Community responses to hiv and aids in malindi marystella


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Community responses to hiv and aids in malindi marystella

  1. 1. Community Comprehensive Response to HIV and AIDS in Malindi- Coast Province By:MaryStella Barasa, Deryck Omoudo, Ruth Odindo and Dr. Frank Mwangemi
  2. 2. Introduction FHI partnered with line government ministries and Civil Society Organizations to intensify comprehensive & multi-sectoral response to the HIV and AIDS epidemic in Malindi District
  3. 3. Background  Expanded comprehensive response is mobilization of adequate resources and organizational capacity to effectively respond to HIV and AIDS epidemic  ECR concept includes:- Scale, Scope, Systems, Quality and Community Capacity (3 Ss, one Q, and one C)
  4. 4. Methodology  Conducted a community capacity assessment to evaluate management and technical capacity of 71 CBOs  Community groups developed action plans based on identified gaps  Systems developed  Capacity building  Community was involved in planning
  5. 5. Three Ones" principle adopted  One agreed HIV and AIDS Action Framework that provides the basis for coordinating the work of all partners  One HIV and AIDS Coordinating Authority, with a broad-based multi-sectoral mandate  One agreed District - level Monitoring and Evaluation System
  6. 6. Capacity Building  CACC given orientation on managing and coordinating HIV programs - 63 CACC members participated  CBOs given orientation on HIV/AIDS technical areas - 90 CBOs participated  CBOs given orientation on Project financial management and resource mobilization (90 CBOs participated)  Provided forums for continuous education and information updates
  7. 7. Systems Development (continued)  One HIV and AIDS action framework developed for coordinating the work of all partners  Participatory Monitoring and Evaluation for HIV/AIDS community groups Developed process of Monitoring using minimum number of indicators and standard data collection tools
  8. 8. Systems Development (continued) The System includes data from HBC, OVC and BCC The CACC Secretaries are custodians of the information and DDO keeps district summaries MOH provides STI,TB,PMTCT,VCT and ART information Developed referral system and directory Monitoring and evaluation committee formed to supervise and monitor groups
  9. 9. RESULTS
  10. 10. Improved Planning and Coordination  Malindi CACC meet 1st Wednesday to discuss community issues  Malindi and Magarini CACC opened bank accounts  District Technical Committee has monthly planning meetings  Monthly HIV stakeholders meetings for community groups  Quarterly joint HIV and AIDS stakeholders review and planning meetings  Monitoring of HIV activities and CBOs
  11. 11. Scale and Scope  Comprehensive prevention, care, and support services now offered in Malindi and Magarini constituencies  152 outreaches conducted per year reaching 70,000 – 100,000 people  Focused action with steadily expanding coverage e.g. Joint MOH outreaches with CBOs to every Sub location  Strengthened referral for a continuum of prevention, care and support  Significant increase in VCT, PMTCT, ART service uptake reported by MOH  Assisted 12 hotels to start comprehensive HIV and AIDS Workplace programs  FHI supports other programs targeting FSW, youth in and out of School, VCT and ART at the MOH
  12. 12. Multi-sectoral and multi-level partnerships  Increased Multi-Sectorial and Multi Level involvement of communities targeted in prevention efforts – Youths, Faith based Organizations, People living with HIV, Private sector, NGOs and Government  Malindi Youth Forum with forty one youth groups now involved in HIV and AIDS activities  Twenty one FBOs have HIV and AIDS committees implementing HIV programs  Seven PLWHA support groups involved with about 450 members
  13. 13. Community involvement  Increased number of CBOs(150), FBOs and PLWHA participation and joint activities  A supportive and open environment has been created in the community and raising general awareness  Behavior change communication committee formed by CBOs  Malindi BCC Strategy developed
  14. 14. Community involvement …ctd  Quality messages developed, shared and reinforced by each CBO  OVC support in line with guidelines  CBOs collect, analyze information, respond to HIV and AIDS issues and make decisions on interventions e.g. lobbying and advocacy, outreaches etc
  15. 15. Resource Mobilization  Expansion of resources for HIV-related activities in the district from  Community groups  Business community  Faith based organizations and NGOs  Administration, Government Ministries and parastatals  Human resource, cash and kind leading to increased HIV and AIDS activities
  16. 16. Challenges - Community Limited capacity of the CACCs to monitor grass root group activities Limited capacity of CACC secretaries to handle data Participatory M & E user rate is not 100%
  17. 17. AKNOWLEDGEMENT  All Govt departments in Malindi  All CBOs/ FBOs  Family Health International (FHI)  AMKENI Project  COPHIA Project (Pathfinder)  PATH  NOPE  Kenya Red Cross Malindi branch  Tawfiq Muslim Youth  SOLWODI  Liverpool VCT  SWAK  Business Community  KANCO