Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12330
Country/Region: Ethiopia
Year: 2010
Main Partner: Academy for Educational Development
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,900,000

Goal: C-Change will support the Federal Ministry of Health and PEPFAR partners by bringing a mix of skills, experience, and creativity in designing and implementing high impact communication strategies. This activity will integrate mass media, interpersonal communication, and community engagement to empower Ethiopian youth and commercial sex workers to protect themselves from HIV/AIDS. These are continuing activities begun under the Health Communication Partnership program which will now be implemented through this new mechanism. The objectives of the HIV Prevention program include: building the capacity of schools (primary and secondary), universities, and colleges to maintain and implement age-appropriate prevention intervention to protect young people from acquiring HIV, and providing comprehensive HIV prevention messages, condoms, and referrals to health services (STI treatment, HIV testing) for Commercial Sex Workers.

Geographic coverage and target populations

The CSW component will aim to reach 1000 commercial sex workers and related establishment owners, kebele officials, police and boyfriends in Addis, Adama and two other major cities. The program will expand to reach 54 university and college campuses across Ethiopia in all regions. The AB component of the program involves reaching in-school at-risk youth in 150 secondary schools and 600 primary schools (grades 5-8) in 7 target cities: Adama, Addis, Bahir Dar, Dire Dawa, Jimma, Dessie, Mekele. This program also has outreach activities targeting at-risk out-of-school youth.

Health systems strengthening: C-Change will strengthen health services on college campuses by training health workers in how to provide more youth-friendly services. The program will also work to improve referrals and access to health services for CSW, including STI treatment, family planning, and TC services.

Cross-cutting programs: C-Change is addressing two cross-cutting areas: education and gender. Education is a key component in the AB and OP activities where schools and universities will be the center of HIV prevention messages and activities. All media campaigns will portray males as active, responsible partners and suggest specific beneficial actions they can undertake. The AB and OP prevention programs will increase gender equity and address male norms and behaviors. The University Program's Red Card is a gender equity tool.

Cost efficient over time: C-Change programs are designed for implementation at scale. Each year, programs have increased their reach and become more cost effective through a combination of strengthened activities, improved supervision and shorter training workshops. For example, the University and At-Risk Youth programs have 3-hour "Essential Risk Reduction Action" workshops to reach up to 60% of incoming freshman with priority information. MOE Regional Offices run Beacon Schools and Sports for Life and are highly sustainable. C-Change will promote this same approach for At-Risk Youth. Programs have also continually improved mentoring and outreach component to boost impact by extending reach. C-Change will continue to advocate for increased HAPCO financial support of ongoing prevention activities and leverage support from other partners. Since C-Change harmonizes messages and designs kits and materials in collaboration with networks of partners, many organizations have bought into C-Change programs and are implementing activities that employ either parts of or an entire approach.

Monitoring & Evaluation plans: A monitoring program is built into each C-Change activity. At-Risk Youth and Campus Life have pre and post assessment activities that allow individual students to measure their risk relative to the group and the group itself to identify areas of progress and issues that still require attention. These numbers are compiled by region and reported back to program participants on a semiannual basis. Evaluations in 2010 of CSW and Campus Life will be used to make mid-course corrections and to actively advocate HAPCO for additional support.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $580,000


Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,320,000

The CSW program, launched in 2008 to address risky behaviors of women age 1745, has three major components: structured group peer education, condom provision, and referral to clinics. The program works with current and former sex workers trained as peer educators. These women visit establishments and conduct a series of 16 activities related to safe sex, distribute condoms and refer CSWs to clinics. Program participants receive 56 free condoms a week and clinic referral cards. The program also engages establishment owners, kebele officials, local police and the boyfriends of the CSWs.

C-Change anticipates that CSW supportive supervision needs will remain high because peer educators are often insecure and require regular mentoring visits and encouragement. In COP 2010, the CSW program will expand to over 600 peer educators and 1,000 establishments in at least four cities.

In 2008, Health Communications Partnership (HCP) launched "Campus Life" to prepare students for the transition of living at college, peer pressure and demands to engage in risky sexual activity. University students are eager to develop skills to help them reach their goals and take charge of their lives. Behavioral objectives include resisting peer pressure, increasing condom use, and reduction of transactional and cross generational sex.

HCP strengthened Campus Life in 2009 by adding a mentor component to improve peer counseling, bringing condom machines to campus and promoting youth-friendly services. Campus Life extends beyond students by engaging the wider community of teachers and administrators.

The half-day freshman "Know Your Risk" orientation reaches new students before they begin engaging in risky behaviors. In 2010, C-Change will expand "Know Your Risk" to reach 60% of incoming students.

In COP 2010 Campus Life will expand to 54 universities and colleges. Based on results of an evaluation planned for the first semester of 2010, C-Change will make mid-course corrections to the activity guide and explore new approaches to reach greater numbers of students on each campus. C-Change will also seek to leverage HAPCO funding for an inter-university theater competition focused on drivers of the epidemic. Mass-media will reinforce messages and extend the audience reach.

Subpartners Total: $0
CARE International: NA
Internews: NA
Ohio University: NA
University of Washington: NA
Cross Cutting Budget Categories and Known Amounts Total: $30,000
Gender: Gender Based Violence (GBV) $30,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Family Planning