EngenderHealth began the pilot activity of training health providers using the Men As Partners (MAP)

materials to increase couples counseling and male participation in PMTCT and ANC in FY07. Rather than

extending this pilot to additional sites, PEPFAR Ethiopia will take the lessons learned from the pilot and aim

to integrate them into the new Maternal and Child Health Wraparound award. The $400,000 will be

reprogrammed to this new MCH Award (Activity # 18614.08).

Men as Partners (MAP)

This is a continuing activity began in FY07 under the Male Norms Initiative

As the lead partner for the PEPFAR-supported Male Norms Initiative, EngenderHealth began providing

technical assistance and resources to local NGO and PEPFAR partners to address the issues of male

engagement, gender-based violence, and the other social norms that exacerbate gender inequalities and

negative health behaviors. With FY07 Plus-Up funding, EngenderHealth will be able to expand the reach of

their Men As Partners (MAP) Program in Ethiopia. The program, established in 1996, works with men to

promote gender equity and health in their families and communities. The MAP curriculum will be adapted

from two MAP manuals that were developed in Kenya and South Africa - both of which were PEPFAR

funded and have a heavy emphasis on HIV prevention. The four workshop modules are 1) gender, 2) HIV

and AIDS, 3) relationships, and 4) gender-based violence. Each module constantly examines issues related

to HIV prevention, which will encompass an ABC approach. The MAP workshop reaches participants with

15 hours of interaction on these topics. The objectives of this activity is to provide tools and technical

assistance related to MAP to local partners and to reach communities, especially men and young boys, with

messages about the links between HIV/AIDS, STI, alcohol and ‘khat' chewing, and gender-based violence.

The intervention will primarily target unmarried, out-of-school young men with multiple partners. This high-

risk population is particularly vulnerable to HIV infection/transmission. The MAP intervention will also target

other key beneficiaries , including older men, community leaders, parents, and out-of-school young women.

EngenderHealth began working with two local nongovernmental organizations (NGO) - Hiwot Ethiopia and

Integrated Family Services Organization (IFSO) - to reach the general community as well as vulnerable at-

risk groups in Addis Ababa. The target geographical areas are seven wards in Addis Ababa around the

Mercato and Kazanechis neighborhoods. EngenderHealth began the project by conducting a rapid

assessment. Next the program will train eight trainers and 80 peer educators on how to facilitate MAP three-

day workshops with community leaders, NGO, and youth. The training sessions will include topics on how

to create men's discussion groups and establish "buddy' support networks. Under FY07, the peer educators

expect to reach 2,880 men (ages 25 and over), 3,000 street youth (ages 14-24), and 200 community

leaders for a total of 6,080 individuals reached with the MAP curriculum. These individuals will make action

plans for community outreach activities to raise awareness of gender and HIV issues as well as plans for

how they will make personal changes in their own lives. There will be pre and post workshop tests to assess

knowledge gain. The post-MAP workshop activities will include the peer educators meeting weekly to

discuss their changes, challenges and learn from each other. Discussions will be around personal growth

and activities to engage their own peers and close friends. Each member is encouraged to bring interested

friends to the meetings. The meetings will be in the ward buildings or compounds. The peer educators will

facilitate the discussions and document progress within the groups.

In addition to working with Hiwot and IFSO, EngenderHealth will also provide technical assistance and

support to a number of PEPFAR-supported programs to improve the integration of gender into HIV-

prevention programs. After the initial Male Norms Imitative launch in May 2007, EngenderHealth developed

a technical assistance plan that includes supporting the work of Population Council, JHU/HCP, Federal

Police, and the AIDS Resource Centers. In FY08, EngenderHealth plans to assist JHU/HCP in developing a

module on male norms and HIV prevention for their new Adult Prevention curriculum. Working with the

Population Council, the MAP program will conduct a series of three-hour educational dialogues in which

young men and women come together to share their perspectives on gender issues. The dialogues will

provide an opportunity for young women enrolled in the Population Council's Brighter Futures project to

share their experiences and articulate how they would like young men to serve as allies in their quest for

gender equality. These conversations will be used to develop plays, street drama, and enhance community

mobilization efforts. In FY08, EngenderHealth will also support the Men's Clubs that Population Council will

create to better address the male norms that encourage early marriage and often lead to the social

marginalization and vulnerability of young girls in Amhara region.

