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Annex C. Population and AIDS control project (Credit No. 2692)--presentation of project components.

The project was designed to assist the Government in implementing its long-term strategy in population and family planning and its medium-term plan 1995-99 (MPT 2) for ADDS control. Its overall objectives were to advance the onset of fertility decline by increasing the use of modern methods of contraception (from 1 percent in 1990 to 10 percent by 2000), and slow the spread of HIV infection by promoting behavioral change. Project assistance was channeled through four components:

(a) Strengthening of national capacity to implement the population policy (US$8.0 million). This component sought to strengthen capacity of the newly created Division of Population within MoPC to undertake population-related activities, particularly: (a) the dissemination and coordination of the implementation of population policy; (b) the planning, management, and evaluation of population-related activities; (c) the planning, coordination, and implementation of donor-financed projects; and (d) the integration of demographic variables into sector plans. Project support included office rehabilitation, equipment, logistical support, participation in international meetings, contractual staff, training, technical assistance, including a twinning arrangement with the Center for Research on Population and Development (CERPOD), in Bamako Mali. (79) The project also financed IEC activities and radio and TV programs in an effort to disseminate the population policy and to promote awareness of the relationship between population and development, especially among identified target groups such as opinion and religious leaders, women, NGOs, reporters, youth (12-25 years), and members of trade unions and associations.

This component also supported collection and analysis of basic demographic data to improve knowledge of socio-demographic indicators. To this end, it financed a national study on migration and urbanization and analysis of the 1993 census data and the first demographic and health survey (DHS). Project assistance also included contraceptive supplies for maternal and child health services provided through the public health system to fill the gap created by the withdrawal of USAID support in 1995. The total estimated cost of contraceptives to be provided under the project was US$3.0 million (38 percent of the component cost).

(b) Strengthening of national capacity to contain the spread of HIV/AIDS/STDs (US$6.6 million). This component sought to strengthen the capacity of the Ministry of Public Health (MoPH) to manage and coordinate the AIDS Control Program and to carry out epidemiological surveillance and operational research. Project support consisted primarily of (a) long- and short-term technical assistance in key disciplines, notably epidemiology and program management; and (b) long- and short-term training in epidemiology, management, IEC, and health information systems. Support was directed at the PNLS, CNLS, CTLS, and the MoPH division in charge of health management information systems. In addition, this component financed epidemiological, operational, and socio-economic research under the supervision of the General Directorate of Planning of the MoPC. Planned activities included the development of two additional sentinel sites (for a total of seven); five studies of HIV/STD prevalence among target groups; two knowledge, attitude, practice (KAP) studies; and a study on the priority indicators of prevention to permit assessment of impact of interventions. Other studies planned to improve health services response included: the development of algorithms for the management of STDs and AIDS patients; the preparation of a referral protocol for people with HIV/AIDS and their families; the evaluation of the clinical definition of AIDS; a study on the relationship of HIV and tuberculosis (TB) to improve the treatment of TB and a study on the socioeconomic impact of AIDS at the individual, family, community, and macroeconomic levels.

(c) Establishment of a social marketing program for condoms (US$7.1 million). This component aimed to increase the availability and promote the use of condoms for AIDS prevention. The main benefit envisaged was reduced transmission of HIV and other sexually transmitted diseases (STDs), a secondary benefit being protection against unwanted pregnancies. Targets were to increase the use of condoms from an anticipated 2 million in the first year of the project to about 4.8 million in the last year of the project, reaching a cumulative total of about 14 million condoms sold during five years. Project support included: technical expertise in social marketing and auditing, contractual professional staff; training and study tours to develop capacities in social marketing and IEC; condoms; equipment and logistical support; and rehabilitation works.

The condom social marketing program was managed in an autonomous manner by a social marketing unit established with project assistance, under the general direction and guidance of ASTBEF (80) with the technical support of a social marketing firm, in close coordination with PNLS and in collaboration with public sector and civil society. Project support envisaged included specialist services, local professional staff, training, logistical support and office equipment, studies, and operating costs.

(d) Promoting the participation of the nongovernmental sector in population, family planning, and HIV/AIDS/STDs programs (US$5.5 million). This component supported the establishment of a social fund (Fonds de Soutien aux Activites en matiere de Population, FOSAP) to provide grant financing to civil society for population and AIDS control activities in order to complement and enhance the interventions of government and the social marketing program. A minimum of 40 AIDS control subprojects would be supported encompassing (a) prevention aimed at key target groups; (81) and (b) mitigation through the provision of psychosocial support for HIV/AIDS persons and their families in five prefectures. The project also envisaged support to a minimum of 20 population subprojects including (a) targeted IEC;82 (b) activities to improve women's income-earning capacities and status; and (c) studies and operational research on the acceptability of new contraceptive methods. In addition, given the weak capacity of potential beneficiaries of the grants (national NGOs, local associations and individual health service providers) FOSAP would support several "resource projects" (projets dynamisateurs) by well-established NGOs to build capacity among potential beneficiaries in the preparation, implementation, and evaluation of their subprojects
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Publication:Chad - Population and AIDS Control Project
Date:Mar 7, 2005
Previous Article:Annex B. Persons and organizations consulted.
Next Article:Annex D. Program and project data.

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