USAID HIV Prevention, Testing and Treatment

Services for Key populations in Amhara Region

Performance Review Meeting

Terminal Evaluation
October , 2021
Bahir Dar
Presentation Outline
 Overview

 Goal & objectives

Geographic scope
Target beneficiaries
Technical Approach
Accomplished activities
 Challenges & Actions
 Lesson Learned
 The Way Forward
KP Program Overview
 Geographic coverage
Region: Amhara
Sub National Unit (SNU) :
31
SNU by Zone
◦ Bahir Dar Lyu: 2
◦ South Gondar: 10
◦ Central Gondar: 10
◦ North Gondar: 5
◦ West Gondar: 4
 Geographical coverage by SNU/town
Cont….
Zone SNU/Town
Bahir Dar Lyu : Bahir Dar & Bahir Dar Zuria

South Debretabor, Nefase Mewechia, Mekanyesus, West Estie,

Gondar : Semada, Sedi Muja, Woreta, Dera (Amhara), Addis
Zemen & Ebinat
Central Gondar, Gondar Zuria, East Belessa, West Belessa, East
Gondar Dembia, West Dembia, Aykel, Tegede, Takusa, Tachi
Aremachiho
North Debark, Wogera, Dabat, Adi Arekay & Beyeda
Gondar
West Gondar Metema, Genda Wuha, Quara & West Aremachiho

www.mahiberehiwot.org
Drop In Centers (DICs)
 Target Populations
1.Key Populations
1.1 Female Sex Workers

2. Priority Populations
2.1 AGYW

2.2 HRM

2.3 LTD
 Project Goal and Objectives
Goal:
To achieve local HIV epidemic control (95-95-95) through
delivery of high impact community-based HIV prevention,
care and treatment services for key populations by 2030.

Specific Objectives:
 Increase access and demand of key populations for HIV
services that reduce HIV incidence in the community.

 Strengthen utilization of data to monitor service delivery

and conduct quality improvement of program services.
COP20/FY21 MER Indicator Targets
/Achiv
 1. Accomplished activities & major achievements
1.1 Start Up activities
◦ Agreement signing
◦ Sensitization workshops
◦ Agreement doc. Distribution
◦ Mapping of hotspot sites
◦ New staff Recruitment
◦ Communication with government partners
◦ Commodities procurement
 1. Accomplished activities & major
achievements

FY20/21 HIV Prévention Services (Oct.20-September 21)

% from the annual
Activity Annual Target Annual Performance target
KP_PREV 9099 9,784 121%
PP_PREV 18963 20,786 110%
HRM 11378 10,375 91 %
AGYW 7206 9,912 >100%
LTD 379 499 >100%
Sub-Total 18,963 20,786 >100%
Post Test 300 461 >100%
MAP/GN 1165 1,729 >100%
 1. Accomplished activities & major
achievements
Prevention cont…

KP_PREV   PP_PREV
Annual KP Annual PP
% %
Towns Target Reached Target Reached
Gondar 2470 3059 123.8% 5675 5284 93.11%
East Dembia 292 650 222.6% 853 1016 119.11%
Metema 408 488 119.6% 977 1073 109.83%
Debark 464 664 143.1% 950 1012 106.53%
Bahir Dar 2584 3377 130.7% 6374 8122 127.42%
Woreta 472 408 86.4% 802 1103 137.53%
D/Tabor 704 552 78.4% 1970 1619 82.18%
N/Mewucha 436 348 79.8% 761 843.5 110.84%
G/Wuha 252 238 94.4% 603 713.5 118.33%
MSD Total 8082 9,784 121.1% 18,965 20,786 109.60%
 1. Accomplished activities & major achievements
Prevention cont…

FY20/21 , HIV Prévention Services (Oct.2020-Sept.2021)

Annual % from the annual

Activity Annual Target Performance target

PrEP_NEW 2644 2347 89%

PrEP_CURR 2898 2682 93%

GEND_GBV 968 1168 >100%

TB_PREV 562 265 47%

 1. Accomplished activities & major
achievements
FY20/21 , BCC contribution for HIV services (Oct.2020-Sept.2021)

BCC_HT
Target Session HTS_PO Not HTS_ S
Group Particip. HTS_TESTED S Eligible Decline PrEP Claint Cascade

KP_PREN 9784 2097 111 6190 1497 634 8287 85%

PP_PREV 20786 2488 51 15304 2994 24 17794 86%

Total 30,570 4,585 162 21,494 4,491 658 26,081 85.3%

1. Accomplished Activities & Major achievements
FY20/21 , Condom promotion and distribution (Oct.2020-Sept.2021)

Annual Annual % from the

 Type of cond. Target Performance annual target

Male condom 2,429,620 1,009,562 41.6%

Female condom 12000 3,210 26.8%

WB Lubricant 12000 2,620 21.8%

 1.Accomplished Activities & Major
Achievements
HIV Testing & Case Identification By Testing Approche
(Oct.2020-Sept.2021)

