PROGRESSO DO DREAMS NO DISTRITO DA BEIRAFHI360- PROJECTO CHASS
Maputo, 20 de Junho de 2019
Community Partner “World Education-WE”
• Demand creation for clinical partner
• Development of personal and social
skills
• Programs for parents, families and
caregivers (Social protection)
• Educational support
• Combination of socio-economic
approaches
Clinical Partner ”CHASS”• HIV and GBV Education for Prevention
• Condom Promotion and provision (male and female)
• HIV Testing and Counseling/ART linkage
• Contraceptive method mixed & Access Expansion
• Post Violence Care
• Community mobilization and Norms Change
• Referrals to VMMC (JHPIEGO provides services)
• Assessment for reduction of new HIV infections (40%)
DREAMS Mozambique (Beira District)Interventions for layering
Pop. AGYW: 67.951; Health facilities: 14;Schools: 10; 3 Universities; 3 Technical Schools; HIV Prevalence in AGYW 21.6%
Year 1 (March – Sept 2016)Year 2 ( Oct 2016 – Sept 2017)Year 3 (Oct 2017 – Sept 2018)
FB Interventions
• Strengthen the capacity of Health Personnel and Health Facilities (YFHS);
• Increase the demand for the YFHS, with use of IEC, Internet, CBO, Case Managers/Activists, Adolescent groups;
• Promote and provide services:• Education for HIV and GBV Prevention
• HIV counseling and testing;
• Family planning;
• GBV screening
• Post GBV care;
• Condom promotion and provision;
• Reference to VMMC
• Referral & Counter referral to the Community Partner (Layering)
OHF Interventions
• Collaboration with community-based partners
• Strengthen the capacity of staff and facilities in schools
• Mobile Brigades to schools and communities including “WE” with promotion and provision of:
• Condoms,
• HIV counseling and testing,
• Family planning,
• Reference to YFHS
• Layering
• Community dialogues on ASRH, HIV/GBV, harmful social and gender norms
InterventionsFacility-based (FB) & Outside Health Facility (OHF)
CHASS DREAMS Goals/ Progress from year 1 to 3 Goal: Reduce in 40% new infections in AGYW
Condom Promotion and Provision in
AGYW
Source: DHIS2 and Layering Platform
3115
1855514970 15305
2239025390
40861
1451
13091
8443
14157
1967121550 21057
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
FY16Q03 FY16Q04 FY17Q01 FY17Q02 FY17Q03 FY17Q04 FY18Q01
15-24 Y.O
Female Male
HIV Testing and Counseling in AGYW
Family Planning Through DREAMS
Beneficiaries and Method and AGYW
PP_PREV and Gender Norms
1405
3250
1240
1880
3270
0
2343
28
325657
69%
159%
61%
94%
164%
-10%
10%
30%
50%
70%
90%
110%
130%
150%
170%
0
500
1000
1500
2000
2500
3000
3500
FY17Q02 FY17Q03 FY17Q04 FY18Q01 FY18Q02
# O
F A
GY
W
PP_PREV GENDER NORM % Achieved
Source: DHIS2
Services provided VS effect on pregnancy relapse
and new infections by (HIV) in AGYW from 15 to 24
years
3316
2521 2695 24502918
2406 24421688
2685
4081
3190
4569 4552
7207
19%
16% 16%17%
15%
16%14%
0%
5%
10%
15%
20%
25%
0
1000
2000
3000
4000
5000
6000
7000
8000
FY16Q03 FY16Q04 FY17Q01 FY17Q02 FY17Q03 FY17Q04 FY18Q01
Pregnancies Contraceptive Methods % PositivesSource: DHIS2
Services provided VS effect on pregnancy relapse
and new infections by (HIV) in AGYW from 15 to 24
years
33162521 2695 2450 2918 2406 2442
3115
18555
14970 15305
22390 25390
40861
19%
16% 16%17%
15%16%
14%
0%
5%
10%
15%
20%
25%
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
FY16Q03 FY16Q04 FY17Q01 FY17Q02 FY17Q03 FY17Q04 FY18Q01
Pregnancies Condoms % PositivesSource: DHIS2
Satisfaction of SAAJ Users
Number of Users of SAAJ Beira Happy Reasonable Sad Total
3498 962 292 4752
2094 264 101 2459
Next Steps..
• Assessment for reduction of HIV new infections in DREAMS beneficiaries (40%) using
the DREAMS Platform (Layering)
Source: DREAMS Layering Platform 10/6/2019
Agradecido..