The AAPP received NRs.13, 262,922.00 (in words one hundred thirty two million sixty two thousand and nine hundred twenty two only) to accomplish following activities within 2 years period i.e. Oct 11, 1999 to Sep30, 2001.

1.                  Institutional Development & Capacity Building

 AAPP leased field office and unit offices and then recruited required program, administrative and finance staff for the program implementation. Then it organized various types of trainings to develop the capacity of its manpower.

2.                  Community Assessment

AAPP organized Community Assessment training to its program staff and did Community Assessment in different VDCs to get information about target groups, high-risk places and behaviors. AAPP extended its time for another two months because the given time was insufficient. The project realized that in-depth audience analysis could not be performed without contacting sufficient number of Primary Population. Therefore the project discussed with FHI–Nepal and postponed the training for next sub agreement.

3.                  BCI for High-risk Groups

AAPP implemented outreach activities, conducted one-on-one repeated educational contacts, organized various types of training for target populations through which the project got information regarding high-risk behavior and places, contacted new target groups, STI cases identified and referred for proper treatment, Peer Communicators selected, activities planned and accomplished.

4.                  Awareness raising for the general population

AAPP organized different campaigns/activities like, street drama, video shows, information stalls at different local fair, celebrated World AIDS and National Condom days, performed school education, organized training for women's group, teachers, students etc and displayed information/hording boards in two borders and along the highway.

5.                  Coordination and networking with FHI Partners & local Agencies

AAPP established co-ordination and functional relationship with different NGOs, CBOs, GOs, FHI partners and private sectors and organized various HIV/AIDS/STIs awareness programs with their close collaboration. AAPP also received support from FHI partners , DACC, DHO and other agencies of Project Districts. AAPP participated in cross border meeting at Birgunj and Panitanki.

6.                  Information resource center/reference library on HIV/AIDS/STD

AAPP established Information Resource Center in the same building of the project from the beginning and procured related materials and journals to develop staff's capacity. Project also added different books, publications, journals and magazines time to time. The interested people, organization, AIDS activist, target population and project staff visited and benefited from this Resource Center.

7.         Monitoring & Evaluation

The project was monitored by AMDA–Nepal and FHI–Nepal quarterly. The project has also submitted Result Indicator Form (RIF) and financial report monthly and narrative report and RIF quarterly. The representative from FHI – Nepal visited project area from time to time and provided constructive feedback and valuable suggestion for the improvement of program.

III.   Subproject Implementation

A.                                                            Results

AMDA’s accomplishments during two years of project period are given below as per result package:

Result Package No. 1

Capacity Building and Human Resource Development of AMDA to plan and implement targeted STI/HIV/AIDS prevention education activities for high-risk population groups.

Indicators of accomplishment for Result Package No. 1:

1.1       Leased Project Office and Unit Offices at Damak and Itahari, Recruited Staff and Procured Necessary Office Equipment for Project and Unit Offices.

AAPP leased field office at Damak and unit offices at Damak and Itahari and then recruited required Project Coordinator, Project Manager and Program, Administrative and Finance staff as per the cooperative agreement for the program implementation.

The major equipments like furniture, computers, audio-visual items, Photocopy machine telephone etc. for the Central Office, Project Office and Unit Offices were procured.

1.2       Design and conduct of training Programs

During the project period AAPP planned, designed and conducted training for capacity building for its program as well as finance and administrative staff are summarized below in Table 1.

Table No. 1

* RST = Rural Service Team of Lahan

AAPP organized 13 basic, refresher & in-services training for its project staff to build up their capacity and make program effective and smooth. The trainings were of 3 – 7 days and as organized with technical support of LALS and Project Staff. AAPP felt that participatory approach for training is most effective. The residential training was found to be very effective for participatory approach and many things can be learned in short period of time.

Result Package No. 2

Community Assessment and in–depth audience research for better project implementation

In order to get baseline data and fact information about risk behavior, high-risk areas, number of primary target groups, different agencies, AMDA conducted Community Assessment from January to March 2000 but during the process AAPP felt the given time was not sufficient for the community assessment therefore another 2 months were extended. To obtain the required information including political, geographical, cultural and economical structure of community, AAPP had contacted many GOs, NGOs, Local and Private organizations working in the project area (See Annex II). In the field visit during Community Assessment, AMDA also had interviewed some of the related agencies and key informants with nine different sets of questionnaire in order to gather detail and uniform information.

