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Meskele Lera Tsegay Legesse Florence Kondylis Tiruye Damtew Mengistu Kefale Tibebu Asfaw

Ethiopia Behavioral Change interventions in MARPs. Meskele Lera Tsegay Legesse Florence Kondylis Tiruye Damtew Mengistu Kefale Tibebu Asfaw. Background.

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Meskele Lera Tsegay Legesse Florence Kondylis Tiruye Damtew Mengistu Kefale Tibebu Asfaw

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  1. Ethiopia Behavioral Change interventions in MARPs Meskele Lera Tsegay Legesse Florence Kondylis Tiruye Damtew Mengistu Kefale Tibebu Asfaw

  2. Background • The community conversation which is widely implemented in the country has resulted in increased uptake of services, particularly HCT and ART. • There are studies indicating increase in risky behavior

  3. Intervention Target groups: Migrant workers (Construction Industries: Roads, housing, power plantations, agro industries) and people in the surrounding areas. • Unit of Intervention: Hotspots & surrounding communities • Planned Coverage: Nation wide, with multi-arm intervention

  4. Intervention (1) Intervention: MARPs Community Conversation and Peer education Treatment Group I: sensitization, condom promotion and distribution, STI, peer to peer education, Treatment Group II: sensitization, condom promotion and distribution, STI, peer to peer education and, MARPs community conversation Controls: sensitization, condom promotion and distribution, STI

  5. Questions “What interventions would lead to better behavioral change among MARPs and surrounding communities?”

  6. Expected outcome • Increase in comprehensive knowledge • Reduction in multiple sexual partnership • Increase condom use • Increase uptake of HCT and STI services • Reduction in HIV Prevalence

  7. Evaluation Design (1) • Mapping of MARPs & their surrounding population, • MARPs type and population size • Type & size of surrounding population • Identification of existing interventions • Design: randomized experimental design into treatment and control groups: • Intervention areas will be defined as hotspots & surrounding communities that lie within 5 kms radius of the identified hotspots.

  8. Sample and Data • Sample • Treatment & control sites will be selected randomly based on: Mapping of MARPs and their surrounding population

  9. Source of Data • MARPs Nation wide surveys (2009) • EDHS (2010) • BSS (2009) • Population based Sero-survey • Service reports • Baseline for the selected groups

  10. Staffing Plan • National Evaluation Team will be established (HAPCO, MoH, EHNRI, CSA, Universities, EPHA, WHO, CDC, World Bank, UNAIDS, • National & international Consultants

  11. Timeline

  12. Budget • Using existing resources from various sources • Integrating with the national plan

  13. Thank You

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