Integrating GIS in HIV Program Monitoring

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Integrating GIS in HIV Program Monitoring

• Presented by
• Sheri Warren Jeff Eisman

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MET overview

• Mobilizing, Equipping and Training
• 5-year PEPFAR funded grant in rural districts of
  4 African countries
• TOT model
• Targets 700K youth 19K educators
• Goal help youth 15-24yo make healthy choices in
  regard to sexual practices, emphasizing
  abstinence and faithfulness

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MET activities

• Community mobilization
• Stakeholders meetings
• Community sensitization meetings
• Staff development
• Monitoring and Evaluation

• Initial 5-day workshop
• Commitments from the initial 5-day workshop
• Advanced 5-day workshop

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MET activities

• Community conversations on sexual abuse and
  exploitation
• Formation of Community Based Volunteer Teams
  (CBVTs)

• Commitments from the advanced workshop
• First follow-up meeting
• Final Networking/follow-up meeting

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MET activities

• Each catchment area is broken in to 6 supervisory
  areas
• KAP surveys every six months
• Utilizing the LQAS method
• Separate married from unmarried

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Method Evaluations

• Evaluation One
• ME system was cited as a promising practice for
  program development and continuous learning by
  an independent group of auditors hired by USAID

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Method Evaluations

• Evaluation Two
• When evaluated by USAID technical officers a few
  months later they determined
• LQAS is an innovative and useful method to
  monitor overall community change in HIV/AIDS
  prevention behaviors. The model should be shared
  with other USG partners.

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Method Strengths

• Strengths
• Easy to implement in the field due to small
  sample size (19 HH surveys)
• Data is useful for informed program management

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Method Challenges

• Challenges
• Cannot draw conclusions across countries due to
  small sample size limited to catchment area only
• Measuring perception and self-reported data

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MET indicators

• PEPFAR I Strategic Objectives
• Increase abstinence until marriage.
• Increase secondary abstinence until marriage.
• Increase fidelity in marriage/ monogamous
  relationships.
• Increase avoidance of unhealthy sexual behaviors.

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MET indicators

• LQAS Indicators
• Increase HIV/AIDS knowledge
• Percent of youth (married and never married) who
  correctly identify ways of preventing sexual
  transmission, and reject major misconceptions
  about HIV transmission

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MET indicators

• LQAS Indicators
• HIV/AIDS accepting attitudes, stigma
• Percent who express accepting attitudes towards
  those living with HIV and AIDS

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MET indicators

• LQAS Indicators
• HIV/AIDS Behavior Change, Practices
• Percent who believe they have the ability to
  refuse unwanted sex
• Percent who perceive their friends having sex

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Informed Program

• Know 21 to 82
• Tested 14.7 to 28
• Gap remains between knowledge and action

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Informed Program

• Why does the gap remain? What can we do to
  improve?
• In 2008, we conducted a social desirability
  survey (SDS) to investigate the relationship
  between HIV testing uptake and HIV-related
  knowledge
• The data collection has been completed and the
  survey results are currently being analyzed

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Intro to Technology

• With all this success, why do we want to take it
  further?
• Data entry resources, time and accuracy
• Mapping benefits for expanded learning
• Data access and sharing

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Conclusion

• The quality of our work is the platform for our
  witness.
• Ken Isaacs, VP for Samaritans Purse