

MoH

/ RH

B

Dep

loy

mot

her s

uppo

rt m

ento

rs

in e

ach

PMTC

T sit

e6,

606

mot

her s

uppo

rt

grou

p m

ento

rs (i

.e. 2

pe

r Hea

lth fa

cilit

y )w

ill

be d

eplo

yed

Num

ber o

f mot

her

supp

ort g

roup

men

tors

de

ploy

ed

MO

H /

RHB/

PLH

IV

Prov

ide

PMTC

T tr

aini

ng fo

r se

rvic

e pr

ovid

ers t

o pe

ople

with

di

sabi

lity

600

serv

ice

prov

ider

s w

ill b

e tr

aine

dN

umbe

r of s

ervi

ce

prov

ider

s tra

ined

Re

port

, Site

as

sess

men

tM

OH

/ RH

B/PL

HIV

Build

cap

aciti

es o

f priv

ate

heal

th fa

cilit

ies t

o ro

llout

PM

TCT

serv

ice

Capa

city

of p

rivat

e he

alth

faci

litie

s will

be

stre

ngth

ened

to

prov

ide

PMTC

T

Num

ber o

f priv

ate

Hea

lth fa

cilit

ies w

ith

stre

ngth

ened

cap

acity

to

pro

vide

PM

TCT

Repo

rt, S

ite

asse

ssm

ent

MO

H/R

HB

Invo

lve

priv

ate

heal

th fa

cilit

ies

to p

rovi

de P

MTC

T se

rvic

esAl

l priv

ate

heal

th

faci

litie

s tha

t pro

vide

M

ater

nal H

ealth

se

rvic

es w

ill p

rovi

de

PMTC

T

Num

ber o

f priv

ate

heal

th fa

cilit

ies

prov

idin

g PM

TCT

Repo

rt, S

ite

asse

ssm

ent

cont

inue

d...

56


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yIn

crea

se a

vaila

bilit

y an

d ut

iliza

tion

of

STI s

ervi

ces

900,

000

case

s will

be

trea

ted

Repo

rts

Repo

rts

MoH

/RH

B/EH

NRI

Crea

te st

rong

lead

ersh

ip fo

r STI

pr

ogra

ms

1,60

0 pr

ogra

m

man

ager

s will

be

trai

ned

Num

ber o

f pro

gram

m

anag

ers t

rain

edRe

port

s & si

te v

isits

MO

H/R

HB

Expa

nd S

TI se

rvic

es to

all

heal

th

faci

litie

s 3,

703

Hea

lth fa

cilit

ies

will

pro

vide

STI

serv

ice

Num

ber o

f hea

lth

faci

litie

s pro

vidi

ng S

TI

serv

ice

Repo

rts

Inte

nsify

hea

lth e

duca

tion

to

impr

ove

STI t

reat

men

t see

king

be

havi

our &

util

izat

ion

of

serv

ices

All K

ebel

es w

ill

cond

uct c

omm

unity

m

obili

zatio

n on

STI

Num

ber o

f CC

sess

ions

th

at a

ddre

ssed

STI

iss

ues

Surv

eys

Prom

ote

part

ner n

otifi

catio

n du

ring

STI c

ase

dete

ctio

n50

% o

f STI

clie

nts w

ill

refe

r the

ir cl

ient

s for

ST

I scr

eeni

ng

Perc

enta

ge o

f STI

ca

ses w

ho su

cces

sful

ly

refe

rred

thei

r par

tner

s fo

r STI

scre

enin

g

Surv

eys

Ensu

re a

vaila

bilit

y of

dru

gs a

nd

reag

ents

in a

ll pu

blic

hea

lth

faci

litie

s

STI d

rugs

and

reag

ents

w

ill b

e av

aila

ble

all

time

in 3

,703

Hea

lth

faci

litie

s

Num

ber o

f Hea

lth

faci

litie

s with

ava

ilabl

e ST

I dru

gs a

nd re

agen

ts

all t

he ti

me

Repo

rts a

nd si

te v

isits

MO

H/P

FSA/

RHB

Trai

n he

ath

care

wor

kers

on

synd

rom

ic S

TI c

ase

diag

nosis

an

d m

anag

emen

t

7,40

6 he

alth

car

e pr

ovid

ers w

ill b

e tr

aine

d on

STI

m

anag

emen

t

Num

ber o

f hea

lth c

are

prov

ider

s tra

ined

on

STI

Repo

rts

MO

H /

RHB

Trai

n 37

03 la

bora

tory

te

chni

cian

s to

perfo

rm v

ario

us

bact

erio

logi

cal a

nd se

rolo

gica

l te

sts

3,70

3 la

bora

tory

te

chni

cian

s will

be

trai

ned

Num

ber o

f lab

orat

ory

tech

nici

ans t

rain

edRe

port

s and

site

visi

tsEH

NRI

Dev

elop

STI

follo

w u

p an

d da

ta

valid

atio

n sy

stem

Func

tiona

l STI

follo

w

up &

val

idat

ion

syst

em

will

be

ensu

red

Esta

blish

men

t of S

TI

follo

w u

p &

valid

atio

n sy

stem

Doc

umen

ts p

rodu

ced

& sit

e vi

sits

MoH

/RH

B/EH

NRI

Prov

ide

STI t

rain

ing

for s

ervi

ce

prov

ider

s to

peop

le w

ith sp

ecia

l ne

eds

200

serv

ice

prov

ider

s w

ill b

e tr

aine

dN

umbe

r of s

ervi

ce

prov

ider

s tra

ined

Re

port

, Site

as

sess

men

tM

oH/R

HB

cont

inue

d...

