ចក្ខុវិស័យ

With funding support from European Commission, the “Increasing Community Action on HIV/AIDS Prevention, Integrated with Care and Impact Mitigation Efforts in Cambodia” project has been implemented since 2007 in Prey Veng, Kampong Chnnang, and Kampong Speu. The end project evaluation aims to evaluate the efficiency and effectiveness of the program and measure the impact of the program on the beneficiaries and community as a whole.
Quantitative and qualitative methods were employed. The findings showed the high level of overall satisfaction with services for both PLHIV and OVC. PLHIV reported undergoing ART nearly 90%. Increased OVC regularly access schooling, social support and health condition. Consistent condom use among entertainment workers with client remains high but still relatively low when with their sweetheart. HIV test among MARP has significantly increased.

Baseline documentation has been conducted to enable measurement and evaluation of program achievements. Quantitative and qualitative methods were employed. Result showed implementing partners adapted the SAHACOM model based on local context particularly in relation to ratio of community support volunteers and peer facilitators. Integration of SRH services undertaken so far has resulted in increased awareness and understanding among MARP, PLHIV and OVC.

The baseline survey was conducted with funding support from the Global Fund Round 7 and the European Commission (EC). Quantitative methods were used to identify and determine the magnitude of prevention indicators. Results showed there is still gaps in condom use among the three target populations, entertainment workers (EW), men who have sex with men (MSM) and drug users (DU). Target groups were found to be at high risk of HIV infection due to shortage of knowledge and information. Discrimination was found to be a barrier preventing MSM and DU from accessing health services and information.

KHANA implemented an integrated care and prevention program since 2007 in Prey Veng, Kampong Chnnang, and Kampong Speu provinces with EC funding support. The mid-term review aims to monitor progress and provide feedback to improve program design and implementation.

Quantitative and qualitative methods were used. Study findings included: 70% of PLHIV in the program were women; 83% of PLHIV were on ART; 84% of OVC attend school, however about 60% suspended study at some point to earn extra household income; levels of stigma and discrimination have dramatically declined; 15% of PLHIV had ever sold farmland, rice-fields or houses to cover food, clothing, medical care and debt repayment. PLHIV and OVC reported high satisfaction with the ICP program.

KHANA implemented a focused prevention program targeted to most at risk populations (MARP) with funding support from EC and USAID. The mapping study incorporated both a situation and response analysis. The study showed that both sex workers and MSM both faces stigma and discrimination from the community as a result of societal attitudes towards sex and sexual preference.

KHANA has been providing income generation activities (IGA) through community based implementing partners to HIV affected families. Small scale grants of USD30 were provided which can have only a limited impact on household economies.

As a result, KHANA piloted a microfinance project for HIV affected families partnering with VisionFund. The evaluation aims to measure the impact, identify lessons learnt and challenges encountered, and identify best practices from the pilot.

Qualitative and quantitative methods were used to collect data from selected respondents. Results showed most of HIV affected families who received microfinance had improved living conditions in terms of food security, health condition, child school attendance, and saving. Notably, PLHIV who accessed microfinance reported higher adherence to anti retroviral therapy (ART). There is a need to sustain momentum of the positive effects of microfinance provision among HIV affected households. It is strongly recommended the pilot continues and is expanded to other communities.

The report summarises finding from a brief study of the successes and, challenges of KHANA and local partners in Income Generating Activities (IGAs) for people affected by HIV/AIDS. The study covered ten partners in five provinces so only represents a subset of the whole KHANA IGA program. Most partners are providing small grants or loans to PLHA and OVC families for IGA. The approach has been deliberately flexible and partners have tried many different schemes, including: grants, small loans with flexible repayment requirements, grants linked to savings and grants or loans to self-help groups.

The review examines the integrated care and prevention (ICP) program funded through Global Fund Round 1 and USAID. Findings showed positive outcomes in the areas of program performance, management and design.