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Annex E. Key targets and indicators supported under population and AIDS project.

Population Strategy:

                         Baseline     Target     Actual
                                      (1999)

Reduction of annual      2.4%         2%         3.1%
rate of population                               (2004) (83)
growth

Advance the onset of     6.6 (84)     n.d.       6.6 (85)
fertility decline        (1996/97)

Increase in modern       1% (1990)    10%        2.0% (86)
contraceptive                         (2000)     (2000)
prevalence rate

Enhanced knowledge of    n.a.         n.d..      n.a.
the population of the
link between
population and
development

Increased                n.a.         n.d.       n.a.
participation of
women in development
activities.

Validation of social     n.a.         n.d.       n.a.
status of women

Strengthened and         n.a.         n.d.       n.a.
extended MCH/family
well-being at all
levels of the health
system

Population Strategy:

                                           Comments

Reduction of annual
rate of population
growth

Advance the onset of
fertility decline

Increase in modern       At the time of the MTR this goal was
contraceptive            acknowledged to be unattainable and it was
prevalence rate          agreed to review and revise the target
                         through analytic work with UNFPA assistance.
                         Consultants were hired, but the task was
                         never completed.

Enhanced knowledge of    Not evaluated.
the population of the
link between
population and
development

Increased                Not evaluated. Field visits/interviews
participation of         indicate: income generation for women has
women in development     enhanced family wellbeing through investments
activities.              in health and education and application of
                         information about HIV/AIDS prevention.

Validation of social     Not evaluated. Women beneficiaries of
status of women          microfinance who were interviewed reported
                         enhanced social status due to their success
                         in starting/growing viable economic
                         activities.

Strengthened and         Not evaluated/not a goal of this project.
extended MCH/family      Bank assistance to this program objective was
well-being at all        supported primarily through the parallel
levels of the health     Health and Safe Motherhood project. The
system                   Population and AIDS project did contribute to
                         this objective by procuring contraceptives
                         for FP services for the public health system.

n.a.: not available

n.d.: not defined

HIV/AIDS Medium Term for 1995-1999

                                 Baseline            Target
                                                     (1999)

A. PREVENTION : TO SLOW THE SPREAD OF HIV INFECTION BY PROMOTING
BEHAVIOR CHANGE

1. Knowledge

% population age 15-49 who       n.a.                100%
can cite two acceptable ways
to protect themselves from
HIV infection

2. Availability and acceptability of condoms

% persons age 15-49 knowing      n.a.                n.d.
where they can buy a condom

% persons 15-49 able to                              n.d.
obtain or buy a condom at an
affordable price

% persons age 15-49              0.016 of women      1 (project
considered "high risk"           age 15-49 and       projected to
reporting use of a condom        0.053 of men age    change behavior
during their last sexual         15-59 reporting     of 415,000
encounter                        sexual relations    sexually active
                                 w/ non-regular      persons at high
                                 partner (88)        risk)

3. Casual sex

% sexually active persons age    n.a.                n.d.
15-49 reporting at least one
incident of casual sex during
the last 12 months

4. STDs

% of total number of             n.a.                76%
diagnosed STD cases that are
managed according to MoH
norms

% pregnant women age 15-24                           n.d.
years testing positive for
syphilis of all those tested
for syphilis

% men age 15-49 reporting an     n.a.                n.d.
episode of urethritis during
the last 12 months

5. HIV

% of pregnant women age 15-24    2.1% (N'Djamena     n.d.
years tested for HIV in          study)
prenatal clinics that are
sero-positive

                                 4.8% (91)

B. Mitigation

Of total estimated number of     36%                 60%
people living with AIDS, %       (1993)              (12,000 AIDS
being treated by health                              patients
services                                             projected to
                                                     benefit under the
                                                     project)

Of total estimated number of     n.a.                30%
people living with AIDS, %                           (21,000 families
being cared for at the                               projected to
community level by an NGO or                         benefit under the
CBO                                                  project)

% total estimated orphans        n.a.                n.d.
benefiting from program                              (45,000 orphans
interventions during the last                        projected to
12 months                                            benefit under the
                                                     project)

                                 Actual              Comments

A. PREVENTION : TO SLOW THE SPREAD OF HIV INFECTION BY PROMOTING
BEHAVIOR CHANGE

1. Knowledge

% population age 15-49 who       0.195 of women
can cite two acceptable ways     20-49 years of
to protect themselves from       age (2000) (87)
HIV infection

2. Availability and acceptability of condoms

% persons age 15-49 knowing      n.a.
where they can buy a condom

% persons 15-49 able to          n.a.                Condoms are
obtain or buy a condom at an                         widely available
affordable price                                     in the country
                                                     thanks to a
                                                     successful social
                                                     marketing program
                                                     with
                                                     decentralized
                                                     branches, and
                                                     over 1000 points
% persons age 15-49              In urban areas:     of sale. The cost
considered "high risk"           virtually all       of one condoms is
reporting use of a condom        professional        about US$0.02.
during their last sexual         prostitutes and
encounter                        70 percent of
                                 clandestine
                                 prostitutes; in
                                 rural areas: 60
                                 percent of
                                 professionals and
                                 50 percent of
                                 clandestine
                                 prostitutes n.a.
                                 report that they
                                 use condoms
                                 regularly with
                                 their clients
3. Casual sex                    (2001) (89)

% sexually active persons age    n.a.
15-49 reporting at least one
incident of casual sex during
the last 12 months

4. STDs

% of total number of             n.a.
diagnosed STD cases that are
managed according to MoH
norms

% pregnant women age 15-24       5.56% (90)
years testing positive for
syphilis of all those tested
for syphilis

% men age 15-49 reporting an     n.a.
episode of urethritis during
the last 12 months

5. HIV

% of pregnant women age 15-24    6.87% (92)
years tested for HIV in
prenatal clinics that are
sero-positive

B. Mitigation

Of total estimated number of     n.a.
people living with AIDS, %
being treated by health
services

Of total estimated number of     More than 30,000
people living with AIDS, %       families
being cared for at the           benefited from
community level by an NGO or     community-based
CBO                              social-medical
                                 assistance to
                                 mitigate impact
                                 of HIV/AIDS. (93)

% total estimated orphans        n.a.
benefiting from program
interventions during the last
12 months
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Title Annotation:PROJECT PERFORMANCE ASSESSMENT REPORT CHAD POPULATION AND AIDS CONTROL PROJECT (CREDIT NO. 2692) MARCH 7, 2005
Publication:Chad - Population and AIDS Control Project
Date:Mar 7, 2005
Words:963
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