The project realized that in-depth audience analysis could not perform without sufficient number of FSWs therefore AAPP discussed with FHI–Nepal and the training was postponed and added in the new sub agreement.

AAPP received much valuable information during Community Assessment (Detail report has already been submitted to FHI). Based on the Community Assessment report AAPP implemented the programs.

Result Package No. 3

Implemented targeted and participatory behavioral change intervention to reduce high-risk behaviors with primary target population in the project area.

AMDA Organized following Training to its Target Groups:

Table No. 3

AAPP organized 10 one-day basic orientation training, 5 Planned Group Discussions and 2 IPC/C and Condom Negotiation for its Primary Target Groups and Peer Communicators to increase their knowledge, to change their attitude and motivate towards safer sex practice. The trainings were of 1–27 days with technical support of Field Staff.

Those training helped to know the nature of risk behavior among Primary Target Group, selection of Peer Communicators and build good rapport with them. As the result of which, AAPP met its target. Those training also helped to create trust between project and Primary Target Groups.

Activities on FSWs

The main objective of the project was to change high-risk behavior among the target population (FSWs and their clients). AAPP organized 3 one-day basic orientation training and 2 Planned Group Discussions for contacted FSWs to aware them from HIV/AIDS/STIs, to explore their high-risk behaviors, to know their safer sex practices and nature. The Project performed outreach activities and repeated one-on-one educational contacts with them and distributed IEC materials and condoms.

Activities on clients of FSWs

AAPP organized 2 one-day basic orientation training and 3 Planned Group Discussions for contacted clients of FSWs to aware them from HIV/AIDS/STIs, to explore their high-risk behaviors and to know their safer sex practices. The Project performed outreach activities and repeated one-on-one educational contacts with them and distributed IEC materials and condoms.

Activities on Secondary target Group

The Project performed outreach activities and repeated one-on-one educational contacts with Secondary Target Groups and distributed IEC materials and condoms.

Other Indicators

Peer Communicator mobilization was found the best approaches to carry out the behavior change intervention for target population. As Peer Communicators are among the target group interpersonal communication became very easy, cost effective, time saving, easily accessible and acceptable among them. AMDA selected 30 Peer communicators among the FSWs and 30 from clients. This approaches helped AAPP to make good rapport with target population and community, get reliable information, find out new target group, networking, and their risk behavior and distribute IEC and condoms at their door-steps.  Peer Communicators are the fixed assets of AAPP to implement second phase activities and sustain the program in future. AAPP organized 5 one-day Basic Orientation Training on HIV/AIDS/STIs for selected 60 Peer Communicators and also organized IPC/C and condom negotiation Training with the support of JHU/PCS.

Establishment of Community Drop-In-Centers

AMDA realized that office based drop-in-center was not that convenient for the target group because it was not easily accessible, cost effective, confidential, and found less effective in identifying new Target group and community participation was very minimal. To over come these problems, AAPP started 5 community based drop-in-centers as a trail basis in different places. Trial was very much successful. AAPP learned that Community Based DIC is very effective approach. Therefore activities were planned with FHI and amendment was done accordingly. As a result 22 Community Based drop-in-centers were established in different places (See Annex No III).

It is found that target people are coming to community based DIC more frequently. More and more new target group were contacted, participation of community increased and number of STI cases were also identified and referred more than before through these DICs. The community leader has also appreciated this approach.

IEC and Condom Distribution in Primary Target Group

AAPP purchased/developed and distributed different 29089 IEC materials among those IEC materials 11,930 were condom wallets and 54060 loose condoms among the primary target group during outreach activities. At the same time 4011 IEC materials and 4685 loose condoms were distributed among the secondary target group. The distributed IEC materials helped them to aware and sensitize that they are at high-risk and they came in contact with us to know about HIV/AIDS/STIs in detail and showed their interest to attend training.

Meeting with Peer Communicators

AMDA organized regular Peer Communicators' meetings to share the findings and problems they faced. AMDA got lots of information and results from them and provided solutions and feedback in the meeting. All the Peer Communicators showed special interest, commitment and demonstrated skills. They submitted the monthly reports and records maintained by them during monthly meeting. It also helped to monitor them.

Result Package No. 4

Awareness raising for the general population.

Indicators of Accomplishment of Result Package No. 4

AMDA organized following awareness raising campaigns/events and Training for general population:

Table No. 5