heipf.orgheipf.org/sites/default/files/Strategic Planning (SPM) 2013 to 2015.pdfheipf.org

Higher Education Institutions’ Partnership Sub-Forum against HIV/AIDS in Ethiopia

HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I

PREFACEThe Coordination Office of Higher Education Institutions’ (HEIs) Partnership Forum against HIV/AIDS in Ethiopia, together with FMOE, FHAPCO, strategic collaborators of the sectors, member HEIs, NGOs, donors, federal and regional sector institutions working in the field has finalized the preparation of this strategic plan for intensifying HIV/AIDS response at Higher Education Institutions in Ethiopia for the period 2013 - 2015. The document is an outcome from the National HIV/AIDS Policy, Education Sector HIV/ AIDS Response Policy and the HEIs Partnership Forum Policy Framework and Strategy.

The strategic plan is intended to provide guidance to strengthen the capacity, systems and structures of all Ethiopian HEIs to address the causes, challenges and consequences of HIV/AIDS. HEIs have social responsibility to prevent, mitigate and manage the effects of the HIV/AIDS epidemic through all aspects of their core operations of teaching, learning, research, and community engagement.

This strategic plan document will serve as source for the development of annual plans, prevention packages, communication strategies, as well as different intervention areas such as mainstreaming into education, training, and research and community service.

The strategic plan is divided into six parts. Part One gives a brief background of the HIV/AIDS epidemic in HEIs in Ethiopia. It also provides an environmental scan carried out through a SWOT analysis. The chapter briefly examines factors that could present challenges and opportunities in implementing AIDS related activities in HEIs. Part Two is a brief explanation which states the Vision,

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Mission, Goal, and the strategic objectives. Part Three stipulates the fundamental guiding principles on which this Plan is based. Part Four focuses on five major thematic areas, each incorporating objectives, strategies and activities. These thematic areas include enabling environment, prevention, treatment, care & support, research, and monitoring and evaluation. Part Five provides detail matrix for thematic areas. This part considers each strategic objective and the identified targets, strategies, activities, as well as performance indicators, verification sources and responsibility centers. Part Six presents issues pertaining to coordination and mobilization. It also highlights institutional arrangements for the execution of this plan.

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AcknowledgementsThe Ministry of Education (MOE), on behalf of the HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia, would like to take this occasion to express its deep appreciation and sincere thanks to all who participated in the development of this strategic plan. These include all member Universities, international and national institutions who contributed technical support in this participatory approach including drafting, advice, consultation and participation in numerous meetings and workshops.

The Ministry would also like to express sincere thanks and special appreciation to UNICEF for its financial and technical support.The Ministry is exceedingly indebted to acknowledge the unreserved commitment of FHAPCO, Ministry of Health, MOWYC, UNAIDS and COHRA in providing technical and financial support to the successful development of the strategic plan. MOE is grateful to the Executive Committee of the Forum, technical working group members from the HEIs and partners who have shown remarkable devotion in providing priceless expertise and time to the successful accomplishment in developing this document.

The Ministry is also grateful for the contributions of our partners, mainly NASTAD Ethiopia, ICAP Ethiopia, Pathfinder, UNESCO, NEP+, experts from FHAPCO for their gracious support in realizing the objective of developing this SPM. Last but not least, the Ministry also appreciates the National AIDS Resource Center (NARC) for the design works and other related technical supports it has provided for the successful completion of this Strategy document.

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Acronyms:ART: Anti-retroviral therapyBCC: Behaviour Change CommunicationCDC: Centre of Disease ControlECSU : Ethiopian Civil Service UniversityFHAPCO: Federal HIV/AIDS Prevention and Control OfficeHEIs: Higher Education InstitutionsFMOE: Federal Ministry of EducationGBV: Gender-Based ViolenceGIPA: Greater Involvement of People Living with HIV/ AIDSHAPCO: HIV/AIDS Prevention and Control OfficeHCT: HIV Counseling and TestingHEIs PF: Higher Education Institutions Partnership ForumHIV/AIDS: Human Immuno deficiency Virus/ Acquired Immunity Deficiency SyndromeHLI: Higher Learning InstitutionICAP: Columbia University-Centre for International ProgrammeIGA: Income Generating ActivityIEC: Information Education CommunicationIGA: Income Generation ActivitiesIP: Infection PreventionKAP: Knowledge Attitude and PracticeM & E: Monitoring and EvaluationMOH: Ministry of HealthMoU: Memorandum of UnderstandingMOWCYA : Ministry of Women, Children and Youth AffairsNASTAD: National Alliance of States and Territorial AIDS Directors

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NGOs : Non-Governmental OrganizationsPEP: Policy, Epidemiology & Preventive UnitPLHIV: People Living With HIV/AIDSPSI: Population Services InternationalSLOT: Strength, Limitations, Opportunities and ThreatsSPM: Strategic Plan ManagementSRH: Sexual and Reproductive HealthSTIs: Sexual Transmitted InfectionsSWOT: Strength, Weakness, Opportunities, ThreatsTOT: Training of TrainersUN: United NationsUNAIDS: Joint UN Programme on HIV/AIDSUNESCO: United Nations Education, Scientific and Cultural OrganizationUNFPA: United Nations Fund for Population ActivitiesUNICEF: United Nations Children’s FundWHO: World Health Organization

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Table of Contents PagePREFACE ................................................................................... iAcknowledgements ..................................................................... iiiAcronyms .................................................................................... ivPart One: Introduction................................................................. 1Part Two: Vision, Mission, Goal and Strategic Objectives ..........11Part Three: Guiding Principles.....................................................12Part Four : Thematic Areas .......................................................164.1. Enabling Environment (including Strategic Management) ...164.1.1. Leadership and Governance ............................................164.1.2. Capacity Building ..............................................................174.1.3. Mainstreaming ..................................................................194.1.4. Partnership and Coordination ...........................................204.1.5. Community Involvement ...................................................204.2. Prevention............................................................................214.2.1. Behavioral HIV Prevention ...............................................224.2.2. Biomedical Prevention ......................................................234.2.3. Structural Prevention ........................................................254.3. Treatment, Care & Support ................................................. 274.4. Research ............................................................................ 294.5. Monitoring and Evaluation....................................................31Part Five: Detail Matrix for Thematic Areas ................................33Part Six: Coordination and Mobilization of Resources for the Implementation of the SPM .................................. 436.1. Coordination ....................................................................... 436.2. Resource Mobilization .........................................................466.3. Sources of Funding..............................................................49REFERENCES

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Part One: Introduction1.1. Background

The emergence of HIV epidemic is one of the most serious public health and socio-economic development challenges in recent history. Since its emergence, HIV has spread fast and wide impacting all sectors of society. According to Global AIDS progress report 2011, more than 30 million people died from AIDS and an estimated 33 million people are living with HIV. Furthermore, more than 16 million children have been orphaned because of AIDS. The epidemic continues unabated with over 7,000 new HIV infections occurring every day, mostly among people in low- and middle-income countries. What is even worrisome is that only less than half of the people living with HIV are believed to be aware of their infection: the majority unaware of their status and thus fuelling further spread of HIV infection (UNAIDS 2011).

Sub-Saharan Africa is at the epicenter of the epidemic and continues to carry the full brunt of its health and socioeconomic impact. This sub-continent continues to bear the highest share of the global HIV burden. According to the 2011 Global AIDS report, in mid-2010, about 68% of all people living with HIV resided in sub-Saharan Africa, a region with only 12% of the global population. Nearly 2 million people who became newly infected with HIV in 2010 live in sub- Saharan Africa representing 70% of all the people who acquired HIV infection globally. In Ethiopia, since the first AIDS hospital cases were reported in mid-1980s, HIV spread rapidly, peaked in mid 1990s and started to decline in major urban areas since 2000, while stabilizing in rural settings with emerging hot spots in small rural towns. According to mathematical modeling

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estimates there are nearly 800,000 people currently living with HIV/AIDS (612,200 adults and 168,000 children aged 0-14 years), and 1.2 million AIDS orphans (EPP/Spectrum estimates) (HAPCO, 2012).

Soon after the first AIDS hospital cases were confirmed in mid 1980’s, a national task force was formed, and then the department of AIDS was established under the Ministry of Health. In 1998 the government issued the national HIV/AIDS policy. The main objectives of the policy are to encourage government sectors, non-governmental organizations, private sectors and communities to take measures in order to alleviate the social and economic impact of HIV/AIDS and to promote proper care and support for people living with HIV /AIDS and orphans. Additionally, the policy underscores the need to empower women, the youth and other vulnerable groups to take action to protect themselves against HIV/AIDS (FDRE MOH, 1998).

In 2002, The Federal HIV/AIDS Prevention and Control Office (FHAPCO) was established with mandates to coordinate and guide implementation of the national HIV/AIDS policy. The Federal HAPCO took a leading role in organizing the National HIV/ADS Council, National and Regional HIV/AIDS Secretariats and Advisory Boards, and the National Partnership and Donors’ Forum against HIV/AIDS (HAPCO, 2008). In 2009, the Federal Government endorsed the Education Sector Policy on HIV/AIDS which among others underlines the need for mainstreaming and integration of HIV response to the sector. To facilitate implementation of the policy, strategies and guidelines were developed.

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Furthermore, the first national five-year strategic plan (SPM I) was implemented from 2004-2008 (HAPCO, 2004). In 2011, the second five year strategic plan (SPM II 2010/11-2014/15) was developed. The SPM II has five thematic areas: creating an enabling environment; intensifying HIV prevention; increasing access to and improving quality of chronic care and treatment; intensifying mitigation efforts against the epidemic; and strengthening the generation and utilization of strategic information (HAPCO, 2010). Moreover, a road map for implementation of SPM II was finalized, manuals on a minimum service package for orphans and vulnerable children, for most at risk populations, on HIV/AIDS mainstreaming, and on partnership, and a framework for behavioral communication were developed (HAPCO, 2010).

The above efforts indicate the different strategies employed to curb the spread of the virus. It is believed that through targeting different sectors in a coordinated way, we can curtail the spread of HIV/AIDS. This strategic plan is envisioned to involve Ethiopian HEIs in the fight against this epidemic. Thus, the need to have a synopsis of HEIs in Ethiopia.

1.2. Higher Education Institutions and HIV/AIDS: Overview

HEIs in Ethiopia comprise of both public and private institutions of higher learning which are authorized to provide under and post graduate programs with mandates of issuance of diplomas and degrees. These institutions are the sole competent institutions or structure, responsible for producing highly qualified, motivated and innovative, equipped with modern managerial, technical, research

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and leadership capabilities, human resources and producing and transferring advanced and relevant knowledge for socio-economic development and poverty reduction with a view to turning Ethiopia into a middle-income country by the year 2025. To this end, the government has made tremendous efforts to open new and to expand the existing institutions with necessary human power and other inputs.

Since the downfall of the military regime in 1993, the number of universities in Ethiopia has increased from one to thirty two public universities and more than 50 private higher education institutions which have been accredited within the planning period. Not only have the number of universities increased, the total number of enrolment, academic staff as well as the number of programs offered has also expanded tremendously. As a result, the overall enrolments as well as the intake capacity of the higher education institutions significantly increased. Thus, the overall enrolments have increased from 264,033 (female 53,577) to 467,844 (female 123,706) in 2006/07 and 2010/11, respectively; of which 79,314 are enrolled in non-government institutions and this accounts 17.3% of the total enrollment. This shows that the private higher institutions have an observable contribution to the education sector. Besides, 447,693 (95.7%) of the enrolments comprise the undergraduate program. The academic staff has also significantly increased from 8,355 in 2006 to 17,402 in 2011 (FMOE, 2011).