As a part of the MAP program, EngenderHealth will adapt communication materials and IEC tools for HIV-

prevention partners to use when working with men and young boys. There are several local NGO already

working to support victims of domestic violence and rape and to prosecute the perpetrators, but there is

very little being done to discuss the underlying social and economic issues. There is a need for peer

counseling materials for men - to discuss domestic violence, rape, gender inequality and their role in

protecting the health of their family. The MAP program will produce IEC materials , including posters, a

documentary film, audio tapes, story boards, card games, stickers, T-shirts, and caps. Other community

outreach activities will include a live dialogue on radio with a MAP expert that allows for phone-in questions

and discussion and feature articles on the MAP project in local newspapers. MAP plans to train 30

journalists and media professional under FY07.

The program will also support a number of community awareness raising events to reinforce the peer

educator activities. During the 16 Days of Activism Against Gender-Based Violence, EngenderHealth will

recruit 1000 men to march and wear a white ribbon as a personal pledge never to commit, condone nor

remain silent about violence against women. Key community leaders and politicians will be asked to speak

and share their support for the march. The event will occur November 25 - December 10, 2007 and will be

coordinated with UN agencies and local organizations.

In FY08, EngenderHealth will continue these activities and expand to work with two new local partners.

EngenderHealth will maintain support to a number of local and international NGO to increase their capacity

to address gender issues in an HIV program context. In FY08, EngenderHealth would receive $280,000 in

AB and $420,000 under HVOP for a total funding of $700,000 for MAP activities. This partner will train

1,000 adolescents and men (ages 15 and up) using the MAP curriculum and reach an estimated 30,000

individuals with HIV-prevention education.

Men As Partners: Preventing HIV Transmission Among High-risk Urban Youth In Addis Ababa Through

Addressing Male Gender Norms

This is a continuing activity began in FY2007 under the Male Norms Initiative

As the lead partner for the PEPFAR-supported Male Norms Initiative, EngenderHealth began providing

technical assistance and resources to local nongovernmental organizations (NGO) and PEPFAR partners to

address the issues of male engagement, gender-based violence (GBV), and the other social norms that

exacerbate gender inequalities and negative health behaviors. With FY07 Plus-Up funding, EngenderHealth

will be able to expand the reach of their Men As Partners (MAP) Program in Ethiopia. The program,

established in 1996, works with men to promote gender equity and health in their families and communities.

The MAP curriculum will be adapted from two MAP manuals that were developed in Kenya and South Africa

- both of which were funded by PEPFAR and have a heavy emphasis on HIV prevention. The four

workshop modules are 1) gender, 2) HIV and AIDS, 3) relationships, and 4) GBV. Each module constantly

examines issues related to HIV prevention, which will encompass an ABC approach. The MAP workshop

reaches participants with 15 hours of interaction on these topics. The objective of this activity is to provide

tools and technical assistance related to MAP to local partners and to reach communities, especially men

and young boys, with messages about the links between HIV/AIDS, sexually transmitted infections (STI),

alcohol and ‘khat' chewing, and GBV. The intervention will focus primarily on unmarried young men who are

not in school and who have multiple partners. This high-risk population is particularly vulnerable to HIV

infection/transmission. The MAP intervention will also focus on other key beneficiaries including older men,

community leaders, parents, and out-of-school young women.

EngenderHealth began working with two local NGO—Hiwot Ethiopia and Integrated Family Services

Organization (IFSO) - to reach the general community, as well as vulnerable at-risk groups in Addis Ababa.

