SOUL FATHERS AS HEALTH EDUCATORSWhere should we go from here?

Project Aims• To improve the ability of the SCOPE project to increase rates of ANC and PMTCT uptake in Ethiopia by increasing awareness, support and buy-in among key stakeholders and strengthening partnerships among them.• To assess stakeholder commitment and potential contribution.• To strengthen the sustainability of the project and develop a plan for expansion.

Stakeholder Interviews

Goal: To assess stakeholder support and gain insight and strategies to encourage future involvement and buy-in of key stakeholders• Themes

1. Maternal child health and HIV are priority issues.2. The relationship between the EOC and medical community must

be handled with care.3. Perceived lack of ownership of the project at various levels.4. Perceived lack of support, communication, and oversight and a

desire for a long term plan with clear expectations and goals.

Things that encourage continuation of work:1. Community expectations2. Conviction that this is God ordained work - Pride3. Encouragement from HEWs4. Recognition of success

Soul Fathers Project Focus Group

Challenges for continuation of work1. Lack of accountability and encouragement2. Lack of incentives – monetary, shoes, and umbrellas3. Time – competing responsibilities4. Difficult travel conditions

Soul Fathers Project Focus Group

Soul Fathers ProjectProject Evaluation

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Number of New ANC Visits at Woleka Clinic

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Sustainability• Things done well:• U. Gondar fellow involvement in the design and

implementation• EOC priest selection• Simple program design• Monitoring and evaluation incorporated into current data

gathering process• Established strong partnerships

Sustainability• Room for Improvement:• Monitoring and Evaluation• Consistently incorporating feedback and data• Short term and long term goals

• Implementation period and follow-up• Nurturing the partnerships, providing consistent

encouragement• Encouraging and developing local leaders • Incorporating the clinic staff and HEWs

Locations – 5 Visited• 2 Health Centers chosen for expansion• Azezo – 2 stages• Woleka – Repeat the project

• 1 Health Center chosen for Pre-Implementation Phase• Gabriel – U. Gondar Fellow

Project

Soul Fathers ProjectGoing Forward

Soul Fathers ProjectThe stage is set.

• Contact Made• Explanation of Project• Enthusiasm Garnered• Preliminary Data Collected

Soul Fathers ProjectPlanned Changes to Program Implementation

• Longer implementation period• Incorporation of previous participants• Developing Leadership

• Incorporation of HEWs• Incentives• Monitoring and Evaluation• Longer duration • Control group and intervention group at Azezo to

strengthen level of evidence• Expanded quantitative data collection

Deliverables• Report on the evaluation of the Woleka project• Updated SOP for Soul Fathers Project • Monitoring and Evaluation Plan• Quantitative, qualitative, and sustainability measures • Monthly, quarterly and annual reporting sheets • Short term and Long term goals

Questions?