Education sector is among those affected by the emergence of HIV/AIDS. The epidemic has led to illness and death among staff and students. Education is also at the center of HIV/AIDS response. Underscoring this link, the education sector policy and strategy on HIV/AIDS spells out that HIV/AIDs not only affects quality of

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education but it also reduces the number of teachers and other staff and diverts resources in the sector. With this respect, studies show that universities are high risk institutions for the transmission of HIV/AIDS for several reasons, including behavioral, social and economic factors (FMOE, 2009).

Realizing these facts, institutions of higher learning in Ethiopia, under the auspices of the Ministry of Education and leadership from Federal HAPCO, established HEIs Partnership Forum against HIV/AIDS in Ethiopia. A Memorandum of Understanding (MoU) was signed in November 2010 (HEIs PF, 2010). The forum has opened dedicated coordination office in Addis Ababa to work closely together to create an environment that enables the promotion of information sharing, joint planning, undertake basic preventive and curative research on HIV/AIDS, implementation and promoting supportive supervision, monitoring and technically assisting HEIs response related to HIV/AIDS/SRH interventions among forum member HEIs in Ethiopia in collaboration with MOE, FHAPCO, strategic partners in the field.

1.3. Situational and HIV/AIDS Response Analysis

The distribution of HIV varies among different population groups due to socio-demographic, awareness, behavioral, and other fac-tors. Available data indicate that sero-discordant couples, sex workers, men in uniformed services, long-distance truckers, mo-bile workers, cross-border populations, street children, and out-of-school youth are among most-at-risk populations. Other emerging at-risk-groups are high school and college students – in particular

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girls - who often are engaged in trans-generational sexual net-works with older men in return for money and gifts (Mekonen & Demisie, 2010). However, the size and distribution of these emerg-ing at-risk- groups, their sexual networks and bridging populations remain largely unknown, making determinations of the epidemic scope in these groups largely speculative. Nevertheless, various studies and/or reports indicate that 50% of all new HIV infections are among young people 15 and 24 years of age, out of which two third of newly infected young people age 15-19 years in Sub-Saharan Africa are female (Amare, 2009; http://www.unfpa.org/hiv/people.htm).

In the context of Ethiopia, about 35% of the total populations are young people in the age bracket of 10-24 years. The majority of students in higher education institutions’ are youth, between age18 and 24 years. Studies have shown that young people have high risk taking behaviors including as a result of peer pressure, igno-rance and lack of access to preventive services. A review of re-search work among in-school-youth and out-of-school-youth docu-mented that 49.7% were sexually active; and more than half of these (53.3%) reported two or more sexual partners . Similarly, a study among high school students in northwest Ethiopia reveals that while most are well informed about the major modes of HIV transmission, 39% reported having unprotected sex (sex without condom); and 43.3% of sexually active students had more than one sexual partner (Mitikie &Tamru ,2007).

The situation among students in higher learning institutions is related to their high school counterparts. A study among Addis Ababa University students revealed that 34.2% respondents were sexually active during the survey. Of these, 23.8% had sexual

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intercourse with their partner or someone in the last 6 months. Consistent to the risk factors in high school students; the study also identified watching pornographic films; drinking alcohol, chewing khat (a mild stimulant locally grown green leaf), and cigarette smoking were associated with risk taking behavior. Similarly, unpublished data from a 2010 study conducted in five public higher education institutions has indicated the existence of risk factors for acquiring HIV. For instance, ever use of substance was reported by about quarter, 25.8% (1504/5824), of the students with almost similar proportion across the universities, more than a quarter of the students in the five universities, 1702 (29.71%), ever had sexual intercourse. Out of those who were sexually active in the last 12 months, 281 (31.0%) had sexual intercourse with more than one sexual partner and 207 (26.6%) had sex without condom (Regassa & Kedir, 2011).

These findings show that higher education students are vulnerable to HIV and related reproductive health problems. Moreover, certain aspects of social life place members of tertiary and higher education institutions at risk of contracting HIV. Enhanced personal freedom coupled with the attractions and pressures of life in tertiary and higher education institutions is a recipe for sexual activity and experimentation. Even though there is no nationally representative of HIV/AIDs survey among populations of higher learning, it is plausible to speculate vulnerability to HIV.

Cognizant of these factors and the risk posed to students of HEIs, the government and HEIs have initiated response actions. The education sector policy on HIV was endorsed, HEIs Partnership Forum against HIV/AIDS in Ethiopia was established; and MOU was signed among member HEIs. Several universities have

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developed institutional HIV/AIDS policy aligned to national sectoral & sub-forum’s policy & strategy framework, established dedicated office for coordination of response, and allocated resources. However, it is clear that these responses are far from adequate considering the magnitude of the problem. Hence, this strategic plan is formulated to enhance the above responses and address the existing gaps identified (vide Table 1). The proposed strategic document aims to provide guidance, decision making and strategic direction for AIDS response in HEIs within the overall scope of the SPM II and its road map.

This SPM will be implemented for the coming three years essen-tially through spearheading or coordination and facilitation of HEIs Partnership Coordination office and in harmony with FMOE, FHAP-CO, strategic collaborators of the sectors, member HEIs, NGOs, donors, federal and regional sector institutions working in the field.

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Strength WeaknessEstablishment of HEIs Partnership sub forum Inadequate mainstreaming into curriculum,

research & training programsEndorsement of HEIs Partnership sub forum’s policy and strategy framework.

Activities poorly guided by evidence & poor communication system

Presence of focal persons and offices in the majority of HEIs

HIV/AIDS and/or SRH services not user-friendly & not integrated

Presence of ICT service. Inadequate leadership commitment and lim-ited implementation capacity

Presence of institutional HIV/AIDS policies in some HEIs

Absence of workplace policy in most of HEIsLack of inclusion of HIV/AIDS issues in the legislation & senate representation in many HEIs

Active involvement of students in HIV/AIDS intervention

Poor coordination with partners & commu-nity outreach servicesPoorly addressed gender inequalities & GBV

Initiation toward working with potential part-ners

limited resources (human and material)Lack earmarking up to 2% budget allocation for mainstreaming

Presence of highly qualified and diversified professionals

Poor contextualization and standardization of interventionsPoor monitoring and evaluationAbsence of AIDS fund and adequately allo-cated budget

Opportunity ThreatsPresence of international and national con-cern.Presence of university community in localized areas and easy accessibilityPresence of Information Technology

Misuse of internet technology

Immense effects on the productive work force and the youth

Appreciation of the problem by external stake-holders and the community.

Incurability of the HIV AIDS

Presence of partners working on HIV/AIDS & other national forums

Influence of surrounding environment (night clubs, khat, shisha houses, pimpers, etc)

Presence of national policies, guidelines, pro-grams and decentralized structure.High level of awareness about HIV/AIDS/SRH

Socio-economic differentials of target com-munity

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Scope and Application This SPM embodies the HEIs, their community and surrounding communities geared towards their commitment to effectively re-spond to the pandemic in a socially responsible and institutionally effective manner. It will be applied in all the communities of private and public HEIs and the surrounding communities.Thematic areas were identified following a thorough analysis of the HIV/AIDS response undertaken by HEIs. These include:

• Creating enabling environment• Intensifying HIV prevention• Strengthening Treatment, Care and Support service

to mitigate impacts of the epidemic.• Strengthening the generation of strategic information

through research• Monitoring and evaluation.

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Part Two: Vision, Mission, Goal and Strategic Objectives

Vision

To see Higher education Institutions free of HIV/AIDS and thereby contribute to the national vision of seeing HIV/AIDS free Ethiopia

Mission

Help harness effectively the efforts and resources of HEIs in combating HIV/AIDS among their communities as well as the society at large.

Goal

To prevent and control the spread of the HIV/AIDS virus and mitigate its impact among the HEIs population and the community through enhanced services, capacity and improved system.

Strategic Objective

To create conducive environment for reducing rate of new infection, mitigating impact of the epidemic and generation and utilization of strategic information.

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Part Three: Guiding Principles The fundamental guiding principles of this SPM are:

• Sense of Urgency: Education is considered as a ‘social vaccine’ while targeted information and communication are instrumental for achieving the desired attitude and behaviour change, reduction of risks and vulnerabilities as well as mitigation of the impact of the epidemic. The HEIs must, therefore, act immediately, conceptualizing the multi-dimensional nature of HIV/AIDS responses as a matter of urgency.

• Commitment, Ownership and Sustainability: HEIs communities should ensure that HIV/AIDS become a prime focus area in teaching, research, training and community involvement services and spearhead the overall HIV/AIDS management with a sense of fostering institutional ownership, commitment and sustainability through advocacy, effective communication, and allocation of adequate resources at all level of their core business.

• Partnership and Multi-sectoral Approach: Given the complex and multi-dimensional nature of HIV/ AIDS, HEIs should work in harmony and partnership with core ministries, community based organizations, private sector, nongovernmental organizations, religious organizations, PLHIV and other collaborators. Multi-sectoral approach of strategic partnership effort has to be fine-tuned with the legal and local contexts of the HEIs and partners with a view to ensuring synergy for effective implementation of this policy framework.

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• Human Rights: The policy framework emanated from the general principles and perspectives of human rights in light of HIV/AIDS prevention and control. In the spirit of descent work and respect for human right and dignity of HIV positive or affected person by HIV/AIDS, there should be no discrimination on the basis of real or perceived HIV status.

• Efficient utilization of resources: HEIs shall recognize that there is an increasing realization that there are multitude of possible interventions that can be pursued in reducing risks and vulnerabilities averting the spread of HIV and mitigating the impacts on HEIs and the community at large. The application of this policy framework shall be fine-tuned with measuring the performances of HIV/AIDS responses of all public and private HEIs with the focus of innovative, effective and efficient use of resources

• Harmonization and Mainstreaming: Considering the risks and/or vulnerabilities and the impact of the epidemic on HEIs and overall growth and transformation plan of Ethiopia to realize sustainable development, this policy framework fosters effective mainstreaming of HIV/AIDS interventions into everyday core businesses of all HEIs. The policy framework critically emphasizes on the importance of standard and comprehensive HIV/AIDS responses into all aspects of work, participatory planning, allocation of adequate budget and human resources, innovative and result-oriented implementation,

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systematic monitoring and evaluation. All HEIs shall ensure that the HIV/AIDS related transformational planning, implementation and monitoring should be well coordinated, standardized and harmonized to related national policies and strategies.

• Gender Sensitivity and Responsiveness: It is well known that HIV/AIDS affects and has different impacts on men and women due to biological, economic and socio-cultural factors. All key thematic areas of this SPM will consider and be applied with respect to the different risks and vulnerabilities of both genders.

• Holistic Wellness Approaches: Beyond the development and maintenance of key partnerships, supporting more comprehensive broader issues of sexual health as a key element of health and wellness for the targeted population requires clear and consistent communication. This will provide an opportunity to work together to advance a public health approach to sexual health that includes HIV prevention as one component and helps to prevent HIV/AIDS related co-morbidities.

• Evidence-Based Interventions: All HEIs shall proactively develop evidence-based strategies, knowledge transfer practices that take the implementation of key focus areas into account with due attention to continuous learning and research contexts.

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• Greater Involvement of People Living with HIV (GIPA): Greater involvement of people living with HIV should be ensured in all programs of HIV/AIDS prevention and control at all levels.

