Académique Documents
Professionnel Documents
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TECHNOLOGY
FORTUNE MUSHONGA
(PARALLEL)
P0113892H
Submitted in partial fulfillment of the requirements of the Bachelor of Science in
Operations Research and Statistics Honours Degree
Industrial Supervisor: Mrs Moyo
ATTACHED AT
Contents
NATIONAL UNIVERSITY OF SCIENCE AND TECHNOLOGY........................................1
Acronyms and Abbreviations................................................................................. 3
ACKNOWLEDGEMENTS.......................................................................................... 4
OVERVIEW.............................................................................................................. 5
CHAPTER 1............................................................................................................. 6
1) SKILLZ Street............................................................................................... 9
2) Generation Skillz Curriculum.......................................................................9
3) Skillz Club Curriculum.................................................................................9
4) Voluntary Counselling and Testing Tournaments.........................................9
5.) Skillz Utshintsho....................................................................................... 10
6.) Skillz Mantombazana targets 13 to 18 year old girls with a programme that
combines soccer with sexual and reproductive health knowledge , life skills ,HIV
counselling and testing , and access to community services .Females Coaches empower
young women to avoid risky behaviour and protect themselves and others from HIV.....10
Toolkits used to deliver the curriculum.....................................................10
CHAPTER 2........................................................................................................... 23
TASKS, PROJECTS AND ACTIVITIES....................................................................23
TRACKING TRAINING OF COACHES WORKSHOPS.................................................24
For monitoring, evaluation and reporting purposes: An overview of the M&E
department function at HTC Tournaments...........................................................31
CHAPTER 3........................................................................................................... 32
CHALLENGES AND LESSONS LEARNT...................................................................38
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AIDS
ARV Treatment
Antiretroviral Treatment
FFHC
GRS
Grassroot Soccer
GRSZim
KAC
HIV
HTC
M&E
MAC
MDG
NGO
.Non-Governmental Organization
NAC
PSI
UN
United Nations
UNAIDS
UNESCO
UNICEF
UNOSDP
VCT
VMMC
WHO
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ACKNOWLEDGEMENTS
I would like to start by thanking Grassroot Soccer, not only for their help in making
my research possible, but also for all the amazing and inspiring work they do.
Many thanks to my supervisors, Mr Trevor Murai, Netsai Super Moyo and Primrose
S Dube for the patient guidance, encouragement and advice that they provided
throughout my time as an Intern at Grassroot Soccer Zimbabwe. I have been
extremely lucky to work alongside a great team that cared so much about my work,
and responded to my questions and queries so promptly. I would also like to thank all
the members of staff and Grassroot Soccer coaches because my internship would
not have been possible without you.
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OVERVIEW
Industrial attachment broadens ones knowledge on aspects learnt and paves the
way for encompassing greater understanding on ones field of study. This report
represents the various experiences encountered over the work related learning by
Fortune Mushonga. (author), who was attached at Grassroot Soccer Zimbabwe
(GRSZim) in the Monitoring and Evaluation Department in partial fulfillment of the
requirements for the Bachelor of Science Honors Degree in Operations Research
and Statistics at the National University of Science and Technology (N U S T).
Another thrust of the report is to elaborate on the operations of Grassroot Soccer
Zimbabwe, how it was established, its vision, mission, objectives and give an
account of the organizational structure. This will be illustrated by the use of an
Organogram of the organization. The report will also highlight an outline of his key
result areas, citing a host of problems and opportunities he faced during the
attachment period. Furthermore, the student will detail an analysis of the workrelated experiences as compared to M&E and statistical skills learnt. An analysis of
the applicability of this knowledge to hands-on work will also be incorporated herein.
The report is concluded by the students recommendations to the host organization
and the universitys department of Statistics and Operations Research.
CHAPTER 1
THE ORGANISATION
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MISSION
Grassroot Soccer uses the power of soccer to educate, inspire, and mobilize young
people to stop the spread of HIV.
VISION
A world mobilized through soccer to create an AIDS free generation.
STRATEGY
To achieve their mission, GRS continuously improves HIV prevention and life skills
curriculum, GRS shares its programme and concept affectively and utilize the
popularity of soccer to increase impact.
