1 Outcome 7 countries have addressed barriers to efficient and effective linkages between HIV and SRHR policies and services as part of strengthening health systems to increase access to and use of a broad range of quality services and achieve the goals of universal access to reproductive health (MDGs 3, 4 and 5) and HIV prevention, treatment, care and support (MDG 6) by 2015, while making relevant linkages with the education, gender and legal sectors 3. LOGFRAME TEMPLATE FOR SWAZILAND With SIDA Contributions Linking HIV and Sexual Reproductive Health and Rights in Southern Africa (2011-2014) Objectively Verifiable Indicators, baselines and targets Proportion of children born from HIV Positive mothers who are testing HIV Positive Baseline (2010): 5% (HMIS routine data) less than 4% Condom use at last high-risk sex Baseline (2010): % of young people aged 15-24 who are living with HIV Baseline (2011): % of people who know their HIV status Baseline (2010):39.8 (MICS) Contraceptive prevalence rate Baseline (2010):65.2% (MICS) Adolescent birth rate Baseline (2010):89/1000 (MICS) Antenatal care coverage Baseline (2010): 172 facilities (SAM) Means of Verification d by 1 e Partner 2 HMIS (Routine data) Q4 2014 MoH HIV Testing kits and Reagents may not be available throughout the period National surveys Q4 2014 MoH Condoms not being accessible National surveys Q4 2014 MoH Condom not being accessible to young people National surveys Q4 2014 MoH HIV Testing kits and Reagents may not be available throughout the period Q4 2014 MoH Contraceptive stork outs Reduced cultural barriers to FP Q4 2014 MoH Young women and girls able to access contraceptive after the 2011 law change in age of consent to 18yrs Q4 2014 MoH Enough health care providers to sustain the services 1 Indicate Quarter and Year throughout the logframe (e.g. avoid the term continuous ) 2 Indicate one partner responsible per activity only 3 Applies to Botswana, Malawi and Swaziland only 1
2 Unmet need for family planning Baseline (2010):13% (MICS) Unmet need for family planning among women living with HIV Baseline (2010):43.5% (ANC) Q4 2014 MoH Contraceptive stork outs Reduced cultural barriers to FP Q4 2014 MoH Contraceptive stork outs Reduced cultural barriers to FP Objective 1: To improve the policy environment for the planning, provision, monitoring and evaluation of integrated SRH and HIV interventions Output 1 Objectively Verifiable Indicators, baselines and targets Means of Verification 4 5 In 7 countries linkages between SRHR and HIV have been identified, endorsed and integrated in national health and development strategies, plans and budgets (health and education). Number of national health policies incorporating strategies linking SRHR and HIV (SRH policy) Number of activities undertaken to support coordinated SRHR and HIV responses in planning, budgeting, implementation and M&E Target: 20 SRH policy MOH MTEF (Medium Term Evaluation Framework) Minutes from coordination, annual planning and review meetings Integrated M&E supervision tools and 2012 Q4 MoH Political will to review SRH policy and HIV related strategies 2014 Q4 MoH Willingness of relevant units of MOH to work together under a common coordination mechanism Contribute to Sida 7.1.1 and 7.1.2 7.1.3 Activities for output 1 1.1 Conduct rapid assessment for HIV and SRHR linkages in 7 countries Objectively Verifiable Indicators, baselines and targets Rapid assessment Target:1 Means of Verification Rapid assessment 6 d in 2010 7 N/A Findings and recommendations of rapid assessment endorse all relevant partners 4 Indicate Quarter and Year throughout the logframe (e.g. avoid the term continuous ) 5 Indicate one partner responsible per activity only 6 Indicate Quarter and Year throughout the logframe (e.g. avoid the term continuous ) 7 Indicate one partner responsible per activity only 2
3 1.2 Review findings, identify priorities and define working arrangements to implement recommendations based on the rapid assessment 1.3 Advocate with high level representatives of health and education sector, donors, civil society and other stakeholders to increase their understanding and support of HIV and SRHR linkages in strategies, plans and budgets 1.4 Develop strategies and consolidated package (define) of actions to address the agreed priorities for scaling up, linked and/or integrated programs linkages 1.5 Map and review national health and development policies and planning/reviews processes for opportunities to address agreed priorities on SRHR-HIV linkages 1.6 Ensure that civil society organizations, PLHIV and representatives of key populations are meaningfully engaged in the consultations and processes List of agreed upon country priorities Number of high level representatives committing to support SRHR and HIV linkages Target:50 No. of advocacy meetings involving high level representatives from key sectors. Target: 5 SRH Strategy Situational analysis National SRH policy Number of meetings of national technical working group 2 No. of CSO SRH/HIV linkages meetings Target: 6 Technical consultation(s) proceedings Country priority List of participants Records of the advocacy proceedings Meeting minutes (including attendance list) Communication/cabi net briefs SRH/HIV linkages Priorities reflected in the SRH strategy Situational analysis d in 2010 N/A Findings and recommendations of rapid assessment endorse all relevant partners 2013Q4 N/A Availability of high level representatives 2012 Q3 MoH Time can be found in cabinet and parliamentarian schedules for advocacy meetings. 2012 Q4 MoH 2012 Q3 UNFPA Meeting Minutes 2012 Q4 MoH Meeting minutes Membership list Meeting 2014 Q4 MoH 2014 Q4 UNFPA Cabinet will sign off the integrated SRH strategy Situational analysis for review of SRH policy and strategy will incorporate SRH and HIV linkages. Government support for SRH and HIV linkages priorities All key stakeholders engage with the national technical working group on SRH and HIV linkages. Assumption: Informing civil society organizations, PLHIV and representatives of key populations will lead to meaningful engagement Contribute to Sida 7.1.3 Contribute to Sida 7.1.1 Contibute to Sida 7.1.3 3