2010/11-2014/15

57

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yIn

crea

se su

pply

, di

strib

utio

n an

d ut

iliza

tion

of

mal

e an

d fe

mal

e co

ndom

s

Dev

elop

Nat

iona

l con

dom

st

rate

gySt

rate

gic

docu

men

t on

con

dom

will

be

deve

lope

d

Doc

umen

t pro

duce

dRe

port

MO

H/

FHAP

CO//

Pa

rtne

rs

Prom

ote

and

cond

uct

cam

paig

ns o

n pr

oper

&

cons

isten

t use

of c

ondo

m

Six

cond

om

prom

otio

n ca

mpa

igns

w

ill b

e co

nduc

ted

Num

ber o

f con

dom

pr

omot

ion

cam

paig

ns

cond

ucte

d

Repo

rts

MO

H/R

HB/

CSO

Expa

nd p

erip

hera

l out

lets

of

cond

om d

istrib

utio

n30

,000

out

lets

cre

ated

N

umbe

r of c

ondo

m

outle

ts c

reat

ed

Repo

rts

Targ

eted

con

dom

dist

ribut

ion,

pa

rtic

ular

ly to

MAR

Ps88

8 m

illio

n co

ndom

s be

dist

ribut

ed to

M

ARPs

(acc

ount

s fo

r 50%

of o

vera

ll di

strib

utio

n)

Num

ber o

f con

dom

s di

strib

uted

to M

ARPs

Repo

rts

Ensu

re a

dequ

ate

supp

ly o

f co

ndom

1.96

7 bi

llion

con

dom

s w

ill b

e pr

ocur

ed o

ver

5 ye

ars

Num

ber o

f mal

e an

d fe

mal

e co

ndom

s av

aila

ble

for

dist

ribut

ion

natio

nwid

e du

ring

the

last

12

mon

ths

Repo

rts

MO

HPF

SA /

RHB/

CSO

s

Dist

ribut

e m

ale

cond

om1.

7703

bill

ion

mal

e co

ndom

s will

be

dist

ribut

ed

Num

ber o

f mal

e co

ndom

s dist

ribut

edRe

port

sM

OH

/RH

B/CS

Os

Dist

ribut

e fe

mal

e co

ndom

196.

7 m

illio

n fe

mal

e co

ndom

s will

be

dist

ribut

ed

Num

ber o

f fem

ale

cond

oms d

istrib

uted

Repo

rts

MO

H/R

HB/

CSO

s

Stre

ngth

en

infe

ctio

n pr

even

tion

and

bloo

d sa

fety

se

rvic

es

Ensu

re th

e av

aila

bilit

y of

ad

equa

te in

fect

ion

prot

ectiv

e m

ater

ials

All f

acili

ties w

ill

be su

pplie

d w

ith

min

imum

requ

ired

IP m

ater

ials

as p

er

serv

ice

stan

dard

Num

ber o

f fac

ilitie

s su

pplie

d w

ith

min

imum

IP m

ater

ials

Repo

rts,

site

visit

sM

oH, R

HB

s

Impr

ove

was

te d

ispos

al

man

agem

ent i

n he

alth

faci

litie

s. W

aste

disp

osal

will

be

impr

oved

in a

ll he

alth

fa

cilit

ies

Hea

lth fa

cilit

ies w

ith

impr

oved

Was

te

disp

osal

Repo

rts,

site

visit

sM

oH

Prov

ide

IP tr

aini

ngs t

o st

aff7,

000

staff

will

be

trai

ned

on IP

Num

ber o

f tra

ined

staff

on

IPRe

port

s

cont

inue

d...

58


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

ySt

reng

then

in

fect

ion

prev

entio

n an

d bl

ood

safe

ty

serv

ices

Impl

emen

t nat

iona

l blo

od

tran

sfus

ion

serv

ices

stra

tegy

Nat

iona

l blo

od

tran

sfus

ion

serv

ices

st

rate

gy w

ill b

e im

plem

ente

d

Impl

emen

tatio

n of

st

rate

gyRe

port

sM

oH/E

RCS

Cond

uct a

sses

smen

t on

prev

alen

ce n

eedl

e pi

erce

/ pr

ick

& ot

her s

harp

mat

eria

ls in

he

alth

faci

litie

s

An a

sses

smen

t will

be

cond

ucte

dAs

sess

men

t doc

umen

t pr

oduc

edD

ocum

ent

MoH

Avai

l pos

t exp

osur

e pr

ophy

laxi

s (PE

P)