GRS PRINCIPLES
1. Young people have a vast potential to create meaningful change and play a
significant role in realizing an AIDS-free generation.
2. Soccer is an ideal way to reach, educate, and inspire young people in a language
they understand and enjoy.
3. Eradicating HIV and AIDS requires an integrated, collaborative, holistic, and
community-wide approach.
Inco-operation of HIV themes by GRS in their projects
The GRS Zimbabwe curriculum is made up of soccer based interactive learning
sessions. Each session builds on the previous one. The curriculum was developed
with support from the Bill and Melinda Gates Foundation and in collaboration with US
Centres for Disease Control and Prevention, Zimbabwe MoESC ,medical
professionals and educational and public health experts . It focuses on building basic
life skills that helps boys and girls adopt healthy behaviours and learn about
HIV/AIDS.
Through a series of interactive activities and discussions students gain a tangible
understanding of HIV and AIDS and get a chance to practice the skills necessary for
sustainable behavioural change. Key curriculum topics include making healthy
decisions, avoiding risks, building support networks, reducing stigma and
discrimination, increasing knowledge about testing and treatment, and addressing
gender issues and assessing values.
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Current Activities
Currently GRS Zimbabwe is currently working in the high density suburbs where
there is a high prevalence of orphans and vulnerable children. We work through
colleges and secondary schools in Bulawayo.
GRS Zimbabwe has six main curricula;
1) SKILLZ Street is an evidence-based intervention for adolescent girls that
combine HIV prevention, soccer, sexual and reproductive health and life skills, HIV
Counselling and Testing, and access to community services. GRS developed
SKILLZ Street in response to overwhelming research that shows that participation in
sports activities combined with HIV and AIDS lessons among adolescent females,
leads to a range of health benefits, and that HIV is disproportionately concentrated
among women and girls. Furthermore and with regards to the Zimbabwean context it
is the girls who are disproportionately exposed to HIV drivers such as early sexual
debuts, transactional sex, early marriages/ forced marriages, sex coercion by age
desperate intimate partners and non-partners and therefore the group most mostly
prone to dropping out of school.
2) Generation Skillz Curriculum targets youths of 14 to 19 years of age. It
of 12 and 19. It is meant to suite the specific needs of the participants as they are
one of the most vulnerable groups in Zimbabwe. The main thrust of the curriculum is
to empower these youths with life skills as well as to teach them on how best to live
a healthy and fruitful life style, mainly dwelling on issues of adherence to treatment,
high risks of unprotected sex and re infections, issues of older sexual partners as
well as social support for the HIV positive members of the community. This Skillz
club curriculum is usually delivered during school holidays to accommodate both
school going youths and out of school youths.
4) Voluntary Counselling and Testing Tournaments (VCT) GRS Zimbabwe
commenced its first ever VCT tournament in October 2011. This is a concept where
GRS brings services to the community. The community is mobilized through our
soccer celebrities who do door to door campaign sensitizing the community about
the upcoming soccer tournament. GRS facilitates and mobilizes different health
service providers to provide free HIV testing services, family planning, referrals
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interactive HIV prevention and life skills curriculum designed for Zimbabwean youth
aged 13-18 years old. The 5-practice intervention uses soccer language, metaphors,
and activities to address key behaviours that drive the spread of HIV, including
multiple sexual partners, older sexual partners, and gender based violence.
7.) Holiday Soccer Camp professional soccer players and community-based role
models deliver the Skillz Holiday program during school holidays, which is fun, friendly and is
run in a safe environment.
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Theoretical Approach
GRS realized that the true power of soccer has always been connections that it
creates between people. Using footballers as role models, and using the popularity
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of soccer to engage hard to reach young people, GRS has combined social theory,
public health methodologies, rigorous evaluation and a huge dose of passion.
