Guidance Document Strengthening the Adolescent Component of National hiv programmes through Country Assessments



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#EndAdolescentAIDS




Guidance Document
Strengthening the Adolescent Component of National HIV Programmes through Country Assessments
Adolescent Assessment and Decision-Makers’ (AADM) Tool

April 2015

Table of Content


Contents




Acknowledgements




Abbreviations and Acronyms




All In to #EndAdolescentAIDS

Introduction




Purpose and objectives




Background




The HIV investment framework




The ALL In strategic framework




The UNAIDS modelling for the fast track initiative




Theory of change




Key principles




The country assessment process




Phase 1: Rapid assessment - national adolescent programme context analysis




Phase 2: In-depth analysis of priority interventions in priority locations




Phase 3: Evidence-informed planning




List of Tables




Table 1: Theory of change for analytical approach to strengthen adolescent components of national HIV programmes




Table 2: List of demographic, HIV epidemiologic and other adolescent indicators included in phase 1 of the country assessments




Table 3: Service delivery platforms for HIV prevention, treatment and care interventions for adolescents










Tool kits




Tool Kit 1.1: Decision on Priority Programme Interventions




Tool Kit 1.2: Decision on Priority Sub-national Areas for Programme Acceleration




Tool Kit 2.1: Coverage Indicators for in-depth analysis of HIV and SRH interventions for adolescents




Tool Kit 2.2: Mapping matrix for Service Delivery Platforms in the Defined locations for Phase 2




Tool Kit 2.3: Key Questions to Guide Sub-National Disparity and Qualitative Causal Analysis of barriers and bottlenecks to effective coverage of priority interventions




Tool Kit 3.1: Format for micro-planning with example related to HIV testing and counseling










Annexes




Annex 1: Conceptual framework for strengthening the adolescent component of a national programme through a country assessment




Annex 2: The Adolescent Assessment and Decision Makers’ (AADM) tool




Annex 3: Checklist for country assessment monitoring




Annex 4: Methodology for assessing an enabling environment




Annex 5: Questionnaire for assessing an enabling environment for the adolescent component of a national HIV programme










Attachments




Attachment A: Terms of reference for a country assessment to strengthen the adolescent component of the national HIV programme




Attachment B: Reporting format for phase 1 (rapid assessment): Adolescent HIV programme context analysis




Attachment C: Reporting format for phase 2: In-depth analysis of low performing HIV interventions for adolescents in the priority locations





Acknowledgments

The HIV Section of the United Nations Children’s Fund (UNICEF) Headquarters produced this guidance document, as part of the ALL IN agenda to end adolescent AIDS.

UNICEF would like to thank the many individuals, listed below who contributed to the development of this document, from the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), Save the Children, the Joint United Nations Programme on HIV/AIDS (UNAIDS), United Nations Development Programme (UNDP), United Nations Population Fund (UNFPA), United Nations Children’s Fund (UNICEF), United Nations Entity for Gender Equality and the Empowerment of Women (UN Women), the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the World Bank and the World Health Organization (WHO).

EGPAF

Ronnie Lovich and Flavia Bianchi

GFATM

Caitlin Chandler

Save the Children

Kechi Achebe

UNAIDS

Chris Collins, Mikaela Hildebrand, Jude Padayachy, Meheret Melles, Ruben Antonio Pages and Mbulawa Mugabe

UNDP

Ludo Bok

UNICEF

Craig McClure, Chewe Luo, Susan Kasedde, Tajudeen Oyewale, Vivian Lopez, Priscilla Idele, Chiho Suzuki, Tyler Porth, Najin Yasrabi and Sagri Singh

UNFPA

Elizabeth Benomar and Ilya Zhukov

UN Women

Nazneen Damji and Elena Kudravtseva

PEPFAR

Nina S Hasen and Surbhi Modi

WHO

Jane Beverly Ferguson, Rachel Baggaley, Alice Armstrong and Symplice Mbola Mbassi

World Bank

Nicole Fraser-Hurt

Susan Kasedde and Tajudeen Oyewale provided overall technical coordination of the document’s development with support from Chewe Luo, Priscilla Idele, Chiho Suzuki and Tyler Porth.



Abbreviations and Acronyms

AADM

Adolescent Assessment and Decision-Makers’ Tool

ACT

AIDS


Accelerating Children’s HIV/AIDS Treatment (initiative)

acquired immune deficiency syndrome



AIS

ALHIV


AIDS indicator surveys

adolescents living with HIV



ANC

ART


antenatal care

antiretroviral therapy



ARV

CBO


CHW

CSO


DHS

DREAMS


antiretroviral (drug)

community-based organization

community health worker

civil society organization

demographic and health survey

Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (life)



EMIS

EGPAF


education management information system

Elizabeth Glaser Pediatric AIDS Foundation



GARPR

GBV


UNAIDS Global AIDS Response Report

gender-based violence



GFATM

The Global Fund to Fight AIDS, Tuberculosis and Malaria

HIV

human immunodeficiency virus

HCT

HMIS


MICS

MNCH


PEPFAR

HIV counselling and testing

health management information systen

multiple indicator cluster survey

maternal, newborn and child health

The U.S. President's Emergency Plan for AIDS Relief


PMTCT

prevention of mother-to-child transmission (of HIV)

PEP

post-exposure prophylaxis

PrEP

pre-exposure prophylaxis

SRH

STI


TB

sexual and reproductive health

sexually transmitted infection

tuberculosis


UNAIDS

Joint United Nations Programme on HIV and AIDS

UNDP

United Nations Development Programme

UNESCO


UNFPA

United Nations Educational, Scientific and Cultural Organization

United Nations Population Fund


UNICEF

United Nations Children’s Fund

UNJT

United Nations Joint Team on HIV and AIDS

UN Women

United Nations Entity for Gender Equality and the Empowerment of

Women


VL

WHO


viral load

World Health Organization



VMMC

voluntary medical male circumcision
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