Integrating GIS in HIV Program Monitoring Presented by: Sheri Warren & Jeff Eisman

Mobilizing, Equipping and Training 5-year PEPFAR funded grant in rural districts of 4 African countries TOT model Targets: 700K youth; 19K educators Goal: help youth 15-24yo make healthy choices in regard to sexual practices, emphasizing abstinence and faithfulness MET overview

MET activities 1.Community mobilization –Stakeholders meetings –Community sensitization meetings 2.Staff development 3.Monitoring and Evaluation 4.Initial 5-day workshop 5.Commitments from the initial 5-day workshop 6.Advanced 5-day workshop

MET activities 6.Community conversations on sexual abuse and exploitation 7.Formation of Community Based Volunteer Teams (CBVT’s) 8.Commitments from the advanced workshop 9.First follow-up meeting 10.Final Networking/follow-up meeting

MET activities Each catchment area is broken in to 6 supervisory areas KAP surveys every six months Utilizing the LQAS method Separate married from unmarried Monitoring and Evaluation

Evaluation One: M&E system was cited as a “promising practice for program development” and “continuous learning” by an independent group of auditors hired by USAID Method Evaluations

Evaluation Two: When evaluated by USAID technical officers a few months later they determined: “LQAS is an innovative and useful method to monitor overall community change in HIV/AIDS prevention behaviors. The model should be shared with other USG partners.” Method Evaluations

Method Strengths Strengths: Easy to implement in the field due to small sample size (19 HH surveys) Data is useful for informed program management

Method Challenges Challenges: Cannot draw conclusions across countries due to small sample size; limited to catchment area only Measuring perception and self-reported data

PEPFAR I: Strategic Objectives 1.Increase abstinence until marriage. 2.Increase secondary abstinence until marriage. 3.Increase fidelity in marriage/ monogamous relationships. 4.Increase avoidance of unhealthy sexual behaviors. MET indicators

LQAS Indicators 1.Increase HIV/AIDS knowledge Percent of youth (married and never married) who correctly identify ways of preventing sexual transmission, and reject major misconceptions about HIV transmission MET indicators

LQAS Indicators 2.HIV/AIDS accepting attitudes, stigma Percent who express accepting attitudes towards those living with HIV and AIDS MET indicators

LQAS Indicators 3.HIV/AIDS Behavior Change, Practices –Percent who believe they have the ability to refuse unwanted sex –Percent who perceive their friends having sex MET indicators

Informed Program Know: 21% to 82% Tested: 14.7% to 28% Gap remains between knowledge and action

Informed Program Why does the gap remain? What can we do to improve? In 2008, we conducted a social desirability survey (SDS) to investigate the relationship between HIV testing uptake and HIV-related knowledge The data collection has been completed and the survey results are currently being analyzed

Intro to Technology With all this success, why do we want to take it further? 1.Data entry: resources, time and accuracy 2.Mapping benefits for expanded learning 3.Data access and sharing

“The quality of our work is the platform for our witness.” Ken Isaacs, VP for Samaritan’s Purse Conclusion