• Addressing the special HIV/AIDS related needs of people with disabilities.

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Part Four : - Thematic areas

4.1. Enabling Environment (Including Strategic Management)

This thematic area emphasizes on leadership, capacity building, mainstreaming, partnership and community involvement, which are crucial elements for creating enabling environment to intensify comprehensive HIV/AIDS response in HEIs.

General objective: - To create a conducive environment for scaled up and comprehensive HIV/AIDS response in HEIs.

4.1.1. Leadership and Governance

Specific objective: To ensure responsiveness and accountability in the leadership and governance of HIV/AIDS response in the HEIs of Ethiopia.

Strategies:

1. Build the capacity of the leadership and governing bodies at various levels of HEIs.

Interventions:• Provide training on HIV/AIDS strategic leadership for

HEIs governing bodies• Conduct experience sharing visit for good

governance on HIV/AIDS• Scale up and document the best practices of the

HEIs

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• Conduct sub forum review meetings• Conduct general assembly meetings

2. Avail updated information on HIV/AIDS situation and response to leadership and governance of the HEIs.

Intervention:• Disseminate performance reports on the epidemic

and responses in HEIs

3. Ensure the inclusion of HIV/AIDS programs and budget in the institutions’ plan.

Interventions:• Prepare HIV/AIDS plan with the HEIs strategic/

operational plan• Allocate budget for HIV program in HEIs

4. Ensure the development of HIV/AIDS work place policy.

Intervention: • Develop/amend, and endorse HIV/AIDS work place

policy in HEIs

4.1.2. Capacity Building

Specific objective: To build the capacity of the institution for the implementation of HIV/AIDS programs.

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Strategies:

1. Strengthen the capacity of HIV/AIDS program coordinators.

Interventions:• Establish/strengthen HIV/AIDS program coordinating

office in HEIs• Provide training for coordinators of the HIV/AIDS

program in HEIs• Empower HIV/AIDS program coordinators in HEIs• Establish/strengthen the capacity of anti-AIDS clubs

in the institutions

2. Equip the HIV/AIDS program coordinating office and service provision centers of HEIs.

Interventions:• Capacitate the coordinating office with necessary

human and material resource• Establish/strengthen mini media and AIDS Resource

centers• Establish/strengthen standardized health facilities in

HEIs

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4.1.3. Mainstreaming

Specific objective: To enhance and sustain the HIV/AIDS response in the HEIs.

Strategies:

1. Strengthen the ownership of HIV and AIDS programs in HEIs.

Interventions:• Implement M and E manual in HEIs• Include the HIV/AIDS programs in the HEIs’ core and

support business

2. Ensure the mainstreaming of HIV/AIDS issues into the existing curriculum.

Interventions: • Conduct training on curriculum designing or

integration• Develop course curriculum and syllabus • Develop standardized stand alone course on HIV/

AIDS• Integrate HIV/AIDS in the existing curriculum• Provide comprehensive training on HIV/AIDS for

academic staff

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4.1.4. Partnership and coordination

Specific Objective: Enhance partnership and collaboration to avoid duplication of effort and maximize effectiveness.

Strategies:

1. Ensure the existence of joint planning among HEIs and partners.

Interventions: • Strengthen the HEIs Partnership Forum• Facilitate experience sharing among HEIs and

concerned bodies • Conduct joint operational plan development with

stakeholders• Sign MOU with concerned parties

4.1.5. Community Involvement

Specific objectives: To strengthen collaboration between the community of HEIs and the external community.

Strategies:

1. Scale up involvement of the surrounding community on HIV/AIDS responses.

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Intervention:• Conduct community sensitization workshop• Establish joint committee comprising of members

from the surrounding. community and the HEIs

4.2. Prevention

There were enormous efforts by the government of Ethiopia to increase the availability and accessibility of HIV prevention services for beneficiaries in HEIs and surrounding community. However, the results of some study papers revealed that the scale of primary HIV prevention efforts was insufficient to stop the progress of the HIV epidemic in HEIs. Moreover, primary HIV prevention efforts must target non-infected individuals that are vulnerable and at risk to HIV infection.

Even though there is a need to expand treatment, care and support services further, prevention of new HIV infections needs to remain the cornerstone of the HEIs HIV response in Ethiopia. Creating comprehensive HIV knowledge, increasing self-risk perception and promoting behavioural changes at HEIs and surrounding community level must be intensified to maximize the yield of efforts.

To achieve maximum impact, prevention of new HIV infection should utilize a combination of proven behavioral, structural and bio-medical approaches. HIV prevention strategies and interventions need to be evidence based and should work in a concerted manner towards shared prevention goals. Under this thematic area, there are three sub-thematic areas: behavioral, structural and bio-medical HIV prevention approaches.

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General objective:• To reduce the rate of new infection among HEIs’

community.

4.2.1. Behavioural HIV Prevention

Specific Objectives:

• To increase comprehensive knowledge on HIV/AIDS in HEI community

• To reduce risky behaviours of STI/HIV and SRH problems among HEI students

• To improve health seeking behaviour for HIV services such as HCT, and use of condoms among sexually active populations (student & staff)

Strategies: 1. Strengthen HEIs based HIV prevention interventions.

Interventions:• Develop minimum package of preventive services in

HEIs targeted staff and students• Adapt training manuals on prevention of HIV and

SRH issues and problems • Provide facilitators training on peer education,

community conversations, life skill and other relevant areas as appropriate

• Develop/revise/update, produce and distribute HIV/AIDS, SRH education and other IEC/BCC materials on HIV and SRH issues

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• Conduct orientation on HIV prevention and SRH problems

• Provide training (peer education. life skill, campus life community conversation, SISTA, mentorship) and other relevant training deemed necessary among HEIs students

• Conduct talk shows, debates and panel discussion in campuses

2. Strengthen work place HIV prevention interventions.

Interventions:• Sensitize the HEIs community on the national

organizational conversation guidelines and training manuals

• Provide TOT on organizational conversation• Conduct organizational conversation• Promote consistent use of condom• Conduct condom promotion and distribution

4.2.2. Biomedical prevention

Specific objectives:• To increase demand for, availability and use of

biomedical HIV and SRH preventive services including HCT, PEP and post-abortion care

• To increases supply, distribution and utilization of male/female condoms

• To increase STI diagnosis and treatment • To increase access for positive prevention

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• To establish referral linkages for services not available in HEIs health facilities (for HIV testing, treatment, and post-abortion care)

Strategies:

1. Ensure access and enhance uptake of HIV counseling and testing, and SRH services.

Interventions:• Educate the HEIs community on benefits of HIV

testing through peer education, media, brochures, etc

• Provide training to HCT service providers at student clinics

• Provide HCT IEC/BCC materials to HEIs community• Provide HCT IEC/BCC materials with brail for the

visually impaired where necessary • Provide uninterrupted supply of test kits and other

medical equipment• Apply IP practices and utilize PEP

2. Increase availability and utilization of STI services

Interventions:• Establish STI programs at HEIs clinics, health

centers and hospitals • Intensify health information and education to improve

treatment seeking behavior and utilization of STI services

• Provide drugs and supplies pertinent to STI in all HEIs health facilities

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• Train health care workers on user friendly STI services

• Provide STI services at HEIs health facilities• Promote/encourage sexual partner notification during

STI case detection

3. Intensify prevention among HIV positives in HEI community

Interventions:• Provide HIV information, education and risk

reduction education and counseling for infected people

• Strengthen HIV counseling for students and staff living with HIV and AIDS

• Provide education on correct and consistent condom use for PLHAs

• Distribute condoms

4.2.3. Structural prevention

Specific objectives:• To mainstream HIV/AIDS, SRH and gender issues in

HEI structures and programs• To establish a system that provides academic,

economic and counseling support to female students • To improve HEIs community knowledge, attitude and

practices on GBV and SRH issues, and prevention and mitigation services

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Strategies:

1. Ensure inclusion of gender issues into HEIs HIV/AIDS/SRH program.

Interventions:

• Include gender issues related to HIV/AIDS and SRH in program activities of HEIs

• Include gender related issues in relevant policies/or strategies and guidelines of HIV/AIDS programs of HEIs

• Strengthen working relationship between HIV/AIDS and gender coordination offices

2. Strengthen psychosocial and academic support for female students

Interventions:• Establish/strengthen student counseling services in

HEs• Organize orientation programs for new entrance

female students• Provide materials for needy female students • Identify females at need of academic and financial

support and link to support (tutorials, stationary, books, sanitation/hygiene supplies)

• Arrange financial, skills development and other IGAs support for drop-outs

• Facilitate transportation support during entrance and vacation mobility for students collaboration with relevant sectors.

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3. Protect human rights and provide legal support.

Interventions:• Conduct sensitization workshop on human rights,

women right & GBV• Incorporate gender based violence issue in student

code of conduct• Advocate about GBV (such as measures, code of

conduct….)• Provide legal support for female students at HEIs in

case of GBV• Effect disciplinary actions for violation of GBV code

of conduct in HEIs community

4.3. Treatment, Care & Support

Under this thematic area, due attention is given to ensure the greater involvement of affected and infected people by providing necessary support to improve quality of life and mitigate health and economic impact.

General objective:• To mitigate health and socio-economic impacts of

HIV/ADS through improving access and quality to treatment and livelihood of the needy HEIs students and staff PLHIV

Specific Objective: • To improve access to treatment for people with AIDS• To avail care and support services for affected and

infected HEIs communities

27


Strategies:

1. Improve access to treatment for PLHIV.

Interventions:• Counsel and identify PLHIV who require ART

services • Strengthen ART services or establish linkage with

ART facilities • Provide treatment adherence counseling and follow

up

2. Strengthening involvement of the HEIs in care and support.

Interventions:• Organize fund raising events for care and support

services • Establish/strengthen AIDS social support clubs• Support establishment of HEIs PLHIVs associations• Train care providers, including volunteers and family

members on care and support• Provide care and support services as per the

national package including psychosocial, economic, placement, and educational support

3. Strengthening income generating activities to sustain the program.

Interventions:• Establish AIDS fund

28


• Identify care and support needs and gaps among the PLHIV in HEIs

• Map care and support service providing organizations in the surrounding areas of the HEIs and establish referral linkage

• Engage the PLHIVs in HEIs on IGAs

4.4. Research

Conducting research to solve the socio-economic problems of the country is the main core mandate for which the HEIs are established. HIV/AIDS is one of the urgent socio-economic problems of the country which the HEIs is expected to intensely engage in generating evidences for the prevention, treatment and impact mitigation interventions in the HEIs and the country.

General objective: To generate evidence based information that addresses the existing and emerging HIV/AIDS challenges in the HEIs and country at large.

