presented by issack robert rao project manager february 21 st , 2011
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AIDS response in Vietnam and Laos: To promote a right-based inclusive approach on HIV/AIDS policy for discriminated indigenous people and PLHIV in Quang Tri province in Vietnam and Sepone district in Laos. Presented by Issack Robert Rao Project Manager February 21 st , 2011. - PowerPoint PPT PresentationTRANSCRIPT
AIDS response in Vietnam and Laos: To promote a right-based inclusive approach on HIV/AIDS policy for
discriminated indigenous people and PLHIV in Quang Tri province in Vietnam and Sepone district in Laos
Presented by Issack Robert Rao Presented by Issack Robert Rao Project ManagerProject Manager
February 21February 21stst, 2011, 2011
Project title and main donors1- Title: Towards mainstreaming the discriminated
populations in the HIV/AIDS struggle in Cambodia, Laos and Vietnam.
• French Agency of Development (AFD)• European Initiative for Democracy and Human Right
(EIDHR)
3- Total of budget: 1,360,500 € (Cambodia, Vietnam, Laos)
Budget Vietnam-Laos: 1,051,000 € (including about 40.000 euros for regional activities)
Of which:• AFD: 44.3% / 473,000 €• EIDHR: 22.9% / 243,000 € • HI: 32.8%
Objectives
• Overall objective: To contribute to the HIV/AIDS risk transmission decrease among sedentary and migrant populations living along the road 9 in Vietnam and in Laos. To contribute to the taking into account of minorities in Vietnamese and Lao development policies
• Specific objective: Ethnic minorities populations from age group of 12 to 49 in the hills area along the road 9 in Savannakhet province in Laos and Quang Tri province in Vietnam are engaged in prevention, testing and care process in the HIV response
E
Components Expected Results
SocioeconomicSocioeconomic 1-With the support of ACEP and Red Cross, implement economical and social activities for ethnic populations by allowing them to think about the long-term risks, and provide inclusive support to PLHIV
Behavior Behavior ChangeChangeAwareness- Awareness- RaisingRaising
2-An operational awareness raising system, adapted to the minorities culture and their way of life, improves behavior change towards HIV prevention for all the population
VCT services - VCT services - Mobile and at Mobile and at VCT centersVCT centers
3-A screening system for treatment access and care of clients is operational in 2 target districts in Quang Tri province and in Dong Ha, Vietnam
Support to Support to PLHIVPLHIV
4-Existing and emerging local NGOs and project partners are able to develop awareness-raising actions concerning HIV, adapted to minorities context ,and in coordination with institutional and non-governmental actors
Beneficiaries up to December 2010
No. Beneficiaries TargetedAchieved
Male Female Total1 No. of beneficiaries in socioeconomic
activities 2,400
1,107
1,253
2,360
In Vietnam 1,600 656 744 1,400 In Laos 800 451 509 960 2 No. of ethnic minority people who benefited of
wareness raising activities 6,000 1,949 1,809 3,758
In Vietnam 1,565 1,724 3,289 In Laos 384 85 469 3 No. of participants in HIV group discussion 1,200 244 173 417 4 No. of pupils who participated 3,000 1,321 1,551 2,872 5 No. of clients of VCT counseled 600 814 1,123 1,937 6 No. of villagers who had pre-test counseling,
screening test, and post test counseling 1,400 249 344 593
7 No. Partners' staffs trained 96 68 102 170 8 No. of PLHIV motivated to join Yeu thuong
Club 8 16 24
Main project partners
Name of partner Type Field Private/Public
1- Department of Foreign Affairs (DOFA)
Provincial department managing external affairs
Coordination Public/Government
2- Advancement for Community Empowerment and Partnership (ACEP)
Local NGO Livelihood and social activities;Group dynamics
Private
3- Department of Education and Training (DOET)
Provincial department managing education and training
Behavior Change in schoolsPeer educators
Public/Government
4- Provincial Red Cross Association (RC)
Humanitarian affairs
Inclusion for PLHIV (Micro-credit, follow-up)
Public/Government
Main project partners
Name of partner Type Field Private/Public
5- Provincial HIV/AIDS Prevention Center (PHPC)
Health service
HIV/AIDS prevention and VCT, reference and medical care
Public/Government
6- Dakrong District Health Center
Health service
HIV/AIDS prevention and VCT
Public/Government
7- Huong Hoa District Health Center
Health service
HIV/AIDS prevention and VCT
Public/Government
8- Yeu Thuong Club Community Based Organization/Local NGO
Inclusion of PLHIV and family supportHIV/AIDS preventionAdvocacy and lobbying
Private
Main activitiesComponents Main activities
SocioeconomicSocioeconomic - Participatory Rural Assessment Activity- Social and Livelihood / economic activities -Technical & financial support- Group Dynamic
Behavior Behavior ChangeChangeAwareness Awareness RaisingRaising
- Knowledge Attitude Practice and Behavior (KAPB) survey - Production of IEC tools- Training of health workers , peer educators and teachers- HIV group discussion- Events at community- Intra and extra curriculum activities
VCT services - VCT services - Mobile and at Mobile and at VCT centersVCT centers
