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Programs

Final Report for the AIDSCAP Program in Cameroon: Country Program Description

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Table of Contents

Executive Summary

I. Background and Country Context

II. Country Program Description

III. Lessons Learned

IV. Subproject Highlights

V. Attachments (See Below)

Glossary of Acronyms

V. Attachments

A. Process Indicator Tables

Project Name
(FCO No.)

Total Trained

Total Educated

Condoms Sold

Condoms (free)

Materials Distributed

Media Spots Aired

MSTOP: Social Marketing of Prepackaged STD Treatments for Urethritis (41065)

81

N/A
N/A
N/A

1,421

N/A

Condom Social Marketing (22466, 52366-0, 52366-1)

141

N/A

24,148,477

827,579

1,061,200

470

Interventions with CSWs, their Clients, and STD Patients (23465)

206

496,563

N/A

59,469

37,306

N/A

Prevention of HIV/AIDS Among University Students in Cameroon (43380)

340

55,788

N/A

17,678

66,418

N/A

Interventions with the Cameroon Armed Forces (43381)

467

61,978

N/A

7,395

16,188

N/A

STI/HIV Prevention Project Among Youth in the East Province of Cameroon (46065)

896

133,000

N/A

51,160

40,510

N/A

Community Based Integrated AIDS Education within Primary Health Care Services in Far North Province (53386)

350

25,823

N/A

89,761

10,956

N/A

B. Summary of Technical Assistance

A wide range of technical assistance was provided to the AIDSCAP program in Cameroon, especially during the first couple of years of implementation. Over time, with the program well established, international technical assistance gradually decreased while in-country technical assistance increased. In addition to the formal TA, informal on-site valuable technical assistance was provided to the program and individual subprojects by staff from the executing agencies including project managers and technical experts, both national and international.

The following list includes all formal TA both international and local. The list presents the name of the TA provider, the dates, and the general nature of the technical assistance.

Year/Month

# of weeks

Traveler(s) - Scope of Work

1992

May

1

Sheila Mitchell: Feasibility of Cameroon being designated as AIDSCAP priority country.

June

1

Carlos Ferreros: Preliminary planning for extension and expansion of Condom Social Marketing Project under transition from AIDSTECH to AIDSCAP.

October

16

François Crabbé, Jacqueline Dubow, Rose De Buysscher, Tim Manchester, Sheila Mitchell, Erin Soto: Design Team to write strategic and implementation plan for HIV prevention and control in Cameroon.

1993

February

1

Robert Hanenberg: Evaluation of Cameroon's AIDS Control Program for MTP II (1993-1997)

March-April

8

Rose De Buysscher, Anne Phillips and Tobi Saidel: Development of subagreements for sentinel surveillance, military and student projects. Evaluation strategy and needs assessment of BCC materials.

March

1

François Crabbé: TA for STD and MSTOP project

May-June

4

Elizabeth Yunga: Consultant educational materials

June

2

Anne Phillips: TA with the development of educational materials and training

July

2

Joanne Weinman and J. Nguidiol: Training of Trainers Workshop

July

1

François Crabbé: National meeting on STD Treatment Guidelines

July-October

6

Jean Paul Tchupo: TA for baseline KAPs w/military and students

October

2

Susan McCombie: Recommendations for Behavioral Research related to peer education interventions.

October

1

Duncan Earle: TA Condom Social Marketing

November

1

François Crabbé: Development of 6-month workplan for the implementation of STD management guidelines.

1994

January-February

7

Cheryl Sonnichsen, Rose De Buysscher, Anne Phillips: Project monitoring, evaluation and BCC technical assistance.

March-April

1

Shane Ryland: Evaluation Consultant for peace Corps Workshop on HIV/AIDS curriculum in secondary schools

April

2

Marie-Thérèse Obama: Evaluation MSTOP

April

2

François Crabbé: Evaluation MSTOP & development of GC susceptibility study

September

2

Bumni Makinwa: Adaptation of Peer Educator manuals

September-October

6

Jean Paul Tchupo: Assistance in development, data collection and analysis for KABP surveys among CSWs

September-December

6

Joseph Ndongo Betima and Ubald Tamoufé: Development of three Peer Educator and Training Manuals.