Specific objectives:• To identify risk and vulnerability factors in the HEIs

and community• To investigate the impacts of HIV/AIDS illness on

HEIs & community• To document and disseminate experiences, lessons

and best practice• To inform key policy and strategic decisions related

to HIV/AIDS and SRH

29


Strategies:

1. Identify research gaps, needs and priority areas.

Intervention:• Conduct survey to identify gaps and priority areas

2. Allocate necessary resources for research on HIV/ AIDS & SRH

Interventions:• Based on research plan, mobilize budget or fund for

research undertakings• Ensure logistic support: space, time, data processing

materials and stationary • Organize capacity building trainings on research

priority setting, proposal development, conduct of field work, analysis and scientific writing to ensure technical quality

• Establish/strengthen research partnership with other centers of excellence and program stakeholders

3. Coordinate, guide and conduct research work and its use.

Interventions:• Conduct base line survey on KAP and vulnerability• Conduct preventive and curative HIV/AIDS

researches• Perform cost-benefit analysis of HIV/AIDS

interventions

30


• Undertake outcome and impact studies of HIV interventions

• Establish database for access and use of research outputs

• Conduct validation and dissemination workshops and technical seminars

4.5. Monitoring and evaluation

Monitoring and evaluation of HIV/AIDS response in HEIs will focus on tracking the progress on attaining results and its system will be strengthened to improve program performance. Outcomes and impacts of the response will be monitored and evaluated by conducting surveillances, surveys, and studies. Moreover, appropriate indicators will be selected with clear targets for each thematic area for whole period of the SPM I and annually.

The HEIs Partnership Forum, in collaboration with FHAPCO and other stakeholders, is responsible for the coordination of the multi-sectoral monitoring and evaluation, and will conduct semi-annual and annual joint review meeting and joint support supervision at national level. Similarly, the HIV/AIDS response coordination units of HEIs will coordinate HIV/AIDS monitoring and evaluation at their respective institution levels and they will report quarterly report to the Coordination Office of the HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia

General Objective: To ensure timely generation and utilization of information to enhance evidence-based decision making.

31


Specific Objectives:• To ensure the generation of quality data from routine

program monitoring and evaluation • To disseminate and utilize strategic information to

guide program planning and improvement

Strategies: 1. Strengthen the capacity for monitoring and evaluation.

• Assign HIV/AIDS M and E officer at multi level• Develope/adopt M&E implementation manual and

training manual• Conduct training for M&E officers

2. Strengthen timely generation of quality information.

Interventions:• Implement HIV/AIDS indicators within the HEIs

monitoring and evaluation systems• Conduct regular supportive supervision

3. Enhance dissemination and utilization of information.

Interventions:• Prepare, print and distribute HIV/AIDS M&E reports

regularly

32


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Them

atic

are

a O

ne:-E

nabl

ing

Envi

ronm

ent (

incl

udin

g st

rate

gic

man

agem

ent)

Gen

eral

Obj

ectiv

e: -

To c

reat

e a

cond

uciv

e en

viro

nmen

t for

scal

ed u

p an

d co

mpr

ehen

sive

HIV

/AID

S re

spon

se in

HEI

s.

Sub

them

atic

are

a 1.

1 Le

ader

ship

and

Gov

erna

nce

Spec

ific

Obj

ectiv

es

To e

nsur

e re

spon

siven

ess a

nd a

ccou

ntab

ility

in th

e le

ader

ship

and

gov

erna

nce

of H

IV/A

IDS

resp

onse

in th

e H

EIs o

f Eth

iopi

a

Prov

ide

train

ing

on H

IV/A

IDS

stra

tegi

c le

ader

ship

for H

EIs g

over

ning

bod

ies

10 le

ader

s fro

m e

ach

HEI

*7

2 H

EIs p

er y

ear f

or 3

ye

ars.

(2,1

60 )

The

num

ber o

f lea

ders

trai

ned

Rep

ort

HEI

s Par

tner

ship

Sub

Fo

rum

,

Uni

vers

ity H

IV

coor

dina

ting

offic

e M

OE

Con

duct

exp

erie

nce

shar

ing

visit

for g

ood

gove

rnan

ce o

n H

IV/A

IDS

in H

EIs

30

per

yea

r for

3 y

ears

(9

0)

The

num

ber o

f peo

ple

parti

cipa

ted

in E

xper

ienc

e sh

arin

g vi

sits

R

epor

t M

OE,

HEI

s Par

tner

ship

Sub

Fo

rum

Sc

ale

up a

nd d

ocum

ent t

he b

est p

ract

ices

of t

he

HEI

s 3

best

pra

ctic

es

docu

men

tatio

n p

er y

ear

for 3

yea

rs

( 9)

The

num

ber o

f bes

t pra

ctic

es

docu

men

ts

Rep

ort

MO

E,

H

EIs P

artn

ersh

ip S

ub

Foru

m

Con

duct

sub

foru

m re

view

mee

tings

60

0(10

0 pe

r mee

ting

* 2*

3)

The

num

ber o

f peo

ple

parti

cipa

ted

on re

view

mee

ting

R

epor

t

HEI

s Par

tner

ship

Sub

Fo

rum

, M

OE

Bui

ld th

e ca

paci

ty o

f the

le

ader

ship

and

gov

erni

ng

bodi

es a

t var

ious

leve

l of

HEI

s

Con

duct

gen

eral

ass

embl

y m

eetin

gs

200

par

ticip

ants

per

yea

r fo

r 3 y

ears

(600

) Th

e nu

mbe

r of p

eopl

e pa

rtici

pate

d on

gen

eral

ass

embl

y R

epor

t

HEI

s Par

tner

ship

Sub

Fo

rum

, M

OE,

FH

APC

O

Ava

il up

date

d in

form

atio

n ab

out H

IV /A

IDS

Situ

atio

n an

d re

spon

se to

lead

ersh

ip

and

gove

rnan

ce o

f the

H

EIs.

Dis

sem

inat

e pe

rform

ance

repo

rts o

n th

e ep

idem

ic a

nd re

spon

ses i

n H

EIs

4 p

erfo

rman

ce re

ports

per

ye

ar fo

r 3 y

ears

( 12

) Th

e nu

mbe

r of p

erfo

rman

ce re

ports

di

ssem

inat

ed

Rep

ort

HEI

s Par

tner

ship

Sub

Fo

rum

,

Uni

vers

ity H

IV

coor

dina

ting

offic

e

33

Part

Fiv

e : -

Det

ail M

atrix

for T

hem

atic

Are

as


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Prep

are

HIV

/AID

S pl

an w

ith th

e H

EIs

strat

egic

/ope

ratio

nal p

lan.

1

oper

atio

nal p

lan

per y

ear

for 3

yea

rs. (

3)

The

num

ber o

f per

iodi

cal r

evie

ws

cond

ucte

d

Rep

ort

MO

E,

H

EIs P

artn

ersh

ip S

ub

Foru

m

Ens

ure

the

incl

usio

n of

H

IV/A

IDS

prog

ram

s and

bu

dget

in th

e in

stitu

tions

' pl

an.

A

lloca

te b

udge

t for

HIV

pro

gram

in H

EIs

72 H

EIs

The

No

of u

nive

rsiti

es a

lloca

ted

budg

et

Rep

ort

MO

E,

H

EIs P

artn

ersh

ip S

ub

Foru

m

U

nive

rsity

man

agem

ent

Ensu

re th

e de

velo

pmen

t of

HIV

/AID

S w

ork

plac

e po

licy

Dev

elop

/am

end

,and

end

orse

HIV

/AID

S w

ork

plac

e po

licy

in H

EIs

72 H

EIs

Num

ber o

f pol

icie

s de

velo

ped/

amen

ded,

and

end

orse

d.

Rep

ort

HEI

s Par

tner

ship

Sub

Fo

rum

, H

EIS

Sub

them

atic

are

a 1.

2 C

apac

ity B

uild

ing

Spec

ific

Obj

ectiv

es: -

To

build

the

capa

city

of t

he in

stitu

tion

for t

he im

plem

enta

tion

of H

IV/A

IDS

prog

ram

s.

Esta

blis

h/St

reng

then

HIV

/AID

s pro

gram

C

oord

inat

ing

offic

e.

1 in

eac

h H

EI (7

2)

Num

ber o

f HEI

s with

es

tabl

ished

/stre

ngth

ened

co

ordi

natin

g of

fice.

Rep

ort

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m, M

OE

Prov

ide

upda

ted

train

ing

for c

oord

inat

ors o

f the

H

IV/A

IDS

prog

ram

in H

EIs

1 c

oord

inat

or p

er H

EI p

er

year

(216

) N

umbe

r of c

oord

inat

ors t

rain

ed

Rep

ort

HEI

s Par

tner

ship

Sub

Fo

rum

,

MO

E Em

pow

er th

e H

IV/A

IDS

prog

ram

coo

rdin

ator

s in

HEI

s 1

in e

ach

HEI

s (72

) N

umbe

r of f

ocal

per

sons

em

pow

ered

R

epor

t H

EIs,

HEI

s Par

tner

ship

Sub

Fo

rum

Stre

ngth

en th

e ca

paci

ty o

f H

IV /A

IDS

prog

ram

co

ordi

nato

rs

Est

ablis

h/st

reng

then

the

capa

city

of a

nti-A

IDS

club

s in

the

inst

itutio

ns

1 cl

ub p

er c

ampu

s of H

EIs

Num

ber o

f Ant

i AID

S cl

ubs

esta

blish

ed/s

treng

then

ed

Rep

ort

HEI

s, M

OE,

HEI

s Par

tner

ship

Sub

Fo

rum

Cap

acita

te th

e co

ordi

natin

g of

fice

with

nec

essa

ry

hum

an a

nd m

ater

ial r

esou

rce

1 in

eac

h H

EIs

Num

ber o

f HEI

s coo

rdin

atin

g of

fices

equ

ippe

d

Rep

ort &

su

perv

isio

n M

OE,

HEI

s Par

tner

ship

Sub

Fo

rum

,

HEI

s

Equi

p co

ordi

natin

g of

fice

and

serv

ice

prov

isio

n ce

nter

s.

Esta

blis

h/st

reng

then

AR

C a

nd M

ini m

edia

in

HEI

s 1

per e

ach

HEI

s N

umbe

r of A

RC

cen

ters

and

the

num

ber o

f min

i med

ias

esta

blish

/stre

ngth

ened

Rep

ort

FHA

PCO

, H

EIs,

MO

E,

HEI

s Par

tner

ship

Sub

Fo

rum

34


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Es

tabl

ish/

stre

ngth

en st

anda

rdiz

ed h

ealth

faci

litie

s in

HEI

s. 1

per

cam

pus o

f HEI

s N

umbe

r of s

tand

ardi

zed

heal

th

faci

litie

s est

ablis

hed/

stre

ngth

ened

R

epor

t FM

OH

, M

OE,

HEI

s Par

tner

ship

Sub

Fo

rum

, H

EIs

Sub

them

atic

are

a 1.

3 M

ains

tream

ing

Spec

ific

obje

ctiv

e: T

o en

hanc

e an

d su

stai

n th

e H

IV/A

IDS

resp

onse

in th

e H

EIs.

Impl

emen

t M &

E m

anua

l/ fo

rmat

on

HIV

/AID

S m

ains

tream

ing

prog

ram

s.

72

HEI

s N

umbe

r of H

EIs i

mpl

emen

ting

M

and

E.

Rep

ort

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m, M

OE

Stre

ngth

en th

e ow

ners

hip

of H

IV a

nd A

IDS

prog

ram

s in

HEI

s

Incl

ude

the

HIV

/AID

S pr

ogra

ms i

n th

e H

EIs

cor

e an

d su

ppor

t bus

ines

s 72

HEI

s N

umbe

r of u

nive

rsiti

es in

clud

ed th

e H

IV/A

IDS

prog

ram

s in

thei

r co

re

and

supp

ort b

usin

ess

Rep

ort

MO

E,

HEI

s, H

EIs P

artn

ersh

ip S

ub

Foru

m

Con

duct

trai

ning

on

Cur

ricul

um D

esig

ning

or

inte

grat

ion

150

(2 p

er H

EIs)

N

umbe

r of t

rain

ees p

artic

ipat

ed

Rep

ort

HEI

s,MO

E,

HEI

s Par

tner

ship

Sub

Fo

rum

D

evel

op c

ours

e cu

rric

ulum

, syl

labu

s.

