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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?. 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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  1. Opportunities for developing evidence for GBV programming in HIV services Michele Moloney-Kitts Together for Girls July 31, 2012

  2. 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?

  3. 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!!!

  4. 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

  5. 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?

  6. 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?

  7. 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

  8. What’s Wrong with this Picture? Post-Rape Care Utilization Post-Rape Care Utilization Rate Age (years)

  9. 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 SIMPLE KEEP IT SIMPLE KEEP IT SIMPLE

  10. Thank you www.togetherforgirls.org

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