Testing by Annual FY20/21 Annual % from the

Approach Target performance annual target

HTS_INDEX 8651 4829 55.76%

HTS_Other 5667 5167 91.18%

HTS_Total 14318 9996 69.78%

HTS_INDEX_POS 1342 851 63.4%

HTS_Other_POS 264 154 58.33%

HTS_POS_Total 1606 1005 62.27%

 1. Accomplished Activities & Major
Achievements
HIV Testing & Case Identification By Cluster town
(Oct.2020-Sept.2021)

Cluster Town
Debre-
Activities Bahir Dar Gondar Debark Metema Tabour MSD-Total

HTS_TST plan 4448 4480 648 1196 3508 14280

HTS_TST perf. 2643 2787 1268 1229 2069 9996

Percentage 59.42% 62.21% 195.68% 102.76% 58.98% 70.00%

HTS_TST POS Plan 456 536 78 120 416 1606

HTS_TST POS perf. 205 256 186 157 201 1005

Percentage 44.96% 47.76% 238.46% 130.83% 48.32% 62.58%

 1. Accomplished Activities & Major Achievements
HIV Testing & Case Identification by Cluster towns
(Oct.2020-Sept.2021)
1. Accomplished Activities & Major Achievements
1.3. Statuas and Progress on HIV Testing & Case Identification by
Quarter (Oct.2020-Sept.2021)
Periods
Activities QI Q II Q III Q IV Total
HTS_TST plan 3580 3580 3580 3580 14318

HTS_TST perf. 2666 3546 2279 1505 9996

percentage 74 99 64 42 70

HTS_TST POS Plan 402 402 402 402 1606

HTS_TST POS perf. 242 321 279 163 1005

percentage 60 80 69 41 62
2. 1.1 HIV Testing (HTS)
HTS_INDEX 4829 HTS_INDEX_POS 851
HTS_Other 5167 HTS_ Other modalities _POS 154
Total 9996 Total 1005
HTS_INDEX Cascade
HTS_By Target Group

HTS by Target group with Provider testing

Target Group N – Negative P - Positive Grand Total
AGYW 488 23 511

CFSW 18 6 24
CIC 130 33 163

FSW 5717 647 6364

HRM 2629 296 2925

LTD 9 0 9

MSD-Total 8991 1005 9996

 2. 1. 2 HIV-Self Test , HTS_RECENT &
CXCA
Type of Annual FY21 Annual % from the
Testing Target Performance annual target

HTS_SELF 2729 3841 >100%

HTS_SELF_POS 136 71 52%
HTS_RECENT 1570 603 38 % 
Recent    120  
Long term   483   
CXCA_SCRN 649 501 77% 
CXCA_SCRN_POS   25   
 2. 1.4. TX_NEW & TX_CURR
Total # of HIV Positives Total enrolled # initiated on
FSW identified in to care in ART (Tx_ New)
FY21 FY20/21 in FY20/21
# Currently on
(Oct 2020- Sept, (Oct 2020- ART - (Tx
(Oct 2020- Sept 2021
Tx_ Current 2021 September 2021 Current) as of Net ART
as of Sept ,2021 initiation
Name of September increment in
ART DICs 2020 12 months

  (Pre ART)    

Bahir
196 152 105 105 280 84
Dar
Gondar 143 183 63 63 214 71
Debark 39 106 26 26 74 35
Metema 100 98 53 53 153 53
 2. 1. 5. Viral Suppression
Net ART Client initiation with each DICs in FY20/21 Annual

Eligible @ FY20/21 Annual EAC

1st 12th
& Sample Receive <1000 >1000
Name of DIC @ 6th Above Total sent d Total Cop/ml Cop/ml  

BDR 91 181 272 249 225 219 6  6

Gondar 34 186 220 217 201` 201 0  
Metema 80 43 123 83 72  60  12  12
Debark 27 43 70 58 58  56  0  
Total @ MSD 232 453 685 607 556 538   18  18

Perform. Coverage 89% 96.8%    

 4. Monitoring and Evaluation
Performance monitoring and quality improvement team is in
place at site level.
Conduct periodic supportive supervision , review meetings,
and monitoring visits
Conduct periodical data verification
Qualitative information on project performance is regularly
gather and fed into Access data base and CommCare web
based computer program
 Cont…
CommCare mobile technology for data entry, editing,
cleaning and reporting.
Conduct site level Joint supportive supervision
Conduct monthly review meeting with project team,
beneficiaries , prime partner &donor.
Conduct periodic review meeting with TWG and TF
Conduct terminal valuation .
 6. Partnership and Coordination
Established effective and inclusive partnership with
different entities at various level.
Engagement of gatekeepers and key government
partners to provide technical and material support.
Task force (TF), Technical working groups (TWGs) and
public, private and NGO Networking (PPN).
 7. Challenges and Action

Political instability and security problems

 shortage of commodities
Staff turn over
COVID-19
 lack of staff and volunteers commitment
Inadequate mentorship and supervision
 allocated big targets to be performed
 8. Lesson Learned

 the need for frequent and timely linkage verification

using a checklist is mandatory to maintain data quality.
 the need for conducting joint data auditing with partners
is an important activity to maintain service quality.
 the need for reviewing and follow up daily performance
has significant contribution for the project success.
The need for working closely with concerned
 8. Budget Plan Vs Expenditure
Expenditure Fund
Line Item Obligated Budget Expenditure Balance Percentage Transferred

  A D = (B+C) E = (A-D) F = (D/A*100) G

SALARIES 9,896,357.00 9,220,257.46 676,099.54 93%

FRINGE BENEFITS 3,846,285.00 3,457,864.42 388,420.58 90%
CONSULTANTS 115,725.00 90,457.08 25,267.92 78%
TRAVEL 256,000.00 251,708.42 4,291.58 98%
EQUIPMENT 40,000.00 48,734.79 -8,734.79 122%
PROGRAM DELIVERY 5,234,901.00 5,645,402.14 -410,501.14 108%

OTHER DIRECT COSTS 859,965.90 934,350.28 -74,384.38 109%

M&E 593,142.00 601,641.61 -8,499.61 101% 17,689,161.2
GRAND TOTAL 20,842,375.90 20,250,416.20 591,959.70 97%17,689,161.2
 
Elapsed time: 100%
THANK
YOU !