October

1

Rose De Buysscher: Project and financial monitoring

November

1

François Crabbé: GC study follow-up

1995

January-October

4

Joseph Ndongo Betima and Ubald Tamoufé: Pretesting and finalizing of Peer Educator and Training Manuals.

February-March

2

François Crabbé: TA to GC susceptibility study; field test STD Syndromic Management training materials.

April

3

Tony Schwarzwalder, Barbara DeZalduondo, Godfrey Sikipa: Program Review.

June

2

François Crabbé: Training of Trainers & Baseline Assessment of STD case management in target cities.

August

2

Tobi Saidel: Evaluation TA to Peace Corps for evaluation of TEFL/AIDS curricula; Pretesting of BCC topic guides for EOP evaluation and Lessons Learned.

September

1

Rose De Buysscher: Program monitoring and pipeline analyses

1996

February

2

Julien Denakpo: Development of country office and project close-out plan

March-April

1

Sheila Mitchell: Capacity Building - NGO registration

April-October

12

IRESCO: Tchupo et al.: EOP KABP, FGD and final reports.

June

2

Cherif Soliman: TOT for STD case management.

June

2

Hally Mahler: Assistance to IRESCO in use of Ethnograph for analysis of EOP data.

August

1

Tobi Saidel: Finalizing EOP evaluation research and preparation for Lessons Learned

September

4

Rose De Buysscher, François Crabbé, Bumni Makinwa and Godfrey Sikipa: Lessons Learned Workshop.

October

1

Constant Kabwasa: Financial close-out

C. List of Materials Produced

  1. Training manuals and materials

Title

Target Audience

Content

Formation des Formateurs: Communication Interpersonnelle/Sida

Health care providers, community leaders, peer educators

Training, evaluation, interpersonal communication, peer education

Prévention des MST et du Sida: Guide de la Leader

Female sex workers/clients/STD patients

HIV-AIDS Education, condoms, Training, STDs, Safe Sex

Prévention des maladies sexuellement transmissibles et du Sida au sein des universités: Guide du Pair Educateur

University students

HIV-AIDS Education, condoms, Training, STDs, Safe Sex

Prévention des MST et du Sida au sein des forces armées. Guide du Leader-éducateur

Military personnel

HIV-AIDS Education, condoms, Training, STDs, Safe Sex

Guide Thérapeutique des MST

Health care personnel

Antibiotics, STD treatment recommendations

Artificial Penis

High risk groups and general public

Correct condom use demonstrations

Album Educatif: photo album on STDs and AIDS

Students, sex workers and their clients, bar patrons, military, STD patients, prisoners

The album presents different aspects of STDs and AIDS and lessons to learn about avoiding transmission and contraction of them.

  1. Posters

Title

Target Audience

Content

Algoritmes de prise en charge des cas de MST

Health/STD care providers

STD treatment guidelines

La lutte contre les MST et le Sida doit se faire partout et à tout moment

Female sex workers/clients of CSWs/STD patients

Condom use, treatment of STDs, STI-AIDS prevention

Dans les circuits, le condom doit aussi être au rendez-vous

Female sex workers/clients of CSWs/STD patients

Condom use, treatment of STDs, STI-AIDS prevention

L'alcool ne doit pas nous faire oublier la prévention des MST et le Sida: utilisons le condom

Female sex workers/clients of CSWs/STD patients

Condom use, treatment of STDs, STI-AIDS prevention

Pour la prévention des MST et le SIDA suivons les conseils de la leader éducatrice

Female sex workers/clients of CSWs/STD patients

Condom use, treatment of STDs, STI-AIDS prevention, follow advice of PHEs.

Health Maintenance Calendar, 1995 (French and English)

Sex workers/STD patients/clients

Students/military personnel

Condom use, treatment of STDs, STI-AIDS prevention, follow advice of PHEs.

