SACA Ekiti State Quarterly meeting with CSOs and PSOs held December 14-15th, 2011 at South Western Hotel, Ado -Ekiti

Meeting started on December 1th at South western Hotel Ado-Ekiti by 9 a.m,. with the registration of participants. Introductions and expectations were discussed including the meeting objectives.

The objectives of the meeting were highlighted as: to
- Discuss key issue relating to world bank fund (HAF) implementation in the State
- Share experience and lesson learnt during the year
- Develop common strategies targeting the driver of the epidemic
- To disseminate HPDPM &E performance framework and target indicators
- Develop shared knowledge of the World Bank guidelines as a basis for partners working on HIV in Community
- Strengthen M and E system in the State
- Discuss other related issues

HPDP & HIV Programme Development Component
- Expanding public sector response
- Expanding civil and private sector engagement and response through HIV/AIDS fund (HAF)
- Strengthen mechanisms for project co-ordination

Aims of component
- Support the design and implementation of revised HAF
- Strengthen links between situation analysis and the choice of primary activities to be implemented by HAF grantees
- Agree performance target for CSO contract that reflect a better match
As part of the training, the guiding components of the project were given while the objectives of HAF project were given as:
- Reduce the risk of HIV infections by scaling up prevention intervention among those at risk population
- Increase access to and utilization of HIV counseling, testing, care and support services.

Categories of project to be funded include
- Prevention and behavioural change
- Care, support and treatment
- Non health sector responses and impact mitigation
- Monitoring and evaluation and research
- Knowledge dissemination
- Policy advocacy and institutional reform issue
- Capacity building, training and technical assistance
The audience were intimated with the HAF contracting process as
1. The precal or contracting phase which include
a. Logging and coding of proposal
b. Desk review of proposal
c. Short listing of eligible proposal
d. Selection of successful proposal
2. Implementation phase which include:
a. Project take off

After lunch, the second session started titled:

Know your Epidemic/interpreting HIV/AIDs Data and Interpretation
Ajayi Remi (Mr.)

Epidemic means problem. Various issues were raised and clarified on proposal writing and facts to quote.

Research output that could guide proposal writing were analysed.
HIV Prevalence: 1.4% among ANC (Antenatal clinic) women 15-49 according to 2010 ANC Data 4.5% (1.9-7.1) among men 15-64, women 15-49 ( no breakdown by gender) according to 2007 NARHS
HIV Risk factor: data not available
Sexual behavior: 2% of women and 2% of men report multiple partners in the past year, while 22% of women and 47% of men report high risk sex. <1% of men reported paying for sex in past year (DHS, 2008).
What are the thematic area and intervention? Thematic area should be on prevention for the case stated below
A study of university students ages 15-30 years found that most respondents (72.5%) were sexually active and majority (59%) had multiple sex partners (Odu 2008a)
Intervention should be students of tertiary institutions
Thematic: behavioural change, condom programming

A survey of sexually active adults found that significantly ore males than females (84.7% and 61.4%, p<0.01), had tow or more sexual partners. The greatest proportion of condom users (28%) has a good knowledge if the routes for HIV transmission
Intervention: male adults, awareness and education

An intervention for the control of STDS including HIV among certain groups found that the sex workers, the commercial drivers and the students have a high rate if partner change. There was also evidence in increased usage of condom however the respondents used them mainly with non-regular partners.

89% of women and 98% of men have heard of AIDs, although only 5% of women and 29% men have complete knowledge about HIV/AIDs
Does awareness translate to knowledge?

A study of University students ages 15-30 years found that they had a very high knowledge of key basic concepts of HIV/AIs, however many youths were confused about cure of AIDs by spiritual, traditional or medical practitioners. Hence many youth have misconceptions about the cure of AIDs (Odu, 2008b)
Problem: knowledge
Thematic: prevention and behavioural change
Intervention should target the youth as well as the spiritualists and medical practitioners (traditional)

Only 12% of men and 19% of women reported ever having an HIV test and 44% of ANC women reported having received HIV counseling (DHS, 2008)
Thematic area: (HIV not available or accessible is the problem)counseling, testing and care

Other thematic areas: Condom production and condom programming

Other issue
- 30% of women acknowledge having sex before marriage
- Teenagers going into sex for material gains

High Risk: sex with non marital, non cohabiting partners
All sex behavior data are among persons which had sex in past year
Data range given in parenthesis is 95% confidence interval

Gives the general picture of what is obtainable in Ekiti State
The session held 14th December, 2011 ended by 4:00p.m.

On the 15th December, 2011, the session started by 9:30 a.m with a presentation in implementation status of CISHAN, ACOMIN, AONN, NYNENTHA,NEPHWAN, Development Partner and SACA. The presentation was done by all co-coordinators present. Presentation on performance framework was also done followed by a group work/presentation. Four (4) Groups were formed to discuss and make presentation on thematic area, sub thematic area, intervention as well as justification of the project using a report submitted by NHIS (2008) and other authors.
The various local government areas represented were also called to make presentations on community mobilization and resource mobilization. A committee was set up to draft the communiqué which was later presented to all present. The vote of thanks was presented and meeting came to an end 4:00 same day