Opportunities for developing evidence for gbv programming in hiv services
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Opportunities for developing evidence for GBV programming in HIV services. Michele Moloney-Kitts Together for Girls July 31, 2012. Why we need evidence?. Magnitude of the problem is increasingly well-understood but..... Effective solutions much less so........... Strategic level

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Opportunities for developing evidence for gbv programming in hiv services

Opportunities for developing evidence for GBV programming in HIV services

Michele Moloney-Kitts

Together for Girls

July 31, 2012


Why we need evidence
Why we need evidence? HIV

  • Magnitude of the problem is increasingly well-understood but.....

  • Effective solutions much less so...........

    • Strategic level

      • What interventions are most effective with which populations

      • How can they be best brought to scale

      • What are the costs

    • Program level

      • Are our programs effective?

      • Where can we improve?


Monitoring and evaluation
Monitoring and Evaluation HIV

  • Evaluation

    • Usually at a pre-determined end point of an intervention

    • Essential to have established indicators and outcomes and how you are going to measure them from the outset

    • Design factors can be intimidating; weighting samples, step wedge methods – don’t be afraid get TA!!!


Monitoring
Monitoring HIV

  • Often a missed opportunity - Service statistics can be hugely informative

  • Identify the indicators and outcomes you are going to track

    • Establish a system to collect them

      • Who, when, where what?

    • Review process and feedback loop

    • Remember qualitative work is HUGELY important in the area of GBV to better understand the problem and to address stigma


What information do we need
What information do we need HIV

EVERYTHING!!!!

GBV requires a multi-sector response – not just in the health domain!

  • Justice and legal sector

    • Service statistics – who is coming in? How do they get in? Are “one stop centers” more effective than police desks?

    • What are the barriers; costs?


Gbv and hiv platforms are they effective leverage points
GBV and HIV platforms; are they effective leverage points HIV

Service delivery

  • Post-rape care; which models are most effective?

    • What about PEP and ED adherence; how about for children?

    • Innovations for follow-up; mobile technologies; “mother-to-mothers” support groups

  • PMTCT platforms?

    • VCT and ANC for GBV screening

    • parenting interventions for fathers?


Gbv and hiv platforms
GBV and HIV platforms HIV

  • Community mobilization for prevention and stigma reduction

    • Engaging men and boys – how does it look in the longer term

    • Working with schools

    • What happens to survivors; shelters; rehabilitation

    • Community support systems


What s wrong with this picture
What’s Wrong with this Picture? HIV

Post-Rape Care Utilization

Post-Rape Care Utilization Rate

Age (years)


Conclusions
Conclusions HIV

  • You are doing the work – monitoring leads to better quality; more effective interventions and improves out overall evidence at time of emerging science

  • Establish clear indicators and outcomes

  • Get TA – resources are available – WHO; UNICEF; CDC (www.whatworksforwomen.org)

    KEEP IT SIMPLE KEEP IT SIMPLE KEEP IT SIMPLE


Thank you
Thank HIV you

www.togetherforgirls.org


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