Luttons contre les MST et le Sida, - Fight against STDs and AIDS (94 calendar)

Sex workers/STD patients/clients

Students/military personnel

Condom use/Avoid pregnancy if HIV+, don't share razors, health seeking behavior

Prudence Plus posters

High risk and general public

Condom use, safer sex, STDs...

Prudence Plus Calendars

High risk and general public

Condom use, safer sex, STDs...

Fais attention "petit piment"...

Truck drivers, transport workers

STI prevention

University student posters (3)

University Students

Condoms, treatment of STDs, STI/AIDS prevention

Un homme en tenue peut trouver une femme n'importe ou, alors il vaut mieux être armée jusqu'au canon

Military

Condom use

L'armée protège la population.... la capote contre les MST...

Military

Condom use

L'homme en tenue est peut-être solide, mais pas assez pour résiter aux MST/Sida

Military

STI and AIDS prevention

L'auto-médication calme peut-être votre douleur, mais elle ne guérit pas vos MST

Military

Health seeking behavior, self-medication

Attention! Toute nouvelle partenaire est un risque de plus pour contracter les MST/Sida

Military Personnel

Condom use, treatment of STDs, STI/AIDS prevention

Personne n'est à l'abris des MST/Sida

University students

fidelity, stick to one partner

MST: consulter un camarade c'est douteux, aller au centre médico-social c'est plus sûr

University students

STD treatment seeking behavior

Les MST s'attrapent à deux et se préviennent à deux - series of two posters

University students

STI prevention and condom use

  1. Leaflets, Booklets and Brochures

Title

Target Audience

Content

Educational Booklet on STI/HIV/AIDS

Youth

Basic STD-AIDS Information on prevention, condom use, STDs etc.

Stickers for trucks

truck drivers

AIDS message

Leaflet on condoms

Youth

Condom use

Leaflet on AIDS: Comment prévenir le Sida et les MST

Youth

HIV prevention, condoms, abstinence

Leaflet on "Prudence" and "Prudence Plus" (English and French)

Military, CSWs, University students, STD patients, bar patrons

Basic STI-AIDS information for military personnel during educational sessions

Prudence Sampler: leaflet on HIV/AIDS with a condom sample (English/French)

General Population and target groups

Basic information on HIV/AIDS, prevention and condom use

Brochure on "SIDA"

CSWs, youth, military, truck drivers

factual information on AIDS/STD prevention, condom use

Booklet : Le Sida au Village: an anthology of theater skits

High risk groups and general population

STI/HIV prevention, condom use, fidelity, partner reduction, health-seeking behavior.

Educational Bus Ticket

University students

Prevention Messages

  1. T-shirts, Caps, Pens, Bags, etc.

Title

Target Audience

Content

Prudence Bags

Military, CSWs, STD Patients, Students

Promote safe sex

Prudence Plus Caps and Pens

General Public

Condom use

CARE Bag: Comment prévenir le SIDA et les MST? Renseignez-vous auprès de moi.

Youth

AIDS prevention, check with your Peer Educator for more information.

CARE Caps: NON au SIDA

Youth

AIDS Prevention

CARE: Pens with message on AIDS

Youth

AIDS Prevention

CARE T-shirt: Evitez le Sida et les MST, soyez fidèles

Youth

STI/AIDS prevention, monogamy, fidelity

T-shirt: Universités du Cameroon: Non aux MST-SIDA

University Students

STDs

Prudence T-shirts: Confiance d'accord mais prudence d'abord

General Public

Condoms

STOP SIDA T-shirt

General Public

Stop AIDS

Banners with preventive slogans

General Public

AIDS awareness campaigns

  1. Theater, TV, Videos, Radio and Cassettes

Title

Target Audience

Content

Les amies de Rose et Douglas - Theater / TV, Video and live performances

High risk groups & general population

STI/HIV prevention, condom use, fidelity, partner reduction, health-seeking behavior.