trea

tmen

t

Avai

l PEP

in a

ll he

alth

faci

litie

s3,

303

heal

th fa

cilit

ies

will

pro

vide

PEP

tr

eatm

ent

Num

ber o

f hea

lth

faci

litie

s pro

vidi

ng P

EP

Repo

rts,

site

asse

ssm

ent

MoH

Cond

uct b

asel

ine

asse

ssm

ent

on P

EPBa

selin

e as

sess

men

t w

ill b

e co

nduc

ted

Asse

ssm

ent r

epor

t pr

oduc

edRe

port

sM

OH

/RH

B

Prov

ide

PEP

for a

ll el

igib

le

clie

nts

100%

of c

lient

s el

igib

le fo

r PEP

am

ong

clie

nts c

laim

ing

the

serv

ice

will

rece

ive

PEP

Perc

enta

ge o

f elig

ible

cl

ient

s am

ong

thos

e cl

aim

ing

the

serv

ice

rece

ived

PEP

Surv

eys

MO

H/R

HB

Acce

lera

te m

ale

circ

umci

sion

in

area

s nee

ded

Cond

uct f

easib

ility

ass

essm

ent

on m

ale

circ

umci

sion

in th

e co

mm

unity

and

ass

ess t

he

capa

citie

s of h

ealth

faci

litie

s

Feas

ibili

ty a

nd h

ealth

fa

cilit

y ca

paci

ty

asse

ssm

ent w

ill b

e co

nduc

ted

Asse

ssm

ent r

epor

t pr

oduc

edRe

port

sM

oH/R

HB

Prom

ote

mal

e ci

rcum

cisio

n (M

C)Ad

voca

cy, c

omm

unity

m

obili

zatio

n on

MC

will

be

cond

ucte

d

Advo

cacy

repo

rts

Repo

rts

RHB

Prov

ide

trai

ning

s on

MC

180

heal

th c

are

wor

kers

will

be

trai

ned

on M

C

Num

ber o

f hea

lth c

are

wor

kers

trai

ned

on M

CRe

port

sM

OH

Avai

l mal

e ci

rcum

cisio

n ki

ts10

0,00

0 M

C ki

ts w

ill b

e m

ade

avai

labl

e N

umbe

r of M

C ki

ts

avai

led

Repo

rts

MoH

Prov

ide

safe

mal

e ci

rcum

cisio

n se

rvic

es10

0,00

0 yo

ung

mal

e ag

ed 1

0 to

24

year

s will

get

safe

ci

rcum

cisio

n se

rvic

e

Num

ber o

f mal

es

circ

umci

sed

Repo

rts

MO

H

cont

inue

d...

2010/11-2014/15

59

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yEn

sure

pro

visio

n of

use

r frie

ndly

bi

omed

ical

HIV

Pr

even

tion

serv

ices

to

peo

ple

with

sp

ecia

l nee

ds

Cond

uct a

sses

smen

t of H

ealth

fa

cilit

ies t

o ev

alua

te st

atus

in

prov

idin

g us

er-fr

iend

ly se

rvic

es

to e

lder

ly a

nd p

eopl

e w

ith

disa

bilit

y

Asse

ssm

ent o

f Hea

lth

faci

litie

s to

eval

uate

st

atus

in p

rovi

ding

us

er-fr

iend

ly se

rvic

es

to e

lder

ly a

nd p

eopl

e w

ith d

isabi

lity

will

be

done

Asse

ssm

ent c

ondu

cted

Repo

rts

MO

H

Cond

uct c

onsu

ltativ

e m

eetin

gs

to id

entif

y m

odal

ities

of

prov

idin

g bi

omed

ical

HIV

/AI

DS

serv

ices

for p

eopl

e w

ith

disa

bilit

y an

d th

e el

derly

2 Co

nsul

tativ

e m

eetin

gs w

ill b

e co

nduc

ted

Num

ber o

f con

sulta

tive

mee

tings

con

duct

ed

Proc

eedi

ngs

MO

H /R

HB

Dev

elop

stra

tegi

c do

cum

ent

to d

efine

pac

kage

of H

IV /

AID

S se

rvic

es a

nd m

odal

ities

of

del

iver

ing

the

serv

ices

for

Peop

le w

ith d

isabi

lity

and

the

elde

rly

Stra

tegi

c do

cum

ent

will

be

deve

lope

d St

rate

gic

docu

men

t de

velo

ped

Doc

umen

t

Cust

omiz

e an

d di

ssem

inat

e tr

aini

ng m

anua

ls on

HIV

/AID

S bi

omed

ical

serv

ices

for p

eopl

e w

ith d

isabi

lity

and

the

elde

rly

Man

ual w

ill b

e cu

stom

ized

and

di

ssem

inat

ed

Num

ber o

f tra

inin

g m

ater

ials

deve

lope

d on

bio

med

ical

serv

ices

fo

r peo

ple

with

spec

ial

need

s

Doc

umen

t

Inte

nsify

pos

itive

pr

even

tion

Prov

ide

HIV

info

rmat

ion,

ed

ucat

ion

and

risk

redu

ctio

n ed

ucat

ion

and

coun

selli

ng

450,

000

PLH

IV w

ill

rece

ive

HIV

edu

catio

n an

d co

unse

lling

Num

ber o

f HIV

+

peop

le re

ceiv

ed fr

om

HIV

edu

catio

n an

d co

unse

lling

.

Repo

rts a

nd S

urve

yM

OH

/RH

Bs

Stre

ngth

en c

oupl

e co

unse

lling

an

d te

stin

g45

,000

cou

ples

will

re

ceiv

e co

unse

lling

Num

ber o

f cou

ples

re

ceiv

ed c

ouns

ellin

g Re

port

s, su

rvey

M

OH

/RH

Bs

Cond

uct F

amily

bas

ed H

IV

coun

selli

ng a

nd te

stin

g50

% o

f fam

ilies

of H

IV

posit

ive

clie

nts w

ill

have

all t

heir

fam

ily

mem

bers

test

ed fo

r HIV

Perc

enta

ge o

f fam

ilies

of

HIV

pos

itive

clie

nts

who

hav

e al

l the

ir fa

mily

m

embe

rs te

sted

for H

IV

Surv

ey, R

epor

ts a

nd

site

supe

rvisi

ons

Dev

elop

spec

ial p

acka

ge fo

r ad

oles

cent

s on

ART

on H

IV

coun

selli

ng, R

epro

duct

ive

Hea

lth, a

nd re

late

d iss

ues

Pack

age

on H

IV

coun

selli

ng,

Repr

oduc

tive

Hea

lth,

and

rela

ted

issue

s w

ill b

e de

velo

ped

for

adol

esce

nts o

n AR

T

Doc

umen

t with

pac

kage

on

HIV

cou

nsel

ling,

Re

prod

uctiv

e H

ealth

, an

d re

late

d iss

ues

Repo

rts

MO

H /

HAP

COs/

RHBs

cont

inue

d...