4 No. of media events Target: 22 Copies of media products 2014 Q4 UNFPA The media coverage will reach the project target audience. Objective 2: To enable three countries in Southern Africa to link efforts on integration of SRHR and HIV better and scale them up effectively 8 ; Output 2. Improved uptake and delivery of integrated quality services for HIV and SRHR in three countries. Objectively Verifiable Indicators Means of Verification % of comprehensive range of SRH/HIV integrated services provide each of Annual the Model centres of excellence. 2014 Q4 MoH Baseline: 59.2% Target: 80% Number of clients offered FP in VCT and ART sites Baseline: 59.2% Target: 80% Percentage of HIV-positive pregnant women who receive antiretroviral to reduce the risk of mother-to-child transmission in the five model centres of excellence Baseline (2010): Target (2014): Annual 2014 Q4 MoH 2014 Q4 MoH Essential services package finalised Government ability to delivery of the commitment to integrate FP into ART services not hampere the fiscal crisis. Contribute to Sida 7.2.2 Contribute to Sida 7.2.3 Activities for output 2 Objectively verifiable indicators Means of verification 2.1 Review, finalize and disseminate baseline assessment for the Model Centers of Excellence Model Centres of Excellence assessment Baseline assessment 2012 Q2 UNFPA Risks and assumptions Current legal challenges from the health workers union about task shifting are not upheld. 8 Botswana, Malawi and Swaziland only 4
5 2.3 Increase involvement of men and vulnerable groups 2.4 Advocate and support capacity development to reduce/eliminate stigmatizing attitudes and discriminatory behaviours by and towards health care providers 2.5 Build capacity of facility managers and service providers in governmental/communitybased organizations to implement integrated HIV and SRHR services 2.6 Address security of HIV and SRHR commodities within country-specific priority intervention areas 2.7 Set up model sites for the provision of integrated SRH and HIV services and develop them into Model Centres of Excellence Number of community mobilization activities around Model Centres of Excellence model sites targeting men and vulnerable groups Target: 26 Number of partner invitation slips sent from the model centres of excellence 000 Number of values clarification training sessions for health care providers conducted in the 5 Model Centres of Excellence 0 Number of facility managers and service providers trained on elements of implementing SRH and HIV integrated services Target: 50 Number of model centres of excellence ing HIV and SRHR stock-outs of commodities which are available nationally during last ing cycle Target: 5 No. of model sites being developed to become Model Centres of Excellence for SRH and HIV integration. Target: 5 Number of mentorship visits to Model Centres of Excellence Outreach 2013 Q3 FLAS Facility records 2013 Q3 MoH Training Training Facility Project annual Mentorship visit schedule 2012 Q4 MoH 2012 Q4 MoH 2013 Q4 MoH 2013 Q4 MoH 2013 Q4 MoH Community outreach done at a time and in a place that enables men and other vulnerable and underserved people to attend. Client invitation slips lead to an increase in the number of men visiting the facility Values clarification training provided to ensure services are people living with HIV friendly, youth friendly, male friendly and key population friendly. The majority of staff trained do not leave the facility or get rotated out of the SRH or HIV units. Regional health commodities and supplies systems deliver on time. Facility management support the process of turning the facility into an Centre of Excellence for SRH and HIV linkages Staff rotation in the larger facilities does not affect the Contribute to Sida 7.2.4 Contribute to Sida 7.2.5 Contribute to Sida 7.2.5 Contribute to Sida 7.2.5 Contribute to Sida 7.2.1 5
6 Target: 35 Annual mentorship programme. Objective 3: To stimulate formulation and dissemination of lessons learned in the Southern African region, formulate best practices and facilitate South-South cooperation in this field (all countries) Output 3 In 7 countries lessons learned and best practice models on linkages between HIV and SRHR have been disseminated to policy makers, high level officials, donors, civil society and other stakeholders. Objectively Verifiable Indicators Best practices document for SRH and HIV linkages in the Model Centres of Excellence developed, printed and disseminated Relevant national protocols and guidelines reviewed to incorporate recommendation from best practice documentation of integrated SRH and HIV services. Target: 3 Means of Verification Best practice document National protocols and guidelines 2014 Q3 UNAIDS 2014 Q4 MoH Assumptions Best practices have been able to be identified through the project. National protocols and guidelines are being revised in the lifetime of the project once best practice models have been identified. Contribute to Sida 7.3.5 Contribute to Sida 7.3.3 Activities for output 3 3.1 Document lessons learnt from the SRHR/HIV linkages models centres of excellence at the policy, system and service delivery levels Objectively verifiable indicators Documentation strategy Project MTR Baseline 0 End of term evaluation of Model Centers of Excellence done Baseline 0 Means of verification Documentation strategy MTR 2013 Q1 End-term survey 2012 Q1 UNAIDS 2014 Q4 UNFPA Risks and assumptions The documentation strategy will be able to be implemente the project staff and M&E sub-committee All five Centres of Excellence continue throughout the project Contribute to Sida 7.3.5 6
7. 3.2 Disseminate findings and recommendations from the SRHR/HIV linkages rapid assessment to policy makers, high level officials, donors, civil society and other stakeholders 3.3. Advocate for implementation of recommendations from the SRHR/HIV linkages rapid assessment Number of people attending dissemination meetings Target: 200 No. of advocacy activities Target:5 Meeting 2014 Q3 UNAIDS Attendance list Project annual The findings show that the suggested benefits of linkages have been realized. 2014 Q4 MoH Time can be found in cabinet and parliamentarian schedules for advocacy meetings. Contribute to Sida 7.3.6 7