The target geographical areas are seven wards in Addis Ababa around the Mercato and Kazanechis

neighborhoods. EngenderHealth began the project by conducting a rapid assessment. Next the program will

train eight trainers-of-trainers and 80 peer educators on how to facilitate MAP three-day workshops with

community leaders, NGO, and youth. The training sessions will include topics on how to create men's

discussion groups and establish "buddy" support networks. Under FY07, the peer educators expect to reach

2,880 men (ages 25 and over), 3,000 street youth (ages 14-24), and 200 community leaders for a total of

6,080 individuals reached with the MAP curriculum. These individuals will make action plans for community

outreach activities to raise awareness of gender and HIV issues, as well as plans for how they will make

personal changes in their own lives. There will be pre- and post-workshop tests to assess knowledge gain.

The post-MAP workshop activities will include the peer educators meeting weekly to discuss their changes

and challenges and to learn from each other. Discussions will be related to personal growth and activities to

engage their own peers and close friends. Each member is encouraged to bring interested friends to the

meetings. The meetings will be in the ward buildings or compounds. The peer educators will facilitate the

discussions and document progress within the groups.

In addition to working with Hiwot and IFSO, EngenderHealth will also provide technical assistance and

support to a number of PEPFAR-supported programs to improve the integration of gender into HIV-

prevention programs. After the initial Male Norms Imitative launch in May 2007, EngenderHealth developed

a technical assistance plan that includes supporting the work of the Population Council, Johns Hopkins

University/ Health Communications Partnership (JHU/HCP), the Federal Police, and the AIDS Resource

Centers. In FY08, EngenderHealth plans to assist JHU/HCP in developing a module on male norms and

HIV prevention for their new Adult Prevention curriculum. Working with the Population Council, the MAP

program will conduct a series of three-hour educational dialogues, in which young men and women come

together to share their perspectives on gender issues. The dialogues will provide an opportunity for young

women enrolled in the Population Council's Brighter Futures project to share their experiences and

articulate how they would like young men to serve as allies in their quest for gender equality. These

conversations will be used to develop plays and street drama and to enhance community mobilization

efforts. In FY08, EngenderHealth will also support the Men's Clubs that Population Council will create to

better address the male norms that encourage early marriage and often lead to the social marginalization

and vulnerability of young girls in Amhara region.

As a part of the MAP program, EngenderHealth will adapt communication materials and information-

education-communication (IEC) tools for HIV-prevention partners to use when working with men and young

boys. There are several local NGO already working to support victims of domestic violence and rape and to

prosecute the perpetrators, but there is very little being done to discuss the underlying social and economic

issues. There is a need for peer counseling materials for men - to discuss domestic violence, rape, gender

inequality and their role in protecting the health of their family. The MAP program will produce IEC materials

including posters, a documentary film, audio tapes, story boards, card games, stickers, T-shirts, and caps.

Other community outreach activities will include a live dialogue on radio with a MAP expert that allows for

phone-in questions and discussion and feature articles on the MAP project in local newspapers. MAP plans

to train 30 journalists and media professional under FY07.

The program will also support a number of community awareness raising events to reinforce the peer-

educator activities. During the 16 Days of Activism Against Gender-Based Violence, EngenderHealth will

recruit 1,000 men to march and wear a white ribbon as a personal pledge never to commit, condone, or

remain silent about violence against women. Key community leaders and politicians will be asked to speak

and share their support for the march. The event will occur November 25 - December 10, 2007 and will be

coordinated with UN agencies and local organizations.

In FY08, EngenderHealth will continue these activities and expand to work with two new local partners.

EngenderHealth will maintain support to a number of local and international NGO to increase their capacity

to address gender issues in an HIV program context. In FY08, EngenderHealth would receive $280,000 in

AB and $420,000 under HVOP for a total funding of $700,000 for MAP activities. This partner will train

1,000 adolescents and men (ages 15-50) using the MAP curriculum and reach an estimated 30,000

individuals with HIV-prevention education. The targets for this activity are under HVOP.