60


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Indi

cato

rVe

rific

atio

n Le

ad A

genc

yIn

tens

ify p

ositi

ve

prev

entio

nPr

ovid

e se

rvic

e to

the

HIV

po

sitiv

e ad

oles

cent

s bas

ed o

n th

e pa

ckag

e

100%

of H

IV p

ositi

ve

adol

esce

nts w

ill b

e pr

ovid

ed w

ith se

rvic

e ba

sed

on th

e pa

ckag

e

Perc

enta

ge o

f tee

ns

prov

ided

with

serv

ice

base

d on

the

pack

age

Repo

rts

MO

H /

HAP

COs/

RHBs

Esta

blish

/str

engt

hen

post

test

cl

ubs a

nd o

ther

pee

r sup

port

gr

oups

100%

of H

CT si

tes w

ill

have

pos

t tes

t clu

bs

and

othe

r pee

r sup

port

gr

oups

Perc

enta

ge o

f HCT

site

s w

ith p

ost t

est c

lubs

an

d ot

her p

eer s

uppo

rt

grou

ps

Repo

rts a

nd su

rvey

s

Prov

ide

Educ

atio

n on

con

siste

nt

cond

om u

se to

PLH

IV10

0% P

LHAs

will

be

edu

cate

d on

ap

prop

riate

and

co

nsist

ent u

se o

f co

ndom

Perc

enta

ge o

f PLH

As

who

rece

ived

edu

catio

n on

con

siste

nt u

se o

f co

ndom

Cond

om p

rovi

sion

and

dist

ribut

ion

89.4

mill

ion

cond

oms

will

be

dist

ribut

ed

Num

ber o

f con

dom

s di

strib

uted

Pr

ovid

e ST

I ser

vice

s10

0% o

f HIV

/AID

S pa

tient

s on

chro

nic

care

will

rece

ive

STI

serv

ices

Perc

enta

ge o

f HIV

/AID

S pa

tient

s on

chro

nic

care

re

ceiv

ed S

TI se

rvic

es

Repo

rts a

nd su

rvey

s

Prov

ide

fam

ily p

lann

ing

serv

ices

100%

of H

IV/A

IDS

patie

nts o

n ch

roni

c ca

re w

ill re

ceiv

e fa

mily

pl

anni

ng se

rvic

es

Perc

enta

ge o

f HIV

/AID

S pa

tient

s on

chro

nic

care

who

rece

ive

fam

ily

plan

ning

serv

ices

Repo

rts,

site

visit

s and

su

rvey

s

Them

atic

Are

a Th

ree:IncreaseAccesstoandImproveQualityofChronicCareandTreatment

Generalobjective:

To

redu

ce H

IV re

late

d m

orbi

dity

and

mor

talit

y an

d im

prov

e qu

ality

of l

ife o

f PLH

IVSpecificobjectives:

•To

incr

ease

ART

enr

olm

ent f

rom

73%

in 2

009

to 9

5% b

y 20

14/1

5•

To in

crea

se s

urvi

val a

mon

g th

ose

who

hav

e st

arte

d AR

T to

from

73%

in 2

009

to 8

5% b

y 20

14/1

5.•

To in

crea

se p

atie

nt r

eten

tion

rate

am

ong

thos

e w

ho s

tart

ed A

RT to

85%

by

201/

15•

To in

crea

se p

aedi

atri

c AR

T co

vera

ge fr

om 6

6% in

201

0 to

90%

in 2

014/

15•

To in

crea

se p

erce

ntag

e of

pre

-ART

pat

ient

s on

cot

rim

oxaz

ole

prop

hyla

xis

from

68%

to 9

5% in

201

4/15

cont

inue

d...

2010/11-2014/15

61

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsVe

rific

atio

n Le

ad A

genc

yEn

sure

acc

ess a

nd

enha

nce

up ta

ke o

f AR

T se

rvic

es

455,

190

adul

t PLH

IV

will

rece

ive

ART

Num

ber o

f adu

lt PL

HIV

re

ceiv

ing

antir

etro

vira

l th

erap

y

Repo

rts

MO

H/F

HAP

CO

29,7

76 P

aedi

atric

s PL

HIV

will

rece

ive

ART

Num

ber o

f Pae

diat

rics

PLH

IV re

ceiv

ing

antir

etro

vira

l the

rapy

Repo

rts

MO

H/F

HAP

CO

Expa

nd a

cces

s to

care

and

trea

tmen

t at

prim

ary

heal

th

care

faci

litie

s with

st

reng

then

ed

serv

ice

linka

ges

and

inte

grat

ion

Prov

ide

trai

ning

of h

ealth

pe

rson

nel

5368

hea

lth p

rovi

ders

w

ill b

e tr

aine

d on

ca

re a

nd tr

eatm

ent

man

agem

ent

Num

ber o

f hea

lth c

are

prov

ider

s tra

ined

.Re

port

sM

oH/ R

HBs

/H

APCO

Incr

ease

num

ber o

f Hea

lth

faci

litie

s pro

vidi

ng A

RTAR

T se

rvic

es w

ill b

e pr

ovid

ed in

3,3

03

heal

th fa

cilit

ies

Num

ber o

f Hea

lth

faci

litie

s pro

vidi

ng

antir

etro

vira

l the

rapy

.