Our curriculum is based on the Social Learning
Theory. The program combines three powerful
principles of education:
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EVALUATIONS
Rigorous Monitoring and Evaluation (M&E) has been central to Grassroot Soccers
success and growth. Ten evaluations in seven countries have shown positive impact
on knowledge, attitudes, stigma, and communication related to HIV. The most recent
study showed that, compared to a matched peer group at long-term follow-up, GRS
graduates in Zimbabwe were 6 times less likely to report early sexual debut, 4 times
less likely to report sexual activity in the last year, and 8 times less likely to have had
more than one sexual partner.
Numerous formal evaluationsconducted by Stanford Universitys Childrens Health
Council, consultants from The Population Council and the Harvard School of Public
Health, and researchers from Dartmouth College, Johns Hopkins University and the
University of Cape Townhave documented Grassroot Soccers effectiveness in
significantly reducing sexual risk behavior, decreasing stigma, and improving
students knowledge, attitudes, communication, decision-making skills, and
perceived social support related to HIV and AIDS. Surveying over 300 students in
Bulawayo, Zimbabwe, Stanford Universitys Childrens Health Council concluded that
The GRS Program is a culturally appropriate, internationally suitable, creative, and
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effective way to educate at-risk youth about HIV/AIDS and its prevention. Similarly
encouraging results have emerged in recent years from formal evaluations in
Zambia, South Africa, Sudan, Liberia, Botswana, Ethiopia, and the Dominican
Republic.
A 2008 behavioural survey found that 2-5 years after the intervention, GRS
graduates in Zimbabwe were nearly six-times less likely than their matched peers to
report sexual debut between 12-15 years, four-times less likely to report sexual
activity in the last year, and eight-times less likely to report ever having had more
than one sexual partner. Six years after incorporation, there already exists
substantial evidence documenting GRS impact in averting risky behaviour,
increasing HIV/AIDS knowledge, diminishing stigma, and breaking the silence
surrounding HIV.
THE DATA
Ten evaluations in seven countries have shown the GRS program to have positive
impact on knowledge, attitudes, stigma, and communication related to HIV. One
study in Zimbabwe found that after participating in the GRS curriculum
The percentage of students who could list three people they could talk to
emotional support for an HIV positive classmate increased from 52% to 73%
The percentage of students who believe condoms were effective increased
from 49% to71%
(Source Childrens Health Council, 2004 Evaluation)
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outcome data. For many organizations, however, monitoring and evaluation (M&E) is
more of a burden than a blessing a one-way flow of data from field to headquarters
to funders, rather than a continuous process of using data to track progress, identify
gaps and improve performance.
With the help of the Salesforce.com Foundation, Grassroot Soccer (GRS) has
developed a best-practice M&E system called The Scoreboard. Developed on the
Force.com platform, The Scoreboard is a user-friendly, open-source system that
enables sophisticated reporting, automatic analysis, and constant results feedback to
the field. Rather than storing hundreds of spreadsheets, GRS now tracks
demographics, attendance, and pre/post quiz results for more than 60,000
participants online. The secure, cloud-based system provides a live picture of
programmatic activity and automatically sends site-specific, national, and global
Dashboards once a month to staff at all levels via email. GRS not only uses the
system to track its progress towards reaching 1 million youth with life-saving HIV
education, but also actively shares the technology with other development
organizations looking to revolutionize their M&E systems.
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Director of Operations
Finance
Controller &
Accounting
Manager
Internal
financial
oversight
o Accounting
system
manageme
nt
o Financial
statement
preparation
Grant
management
support
Grants and
Communications
Manager
Grant
ownership &
tracking
o Requirements
, budgets,
reviews and
timelines
Up-to-date
grant
information
proliferation
o Internal
collaboration
o GRS Global
Programmes
and Bus Dev
Intern
Programme
implementatio
n
o Operational
planning,
budget
creation &
monitoring,
site
coordination,
curriculum
execution
and
feedback
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Budget
creation &
monitoring
People
Operations
(HR)
o Employme
nt financial
systems
oversight
GRS Global
liaison
o Affiliate
financial
support &
audits
o
information
exchange
through
regular
communicati
on
Grant reporting
o Updates &
final reports
Grantor
engagement &
stewardship
o Communicati
on & close
rapport
Communication
s strategy
development &
oversight
assessment
Coach
management
o Recruitment,
training,
performance
assessment
& personnel
development
Community
partner
engagement &
stewardship
o Soccer
connections,
school
administrato
rs, local
authorities,
HCT
partners,
VMMC
clinics, etc.
