Transport against HIV/AIDS Monitoring and Evaluation Framework report Jean-Noel Guillossou & Comfort Olatunji, Focal Point HIV & Transport (SD) Transport Unit, South Asia Region December 1, 2008 1
Objective of M&E study To propose a framework to strengthen the monitoring and evaluation (M&E) aspects of HIV/AIDS components in road projects. 2
Linkages between DO, activities and outcomes/outputs Objective: Increase awareness of risks, dangers and impact and appropriate avoidance behavior for STI including HIV Outputs: Number of truckers and migrant workers reached by IEC Activities: BCC, STI referral, peer education, condom promotion Outcomes: Percent truckers using condom during last time they had higher risk sex Number of condoms distributed 3
Development objective of HIV/AIDS components in Road projects Reduce the transmission of HIV in mobile workers and other population living along transport corridors created by transport and road works by promoting safer sexual behavior through preventive services. 4
Activities included in HIV/AIDS Components Provision of behavioral change IEC services to the mobile labor population and the population living along transport corridors. Provision of condoms at work locations and to other high-risk populations along the corridor. 5
Activities included in HIV/AIDS Components cont d Provision of STI services through referrals. Provision of HIV testing for transport corridor communities/populations through referral linkages to government accredited testing facilities. Coordination of activities with National and State AIDS Control program. 6
Examples of activities implemented Four NGOs have been engaged and are providing HIV/AIDS intervention programs along National Highway 28 (NH 28) to impact behavioral change. Mizoram State Roads in India, carried out awareness campaign in 14 communities along the project corridor with a rapid increase rate of callers at 1079 toll free hotline counseling with request from 10 new communities for these programs. An NGO has been hired specifically for preparation of HIV/AIDS awareness plan and implementation for a period of 5 years for Punjab State Roads Sector Project. Condom vending machines have been installed in some construction sites. Distribution of IEC materials in construction sites and 7 communities.
Objective Outcome indicator Source of data Increase awareness of risks, dangers and impact and appropriate avoidance behavior for STI including HIV. Percentage of at-risk population (mobile workers) who both correctly identify ways of preventing sexual transmission of HIV and who reject major misconceptions about transmission. Percentage of high-risk population reporting consistent condom use. Percentage of high-risk population reporting that they perceive themselves to be at risk of HIV. Percentage of general population able to correctly identify ways of preventing sexual transmission of HIV and who reject major misconceptions about transmission. Behavioral surveillance every three years. 8
Activity Intermediary Outcome Indicator Source of Data Conduct IEC campaigns concerning the risks, dangers and impact, and appropriate avoidance behavior for STIs including HIV by contractors at construction sites and by NGOs along the corridors of construction. Percentage of high-risk population reached through IEC Percentage of truck drivers reached through IEC Percentage of migrant population reached through IEC Percentage of general population reached through IEC Output Indicator Number of prevention outreach activities conducted by (implementing partners). Number of contractors laborers reached through IEC program. Number of nearby community members reached through contractors program. Number of persons who deliver goods at the site for road construction reached through IEC. Number of at-risk populations reached through outreach programs and peer education Sex Workers MSM IDUS Number of bridge population reached through outreach programs and peer education Truck Drivers Helpers Migrant Labor Number of general population reached though IEC. Number of IEC events conducted Specific survey reports by NGOs. Source of Data NGO regular monitoring reports. 9
Objective Outcome Indicator Source of Data Promote awareness of various effects of STI on risk behaviors for all site staff, migrant workers and the immediate communities. Percentage of high-risk population reporting ability to identify symptoms of STI. Percentage of population reporting STI symptoms in the last six months. Percentage of population having recurring symptoms of STI Specific survey reports by carried out by National AIDS programs/ NGOs. 10
Activity Intermediary Outcome Indicator Source of Data Provide for STI and HIV/AIDS screening, diagnosis, counseling and referral to dedicated national STI and HIV/AIDS programs (unless otherwise agreed) for all Site staff and labor population along the corridors. Percentage of STI cases referred seeking treatment Output Indicator Number of people identified as having STI by contractor intervention. Number of identified cases of STI referred by contractor intervention. Number of STI cases referred by contractor intervention accessing and seeking treatment. Number of high-risk population groups identified with cases of STI. Number of identified cases of STI referred by NGO intervention. Number of STI cases referred by NGO intervention accessing and seeking treatment. Behavior Surveillance data once every two years carried out by National AIDS programs. Source of Data Specific survey reports by NGOs. 11
Objective Outcome Indicator Source of Data Promote awareness on the importance of condom use and where they can be easily accessed. Number reporting condom availability within a reasonable distance Number reporting continuous availability of condoms Behavior Surveillance data once in two years carried out by National AIDS programs Activity Intermediary Outcome Indicator Source of Data Provide male or female condoms for all site staff and labor as appropriate and distribute condoms along the corridors through NGO interventions. Number of free condoms distributed. Number of condoms sold in the intervention area. Number of condoms distributed by contractors intervention. Output Indicator Number of condom outlets distributing free condoms. Number of outlets stocking and selling condoms. Number of condom vending machines installed. Specific survey reports by NGOs. Source of Data NGO regular monitoring reports. 12
Next Steps on the report BBL SAR Transport staff in HQ and CO BBL Infrastructure and HD colleagues with link to CO GDLN Clients from the region Finalize and disseminate report Monitor implementation of HIV components in road projects Focal points in HQ and field based consultants. 13
THANK YOU 14