72

Num

ber o

f uni

vers

ities

dev

elop

ed

stan

d al

one

cour

se

Rep

ort

HEI

s,MO

E,

HEI

s Par

tner

ship

Su

b F

orum

D

evel

op st

anda

rdiz

ed st

and

alon

e co

urse

man

ual

1

Dev

elop

ed st

and

alon

e co

urse

m

anua

l R

epor

t M

OE,

H

EIs P

artn

ersh

ip

Sub

For

um,

Inte

grat

e H

IV/A

IDS

in th

e ex

iting

cur

ricul

um

72 H

EIs

Num

ber o

f HEI

s int

egra

ted

in th

eir

exis

ting

curr

icul

um

Rep

ort

HEI

s, M

OE,

H

EIs P

artn

ersh

ip

Sub

Foru

m

Ensu

re th

e m

ains

tream

ing

of H

IV a

nd A

IDS

issu

es i

n to

the

exis

ting

curr

icul

um

Prov

ide

com

preh

ensi

ve tr

aini

ng o

n H

IV/A

IDS

for a

cade

mic

staf

f

20 st

aff p

er H

EI p

er y

ear

for 3

yea

rs (4

320)

N

umbe

r of p

eopl

e pa

rtici

pate

d R

epor

t H

EIs,

HEI

s Par

tner

ship

Su

b Fo

rum

Su

b th

emat

ic a

rea

1.4

Partn

ersh

ip a

nd c

oord

inat

ion

Spec

ific

Obj

ectiv

e:- E

nhan

ce p

artn

ersh

ip a

nd c

olla

bora

tion

to a

void

dup

licat

ion

of e

ffort

and

max

imiz

e ef

fect

iven

ess

Stre

ngth

en th

e H

EIs p

artn

ersh

ip F

orum

1

foru

m

HEI

s su

b fo

rum

stre

ngth

ened

R

epor

t M

OE,

FH

APC

O

Org

aniz

e co

nsul

tativ

e m

eetin

gs w

ith p

artn

ers

150

per y

ear f

or 3

yea

rs.

(450

) N

umbe

r of p

eopl

e pa

rtici

pate

d on

th

e co

nsul

tativ

e m

eetin

g

Rep

ort

MO

E, H

EIs P

artn

ersh

ip

Sub

Foru

m

Con

duct

join

t ope

ratio

nal p

lan

deve

lopm

ent w

ith

stak

ehol

ders

1

per y

ear

Plan

dev

elop

ed jo

intly

R

epor

t, do

cum

ent

HEI

s Par

tner

ship

Su

b Fo

rum

, H

EIs,

Stak

ehol

ders

Ensu

re th

e ex

iste

nce

of

Join

t pl

anni

ng a

mon

g H

EIs a

nd

partn

ers

Sign

MoU

with

con

cern

ed p

artie

s 1

per y

ear p

er H

EIs (

3 in

ea

ch H

EIs f

or y

ears

) N

umbe

r of M

OU

sign

ed

Doc

umen

t M

OEU

, HEI

s, p

artn

ers

35


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Sub

them

atic

are

a 1.

5 C

omm

unity

invo

lvem

ent

Spec

ific

obje

ctiv

es:-

To

stren

gthe

n co

llabo

ratio

n be

twee

n th

e c

omm

unity

of H

EIs a

nd e

xter

nal c

omm

unity

.

Con

duct

com

mun

ity se

nsiti

zatio

n w

orks

hop

2 pe

r yea

r per

HEI

s fo

r 3

year

s N

umbe

r of p

artic

ipan

ts

R

epor

t ,

HEI

s C

omm

unity

sens

itiza

tion

on H

IV/A

IDS

Es

tabl

ish

com

mitt

ee c

ompr

isin

g m

embe

rs fr

om

the

surro

undi

ng c

omm

unity

and

the

HEI

s .

1 in

eac

h H

EIs (

72 )

Num

ber o

f HEI

s est

ablis

hed

HEI

s &

com

mun

ity c

omm

ittee

R

epor

t H

EIs,

surro

undi

ng

com

mun

ity le

ader

s Th

emat

ic a

rea

Two:

- Pr

even

tion

Gen

eral

Obj

ectiv

e:-

To re

duce

the

rate

of n

ew in

fect

ion

at H

EI’s

Su

b th

emat

ic a

rea

2.1:

- Beh

avio

ral H

IV p

reve

ntio

n ap

proa

ch

Spec

ific

Obj

ectiv

es

To in

crea

se c

ompr

ehen

sive

kno

wle

dge

on H

IV/A

IDS

in H

EI c

omm

unity

To

redu

ce ri

sky

beha

viou

rs S

TI/H

IV a

nd S

RH

pro

blem

s am

ong

HEI

stud

ents

To

impr

ove

heal

th s

eeki

ng b

ehav

iour

for H

IV se

rvic

es su

ch a

s HC

T, a

nd u

se o

f con

dom

s am

ong

sexu

ally

act

ive

popu

latio

ns

To in

crea

se c

ompr

ehen

sive

kno

wle

dge

on H

IV/A

IDS

in H

EI c

omm

unity

Dev

elop

min

imum

pac

kage

of p

reve

ntiv

e se

rvic

es in

HEI

s 1

docu

men

t N

umbe

r of

docu

men

ts d

evel

oped

R

epor

t H

EIs,

HEI

s Par

tner

ship

Su

b fo

rum

Ada

pt tr

aini

ng m

anua

ls o

n pr

even

tion

of H

IV

and

SRH

issu

es a

nd p

robl

ems

6 m

anua

ls a

dapt

ed

Num

ber o

f m

anua

ls a

dapt

ed

Rep

ort

HEI

s Par

tner

ship

S

ub F

orum

Prov

ide

faci

litat

ors t

rain

ing

on p

eer e

duca

tion,

co

mm

unity

con

vers

atio

ns, l

ife sk

ill a

nd o

ther

re

leva

nt a

reas

as a

ppro

pria

te

6*72

*3=1

296

Num

ber o

f fac

ilita

tors

trai

ned

Rep

ort

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m, M

OE

Dev

elop

/revi

se/u

pdat

e, p

rodu

ce a

nd d

istri

bute

H

IV/A

IDS,

SR

H e

duca

tion

and

othe

r IEC

/BC

C

mat

eria

ls o

n H

IV a

nd S

RH

issu

es

72*

3=21

6 ty

pe o

f m

ater

ials

(1 ty

pe o

f m

ater

ial p

rodu

ced

per

HEI

s per

yea

r)

Num

ber o

f ty

pe o

f mat

eria

ls

prod

uced

R

epor

t H

EIs,

HEI

s Pa

rtner

ship

Su

b Fo

rum

, M

OE

Con

duct

orie

ntat

ion

on H

IV p

reve

ntio

n an

d SR

H

prob

lem

s 1

*72*

3=21

6(1

orie

ntat

ion

per H

EI p

er y

ear)

Num

ber o

f or

ient

atio

n pr

ovid

ed

Rep

ort

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m

Prov

ide

train

ing

(Pee

r edu

catio

n. L

ife sk

ill,

cam

pus l

ife c

omm

unity

con

vers

atio

n, S

ISTA

, m

ento

rshi

p) a

nd o

ther

rele

vant

trai

ning

dee

med

ne

cess

ary

amon

g H

EIs s

tude

nts

6*40

*72*

3=51

840

(6

type

s of

train

ing

per H

EI

per y

ear)

Num

ber o

f tra

inee

s tra

ined

R

epor

t H

EIS,

HEI

s Par

tner

ship

Su

b Fo

rum

, M

OE

Stre

ngth

en H

EI b

ased

HIV

pr

even

tion

inte

rven

tions

Con

duct

talk

show

pan

el d

iscu

ssio

n in

cam

pus

2*7

2*3=

432

(2 p

er y

ear

per H

EI)

Num

ber o

f dis

cuss

ions

con

duct

ed

Rep

ort

HEI

s,. H

EIs P

artn

ersh

ip

Sub

Foru

m

Stre

ngth

en w

ork

plac

e H

IV

prev

entio

n in

terv

entio

ns

Sens

itize

the

HEI

s com

mun

ity o

n th

e na

tiona

l O

C g

uide

lines

and

trai

ning

man

uals

100*

72*3

=216

00 (1

per

ye

ar p

er H

EI)

Num

ber o

f par

ticip

ants

par

ticip

ated

R

epor

t H

EIs,

HEI

s Par

tner

ship

Su

b-Fo

rum

36


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Con

duct

org

aniz

atio

nal c

onve

rsat

ion

72

HEI

s N

umbe

r of H

EIs c

ondu

cted

OC

R

epor

t

Hea

d of

HEI

, H

EIs

Partn

ersh

ip S

ub F

orum

C

ondu

ct c

ondo

m d

istri

butio

ns

450,

000*

30%

*52

*3=2

1,06

0,00

0 (n

o of

se

ctua

ly a

ctiv

e stu

dent

us

ed c

ondo

ms i

n th

ree

year

in

all

HEI

s

Num

ber o

f con

dom

s dis

tribu

ted

R

epor

t H

EIs

Prom

ote

cons

iste

nt u

se o

f con

dom

3

prom

otio

n pe

r yea

r per

H

EI

Num

ber o

f pr

omot

ion

sess

ions

co

nduc

ted

Rep

ort

HEI

s, H

EIs P

artn

ersh

ip

Sub-

Foru

m

Sub

them

atic

are

a 2.

2:- B

iom

edic

al P

reve

ntio

n Sp

ecifi

c O

bjec

tives

To

incr

ease

dem

and

for a

vaila

bilit

y an

d us

e of

bio

med

ical

HIV

and

SR

H p

reve

ntiv

e se

rvic

es in

clud

ing

HC

T, P

EP a

nd p

ost-a

borti

on c

are

To in

crea

ses s

uppl

y, d

istri

butio

n an

d ut

iliza

tion

of m

ale/

fem

ale

cond

oms

To in

crea

se S

TI d

iagn

osis

and

trea

tmen

t To

incr

ease

acc

ess f

or p

ositi

ve p

reve

ntio

n

Educ

ate

the

HEI

s com

mun

ity o

n be

nefit

s of H

IV

testi

ng th

roug

h p

eer e

duca

tion,

med

ia,

broc

hure

s, et

c

4*72

*3=8

64 (

4 se

ssio

ns

per H

EIs p

er y

ear)

N

o of

sess

ions

pr

ovid

ed

Rep

ort

HEI

s

Prov

ide

train

ing

to H

CT

serv

ice

prov

ider

s at

stude

nt c

linic

’s

2*72

*2=2

88 (2

trai

ning

for

2 H

CT

serv

ice

prov

ider

s pe

r HEI

S in

thre

e ye

ar)

Num

ber o

f tra

inee

s tra

ined

R

epor

t H

EIs P

artn

ersh

ip

Sub

Foru

m, M

OE

Prov

ide

HC

T IE

C/B

CC

mat

eria

ls to

HEI

s co

mm

unity

1*

72*3

=216

(1 H

CT

IEC

/BC

C m

ater

ials

di

strib

uted

per

HEI

s per

ye

ar)

Num

ber o

f HC

T IE

C/B

CC

m

ater

ials

dis

tribu

ted.

