KEM LEY | Principal investigatorNHIM DALEN |Consultant

FINAL HIV/AIDS PROGRAMME

EVALUATION

2008-2012

Partner Platform Meeting

DCA/CA Joint HIV/AIDS Program

May 17, 2012Phnom Penh Ecumenical Diakonia Centre

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Contents

I. Country Context

II. Programme Overview

III. Objectives of evaluation

IV. Methodologies

V. Limitations

VI. Findings

VII. Conclusions and Discussions

VIII. Recommendations

IX. References

X. Annexes

I. Country Context

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<5 yrs5 - 9 yrs

10 - 14 yrs15 - 19 yrs20 - 24 yrs25 - 29 yrs30 - 34 yrs35 - 39 yrs40 - 44 yrs45 - 49 yrs50 - 54 yrs55 - 59 yrs60 - 64 yrs65 - 69 yrs70 - 74 yrs75 - 79 yrs

>80

8.0 6.0 4.0 2.0 0.00 2.00 4.00 6.00 8.00

5.35.6

6.46.2

5.04.5

2.53.1

2.62.2

1.51.20.90.70.50.30.3

5.05.4

6.15.9

5.24.7

2.73.3

2.92.7

2.21.7

1.20.9

0.70.50.4

Age Pyramid

Female

Male

Total # of HH =2,842,897 Total population =13,395,682 Male Population =6,516,054 Female Population =6,879,628 Urban Population =2,614,027 Rural Population =10,781,655

Elderly >64 : 4.27 % or 571,996 M

Population 31-64: 29.34% or 3.93 M

Youth 15-30: 32.73% or 4.38 M Children <18 : 5,487,708 or 41%

Children <15 : 33.71% or 4.51 M

Sources: Census 2008 National Youth Policy 2011

I. Country Context

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Cambodia Population # or % References

Cambodia Youth 15-24, UN 2,989,916 or 22.32% Census 2008

Cambodia Youth 15-30, NYP

4,384,407 or 32.73%

Census 2008

Young Population 10-24, UN 4,660,358 or 34.79% Census 2008

Cambodia Children <18, UN 5,489,550 or 40.98% Census 2008

Total # of Female EWs 34,193 NCHADS 2009

Total # of MSM in 10 provinces

21,327 KHANA/FHI 09

Total # of DU/IDU (DU=2,000)

15,000 NCHADS/NAA 2010

Total # of OVC 750,000 or 14% ADB, July 2011

Total # of CIA and CAA 85,921 UNDP/SI, 2010

Total Active PLHIV on ART 42,799 or 96.7% NCHADS, 2011

I. Country Context

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Core Indicators NCHADS 2010

NCHADS 2011

HIV Prevalence Rate 15-49 0.7% 0.8%

Family Health Clinics-STI 60 61

Total VCCT 246 255

OI/ART Services 51 57

Total active patient on ART 42,799 or 96.7%

46,473

Total active child patients on ART 4,102 4,439.0

Total number of HBC Team 356 354

Total number of HC covered by HBCT 848 881

Total number of PLHIV supported by HBCT 31,127 32,080

# of OD with at least one Centre that provide PMTCT services 67 (87%) 68 (88.3%)

% of PW who were tested for HIV and received their test result

71.2% 84.9%

% of adults still alive after 12 months after ART initiation 86.4% 92.6%

% of people tested for HIV who received their result through (Post TC)

99.50% 99%

I. Country Context

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Description of Children under 18 # or % References

Total children under 18 41% -5,487.708 Census 2008

Orphans and Vulnerable Children 14%-750,000 ADB 2011

Children infected and affected by HIV 85,921 (UNDP) UNDP SEI 2010

Orphans (Double or Single ) 73,090 or 10 % CDB 2009

AIDS Orphans 51,000 CDB 2009

Estimated child infected by AIDS 6,000 NAA 2006

Victim of Sexual Abuse 331 CDB 2009

Victims of Trafficking 68 CDB 2009

Disable Children 6,882 CDB 2009

Child involvement in economic activities 45% or 1.5m CMDG 2010

Child Labor (16.72%) in 2001 250,000 CMDG 2010

Children under 5 –Anemia 55% CDHS 2010

Stunted (Under 5) 40% CDHS 2010

Underweight 28% CDHS 2010

I. Country Context

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200 2005 2010 2015(CMDG)

0

50

100

150

200

250

300

350

400

450

500

437472

206

250

32 4471

10 2254

Trends in Maternal Mortality Ratio and Delivery

Maternal Motality Ratio per 100,000 live birthBirths attended by skilled health personnel (% of expected pregnancies)Delivery at health facilities

I. Country Context

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2008 2009 2010 2011 -

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

58.0 63.0

69.2 71.7 72

39.0 44.0

52.1

61.9 60

85.0 83.0

72.0

86.2 85

Antenatal Care 2 Covarage and Birth Delivery

Birth delivery assisted by health peronnel Target 2011 Birth delivery at health facility

Target 2011 Antenetal Care 2 Target 2011

I. Country Context

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2008 2009 2010 2011 -

5.0

10.0

15.0

20.0

25.0

30.0

35.0

26.0 28.0

30.0 29.1

33

Contraceptive Prevalance Rate

% of Married women cur-rently using modern con-traceptive method (public facility)Target 2011