- Establishment of VCT centers- Trainings for VCT team- Screening test, reference to medical care support- Counseling, prevention in VCT centers and through mobile VCT team
Support to Support to PLHIVPLHIV
- PLHIV meetings- Provincial PLHIV workshop-Trainings for core members and PHPC team-Activities managed by PLHIV (economic, micro-credit, social, etc.)- Innovation Day (competition)- Micro-credit and savings
Main achievements
No Main Indicators Planned Achieved %I SOCIOECONOMIC 1 No. of economic projects 410 310 73.2 2 No. of beneficiaries 2,350 2,360 100.4 3 No. of dynamic groups created 120 79 65.8 II BEHAVIOR CHANGE 1 No. of ethnic minority people who
benefited of awareness-raising 6,000 3,758 62.6
2 No. of groups in HIV discussion in villages
132 42 31.8
3 No. of participants in HIV group discussion
1,200 417 34.8
4 No. of events in schools 24 9 37.5 5 No. of pupils who participated 3,000 2,872 95.7
Main achievements
No Main Indicators Planned Achieved %III VCT 1 No. of quick tests 2,000 2,180 109.0 2 No. of VCT clients counseled
and tested 600 1,937 322.8
3 No. of villagers counseled and tested
1,400 593 42.4
IV CAPACITY BUILDING 1 No. of motivations of new
members to YTC 18 11 61.1
2 No. of trainings for YTC 9 7 77.8 3 Exchange experience with
others PLHIV groups 12 6 50.0
4 YTC Integrated activities 8 21 262.5
Main achievements
• Mobile VCT model of HIV prevention intervention introduced in Quang Tri province
• HIV group discussion with new IEC tools, such as role plays introduced for the first time in Quang Tri province
• With HI support, for the first time a club (Yeu Thuong Club) comprising of PLHIV to implement HIV prevention activities and carry out the voice of PLHIV (advocacy and lobbying) has been established in Quang Tri province
Main achievements
• Villagers now feel comfortable to sit together and discuss on topics of HIV and AIDS
• Ethnic minority communities highly appreciate getting VCT services delivered at their door steps as well as HIV group discussions among Yeu Thuong Club members at the community level
• Project interventions has created a greater level of awareness in the community regarding HIV and has provided for better and early detection of HIV cases through VCT centers and mobile VCT activities
Main obstaclesOperational Financial Human
ResourceCommunication
Difficult to monitor ACEP’s activities due to various reasons
Budget limitation for undertaking economic activities
Lack of ACEP staff in Laos
ACEP Project Manager based in Hanoi and could not supervise closely project activities and cannot take quick decision even when asked by HI
Frequent change of activity plan by District Health Centers makes monitoring of activities difficult for HI project officer
Budget limitation for partners to monitor field activities
Limitation of human resource in DHCs makes it difficult for them to respond to project’s needs
Non acceptance of any communication channels, either through emails or telephone calls from government offices (as an official medium lead to delayed activities)
Main obstaclesOperational Financial Human
ResourceCommunication
Knowledge and skills of Yeu Thuong Club core members on group management are limited
Limited knowledge of Yeu Thuong Club members to manage funds received from VAAC
-Health of Yeu Thuong members are not stable at all times- Some of Yeu Thuong members are not active
Core members of Yeu Thuong Club lack skills on working on computer and internet
Main lessons learnta- Livelihood activities can generate greater participation of
beneficiariesb- Community consultation is important to fix the time and
date of group discussion, as people spend most of their time working in the field
c- Students’ participation in HIV group discussion is possible only during holidays
d- Use of local language (Van Kieu language) in HIV group discussion as well as in production of communication materials led to greater participation of community
e- More participation of groups in planning will lead to greater decision making in executing project activities
f- Close cooperation between HI and partners results in better understanding of project objectives and effective implementation of activities
g- Establishment of good coordination between HI and partners can lead to greater success of the project
Main documentation produced• Quarterly and annual
reports; M&E plan; Project leaflet
• IEC tools on HIV group discussion
• Leaflet of condom use• VCT activity: Leaflet and
video (VCD)• Support to Yeu thuong
Club: Leaflet of Yeu thuong Club, Testimony books on Yeu thuong members, Video on PLHIV
Ways forward1. With AFD, No-cost extension phase of the project from August
2011 to June 2012 in the frame of EIDHR grant. Amendment on budget and narrative to submit to EIDHR by September 2011
2. Final achievement of the project objectives
3. Action Plan 2011 - 2012: Achievements of remaining indicators
4. Capitalization work on HIV group discussion in village and Mobile VCT activity
5. Support local partners for finding and negotiating with new potential donors for sustaining and scaling-up of the project achievements
6. Negotiation with HIB in Vietnam for a possible handover when HIB enters the Federation in mid 2012
Thank you for your attention!