Identifying Most-At-Risk Populations and HIV/AIDS Referral Services: Baseline Assessment for Mobile HIV Counseling and Testing Program in Tigray National Regional State of Ethiopia
Sign inABT ASSOCIATES
The Private Health Sector Program is a technical assistance program to support the Government of Ethiopia.
2011 · 117 pages

Abstract
The program is managed by Abt Associates Inc. and is funded by the United States Agency for International Development (USAID), under Associate Award # 663-A-00-09-00434-00. The program aims to identify most-at-risk populations and HIV/AIDS referral services in the Tigray National Regional State of Ethiopia. The baseline assessment for the mobile HIV counseling and testing program in Tigray National Regional State of Ethiopia was conducted in May 2011. The assessment aimed to identify the most-at-risk populations, HIV/AIDS referral services, and the existing health services in the region. The study design involved a cross-sectional survey of the population in six towns in the Tigray National Regional State of Ethiopia, including Adigrat, Wukro, Mekele, Adigudem, Maichew, and Mehoni. The assessment identified various risk factors for HIV/AIDS in the region, including low levels of education, poverty, and lack of access to health services. The most-at-risk populations (MARPs) in the region included sex workers, men who have sex with men, and injecting drug users. The assessment also identified the existing health services in the region, including hospitals, health centers, and clinics. The assessment found that the existing health services in the region were inadequate to meet the needs of the population. The health services were characterized by a lack of trained healthcare workers, inadequate equipment, and limited access to antiretroviral therapy (ART). The assessment also identified the organizations providing HIV/AIDS services in the region, including non-governmental organizations (NGOs) and government agencies. The assessment found that the existing HIV counseling and testing services in the region were inadequate to meet the needs of the population. The services were characterized by a lack of trained counselors, inadequate equipment, and limited access to testing facilities. The assessment recommended the establishment of mobile HIV counseling and testing services in the region to reach the most-at-risk populations. The assessment also identified the need for increased funding and resources to support the existing health services in the region. The assessment recommended the establishment of a comprehensive HIV/AIDS program in the region, including the provision of ART, counseling, and testing services. The assessment also recommended the establishment of a referral system to link patients to healthcare services in the region. The assessment found that the most-at-risk populations in the region were concentrated in the urban areas, particularly in the towns of Adigrat, Wukro, and Mekele. The assessment recommended the establishment of targeted interventions to reach these populations, including peer education, outreach services, and community-based programs. The assessment also identified the need for increased awareness and education about HIV/AIDS in the region. The assessment recommended the establishment of a comprehensive awareness and education program to reach the general population, including school-based programs, community-based programs, and mass media campaigns. Overall, the assessment found that the existing health services in the Tigray National Regional State of Ethiopia were inadequate to meet the needs of the population. The assessment recommended the establishment of a comprehensive HIV/AIDS program in the region, including the provision of ART, counseling, and testing services, as well as targeted interventions to reach the most-at-risk populations.
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Classification
USAID DEC