The goal of this project is to contribute to GBV prevention, care, and response to vulnerable IDP women and girls and host communities of Afar region of Yallo district affected by the current crises in Tigray.
The expected outcomes and outputs are the following: –
Outcome 1: Promote community engagement and ownership in addressing GBV using community-based approach
Output 1-1: Community engagement and ownership in addressing GBV promoted/enhanced
Output 1-2: Enhanced community awareness on GBV
Output 1-3: Prevention mechanism for GBV will enhanced
Output 1-4: Safety and security of IDP women and girls will improved
Output 1-5: Women and girls and the hosting community will be protected from any psychosocial harm at timely level
Outcome 2: Strengthen coordination among actors in the criminal justice system, medical and community services to adequately handle gender-based violence cases
Output 2-1: GBV perpetrators are held accountable
Output 2-2: Timely solution and measures for protection will be advanced
Output 2-3: victims/survivors will get assistance and enhance their confidence
Output 2-4: Proper coordination in support of survivors will be enhanced
Outcome 3: Strengthen the capacity of survivors and their family by providing material support
Output 3-1: Survivors/victims of GBV, their families, women and girls from hosting community will be capacitated by essential materials
In this project ED expected to see different long-term results in regard to women and girls, IDPs and host communities. Among them are: –
risk and vulnerability reduced and resilience of house hold IDPs and host communities strengthened
1. GBV survivors receiving clinical care, case management, psychosocial support, legal assistance, and safehouse and material support
2. The capacity of targeted actors, including justice actors, traditional clan leaders and religious leaders, to ensure GBV perpetrators are held accountable strengthened,
3. People awareness and knowledge about GBV, survivor-centered and participatory program approaches; trauma informed programming; male engagement strategies; adolescent-focused program will be enhanced.
4. Women, men, girls and boys affected by conflict have equal access to a timely, age, sex and culturally sensitive GBV package of services/ protection responses.
The HIV epidemic in Ethiopia is heterogeneous by sex, geographic areas and population groups. Among women and men combined, HIV prevalence is seven times higher in urban areas than in rural areas (2.9 percent versus 0.4 percent). HIV prevalence is 3.6 percent among women in urban areas compared with 0.6 percent among women in rural areas. Seven out of the nine regional states and two city administrations have HIV prevalence above 1 percent. Looking at HIV prevalence by region, it is highest in Gambella (4.8 %), followed by Addis Ababa (3.4%), Dire Dawa (2.5%), and Harari (2.4%) and Afar (1.4%) (CSA and ICF, 2018).
The project area, Afar regional state, is located in the Eastern Ethiopia with a population above 1.9 million (CSA, 2013) of which 80% are pastoralists. The temperature ranges between 35-50-degree c. and Afar is the least developed with limited infrastructure, and low access and use to education and health services.
According to Ethiopian federal HIV/AIDS Prevention and Control Office “HIV Prevention in Ethiopia National Road Map 2018 – 2020” estimation, the number of PLHIV found in Afar regional state in 2020 are 10,404 even though the regional HAPCO said more than that.
This project is implemented in selected three PEPFAR sites (health facilities) of three towns of zone one (Awsi Rasu) namely Semera, Logia, and Dubti with key persons (KP) from the communities, people living with HIV (PLHIV) and other affected communities. These three towns are amongst the highest burden area in the region which prioritized for HIV prevention response and the highest number of people living with HIV are found which are more than 2500 people.
Project description In this Community-led monitoring project ED intend to trains, supports, equips, and pays members of directly affected communities to themselves carry out routine, ongoing monitoring of the quality and accessibility of HIV treatment and prevention services. Monitoring focuses on collecting quantitative and qualitative data through a wide variety of methods that reveal insights from communities about the problems and solutions to health service quality problems at the facility and regional level. In addition to this for better-quality improvement result ED will advocate by bringing new evidence-based information to the attention of decision makers and holds them accountable for acting on that information.
➢ Empowerment for Development (ED) designed this project in line with PEPFAR 2020 Country Operation Plan (COP20) guidance.
➢ The tools to be used for monitoring will be identified according to the context that address the need of the local community. In this project ED implements the main parts of Community-led monitoring activities which are characterized by data collection, analysis, dissemination, advocacy, and monitoring. The effort shares important methodologies and can generate information that it is focused on a goal of improving service quality and accessibility.
Data collection: – this project will collect data through a wide range of qualitative and quantitative methods. These include direct observation of the conditions of services by community monitors, interviewing or surveying clients at facilities, interviewing staff and managers at facilities, conducting focus groups and door-to-door surveys in areas served by health facilities, and other methods. These efforts are systematic and rigorous, but focused on the key outcome of creating change, that puts the priority on generating actionable information.
How we collect data:We collect data according to the standard of International Treatment Preparedness Coalition (ITPC’s) Community Treatment Observatories (CTO) Model. In this model we use the five A’s which CTOs collects and analyses data on availability, accessibility, acceptability, affordability and appropriateness of HIV care and services. All data collection will be done by android tablets in which all necessary data gathering formats will be installed. The collected data will be transferred electronically to a central data storage center where ED team with the community can processes, analyses, present and used for advocacy and reporting purpose. Electronic data allow easier to search & filter to present information in customizable ways. Electronic data collection provides an effective platform which can be used successfully to collect data from healthcare facilities and from PLHIV during service gap monitoring this kind of data collection will reduce human error and decrease time necessary for data entry and cleaning. The collected electronic data will be transmitted securely and quickly, using existing 3G tablet phone networks or Wi-Fi connection.
Analysis: – the collected data will be analyzed and translated into actionable insights. This includes a two-step process: First, community monitors with the help of ED will group and interpret the collected electronic data from the diverse groups described above to identify specific problems. Here, the value of having affected communities leading the work is that they bring local knowledge and insights to bear which in turn generates ideas that might not occur to external actors and eliminate solutions that would be unacceptable to communities. District and regional Health bureaus need to know which health facilities are doing well and which are doing poorly this make them to identify specific problems and generate potential solutions.
Dissemination: – here the communities with the facilitation of ED will share the insights gathered with a wide range of stakeholders which means results will be disseminated to facility managers, woreda administrations, regional Health bureau and regional HAPCO and US Embassy PEPFAR Ethiopia coordination office.
Advocacy: – as an integral part of this project advocacy is the lynchpin of addressing accountability deficits. This occurs at multiple levels starting at the facility itself where community monitoring efforts can help make health facility managers aware of issues, they may not be aware of and hold them accountable for doing so. Meanwhile, our advocacy moves beyond the health facilities at town level to address district and regional level actors. Efforts may include meetings, reports, engagement with media and a variety of tactics scaled to the level of urgency and receptivity of the decision-maker.
Monitoring: – at each level where advocacy has been effective, specific commitments are made by decision-makers to address the problems identified. Therefore, ED will help the communities to ensure whether the commitments made are being implemented in practice and, critically, whether these commitments are having the desired outcome. In the whole process which articulated above ED will work with the community in collaboration, respectful and solution-oriented manner in order to improve the service outcome.
The main goal of the project is to improve the quality, access and optimal client-centered HIV services to beneficiaries in Semera, Logia and Dubti towns of Afar regional state.
There are two objectives in this project, these are: –
Objective 1: – to introduce and involved communities on community led monitoring
Objective 2: – to enhance service delivery of health facilities and increase accountability of service providers based on evidence-based data and advocacy