R

epor

t H

EIs

Prov

ide

HC

T IE

C/B

CC

mat

eria

ls w

ith b

rail

for

visu

ally

impa

ired

whe

re n

eces

sary

1*72

*3=2

16 (1

HC

T IE

C/B

CC

mat

eria

ls w

ith

brai

l dis

tribu

ted

per H

EIs

per y

ear)

Num

ber o

f HC

T IE

C/B

CC

m

ater

ials

dis

tribu

ted.

R

epor

t H

EIs,

HEI

s Par

tner

ship

Su

b Fo

rum

Prov

ide

unin

terru

pted

sup

ply

of t

est

kits

and

ot

her m

edic

al e

quip

men

t.

1*7

2=72

(72

HEI

s HF

prov

ided

with

pac

kage

se

rvic

es)

Num

ber o

f H

ealth

faci

litie

s eq

uipp

ed

Rep

ort

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m

Ensu

re a

cces

s and

enh

ance

up

take

of H

IV c

ouns

elin

g an

d te

stin

g; a

nd S

RH

se

rvic

es s

App

ly IP

pra

ctic

es a

nd u

tiliz

e PE

P 72

HEI

s HFC

N

umbe

r of h

ealth

faci

litie

s pro

vide

d w

ith IP

and

PEP

R

epor

t H

EIs

Esta

blis

h/st

reng

then

ing

STI

pro

gram

s at H

EIs

clin

ics,

heal

th c

ente

rs a

nd h

ospi

tals

7

2 (1

per

HEI

s N

umbe

r of H

EIs w

ith S

TI p

rogr

ams

Rep

ort &

site

vi

sit

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m

Incr

ease

ava

ilabi

lity

and

utili

zatio

n of

STI

serv

ices

Inte

nsify

hea

lth in

form

atio

n an

d ed

ucat

ion

to

impr

ove

treat

men

t see

king

beh

avio

r and

ut

iliza

tion

of S

TI se

rvic

es.

100

% d

istrib

ute

Targ

eted

IE

C/B

CC

mat

eria

l. %

of H

EIS

dist

ribut

ed IE

C

mat

eria

ls

Rep

ort

HEI

s

37


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Prov

ide

drug

s and

supp

lies p

ertin

ent t

o ST

I in

all

HEI

s hea

lth fa

cilit

ies

All

HEI

s N

umbe

r of

faci

litie

s rep

ortin

g ad

equa

te st

ock

of d

rugs

and

su

pplie

s (pe

rcen

t)

Rep

ort

HEI

s

Trai

n he

alth

car

e w

orke

rs o

n us

er fr

iend

ly S

TI

serv

ices

, 2*

72*3

=432

(2 H

CW

per

H

EIs p

er y

ear)

N

umbe

r of t

rain

ed p

erso

nnel

R

epor

t H

EIs P

artn

ersh

ip S

ub

Foru

m, H

EIs

Prov

ide

STI s

ervi

ces a

t HEI

s hea

lth fa

cilit

ies.

All

HEI

faci

litie

s N

umbe

r of h

ealth

faci

litie

s pr

ovid

ing

STI s

ervi

ces

Rep

ort &

su

perv

isio

n

MO

E, M

OH

Prom

ote/

enco

urag

e se

xual

par

tner

not

ifica

tion

durin

g ST

I cas

e de

tect

ion.

A

ll ST

I clie

nts

Num

ber o

f STI

not

ifica

tions

(%)

Rep

ort

HEI

s

Prov

ide

HIV

info

rmat

ion,

edu

catio

n an

d ris

k re

duct

ion

educ

atio

n an

d co

unse

ling

for i

nfec

ted

peop

le

100

% d

istrib

ute

Targ

eted

IE

C/B

CC

mat

eria

l %

of H

EIS

dist

ribut

ed IE

C

mat

eria

ls

Rep

ort

HEI

s

Stre

ngth

en H

IV c

ouns

elin

g fo

r stu

dent

s and

staf

f liv

ing

with

HIV

and

AID

S A

ll P

LHIV

s in

HEI

s will

ge

t the

ser

vice

N

umbe

r of s

ervi

ce b

enef

icia

ries

Rep

ort

HEI

s

Inte

nsify

pre

vent

ion

amon

g H

IV p

ositi

ves i

n H

EI c

omm

unity

Prom

ote

cons

iste

nt c

ondo

m u

se fo

r PLH

As

1*7

2*3=

216

(PLH

IVs

targ

eted

IEC

/BC

C fo

r co

ndom

pro

mot

ion

per

year

per

HEI

S)

Num

ber o

f IEC

/BC

C m

ater

ial

dist

ribut

ed

Rep

ort

HEI

s

Sub

them

atic

are

a 2.

3:- S

truct

ural

To

est

ablis

h a

syst

em th

at p

rovi

des a

cade

mic

, eco

nom

ic a

nd c

ouns

elin

g su

ppor

t to

fem

ale

stude

nts

To im

prov

e H

EIs c

omm

unity

kno

wle

dge

attit

ude

and

prac

tices

on

GB

V a

nd S

RH

issu

es, a

nd p

reve

ntio

n an

d m

itiga

tion

serv

ices

Incl

ude

gend

er is

sues

rela

ted

to H

IV/A

IDS

and

SRH

in p

rogr

am a

ctiv

ities

of H

EIs

% o

f HEI

s inc

orpo

rate

d ge

nder

issu

es

% o

f HEI

s tha

t inc

orpo

rate

d ge

nder

is

sues

in th

eir p

rogr

ams

Rep

ort/o

bser

vatio

n

HEI

s Par

tner

ship

Su

b-fo

rum

,

HEI

s In

clud

e ge

nder

rela

ted

issu

es in

rele

vant

po

licie

s/or s

trate

gies

and

gui

delin

es o

f H

IV/A

IDS

prog

ram

s of H

EIs

2 gu

idel

ines

per

HEI

N

o of

gui

delin

es d

evel

oped

R

epor

t/che

ckup

H

EIs,

H

EIs P

artn

ersh

ip

Sub

form

Ensu

re in

clus

ion

of g

ende

r is

sues

in to

HEI

S H

IV/A

IDS/

SRH

pro

gram

St

reng

then

wor

king

rela

tions

hip

betw

een

HIV

/AID

S an

d ge

nder

coo

rdin

atio

n of

fices

A

ll H

EIs

Num

ber o

f HEI

s est

ablis

hed

unit

Rep

ort/o

bser

vatio

n

HEI

s,

HEI

s Par

tner

ship

Su

b-fo

rum

Es

tabl

ish/

stre

ngth

en st

uden

t cou

nsel

ing

serv

ices

in

HEI

s A

ll H

EIs (

100%

) N

umbe

r of c

ounc

ils e

stab

lishe

d or

str

engt

hene

d R

epor

t H

EIs

O

rgan

ize

orie

ntat

ion

prog

ram

s for

new

ent

ranc

e gi

rl stu

dent

s 1

per y

ear p

er H

EI

Num

ber o

f orie

ntat

ion

prog

ram

s pr

ovid

ed

Rep

ort

HEI

s Par

tner

ship

Su

b-fo

rum

H

EIs

Stre

ngth

en p

sych

osoc

ial

and

acad

emic

supp

ort f

or

girl

stude

nts

Prov

ide

mat

eria

ls fo

r nee

dy fe

mal

e st

uden

ts

200

00 fe

mal

e st

uden

ts(5

%

+ an

nual

con

tinge

ncy/

year

) N

umbe

r of f

emal

e stu

dent

s rec

eive

d m

ater

ial s

uppo

rt R

epor

t H

EIs P

artn

ersh

ip

Sub-

foru

m

MO

E, H

EIs

38


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Prov

ide

acad

emic

sup

port

for n

eedy

fem

ale

stude

nts

(50%

) of f

emal

e stu

dent

s Pr

opor

tion

of fe

mal

e st

uden

ts

acad

emic

supp

ort

Rep

ort

HEI

s Par

tner

ship

Su

b-fo

rum

M

OE,

HEI

s A

rran

ge fi

nanc

ial,

skill

s dev

elop

men

t and

oth

er

IG su

ppor

t for

dro

p-ou

ts

All

need

y dr

op o

ut fe

mal

e stu

dent

s N

umbe

r of f

emal

e stu

dent

s rec

eive

d su

ppor

t R

epor

t H

EIs

Faci

litat

e tra

nspo

rtatio

n su

ppor

t dur

ing

entra

nce

and

vaca

tion

mob

ility

for s

tude

nts i

n co

llabo

ratio

n w

ith re

leva

nt s

ecto

rs

12

prog

ram

s arr

ange

d N

umbe

r of p

rogr

ams a

rran

ged

R

epor

t H

EIs

cond

uct s

ensit

izat

ion

wor

ksho

p on

hum

an ri

ghts

, w

omen

righ

t & G

BV

1

guid

elin

e pe

r HEI

N

umbe

r of g

uide

line

deve

lope

d R

epor

t/obs

erva

tion

HEI

s, H

EIs P

artn

ersh

ip

Sub

foru

m, M

OE

Inco

rpor

ate

gend

er b

ased

vio

lenc

e is

sue

in

stude

nt c

ode

of c

ondu

ct

1 co

de o

f con

duct

in

clus

ive

of G

BV

N

umbe

r of G

BV

issu

es

inco

rpor

ated

R

epor

t H

EIs,

HEI

s Par

tner

ship

Su

b fo

rum

, MO

E A

dvoc

ate

abou

t GB

V (s

uch

as m

easu

res,

code

of

cond

uct…

.) 6

sess

ions

per

HEI

s N

umbe

r of a

dvoc

acy

sess

ions

co

nduc

ted

Rep

ort/

obse

rvat

ion

HEI

s, H

EIs P

artn

ersh

ip

Sub

foru

m, M

OE

Prov

ide

lega

l sup

port

for f

emal

e st

uden

ts a

t HEI

s in

cas

e of

GB

V

6000

0 fe

mal

e st

uden

ts

(50%

) N

umbe

r of f

emal

e stu

dent

s tra

ined

R

epor

t/ ob

serv

atio

n H

EIs,

HEI

s Par

tner

ship

Su

b fo

rum

, MO

E

Prot

ect h

uman

righ

ts a

nd

prov

ide

lega

l sup

port

Effe

ct d

isci

plin

ary

actio

ns fo

r vio

latio

n of

po

licie

s in

HEI

s com

mun

ity

All

disc

iplin

ary

brea

ches

in

HEI

s N

umbe

r of d

isci

plin

ary

actio

ns

take

n R

epor

t/obs

erva

tion

HEI

s

Them

atic

are

a Th

ree:

- Tr

eatm

ent,

Car

e &

Sup

port

Gen

eral

obj

ectiv

e:-

To m

itiga

te h

ealth

and

soci

o-ec

onom

ic im

pact

s of H

IV/A

DS

thro

ugh

impr

ovin

g ac

cess

and

qua

lity

to tr

eatm

ent a

nd li

velih

ood

of th

e ne

edy

HEI

s stu

dent

s and

staf

f PLH

IVs.

