Access to HIV prevention and related services for people with disabilities in Ethiopia Esknder Dessalegne Feb. 21/11 Bujumbura, Burundi

Overall objective This project aims to ensure on pilot scale that people with disabilities across Ethiopia have access to HIV information and services which are both tailored to their diverse needs and equal to the services available to others in the community across selected PEPFAR – funded projects.

Specific Objectives Disability is mainstreamed in selected PEPFAR-supported initiatives in Ethiopia.

Expected Result – 1 PEPFAR and selected partners’ understanding of disability and mainstreaming in HIV work is improved.

Expected Result -2 PEPFAR-supported behavior change communication (BCC) for HIV prevention in Ethiopia is provided in tailored formats for people from different disability groups.

Expected Result - 3 PEPFAR-supported SGs mainstream HIV, sexual and reproductive health services and provide reasonable accommodation for persons of different disability groups; and if appropriate, mainstream services & provide disability-speci fic services.

Expected Result - 4 ICASA 2011, Addis Ababa, is fully accessible to people with disabilities. Bringing disability as an agenda of the conference.

Expected Result - 5 Good practice and lessons learned from this national-level pilot mainstreaming initiative are documented and disseminated internationally through HIV and Disability networks.

Project location, duration, budget & beneficiaries of the project Location: Addis Ababa and suburb. Duration: Oct 2010 – Sept 2012 Budget: 195,000 USD Beneficiaries: will be selected from all PEPFAR partners. The end beneficiaries are people with disabilities and people living with HIV and AIDS.

HIV & AIDS in Ethiopia Report on Progress towards UN Declaration of Commitment on HIV/AIDS % HIV prevalence among adults aged 15 to 49 (59% women) 1,116,216 adults (15-49) living with HIV 72,945 children (0-14) living with HIV 855,720 orphans (0-17) due to AIDS

HIV & Disability in Ethiopia: situation analysis (MoLSA, 2010) PWD have higher vulnerability to HIV infection than non- disabled due to low knowledge of HIV transmission, poverty, stigma, social exclusion, inaccessible HIV-related services, sexual abuse, risky sexual behaviours HIV-related services for PWD are mainly provided by DPOs Providers of HIV-related services lack knowledge on provision of such services to PWD in accessible formats Low utilization of HIV-related services by PWD due to inaccessibility PWD lack awareness of availability of HIV-related services

Disability in Ethiopia An estimated 7.6% (about 6.2 million) of population lives with a disability (JICA, 2002) National Disability Prevalence is 1.09% (805,492) (Census, 2007) Main types of impairments from Census 2007

Approaches Support to PEPFAR – supported organizations involved in HIV prevention work to tailor their IEC to the needs of PwD. Improve physical accessibility (the built environment) of selected PEPFAR – supported high volume HIV treatment and care facilities (hospitals). Ensure that ICASA 2011 is accessible to PWD through the participation in relevant sub – committees and mobilization of organizations of PWD and other organizations working on HIV; submission of disability related abstracts; and active participation in the conference.

Methodology Partnership - HI methods of intervention places local stakeholders at the heart of its intervention strategy, by taking every care that the activities we support have over time sustainable outcomes.

Partners 1. PEPFAR/USAID/World learning 2. 6 PEPFAR partners in HIV PTCS 3. FENAPD and/or ENDAN 4. Addis Ababa Regional Health Bureau BoLSA and AA HAPCO 5. PWD, PLHIV & their associations

Human resource Full Time Part time Project manager (2 years) HIV and disability Advisor (270 days) at country level Knowledge manager (180 days) M & E officer (40%) Disability expert (30 days) Program Administrator

Main achievements so far Project by-in of PEPFAR country coordinator is very strong Project sub-grantees selected among PEPFAR partners for disability mainstreaming into HIV programming HI selected as a member in the ICASA 2011 Steering Committee and Leadership Committee Accessibility audit checklist finalised Training guideline on disability mainstreaming in HIV and SRH underway

Monitoring and evaluation plan Comprehensive M&E structure will be in place to gather necessary quality data & capture project progress. PEPFAR partners’ skill on M&E will be enhanced. Evaluation and reporting on disability mainstreaming in their HIV programs.

Thank You