I. Country Context

102008 2009 2010 2011

0

10

20

30

40

50

60

70

2732.2

57.360.6

% of Pregnant Women on ART

2008 2009 2010 2011 -

5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000

28,932 33,677

37,666 42,034

3,067 3,638 4,102 4,439

Number of Active HIV/AIDS Patients on ART

AdultChildren

I. Country Context

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Cross cutting Strategies

S4. Effective Leadership and Management

S5. Supportive legal and policy environment

S6. Use of strategic information

S7. Cost-effective resource allocation

I. Country Context

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UN Political Declaration on HIV and

AIDS

Zero New Infection

Zero Discriminati

onZero Death

EW-80-90%MSM-95%IDU-60%

High treatment coverage-98% ART

Social Protection for PLHIV a& OVC

Comprehensive Boosted Continuum

of Prevention to Care and Treatment-CoPCT

for MARPs

Social Protection for PLHIV, OVC and

Other Vulnerable and Poor Population

II. DCA Programme Overview

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The DCA/CA HIV & AIDS Programme

Sexual Health and Life Skills for young people in Cambodia 2008-2012

The Overall Programme Goal

The overall programme goal is that supportive environment created for vulnerable and hard to reach young people to protect themselves and others from HIV infection and to mitigate the social and economic impact of AIDS

Specific Objectives

Objective 1. Vulnerable youth empowered to claim their HIV and SRH rights in order to have full control over their sexual and reproductive health and to minimize risk behaviour for HIV infection.

Objective 2. Social, physical and economic vulnerability of vulnerable youth reduced (especially street based youth, orphans and vulnerable adolescents, and HIV positive youth).

Objective 3. Legal and moral duty bearers strengthened to promote and enforce youth and gender friendly HIV, SRH and gender policies and laws.

Objective 4. Cooperation between partners and wider networks enables shared learning, improved effectiveness, wider coverage and replication of interventions.

Partners KYA, GAD/C, LWD, MS, MC-LF, K&S, CCW, CSSD, CHEMS, HACC & SCC10 Partners and one Associated Partner (SCC)

Target Groups Young People

II. DCA Programme OverviewMid-Term Review March 2010, Challenges found

Gender equality and rights based approach remained a big challenge to many partners

Some partners addressed populations at large or specific community groups without adding a youth perspective

Limited synergy between the programme and the other DCA/CA programmes (Food Security, GBV Political Space)

Few joint activities in the programme platform.

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II. DCA Programme OverviewMid-Term Review March 2010, 6 Recommendations;

1) Target Group: Hard to reach youth

2) Programme Platform -Advocacy Platform for policy change, NSPIII…Rights based

3) Indicators under Objective3: Joint Advocacy Issues-Advocacy Agenda

4) Economic Empowerment –PLHIV…

5) Sharing of Resources-IEC, Best Practices

6) M&E System Strengtening-Systematic monitoring of outcomes-KAPB of Youth

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III. Objectives of Evaluation

The purpose of the final evaluation is to measure the achievements of the programme against its objectives, then make recommendations for mainstreaming HIV and AIDS into other programmes.

To assess the progress against the programme objectives and indicators.

To evaluate the relevance, effectiveness, impact and sustainability of the HIV and AIDS Programme.

To identify and analyse the strength and the weakness of the programme

Make recommendations for HIV and AIDS mainstreaming into other DCA/CA programmes if relevant and for enhancing the sustainability of the programme achievements

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IV. Methodologies

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Desk Review

Evaluation Workshop

Key Informants

(KII)Focus Group Discussion

(FGD)

IV. Methodologies

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Timeline

Document Collection

Overall agreement between

Consultant and DCA

Evaluation Tools development and contract

sign& Desk Study

2 May 2012

Contract Sign Data Collection Tools Approval

Field Work Preparation

Confirmation with KII and FGD

Preliminary findings

consultation

Desk Study and Field Work Final Report Submission

Evaluation Workshop

2-23 –May 2012

17 May 2012

4 June 15 Jun 2012

Group Discussions

4 Group Discussion

Unstructured Questionnaires

Duration: 60 minutes

Presentation & QA : 20 Minutes for each

Presenter

Reporter

Minute Taker 19

Group Discussions

Group1-Objective1: Vulnerable youth empowered to claim their HIV and

SRH rights in order to have full control over their sexual and reproductive

health and to minimize risk behaviour for HIV infection.

Group2-Objective 2: Social, physical and economic vulnerability of

vulnerable youth reduced (especially street based youth, orphans and

vulnerable adolescents, and HIV positive youth).

Group3- Objective 3: Legal and moral duty bearers strengthened to

promote and enforce youth and gender friendly HIV, SRH and gender policies

and laws.

Group4-Objective 4: Cooperation between partners and wider networks

enables shared learning, improved effectiveness, wider coverage and

replication of interventions.

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Best Practice Development

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Project Title Executive Summary

Brief Description of the

project or approach

Policy

Mechanisms

Capacity Building

What makes it best practice

Best Practice Development

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How it score on the criteriaCriteria Score ( High, Medium or Low)

Relevant High Why?

Proven to be success

Substantial in scale

Innovative/Participatory/Inclusive in approach

Efficiency

Replicable

Validated

Sustainable