Repo

rts

Dev

elop

and

diss

emin

ate

serv

ice

pack

age

and

trai

ning

m

anua

l on

ART

for p

eopl

e w

ith

disa

bilit

y

Man

ual w

ill b

e de

velo

ped

Dev

elop

ed m

anua

lD

ocum

ent

Dev

elop

SO

P an

d st

anda

rdiz

e in

tra

and

inte

r fac

ility

refe

rral

fo

rmat

s

SoP

and

form

ats w

ill

be d

evel

oped

and

st

anda

rdiz

ed

SOP

and

refe

rral

fo

rmat

s dev

elop

ed/

stan

dard

ized

Doc

umen

ts

Mon

itor e

ffect

iven

ess o

f the

re

ferr

al sy

stem

3,30

3 fa

cilit

ies w

ill

have

effe

ctiv

e In

ter-

faci

lity

serv

ice

linka

ge

Num

ber o

f Hea

lth

faci

litie

s with

effe

ctiv

e In

ter-

faci

lity

serv

ice

linka

ge

Repo

rts a

nd si

te v

isits

Inte

grat

e AR

T se

rvic

e pa

ckag

e of

peo

ple

with

disa

bilit

y in

the

exist

ing

Hea

lth fa

cilit

ies

100%

of t

he H

ealth

fa

cilit

ies w

ill in

tegr

ate

the

pack

age

Perc

enta

ge o

f Hea

lth

faci

litie

s int

egra

ting

the

pack

age

Repo

rt, S

ite

asse

ssm

ent

MoH

/ RH

Bs/

HAP

CO

Stre

ngth

en

labo

rato

ry se

rvic

es

and

refe

rral

syst

em

Avai

l min

imum

labo

rato

ry

serv

ices

at c

hron

ic c

are

sites

80%

chr

onic

car

e sit

es

will

be

cove

red

with

m

inim

um la

bora

tory

se

rvic

es

Num

ber o

f chr

onic

ca

re si

tes c

over

ed w

ith

min

imum

labo

rato

ry

serv

ices

Repo

rts a

nd si

te v

isits

EHN

RI

Stre

ngth

en p

reve

ntiv

e an

d cu

rativ

e m

aint

enan

ce (t

rain

ing,

w

orks

hop

and

spar

e pa

rts)

Prev

entiv

e m

aint

enan

ce se

rvic

e w

ill b

e un

dert

aken

by

all l

abor

ator

ies

Num

ber o

f la

bora

torie

s with

fu

nctio

nal p

reve

ntiv

e m

aint

enan

ce se

rvic

e

Repo

rts

Cura

tive

mai

nten

ance

se

rvic

e w

ill b

e pr

ovid

ed a

t reg

iona

l an

d fe

dera

l lev

el

Regi

ons w

ith

mai

nten

ance

cen

tres

Repo

rts

cont

inue

d...