Le linge sale - drama / Video and live performances

Youth

STI/HIV prevention, condom use, fidelity and health seeking behavior

Dilemma - Radio Comedy / Radio broadcast and audio cassettes

Youth and General Population

STI/HIV prevention, condom use, fidelity....

Individual Risk Behavior and the Spread of HIV-AIDS / Video and TV spots

University Students

Increase condom use in high risk situations and promotion of safer sex

Educational Radio Spots:

  1. French for CSWs : three spots
  2. French for students: two spots
  3. French for military: two spots
  4. English for CSWs: two spots
  5. English for military: one spot

Youth, students, military, CSWs

Condom use, behavior change, safer sex, fidelity, ...

D. LogFrame: Cameroon Country Program

Hierarchy

Indicators

Means of Verification

Goal: To stabilize the rate of sexually transmitted STI/HIV infection in Cameroon.

Stabilization in gender-group and/or age-specific HIV seroprevalence.

National HIV and syphilis sentinel surveillance.

Stabilization or decrease in gender-group- and/or age-specific syphilis seroprevalence.

Purpose: To strengthen the capacity of Cameroonian institutions to improve STI/HIV risk reduction behavior in targeted populations in selected urban areas.

1.1) 85% of targeted populations can identify appropriate means of preventing sexually transmitted HIV.

KABP Surveys

1.2) 70% of targeted populations report consistent condom use in high risk situations.

1.3) A 50% decrease in at risk encounters by students and military.

1.4) A 50% increase in appropriate health-care seeking behaviors related to STDs by targeted populations.

1.5) National STD treatment Plan developed.

National STD Treatment Guidelines

Outputs

Indicators

Means of Verification

1. Improved and integrated targeted communication activities implemented.

100,000 members of target populations participate directly in risk reduction communications.

Process data (PIFs)

2. Condom promotion and distribution systems expanded in private and public sector and condom sales increased.

2.1) Condom sales increased to .6 per capita in year 4.

PIFs

2.2) 50% increase in overall condom outlets.

2.3) Condom distributors & wholesalers established in 95% of urban centers with populations over 25,000.

3. Improved STD case management and prevention services established.

3.1) Algorithm for diagnosis and treatment of STD developed and pilot tested by year 2.

3.1) Site inspections to assure Algorithm used.

3.2) Pilot program for social market. of STD treatment launched and evaluated by end of year 1.

3.2) Evaluation report.

3.3) 90% of health care providers serving target population trained in appropriate STD prevention education and counseling methods and STD diagnosis and treatment.

3.3) PIFs

3.4) 90% increase in number of target individuals seeking STD care and receiving education, counseling and treatment

3.4) PIFs

4. Appropriate behavioral and evaluation research conducted.

Result of research incorporated into intervention activities.

Intervention activities modified.

E. AIDSCAP Cameroon Country Program Financial Summary

LOP Funding/Estimated Expenditures

USAID Funding and Project Core Funds

Obligated Funds

USAID/Cameroon

1,550,000

Africa Bureau

1,370,477

Project Core Funds

987,580

Total Funding

3,908,057

Expense Detail Summary

Estimated Expenses

I. Subgrants

Unite de Lutte Contre le SIDA-Sentinel Surveillance

59,170

Unite de Lutte Contre le SIDA-University Students Project

234,507

Unite de Lutte Contre le SIDA-Military Project

207,846

Centre Pasteur du Cameroon-STD Case Management

81,870

Population Services International (PSI)-STD Social Marketing

369,398

Population Services International-Condom Social Marketing

793,336

Population Services International-Young Adult Reproductive Health Operations Research

145,838

National AIDS Control Unit Prevention AIDS High Risk

403,013

Save the Children

254,786

CARE USA (Care East Province)

357,563

Institute for Research & Behavoral Change Studies (IRESCO)

81,017

Total Sub Grants

2,988,344

II. Country Program Support*

919,713

Total Projected LOP Expense

3,908,057