Spec

ific

Obj

ectiv

e:

To im

prov

e ac

cess

to tr

eatm

ent f

or p

eopl

e w

ith A

IDS

To a

vail

care

and

supp

ort s

ervi

ces f

or a

ffec

ted

and

infe

cted

HEI

s com

mun

ities

C

ouns

el a

nd id

entif

y pe

ople

with

PLH

IVs

who

re

quire

AR

T se

rvic

es

All

need

y PL

HIV

s who

re

quire

AR

T se

rvic

es

Num

ber o

f PLH

IVs w

ho re

ceiv

ed

AR

T se

rvic

es

Rep

ort

HEI

s

Stre

ngth

en A

RT

serv

ices

or e

stab

lish

linka

ge

with

AR

T fa

cilit

ies

72 H

EIs

Num

ber o

f HEI

s pro

vide

AR

T se

rvic

es o

r ref

erra

l lin

kage

R

epor

t H

EIs

Impr

ove

acce

ss to

tre

atm

ent f

or P

LHIV

s Pr

ovid

e tre

atm

ent a

dher

ence

cou

nsel

ing

and

follo

w u

p

All

need

y PL

HIV

s who

re

ceiv

e A

RT

serv

ices

N

umbe

r of P

LHIV

s who

rece

ived

tre

atm

ent a

dher

ence

cou

nsel

ing

serv

ices

and

follo

w u

p

Rep

ort

HEI

s

Org

aniz

e fu

nd ra

isin

g ev

ents

for c

are

and

supp

ort

serv

ices

1

per y

ear p

er H

EI

Num

ber o

f fun

d ris

ing

even

ts

Rep

ort/o

bser

vatio

nH

EIs,

HEI

s Par

tner

ship

Su

b fo

rum

Es

tabl

ish/

stre

ngth

en A

IDS

soci

al su

ppor

t clu

bs

1 su

ppor

t clu

b pe

r HEI

N

umbe

r of e

stab

lish

club

R

epor

t/obs

erva

tion

HEI

s Sc

ale

up th

e in

volv

emen

t of

HEI

s in

care

and

supp

ort

Supp

ort e

stab

lishm

ent o

f HEI

s PLH

IVs

asso

ciat

ions

1

PLH

IVs a

ssoc

iatio

n p

er

HEI

N

umbe

r of e

stab

lish

asso

ciat

ion

Rep

ort/o

bser

vatio

n

HEI

s

39


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Trai

n ca

re p

rovi

ders

, inc

ludi

ng v

olun

teer

s and

fa

mily

mem

bers

on

care

and

supp

ort

432

(2 p

er*7

2 H

EIs*

3yrs

) vo

lunt

eer a

nd fa

mily

m

embe

rs

Num

ber o

f tra

inee

R

epor

t H

EIs,

HEI

s Par

tner

ship

Su

b-fo

rum

Prov

ide

care

and

supp

ort s

ervi

ces a

s per

the

natio

nal s

tand

ard

pack

age

All

need

y PL

HIV

s N

umbe

r of P

LHIV

s rec

eive

supp

ort

Rep

ort/s

uper

visi

on/

field

vis

it H

EIs,

HEI

s Par

tner

ship

Su

b-fo

rum

Es

tabl

ish

AID

S fu

nd

1 pe

r HEI

N

umbe

r of H

EI e

stab

lishe

d A

IDS

fund

R

epor

t H

EIs

Iden

tify

care

and

supp

ort n

eeds

and

gap

s am

ong

the

PLH

IV in

HEI

s 1

per H

EI

Num

ber o

f nee

d as

sess

men

t co

nduc

t R

epor

t H

EIs

Map

car

e an

d su

ppor

t ser

vice

pro

vidi

ng

orga

niza

tions

in th

e su

rroun

ding

are

as o

f the

H

EIs a

nd e

stab

lish

refe

rral

link

age.

1 pe

r HEI

N

umbe

r of m

appi

ngs c

ondu

cted

R

epor

t H

EIs

Stre

ngth

enin

g in

com

e ge

nera

ting

activ

ities

to

sust

ain

the

prog

ram

. En

gage

the

PLH

IV in

HEI

s on

IGA

A

ll ne

edy

PLH

IVs

Num

ber o

f PLH

IVs e

ngag

e in

IGA

R

epor

t/sup

ervi

sio

n/fie

ld v

isit

HEI

s, H

EIs P

artn

ersh

ip

Sub-

foru

m

Them

atic

are

a Fo

ur:-R

esea

rch

Gen

eral

Obj

ectiv

e: -

To

gen

erat

e ev

iden

ce b

ased

info

rmat

ion

that

add

ress

es th

e ex

istin

g an

d em

ergi

ng H

IV/A

IDS

chal

leng

es in

the

HEI

s and

cou

ntry

at l

arge

.

Spec

ific

obje

ctiv

e

To id

entif

y ri

sk a

nd v

ulne

rabi

lity

fact

ors i

n th

e H

EIs a

nd c

omm

unity

To in

vest

igat

e th

e im

pact

s of H

IV/A

IDS

illne

ss o

n H

EIs

& c

omm

unity

;

To d

ocum

ent a

nd d

isse

min

ate

expe

rienc

es, l

esso

ns a

nd b

est p

ract

ice;

To in

form

key

pol

icy

and

stra

tegi

c de

cisio

ns re

late

d to

HIV

/AID

S an

d SR

H.

Con

duct

surv

ey to

ide

ntify

gap

s and

prio

rity

area

s O

ne re

sear

ch g

aps

iden

tifie

d pe

r HEI

per

yea

r N

umbe

r of

rese

arch

gap

s ide

ntifi

ed

HEI

s H

EIs P

artn

ersh

ip

Sub-

foru

m, H

EIs

Mob

ilize

bud

get/f

und

for r

esea

rch

unde

rtaki

ngs

2 re

sear

ch p

roje

ct fu

nds

per H

EI p

er y

ear

Am

ount

of f

und

mob

ilize

d H

EIs

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m

Iden

tify

rese

arch

gap

s ,n

eeds

& p

riorit

y ar

eas

Allo

cate

nec

essa

ry

reso

urce

s for

rese

arch

on

HIV

/ AID

S &

SR

H

A

vail

logi

stic

supp

ort:

spac

e, ti

me,

dat

a pr

oces

sing

mat

eria

ls a

nd st

atio

nary

1

logi

stic

and

oth

er

reso

urce

s sup

port

per y

ear

per H

EI

The

num

ber o

f sup

port

secu

red

H

EIs

HEI

s, M

OE,

FH

APC

O,H

EIs

Partn

ersh

ip S

ub fo

rum

C

ondu

ct tr

aini

ngs o

n re

sear

ch p

riorit

y se

tting

, pr

opos

al d

evel

opm

ent,

cond

uct o

f fie

ld w

ork,

an

alys

is a

nd sc

ient

ific

writ

ing

to e

nsur

e te

chni

cal

qual

ity

2 tra

inin

g pe

r HEI

s per

ye

ar

Num

ber o

f tra

inin

g pr

ovid

ed

HEI

s dat

a ba

se

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m,

MO

E,

Iden

tify

rese

arch

gap

s ,n

eeds

& p

riorit

y ar

eas

Allo

cate

nec

essa

ry

reso

urce

s for

rese

arch

on

HIV

/ AID

S &

SR

H

Esta

blis

h/st

reng

then

rese

arch

par

tner

ship

with

oth

er

cent

ers o

f exc

elle

nce

and

prog

ram

stak

ehol

ders

A

t lea

st o

ne n

ew

partn

ersh

ip p

er H

EI p

er y

ear

Num

ber o

f par

tner

ship

est

ablis

hed

HEI

s rep

ort

HEI

s

40


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

Con

duct

surv

ey to

ide

ntify

gap

s and

prio

rity

area

s O

ne re

sear

ch g

aps

iden

tifie

d pe

r HEI

per

yea

r N

umbe

r of

rese

arch

gap

s ide

ntifi

ed

HEI

s H

EIs P

artn

ersh

ip

Sub

Foru

m,

HEI

s

Mob

ilize

bud

get/f

und

for r

esea

rch

unde

rtaki

ngs

2 re

sear

ch p

roje

ct fu

nds

per H

EI p

er y

ear

Am

ount

of f

und

mob

ilize

d H

EIs

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m

Con

duct

bas

e lin

e su

rvey

on

KA

P an

d vu

lner

abili

ty

1 ba

selin

e su

rvey

per

HEI

N

umbe

r of b

ase

line

surv

ey

cond

ucte

d H

EIs r

epor

t H

EIs P

artn

ersh

ip S

ub

Foru

m,

MO

E C

ondu

ct p

reve

ntiv

e an

d cu

rativ

e H

IV/A

IDS

rese

arch

es

Two

rese

arch

per

yea

r per

H

EI

Num

ber o

f res

earc

hes c

ondu

cted

H

EIs r

epor

t and

da

ta b

ase

HEI

s, H

EIs P

artn

ersh

ip

Sub

Foru

m,

MO

E

Perfo

rm c

ost-b

enef

it an

alys

is o

f HIV

/AID

S in

terv

entio

ns

1 re

sear

ch d

urin

g th

e str

ateg

ic p

lan

dura

tion

Num

ber o

f res

earc

h co

nduc

ted

HEI

s rep

ort a

nd

data

bas

e H

EIs,

HEI

s Par

tner

ship

Su

b Fo

rum

, M

OE

Und

erta

ke o

utco

me

and

impa

ct st

udie

s of H

IV

inte

rven

tions

1

rese

arch

dur

ing

the

strat

egic

pla

n du

ratio

n

Num

ber o

f res

earc

h co

nduc

ted

HEI

s rep

ort a

nd

data

bas

e H

EIs,

HEI

s Par

tner

ship

Su

b Fo

rum

, M

OE

Esta

blis

h da

taba

se fo

r acc

ess a

nd u

se o

f res

earc

h ou

tput

s 1

data

bas

e pe

r HEI

N

umbe

r of d

ata

base

est

ablis

hed

H

EIs r

epor

t and

da

ta b

ase

HEI

s

Coo

rdin

ate,

gui

de a

nd

cond

uct r

esea

rch

wor

k an

d its

use

Con

duct

val

idat

ion

and

diss

emin

atio

n w

orks

hops

an

d te

chni

cal s

emin

ars

2 w

orks

hops

per

HEI

per

ye

ar

Num

ber o

f wor

ksho

ps c

ondu

cted

H

EIs r

epor

t and

da

ta b

ase

HEI

s

Them

atic

are

a Fi

ve :-

Mon

itorin

g an

d ev

alua

tion

Gen

eral

Obj

ectiv

e: T

o en

sure

tim

ely

gene

ratio

n an

d ut

iliza

tion

of in

form

atio

n to

enh

ance

evi

denc

e-ba

sed

deci

sion

mak

ing.

Sp

ecifi

c O

bjec

tives

: To

ens

ure

the

gene

ratio

n of

qua

lity

data

from

rout

ine

prog

ram

mon

itorin

g an

d ev

alua

tion

To

diss

emin

ate

and

utili

ze st

rate

gic

info

rmat

ion

to g

uide

pro

gram

pla

nnin

g an

d im

prov

emen

t A

ssig

n H

IV/ A

IDS

M a

nd E

off

icer

at m

ulti

leve

l. 74

( 72

HEI

s & 2

at H

EIs

sub

foru

m)

Num

ber o

f HEI

s tha

t ass

igne

d M

&

E of

ficer

R

epor

t M

OE,

HEI

s, H

EIs

Partn

ersh

ip

Sub

For

um

Ado

pt/d

evel

op M

&E

fram

ewor

k/im

plem

enta

tion

man

ual.

1 M

& E

fram

ewor

k/im

plem

enta

tion

man

ual d

evel

oped

D

ocum

ent

MO

E, H

EIs,

HEI

s Pa

rtner

ship

Su

b Fo

rum

Stre

ngth

en th

e ca

paci

ty fo

r M

onito

ring

and

Eval

uatio

n (M

& E

)

Con

duct

trai

ning

for M

&E

offic

ers.

