Type | Working Paper |
Title | Assessment of Effective Implementation of Internal HIV/AIDS Mainstreaming The case of Finance and Economic Development Sector of the Southern Nation, Nationalities and Peoples Regional State of Ethiopia |
Author(s) | |
Publication (Day/Month/Year) | 2011 |
Abstract | Ethiopia is among the hardest hit countries of the world by HIV/AIDS catastrophe. Multi-sectoral Approach has been implemented as one of the national prevention strategies against the impacts of the pandemic in public, private sectors at all levels. However, HIV/AIDS issue is not yet seriously taken as a top priority development agenda. Hence, taking this implementation gap into consideration, this study was conducted with the main objective to assess whether this HIV/AIDS mainstreaming has been effectively implemented or not in the Finance and Economic Development Sector (FEDS) of the Southern Nations and Nationalities Peoples Region (SNNPR), Ethiopia. The survey conducted had an open and semi- structured questionnaire and a qualitative focus group discussion. A cluster sampling was employed, in which 13 zonal geographical clusters offices of the sector in the region were considered for the quantitative study. For the qualitative part of the study, purposive sampling technique, in which a focus group discussion composed of the regional bureau and 2 central zones officers were included. Accordingly, in this survey 1 staff from the regional bureau and 13 from zonal (branch offices), a total of 14 HIV/AIDS mainstreaming officers, as well as 14 planning officers from respective offices with 2 key informants from regional health sector, which is a total of 30 respondents were involved for interviews. Furthermore, the survey was supported by one focus group discussion (a group of 12 participants) comprising relevant staff members from the regional bureau and from 2 central zonal offices (Sidama and Hawassa City Administration). The focus group discussion was composed of participants from Human resource, Gender mainstreaming, public relation and Monitoring and Evaluation secondary processes of the 3 respective offices of the sector. The findings of this study had revealed that all of the 14 offices (100%) had HIV/AIDS mainstreaming focal persons that have a clear job description. In addition it was established that all of the sector offices, 14 (100%), were undertaking condom promotion and distribution activities. Similarly, the majority, 12 (86 %) of the sector offices were found promoting and advocating for their staff to receive the HIV VCT services so as to demand the necessary care and support if positive. However, despite the existence of care and support activities for HIV positive people and other vulnerable children in all study institutions, only limited, (a total of 13 HIV positive staff members and only 1 orphan), had received the aforementioned care and support in the sector offices. A finding which might indicate that still people do not want to disclose themselves as the level of stigma and descrimination is high. Hence, this study concludes that the response of the FEDS in SNNPR through HIV/AIDS mainstreaming activities into their core–sector specific activities remained to be ineffective as only the activities indicated at the early implementation stage of the UNDP,2005 HIV/AIDS mainstreaming guideline, that could not move beyond stage-I of HIV/AIDS mainstreaming, were undertaken in almost all levels the sector offices. However, major activities in the guideline like AIDS risk analysis of sector workers, Impact analysis to assess the impact of AIDS on the sector, Actions to mitigate impact implemented, Analysis of sector policies, strategies and actions and reflection on these policies and interventions and the like were found to be untouched by any of the office found under the study sector. Taking the findings of this study as a baseline, continuous capacity building on the concept and details of HIV/AIDS mainstreaming and taking practical measures to enhance the top leadership commitment to implement all activities of HIV/AIDS mainstreaming were the major recommendations of this research. |
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