62


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsVe

rific

atio

n Le

ad A

genc

ySt

reng

then

la

bora

tory

serv

ices

an

d re

ferr

al sy

stem

Stre

ngth

en q

ualit

y as

sura

nce

syst

em

Func

tiona

l Qua

lity

assu

ranc

e sy

stem

will

be

put

in p

lace

Exist

ence

of q

ualit

y as

sura

nce

syst

emRe

port

sEH

NRI

Stre

ngth

en la

bora

tory

in

form

atio

n sy

stem

Func

tiona

l LIS

syst

em

will

be

put i

n pl

ace

Exist

ence

of L

ISSu

perv

ision

Build

cap

acity

of l

abor

ator

y pe

rson

nel

Capa

ble

labo

rato

ry

pers

onne

l in

runn

ing

HIV

inve

stig

atio

ns a

nd

QA

will

be

avai

labl

e

Impr

oved

cap

acity

of

Labo

rato

ry p

erso

nnel

Supe

rvisi

on

Ensu

re a

vaila

bilit

y of

Ess

entia

l OI,

ARV

drug

s and

reag

ents

Fore

cast

the

need

for O

I, AR

Vs

and

reag

ents

Adeq

uate

am

ount

of

OI,

and

ARV

drug

s will

be

ava

iled

Repo

rted

num

ber o

f st

ock

outs

in th

e la

st

one

mon

th

Repo

rts

PFSA

Ensu

re ti

mel

y pr

ocur

emen

t and

di

strib

utio

n of

OIs

, ARV

dru

gs

and

, rea

gent

s

All s

ervi

ce re

nder

ing

sites

will

hav

e ad

equa

te A

RV/O

I su

pplie

s all

times

Num

ber o

f Hea

lth

faci

litie

s with

un

inte

rrup

ted

supp

ly o

f AR

V an

d O

IsEx

pand

war

ehou

ses

Cons

truc

tion

of 1

2 w

areh

ouse

s will

be

Supp

orte

d

Num

ber o

f war

ehou

ses

cons

truc

ted

Repo

rts &

site

visi

ts

Stre

ngth

en lo

gist

ics

man

agem

ent i

nfor

mat

ion

syst

em

Inve

ntor

y m

echa

nism

/LM

IS w

ill b

e es

tabl

ished

Exist

ence

of f

unct

iona

l In

vent

ory/

LM

IS a

t all

leve

ls

Perio

dic

asse

ss &

re

port

s

Equi

p th

e su

pply

man

agem

ent

syst

em w

ith tr

ansp

orta

tion

mea

ns

12 V

ehic

les w

ill b

e pr

ocur

edN

umbe

r of v

ehic

les

purc

hase

d to

supp

ort

SM sy

stem

Repo

rts a

nd si

te v

isits

Stre

ngth

en T

B/H

IV c

olla

bora

tive

activ

ities

Scre

en a

ll di

agno

sed

TB p

atie

nts

for H

IV90

% o

f TB

patie

nts w

ill

be c

ouns

elle

d &

test

ed

for H

IV

% o

f TB

patie

nts

coun

selle

d &

test

ed fo

r H

IV

Repo

rts

MoH

/RH

B

Link

HIV

pos

itive

TB

case

s to

HIV

se

rvic

es80

% o

f HIV

pos

itive

TB

case

s will

be

linke

d to

H

IV c

are

& tr

eatm

ent

% o

f HIV

pos

itive

TB

patie

nts l

inke

d to

HIV

ca

re &

trea

tmen

t

Repo

rts

Scre

en a

ll H

IV p

ositi

ve c

ases

for

TB10

0% o

f HIV

pos

itive

ca

ses w

ill b

e sc

reen

ed

for T

B ca

se d

etec

tion

% o

f HIV

pos

itive

cas

es

scre

ened

for T

B Re

port

s

cont

inue

d...