74

Num

ber o

f M

& E

off

icer

s tra

ined

R

epor

t M

OE,

HEI

s, H

EIs

Partn

ersh

ip

Sub

Foru

m

Stre

ngth

en ti

mel

y ge

nera

tion

of q

ualit

y Im

plem

ent H

IV/A

IDS

indi

cato

rs w

ithin

the

HEI

s m

onito

ring

and

eval

uatio

n sy

stem

s. 72

N

umbe

r of H

EIs i

mpl

emen

ted

R

epor

t &

docu

men

t M

OE,

HEI

s, H

EIs

Partn

ersh

ip S

ub F

orum

41


Sele

cted

Stra

tegi

es

Inte

rven

tions

Ta

rget

s K

ey In

dica

tors

So

urce

of

Ver

ifica

tion

Lead

Age

ncy

info

rmat

ion

Con

duct

regu

lar s

uppo

rtive

supe

rvis

ion

72(1

per

yea

r) N

umbe

r of H

EIs s

uper

vise

d R

epor

t M

OE,

HEI

s Par

tner

ship

Su

b Fo

rum

En

hanc

e di

ssem

inat

ion

and

utili

zatio

n of

info

rmat

ion

Prep

are,

prin

t and

dis

tribu

te H

IV/A

IDS

M&

E re

ports

regu

larly

. 1

M &

E re

ports

pro

duce

d D

ocum

ent

HEI

s Par

tner

ship

Sub

Fo

rum

42


Part Six: Coordination and Mobilization of Resources for the Implementation of the SPM

6.1. Coordination

The current status of HEIs Partnership Sub Forum against HIV/AIDS is weak within and between HEIs and other stakeholders such as MOE, MOH, HAPCO, and other partners’ agency. The duplication of these efforts resulted in uneven distribution of resources and lack of standardized interventions. Moreover, experiences and lessons among different actors are not shared and disseminated. The experience to date from various HIV responses projects in several HEIs underscores the need for effective coordination mechanism. Recognizing this, HEIs have initiated a partnership forum against HIV/AIDS. This was clearly spelt out in the MOU of November, 2010, which emphasized the need for a strong coordination mechanism among HEIs. The MOU serves as guide for relations among members HEIs and to facilitate a harmonized approach. However, to effectively undertake this role the Forum needs to be strengthened.

6.1.1. Tasks

The coordination office of the HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia, can play critical roles in harmonization of intervention plans, standardization of implementation guidelines and tools and in supervision and mobilization of resources. It also facilitates documentation of experiences, good practices and lessons from and among HEIs. Furthermore, it can serve as a

43


liaison among different stakeholders so that number of duplication of effort is minimized and efficient uses of resources.

6.1.2. Inputs

Strengthen the partnership forum with adequate resources, including staffing, office space and communication and other logistics supply and the required budget. To start with, the Forum should have project coordinator to liaise stakeholders, resource mobilization expert, monitoring and evaluation officer and office assistance.

6.1.3. Organizational Structure

Mechanisms for strong linkages between HEIs and the coordination office need to be further defined with clear terms of responsibilities and reporting channels. One proposed approach would be that the coordination office should directly report its performance after getting endorsed by Executive Committee and General Assembly to the Office of State Minister for Higher Education at the Federal Ministry of Education of Ethiopia.

The Forum facilitates regular reporting via the MOE to FHAPCO so that its activities are incorporated into the annual national Multi-sectoral HIV/AIDS implementations progress and performance reports.

The Executive Committee of the Forum is comprised of presidents of eleven HEIs represented from government and privately owned institutions. This committee gives guidance and monitors the overall activities of the coordination office. In return, the

44


Executive Committee facilitates annual review and reporting of the performance of the coordination office to the General Assembly.

Details on roles and responsibilities of the general assembly, the Executive Committee and the coordination office are described in the MOU for HEIs Partnership Sub Forum against HIV/AIDS in Ethiopia.

Organo-gram of the Higher Education Institutions’ Partnership Sub Forum against HIV/AIDS in Ethiopia

45

Federal HIV AIDS P/C/Office

General Assembly (Member Universities)

Ministry of Education

Executive Committee

Coordination Office

Partners


6.2. Resource MobilizationAt present, the few ongoing HIV/AIDS response interventions are mainly driven by or initiated by external funding sources including from multi-lateral and bilateral funding agencies channel through NGOs and sub-contractors. While this approach could serve to quick-start new activities and serve as seed grants, there are also limitations and this minimizes efficient use of resource and duplication of efforts. There is weak ownership of projects, too.All these, in the absence of an exit strategy for mobilization of resources would have short span and limited scope of interventions both in coverage and further continuity. To address this gap, it is imperative to have a well-defined project designed incorporating resource strategy.

6.2.1. Inputs

• Identify immediate and intermediate resource needs and budget

• Map of potential resources funding and other resources such as technical expertise, logistic and other supplies as necessary

• Explore mechanisms for expediting the ongoing mainstreaming of HIV/AIDS programs to HEIs and MOE

• Initiate institutional collaboration, as an exit strategy, with internal and external partners including for AIDS research and girls empowerment projects

• Strengthen and establish data base of experts within HEIs for undertaking sub-contracts of projects in the areas of HIV/AIDS research M&E, development of technical guidelines and tools for potential stakeholders

46


• Organize technical seminars, workshops and educational tours on HIV/AIDS on behalf of stakeholders

6.2.2. Assumptions for Source of Budget and other Resources for Implementation of Strategic Plan

The HEIs Strategic plan for HIV/AIDS response is developed within the SPM II framework as per the guidance from the Forum’s policy and strategy framework, and with technical and financial support from FHAPCO, MOH, MOE, MOWCYA, UN agencies (UNICEF, UNAIDS, WHO, UNFPA, UNESCO), and technical partners (NASTAD, PSI, ICAP, CDC, Pathfinder, etc) have identified key strategic interventions for HIV response in HIEs. The Strategy is supported with implementation plan incorporating key activities along with indicators to track progress in implementation. This plan will be primarily implemented by the HEIs directorate and HEIs Forum members, both public and private. The sectoral ministries (MOH and MOE), FHAPCO and other key stakeholders will provide technical and funding support for implementation of the strategic plan.

Critical inputs for execution of the strategic plan include office space with necessary logistic, and human resources budget for implementation of strategic plan activities. While the actual amount of required budget will differ among HEIs and in time, the following need considerations:Critical assumptions for effective implementation with budgetary support

• Political commitment with meaningful action at all

47


levels and in a sustained manner • Program ownership by all members of HEIs forum as

expressed by endorsement, allocation of resources and leadership to implement the strategic plan

• Continued support of internal and external stakeholders for technical and funding inputs

While the above assumptions are determinants for the success of the initiative by HEIs forum, even more critical is the availability of required resources for actual implementation of the plan.

48


6.3. Sources of Funding

The respective HEIs should implement the strategic plan by paying attention to the following requirements:

• Implement mainstreaming in HEIs with allocation of up to 2% of annual recurrent budget for strategic plan

• Allocate sectoral budget from MOE for interventions in HEIs as part of translation of Education Sector HIV/AIDS Policy and Strategy to public health action

• Allocate budget from the national AIDS response budget as part of translating the multi-sectoral response plan and SPM II and its roadmap

• Develop resource mobilization and financial management strategy either as shared service or institution-based approach

• Develop specified proposals within the strategic plan • Advocate for supporting the strategy- with UN

agencies, bilateral stakeholders, NGOs, private sector etc

• Assign membership fee as pool fund from their internal revenue to support the secretariat and its work

49


REFERENCES:

1. Amare D. (2009). Distribution of Most-at-risk population groups, Addis Ababa, Ethiopia;

2. FHAPCO (2012). AIDS Progress Report, Ethiopia;3. FHAPCO (2012).The Drivers of HIV/AIDS Epidemic and

Response in Ethiopia;4. FMOH (1998). National AIDS Policy, Addis Ababa, Ethiopia;5. FHAPCO (2004). Strategic Plan on intensifying multi-sectoral

HIV/AIDS response in Ethiopia (SPM I), 2004-2008);6. FHAPCO (2009). Strategic Plan on intensifying multi-sectoral

HIV/AIDS response in Ethiopia (SPM II), 2009-2014);7. FHAPCO (2010).Multi-sectoral HIV/AIDS response annual

Monitoring and Evaluation Report, July 2010-June 2011);8. FMOE (2009). Education sector HIV/AIDS response policy ,

Addis Ababa, Ethiopia;9. HEIs Partnership Forum (2010). Policy and Strategy

framework;10. Mekonen Y, Demisie Y. (2010). SC-USA- TansACTION

Program. Baseline survey among Most-At-Risk-Populations in 12 towns of Ethiopia (Unpublished report);

11. Memorandum of Understanding for Higher Education Institutions’ (HEIs) Partnership Sub-Forum against HIV/AIDS in Ethiopia, November, 2010, Addis Ababa, Ethiopia;

12. Mitikie G, Tamru M. (2007). The Drivers of HIV Epidemic and Response in Ethiopia;

13. Regassa N, Kedir S. (2011). Attitudes and practices on HIV preventions among students of higher education institutions in Ethiopia: the case of Addis Ababa University East Africa J Public Health. 2011 Jun;8(2):141-54);

50


Higher Education Institutions’ Partnership Sub Forum against HIV/AIDS in Ethiopia

Drafting Committee of the Strategic Plan / SPM 2013-2015/

Name of S. No Participant University/Organization Responsibility

1 Anteneh Mekonnen

Ethiopian Civil Service University

Coordinator, HIV/AIDS Training and Research

2 Lemissa Oljira Haromaya University

Director, HIV/AIDS Prevention and Control Directorate

3 Dr Tariku Tadele Hawassa University

Director, HIV/AIDS Prevention and Control Directorate

4 Kassahun Emiru Gondar University HIV/AIDS Coordinator 5 Tirhas G/medhin Aksum University HIV/SRH Coordinator 6 Solomon Alemayehu Semera University Officer 7 Hailu Marew Addis Ababa University A/Coordinator 8 Belay Abera Arba Minch University HAPCO Officer 9 Miftah Awel FHAPCO Planning Expert 10 Mohammed Abatemam FHAPCO M&E Expert 11 Hadish G/tensay MOE HIV Coordinator 12 Dr. Frehiwot Nigatu FMOH HIV/STI Focal Person 13 Estibel Mitiku MOWCYA HAPCO Department Head 14 Mado Assefa MOWCYA Expert 15 Teshome Admasu Packard Foundation Program Associate 16 Dr. Ayana Yeneabat UNAIDS Consultant 17 Fedesa Tadese NEP+ M&E Officer 18

Philipos Petros ECSU & HEIs Head of HAMU & EC Secretary

19 Abebe Zenebe

St. Mary’s University College

Head, Student Wellness Dev’t & success service

20 Belachew Kahsay Defense University Coordinator 21 Mogeus Menna HEIs P/Forum Coordinator 22 Tigist Girma HEIs P/Forum A/ Coordinator 23 Dr. Dereje Beyene Adama University HAPCO Coordinator 24

Abraham Alano Hawassa University Joined for review and refine the SPM

51

HEIs Partnership Forum against HIV/AIDS in Ethiopia, SPM I52

Documents

heipf.orgheipf.org/sites/default/files/Strategic Planning (SPM) 2013 to 2015.pdfheipf.org