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

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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

      • 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

  • 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

  • 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

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

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

  • 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?

Post-Rape Care Utilization

Post-Rape Care Utilization Rate

Age (years)


Conclusions

  • 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 SIMPLEKEEP IT SIMPLEKEEP IT SIMPLE


Thank you

www.togetherforgirls.org


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