2010/11-2014/15

63

Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsVe

rific

atio

n Le

ad A

genc

ySt

reng

then

TB/

HIV

col

labo

rativ

e ac

tiviti

es

Prov

ide

INH

pro

phyl

axis

for

elig

ible

pat

ient

s80

% o

f elig

ible

clie

nts

will

rece

ive

INH

pr

ophy

laxi

s

Perc

ent o

f HIV

pos

itive

ca

ses r

ecei

ving

INH

pr

ophy

laxi

s

Repo

rts

MoH

/RH

B

Stre

ngth

en T

B-H

IV c

o-in

fect

ion

man

agem

ent

5368

hea

lth c

are

prov

ider

s will

be

trai

ned

Num

ber h

ealth

car

e pr

ovid

ers t

rain

ed o

n TB

-HIV

co-

infe

ctio

n m

anag

emen

t

Repo

rts

Enha

nce

trea

tmen

t lit

erac

y an

d ad

here

nce

to

trea

tmen

t

Dev

elop

and

enf

orce

gui

delin

es

on tr

eatm

ent l

itera

cy a

nd

adhe

renc

e

Trea

tmen

t lite

racy

gu

idel

ine

will

be

deve

lope

d

A gu

idel

ine

on

trea

tmen

t lite

racy

de

velo

ped

and

enfo

rced

Repo

rts &

dev

elop

ed

guid

elin

eM

oH/R

HB

Stre

ngth

en a

dher

ence

co

unse

lling

by

heal

th c

are

wor

kers

, cas

e m

anag

ers a

nd

adhe

renc

e su

ppor

ters

Adhe

renc

e ed

ucat

ion

/cou

nsel

ling

will

be

stre

ngth

ened

Avai

labi

lity

of

adhe

renc

e co

unse

lling

/ed

ucat

ion

Repo

rts

Prov

ide

trai

ning

on

adhe

renc

e co

unse

lling

to h

ealth

wor

kers

, ca

se m

anag

ers a

nd a

dher

ence

su

ppor

ters

1,34

2 pe

ople

will

be

trai

ned

on a

dher

ence

co

unse

lling

Num

ber o

f peo

ple

trai

ned

on a

dher

ence

co

unse

lling

Repo

rts

Diss

emin

ate

trea

tmen

t lite

racy

ed

ucat

ion

thro

ugh

mas

s med

ia12

mas

s med

ia

cam

paig

ns o

n tr

eatm

ent l

itera

cy

and

adhe

renc

e w

ill b

e ca

rrie

d ou

t

Num

ber o

f mas

s med

ia

cam

paig

ns c

ondu

cted

Re

port

s

Inst

itute

per

iodi

c m

onito

ring

and

follo

w u

p of

lost

to fo

llow

up

pat

ient

s

All A

RT re

nder

ing

faci

litie

s will

est

ablis

h Fa

cilit

y ba

sed

func

tiona

l tra

cing

m

echa

nism

Num

ber o

f fac

ilitie

s w

ith F

unct

iona

l tra

cing

sy

stem

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rts a

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te v

isits

Prov

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ART

trai

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serv

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prov

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tified

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pro

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trea

tmen

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vice

in p

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delin

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visio

n of

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car

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n pr

ivat

e he

alth

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litie

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be

deve

lope

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d av

aile

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Dev

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line

whi

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irect

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pr

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rts a

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isits

cont

inue

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64


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

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rific

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n Le

ad A

genc

yEn

hanc

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eatm

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liter

acy

and

adhe

renc

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tr

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Cond

uct a

sses

smen

t in

priv

ate

heal

th fa

cilit

ies

Asse

ssm

ent o

n pr

ivat

e he

alth

faci

litie

s will

be

Cond

ucte

d

Resu

lt of

ass

essm

ent

cond

ucte

d on

priv

ate

heal

th fa

cilit

ies

Repo

rts

MoH

/RH

B

Build

cap

aciti

es o

f priv

ate

heal

th fa

cilit

ies t

o ro

llout

HIV

/AI

DS

chro

nic

care

serv

ices

101

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ate

Hea

lth

faci

litie

s will

hav

e ca

paci

ty to

pro

vide

ch

roni

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re se

rvic

es

Num

ber o

f priv

ate

Hea

lth fa

cilit

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ith

ensu

red

capa

city

to

prov

ide

Chro

nic

HIV

ca

re

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rts a

nd v

isits

Rollo

ut A

RT se

rvic

es in

to p

rivat

e he

alth

faci

litie

s10

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ivat

e he

alth

fa

cilit

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igne

d an

M

OU

and

pro

vide

ART

se

rvic

es

Num

ber o

f priv

ate

heal

th fa

cilit

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igne

d an

MO

U a

nd p

rovi

de

ART

/PM

TCT

serv

ices

Repo

rts a

nd v

isits

Stre

ngth

en c

linic

al m

ento

ring

Hea

lth fa

cilit

ies w

ill

rece

ive

regu

lar c

linic

al

men

torin

g

Num

ber o

f Hea

lth

faci

litie

s rec

eivi

ng

regu

lar c

linic

al

men

torin

g

Repo

rts a

nd si

te v

isits

Stre

ngth

en p

ublic

-pr

ivat

e pa

rtne

rshi

pM

ap a

nd c

reat

e di

rect

ory

of

priv

ate

heal

th fa

cilit

ies

Dire

ctor

y of

priv

ate

heal

th fa

cilit

ies w

ill b

e de

velo

ped

Dire

ctor

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priv

ate

heal

th fa

cilit

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prod

uced

Repo

rts a

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MO

H/ H

APCO

Org

aniz

e pu

blic

-priv

ate

part

ners

hip

foru

m.

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tiona

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lic

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foru

m w

ill b

e es

tabl

ished

Exist

ence

of f

unct

iona

l pu

blic

priv

ate

part

ners

hip

foru

ms

Repo

rts

MoH

/ RH

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Addr

ess h

uman

re

sour

ce is

sues

Supp

ort h

ighe

r lea

rnin

g in

stitu

tions

to p

rovi

de p

re-

serv

ice

HIV

trai

ning

to a

ll he

alth

sc

ienc

e st

uden

ts

All n

ew g

radu

ates

will

be

equ

ippe

d w

ith H

IV

prog

ram

s and

serv

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prot

ocol

s prio

r to

grad

uatio

n

Inte

grat

ion

of H

IV in

un

iver

sitie

s cur

ricul

um

Repo

rts

Uni

vers

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in-s

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ce tr

aini

ng o

n H

IV a

nd A

IDS

in h

ealth

sect

or23

,121

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trai

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IV/

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S

Num

ber o

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trai

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rts

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torin

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inic

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stre

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lity

of c

linic

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sk

shift

ing

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te v

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/Reg

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cont

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2010/11-2014/15

65

Sele

cted

Str

ateg

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Inte

rven

tions

Targ

ets

Key

Indi

cato

rsVe

rific

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n Le

ad A

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dres

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supp

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perv

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ppor

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supe

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er y

ear

will

be

cond

ucte

d to

he

alth

faci

litie

s

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ber o

f sup

port

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supe

rvisi

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ondu

cted

pe

r hea

lth fa

cilit

y pe

r ye

ar

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rts

MoH

/Reg

ions

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n he

alth

faci

lity

lead

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IV/A

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prog

ram

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agem

ent

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tegr

atio

n of

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3,30

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alth

faci

lity

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ill b

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aine

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m

man

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ber o

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lvem

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hea

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pera

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sear

ch

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pera

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sear

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/stu

dies

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con

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ber o

f ope

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blish

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need

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ecte

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incr

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car

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d su

ppor

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OVC

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y 20

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rven

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cato

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genc

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reng

then

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invo

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omm

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in c

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supp

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Iden

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ps in

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supp

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w

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se e

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mun

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re fo

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Sele

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Inte

rven

tions

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elop

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ckag

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supp

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tand

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deliv

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pack

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will

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ence

of a

n O

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care

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stan

dard

&

serv

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deliv

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tuat

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ent p

rodu

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serv

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aila

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nctio

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orga

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su

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thro

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seed

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ensu

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e tim

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gene

ratio

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d ut

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trat

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info

rmat

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nhan

ce e

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nced

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akin

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tisec

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ens

ure

the

gene

ratio

n of

qua

lity

data

from

rou

tine

prog

ram

mon

itori

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urve

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urve

illan

ces

and

stud

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dis

sem

inat

e an

d ut

ilize

dat

a fr

om th

e M

& E

sys

tem

to g

uide

pol

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form

ulat

ion

and

prog

ram

pla

nnin

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d im

prov

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cted

Str

ateg

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Inte

rven

tions

Targ

ets

Key

Indi

cato

rsVe

rific

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n Le

ad A

genc

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paci

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uild

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for M

& E

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re a

vaila

bilit

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nd

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cer o

r HIV

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S M

and

E

capa

city

at r

egio

nal,

key

sect

ors

and

CSO

s

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egio

ns, C

SOs,

sect

ors w

ill e

nsur

e av

aila

bilit

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hum

an

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urce

with

M a

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ca

paci

ty

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ber o

f reg

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sect

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ith

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labl

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and

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ctor

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Dev

elop

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nd E

im

plem

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man

ual

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nd E

im

plem

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tion

man

ual w

ill b

e de

velo

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elop

ed M

and

E

impl

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tatio

n m

anua

l

Doc

umen

t pro

duce

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APCO

Dev

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M a

nd E

trai

ning

cu

rric

ulum

M a

nd E

trai

ning

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will

be

deve

lope

d

Dev

elop

ed M

and

E

trai

ning

cur

ricul

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ocum

ent p

rodu

ced

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CO

Cond

uct t

rain

ing

for M

and

E

office

rs10

,000

trai

ned

(800

0 M

and

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aff &

200

0 pr

ogra

m m

anag

ers)

