IMPROVING THE MONITORING AND EVALUATION SYSTEM FOR THE FAITH BASED APPROACH TO HIV/AIDS PREVENTION AT THE ISLAMIC

Transcription

1 IMPROVING THE MONITORING AND EVALUATION SYSTEM FOR THE FAITH BASED APPROACH TO HIV/AIDS PREVENTION AT THE ISLAMIC MEDICAL ASSOCIATION OF UGANDA (IMAU) Medium Term Fellow: HAJAT SARAH KAYE MEPP, BCOM (MUK) Institution Supervisors: PROF. MAGID KAGIMU DR. YUSUF WALAKIRA Academic Supervisor: MR. LUTALO IBRAHIM

2 Introduction The Islamic Medical Association of Uganda (IMAU) is a faith based non governmental organization It has been promoting the faith based approach to HIV/AIDS (FBAA) prevention, treatmentt and care and support for over 20 years. This approach has five components.

3 Introduction cont d The five components of FBAA: 1. Believing in God 2. Learning and using scientific knowledge as recommended by faith teachings to prevent and control HIV/AIDS. 3. Making use of religious teachings and practices to prevent and control HIV/AIDS. 4. Forming partnerships with and making use of religious leaders and their administrative structures in HIV/AIDS prevention and control. 5. Making use of the concept of self control

4 Background IMAU has a hospital at Wattuba called SAIH. Community based HIV/AIDS Programme using FBAA.

5 Problem Statement The positive outcomes of the activities of the FBAA to HIV/AIDS prevention were not adequately being monitored and evaluated by the existing M&E system at IMAU. The inputs, processes and outputs that are expected to lead to the outcomes had not been adequately analyzed and documented.

6 Positive outcomes of FBAA 1. Increased religiosity for those who follow their faith teachings 2. Increased number of people with behaviors that are likely to reduce new HIV infections such as abstaining from sex and being faithful in marriage. 3. Reduced new HIV infections in the target communities.

7 Objectives General objective To improve the monitoring and evaluation system of the FBAA among communities targeted by IMAU Specific objectives 1. To develop, in a participatory manner, relevant monitoring and evaluation tools. 2. To establish baseline dataa on the expected positive outcomes of the FBAA using existing data.

8 Implementation Strategy 1. The fellowship project team was set up.

9 2. Retrieved and reviewed the current M&E system of the faith based approach to HIV/AIDS

10 3. Analyzed existing data to produce baseline indicators for the FBAA. Factor Abstaining from sex Overall Teenagers Being faithful in marriage Overall Men Women Condom use Ever used Condom use in last sex outside ma HIV prevalence in year age group Overall Men Women Religiosity Have Sujda Praying privately other than at a chu Baseline % Muslims Christians 28% 25% 58% 54% 52% 54% 34% 41% 69% 65% 77% 77% arriage 64% 60% 2.4% 3.6% 1.8% 3.2% 3.0% 4.0% 42% urch 60%

11 4. Held a 4 day consultative workshop with the Fellowship Project Team

12 Vision Wakiso district free from HIV and its effects using religious principles Mission Goal 5. Developed the M& &E strategic direction for the FBAA To promote behaviour change in Wakiso district to reduce HIV prevalence using the faithbased approach through community mobilization, home visits and upholding religiousbased family values. To contribute to the reduction of HIV prevalence in Wakiso district by Objectives 1. To increase the proportion of people who know their HIV status by To increase demand for HIV services (prevention, treatment and care) through community awareness campaigns by To increase the level of religiosity among the people of Wakiso District by 2015

13 6a. Developed and documented the results chain

14 6b. Developed & documented Results Path Reduced HIV prevalence in Wakiso District Intermediate result 8 Reduced risk behavior Intermediate result 6 Increased number of people who know their Sero status Intermediate result 7 HIV/AIDS treatment and care services scaled up Intermediate result 5 Increased utilization of HCT services Intermediate result 3 Increased religiosity in the target population

15 6c. Results path on display in IMAU boardroom Fellow explaining the result path to IMAU senior staff

