Background on current HIV/AIDS Control in Sri Lanka.
Three Ones principal
Basics on High Risk Activity and High Risk Group
Basics on project monitoring and evaluation
Gaps in strategic information on MARPs in Sri Lanka
Category Sri Lanka Land area (sq km) 62,705 Provinces 9 Districts 25 Grama Niladari Divisions (GND) 14,013 Estimated mid year population (2005) 20 million Population density (Person per sq km) 313.7 Average annual growth rate (1981-2001) 1.1
HIV Epidemic in Sri Lanka Prepared by SIM Unit, National STD/AIDS Control Programme, Sri Lanka, 2010.
Heterosexual men and women with multiple sexual partners
Populations surrounded by armed conflict
Female domestic workers
Be careful when naming a group according to the occupation Behaviour is the risk. NOT the occupation
Methodologies to identify high risk sub population in your area or country
Key informant interviews
Participatory approach (Stakeholder analysis and meetings) Importance/Influence)
STD clinic data analysis
Literature survey for evidence
Planning a behaviour study or research
Biological surveillance (HIV sero-surveillance)
Strength of evidence
Some of survey or study questions to track risk behaviour patterns
Age at coitarche?
Condom use at first sexual IC?
Condom use at last sex?
Condom use during the last month?
Number of regular partners (female/male) during the last month/12 months etc?
Number of non-regular partners (female/male) during the last month?
Condom use with regular partner (female/male) at last sexual IC?
Condom use with non-regular partner (female/male) at last sexual IC?
Have you ever injected drugs?
How frequent we need behaviour data in a population?
Behaviour pattern are not changed rapidly in general
Once in 2-5 year is practical
Behavioural surveillance (continuous)
Integration of behaviour questions to DHS survey
Priority populations for prevention interventions in low level and concentrated epidemics Intervention: Is a specific set of activities implemented by a project or providers and can be focused at various levels such as the individual, small or large group, community or societal levels.
Monitoring and evaluation of intervention strategies for MARPs
Framework for indicator selection Input-Activities-Output-Outcome-Impact