w

ill b

e tr

aine

d

Num

ber o

f M a

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offi

cers

trai

ned

Repo

rt

Esta

blish

/str

engt

hen

and

mee

tings

of f

eder

al a

nd

regi

onal

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M a

nd E

Tec

hnic

al

Wor

king

Gro

ups

Cond

uct T

WG

mee

ting

will

be

cond

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al

l reg

ions

Regi

ons w

ith fu

nctio

nal

TWG

Min

utes

RHAP

CO/R

HB

Esta

blish

/str

engt

hen

and

cond

uct f

eder

al a

nd re

gion

al

HIV

M a

nd E

adv

isory

com

mitt

ee

mee

tings

FHAP

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nd A

ll re

gion

s will

con

duct

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gula

r mee

tings

of

M a

nd E

adv

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Co

mm

ittee

Num

ber o

f reg

ions

co

nduc

ting

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nd E

Ad

viso

ry C

omm

ittee

m

eetin

gs re

gula

rly

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rts,

Min

utes

of

the

mee

ting

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CO

Inst

itute

cul

ture

of

evi

denc

e ba

sed

info

rmed

dec

ision

m

akin

g

Ensu

re o

ne n

atio

nal M

and

E

syst

emO

ne fu

nctio

nal M

an

d E

syst

em w

ill b

e es

tabl

ished

One

M a

nd E

syst

em

info

rmat

ion

Repo

rts,

site

visit

sPr

ocee

ding

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rts

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stra

tegi

c se

ctor

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APCO

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APCO

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68


Sele

cted

Str

ateg

ies

Inte

rven

tions

Targ

ets

Key

Indi

cato

rsVe

rific

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n Le

ad A

genc

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stitu

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ultu

re

of e

vide

nce

base

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form

ed d

ecisi

on

mak

ing

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blish

fram

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k fo

r ge

nera

tion

and

utili

zatio

n of

st

rate

gic

info

rmat

ion

Fram

ewor

k fo

r ge

nera

tion

& us

e of

st

rate

gic

info

rmat

ion

will

be

esta

blish

ed

Doc

umen

t dev

elop

ed

on fr

amew

ork

for

gene

ratio

n &

use

of

stra

tegi

c in

form

atio

n

Repo

rts,

site

visit

sPr

ocee

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repo

rts

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stra

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c se

ctor

s, H

APCO

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APCO

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evid

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sed

plan

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and

prio

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l reg

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, sec

tors

, CS

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ill p

repa

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plan

s and

prio

ritiz

e ac

tiviti

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ased

on

curr

ent i

nfor

mat

ion

Num

ber o

f reg

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, se

ctor

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hat

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lann

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and

prio

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y st

rate

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sect

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view

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2010/11-2014/15

69

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Implementation Modality and Institutional Arrangements

Part Five

2010/11-2014/15

71

5.1. Multisectoral HIV/AIDS response governing and coordinating bodies HIV/AIDS councils and management boards will govern the multisectoral HIV/AIDS response at their respective levels. The councils at all levels will be composed of government, private, non-governmental, religious and civic society representatives and people living with HIV. The duties of the councils and management boards at all levels will be stipulated by the legislations of the respective governments. The Minister of Health and health officials at regional & sub-regional levels will be chairpersons of the management boards.

HIV/AIDS prevention and control offices at all levels will coordinate the multisectoral response. The House of Representatives at each level will oversight and enforce multisectoral response to HIV/AIDS to ensure effective mainstreaming, responsiveness and accountability.

5.2. Implementation of the multisectoral HIV/AIDS responseMultisectoral response to HIV/AIDS will be implemented in a decentralized and synchronized manner. Implementing bodies at Federal level will focus on capacity building, coordination, resource mobilization and monitoring evaluation. They will also develop and provide directives such as policy, strategy, guidelines, and frameworks while implementers at Regional level will further cascade these efforts to facilitate implementation of the multisectoral response at Woredas in a planned and organized manner.

Part Five: ImplementationModalityandInstitutionalArrangements

Monitoring and Evaluation

Part Six

2010/11-2014/15

73

Monitoring and Evaluation of HIV/AIDS multisectoral response will focus on tracking the progress on attaining results. A multisectoral HIV/AIDS monitoring and evaluation system will be strengthened to improve program performance. During SPM II, a community information system will be established and strengthened to track the progress of the non-health response. Outcomes and impacts of the multisectoral response will be monitored and evaluated by conducting surveillances, surveys, and studies. Emphasis will be given to monitor the epidemic trends and driving behavioral, socio-cultural and socio-economic factors to match the response to the epidemic. Moreover, appropriate indicators will be selected with clear targets for each thematic area for whole period of SPM II and annually.

A multisectoral response monitoring and evaluation plan will be developed and implemented through joint efforts in a coordinated manner, in line with the principle of “three ones”. Federal HAPCO, in collaboration with federal level stakeholders, is responsible for the coordination of the multi-sectoral monitoring and evaluation, and will convene semi-annual and annual joint review meetings and conduct semi-annual and annual joint support supervision at national level. Similarly, regional and sub-regional HAPCOs will coordinate the multisectoral M and E in their respective administrative levels. They will conduct quarterly support supervision, semi-annual and annual joint review meetings. A mid-term review and final evaluation of SPM II will also be conducted.

Data collection and reporting formats will be harmonized to facilitate data summarization and analysis. A multisectoral response database will be established at the federal and regional levels to enhance data storage and retrieval. Information dissemination will be strengthened through web postings, report publications and review meetings.

Part Six:MonitoringandEvaluation

Note

76


Documents

Strategic Plan IIextranet.who.int/countryplanningcycles/sites/default/... · 2014-05-30 · PMTCT service uptake and ANC coverage are low, there is considerably high vertical transmission