16 6c. Developed and documented the Logical Framework Narrative Goal Goal: To reduce HIV prevalence in Wakiso district by 2015 OVI Reduced HIV infections in Wakiso District from 8% by 2015 MOV Ministry of Health Reports Assumption/risks MoH and other stakeholders are actively involved in HIV/AIDS prevention efforts OBJECTIVES 1. To increase the proportion of people who know their sero status by 2015 Percentage of people who know their sero status increased by 60% by 2015 HCT reports HCT services are conducted throughout the entire project period

17 7a. Developed & documented M&E Matrix Narrative Summary Monitoring & Evaluation Questions Baseline Inf/Data Data collection How the information will be used GOAL To reduce HIV prevalence in Wakiso district by (OUTCOMES) To increase the proportion of people who know their HIV serostatus by 2015 Evaluation questions To what extent has IMAU contributed to the reduction of HIV prevalence in Wakiso district by 2015? 1. What is the percentage increase of people who know their HIV sero status? Baseline and follow up questions What is the observed reduction of HIV prevalence in the District 1. How many people have been tested and been given results? Overall HIV prevalencee at 8.5% in Wakiso district years old Christians s 4% year old Muslims 2% 21,051 Frequency Data collection tool Once (end of project period) Secondary data from MOH reports, National Surveys, Community studies Responsible Persons M&E Team Monthly HCT tools M&E team, Field staff The information will be used to determine the possible effectiveness of IMAU s project interventions in conjunction with other interventions aimed at HIV prevention. Data collected and the information obtained will be used to support evidence based planning and decision making for the next HIV Prevention projects

18 7b. Developed and documented the project dash board ANNUAL PROJECT DASHBOARD for Year 2011 Achievement Monthly Performance Annual Actual % Apr May June July Aug Sept Total Performance Indicator Target Number of community members educated and sensitized about HIV/AIDS 30,000 10,985 37% 1,759 2,001 2,558 2,367 2,300 Number of community educators and religious leaders trained Number of IEC materials distributed to the community Number of bedridden PHAs provided with HBCKs and psycho social support % ,500 2,000 44% 1,000 1, %

19 8. Obtained baseline qualitative data on the impact of HIV/AIDS in the community & the potential role of religiosity in combating HIV/AIDS Hanifa got HIV at 12 years and died at 19 years in August her grandmother had lost 2 daughters and one son due to AIDS. When Haniifa s grandmotherr was asked whether religion could help in HIV/AIDS prevention, she replied, Religion could help but many people do not listen to it attentively and they do not put their religion into practice.

20 9a. Disseminated the project outcomes to IMAU staff and community educators

21 9b. Disseminated resultss to other stakeholders Fellow presenting to other stakeholders

22 9c. Documented and disseminated through peer reviewed journals e.g. one article accepted for publication

23 9d. Second article accepted for publication with minor revisions

24 Challenges Experienced Funding for the M&E activities was limited. Not all IMAU HIV/AIDS activities were covered in the fellowship project. The second Fellow left IMAU. However, the remaining fellow was able to complete the project with the fellowship team.

25 Conclusions 1. Several Monitoring and evaluation tools were developed and the system greatly improved. 2. Baseline data on the expected positive outcomes of the faith based approach to HIV/AIDS prevention were established.

26 Recommendations 1. S.A.I.H and the surrounding communities should be supported by IMAU and other stake holders to develop into a surveillance site for M&E the FBAA. This site should become a knowledge hub for all stakeholders interested in using the FBAA in their interventions for HIV/AIDS prevention and control.

27 Recommendations cont d 2. IMAU should apply for more fellows from the MakSPH CDC HIV/AIDS Fellowship programme to continue to improve the M&E activities as well improving the quality of the HIV/AIDS services being offered.

28 Lessonss learnt The FBAA is measurable using components incorporated in the M&E matrix A participatory approach in the implementation of fellowship activities enhances ownership of the project.

29 Acknowledgement ALLAH SPH CDC HIV Fellowship support and opportunity Mentors Academic: Mr. Ibrahim Lutalo Host: Dr. Yusufu Walakira Prof. Magid Kagimu IMAU staff especially Dick Ainomugisha All fellow Fellows