SRHR and HIV&AIDS
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Transcript SRHR and HIV&AIDS
CSTL /RHIVA Sharing Meeting 2014
Reducing HIV in Adolescents
Southern Sun O.R. Tambo - Johannesburg, South Africa
17-20 November 2014
Presentation Outline
A description of RHIVA Project
Case of RHIVA in Zambia
Implementation Challenges
Opportunities/Emerging Issues
Key lessons learnt
Reducing HIV in Adolescents
• A school-based, HIV prevention programme,
conditional cash transfer to encourage positive
behaviour change among adolescents,
especially girls.
• Knowing status
• Positive healthy behaviour
• Career aspiration and planning
• Falls under CSTL health element
• Currently piloted in Mozambique, Namibia and
Zambia
RHIVA Goals and Objectives
Goals
• To reduce the number of HIV infections among adolescents in the
SADC Region
Objectives
• To incentivize adolescent students in Intervention 1 and 2 schools to
engage in healthy behaviours and make responsible lifestyle choices
• To increase knowledge and understanding of Intervention 2 learners
on HIV&AIDS/SRH, and on career development through
strengthened life skills curricula
• To increase awareness amongst parents and school communities
from Intervention 1 and 2 schools on the importance of supportive
and protective environments for adolescents
Programme Theory of Change
• When adolescents are:
• incentivized to engage in positive behaviours,
• equipped with knowledge and skills on SRH and HIV prevention,
• equipped with knowledge on career choices, sustainable livelihoods and financial
management,
• When parents and teachers are engaged in supporting adolescents in
responsible decision-making,
• Then adolescents will:
• believe that the future holds opportunities for them,
• have confidence in their own abilities,
• will make healthy lifestyle choices and display responsible behaviours,
THIS WILL REDUCE THEIR RISK OF CONTRACTING HIV.
RHIVA Intervention
• The intervention comprises of three cohorts:
• Control group: No intervention; assessed at baseline and end of
program
• Intervention 1: Conditional cash transfer programme; parent
workshops; periodic assessment of milestones; assessed at baseline
and end of program
• Intervention 2: Conditional cash transfer programme; strengthened
SRH and entrepreneurship curriculum; parent workshops; periodic
assessment of milestones; assessed at baseline and end of program
• 21 schools (7 per cohort); approximately 200 learners
per school = 2800 learners per country
A look at RHIVA in Practice: Zambia
Achievements
RHIVA is being Implemented in 21 Secondary schools within Lusaka
Province
More than 2,500 learners from 14 schools in Intervention Group 1
and Intervention Group 2
Approximately 1, 300 now know their HIV status through an HIV test;
received cash voucher
About 1,054 parents successfully engaged as key stakeholders of the
project implementation;
26 of teachers successfully trained as core facilitators of the ‘My Life,
My Future’ programme in all intervention group 2 schools
Committed parents to RHIVA Programme
A look at RHIVA in Practice: Zambia
Achievements
Successfully engaging 29 health centres in the provision of HCT
services to learners on the programme;
Successfully conducted advocacy activities in all 21 schools through
orientation and briefing meetings;
Strong collaboration with the Ministry of Education, Ministry of
Health and Stakeholders, committed to effective implementation of
the project in schools; shared goal to improve the health of young
people in Zambia.
Implementation Challenges
Lack of real commitment by some parents, especially in
Low-density areas, to allow full participation in the project
implementation
Lack of administrative costs in the day-to-day management
of project (activities-based budgets a sore);
Inadequate funds that cannot even cater for teacher’s
entitlements such as transport refunds, lunch allowances
etc.
OTHER CHALLENGES (?? MOZAMBIQUE? NAMIBIA?)
Opportunities/Emerging issues
Opportunity: Existence of HCT services and youth friendly
services in all health centres in Zambia.
Opportunity: The Ministry of Education embraces the
desire to reduce HIV among adolescents.
Emerging issues: Differences in the reporting systems and,
above all, the tracking of RHIVA indicators through data
collection in health centres that have specific interests.
Emerging issues: Lack of resources is quite an issues.
Key Lessons Learnt
Forming partnerships with organization(s) that are specialized in
Mobile HCT service provision could have influenced objective data
collection on HIV status of learners
One opportunity for RHIVA is the existence of HCT services and
youth friendly services in all health centres
Engaging stakeholders and leveraging support for project goals can
accelerate the implementation of RHIVA significantly. However, this
has huge cost implications
Advocacy is an ongoing and evolving process; but critical to
programme success
OTHERS?
Comments and Questions from
the Floor & Other Panellists.