.
Programmes
growth
strategy
development &
implementatio
n
strategy
creation
M&E Department
Management
Data collection
oversight
o Development
&
implementati
on of
programappropriate
tools to
capture
quantitative
and
qualitative
feedback
Data analysis &
reporting
standards
o Monitoring &
measuremen
t of
programmes
performance
against
established
targets
Director of
Operations
Strategy
creation, crossdepartment
coordination, &
employee
development
Grants Manager
Budget
requirements:
creating,
monitoring and
projecting
Programmes
Director of
Operations
Strategy
creation, crossdepartment
coordination, &
employee
development
Director of
Operations
Strategy
creation, crossdepartment
coordination, &
employee
development
Finance
Controller &
Accounting
Manager
Budget
requirements:
creating,
Grants Manager
Alignment of
grant purpose,
budget, delivery
and reporting
Director of
Operations
Strategy
creation, crossdepartment
coordination, &
employee
development
Grants Manager
Grantor
relationship
management
Grant writing &
reporting
Finance
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Manager
Alignment and
reconciliation of
budget vs.
actual
expenditures
Tracking and
reconciliation of
coaches hours
& payroll
monitoring and
projecting
Programmes
Manager
Alignment of
grant purpose,
budget, delivery
and reporting
Bus Dev Intern
Grantor
relationship
management
Grant writing &
reporting
Controller &
Accounting
Manager
Alignment and
reconciliation of
budget vs.
actual
expenditures
Tracking and
reconciliation of
coaches hours
& payroll
Finance
Controller &
Accounting
Manager
Alignment of
financial needs
& fundraising
initiatives
Programmes
Manager
Up-to-date
programmes
information
necessary to
Bus Dev
messaging
Key considerations:
In this structure, accountability works both ways. Managers hold those in their
departments accountable and are held accountable by their responsibilities in
management and leadership development.
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Kennys individual skills and capabilities align nicely with M&E Department
management.
CHAPTER 2
TASKS, PROJECTS AND ACTIVITIES
DAILY TASKS AND ACTIVITIES
During my internship at Grassroot Soccer Zimbabwe, I have worked on multiple
tasks, projects and activities. Grassroot Soccer projects and activities can be divided
into daily tasks that involve office work, and the on-site activities that happen on the
field or at schools were GRS interventions take place.
Daily tasks and activities (routine)
Data Capturing
Updating the attendance registers
Communications
Updating and sharing information on our social media platforms
Gathering content that contributes to the GRS newsletter
Data analysis & reporting standards (collaboration leads to improved
quality)
Tracking GRS programming and reporting statistics
Onsite Visits
The purpose of the Site visits is to enable monitoring, that is, to give feedback
to decision makers on the progress of implementation of the project so they
are able to make decisions in improving the implementation towards an
enhanced impact
Ultimately the Site visits contribute towards narrative reports and the project
evaluation process.
In addition Site visits enable the M&E team to capture photos which will be
used for various purposes including for purposes of vertical and horizontal
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78%
95%
22%
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51%
74%
45%
31%
80%
91%
94%
158
%
3%
90%
62%
94%
85%
4%
37%
67%
87%
45%
97%
85%
89%
68%
97%
90%
94%
78%
0%
6%
6%
15%
92%
74%
45%
95%
85%
62%
3%
15%
38%
83%
79%
87%
86%
5%
11%
334%
58%
71%
44%
70%
59%
39%
64%
65%
RESEARCH EVALUATIONS
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A research evaluation to assess the success of GRS Zimbabwe 2.0 strategy was
done, the evaluation was done by means of using a paired samples T test.
The test were done by comparing the number of participants tested at different HTCs
before the prior and following the implementation of the GRS 2.0 strategy.
Data was analysed using SPSS and Excel
PRIOR
VENUE OF THE
HTC
DATE
DATE
FOLOWING
AMAKHOSI
16.02.2013
40 NKETA
30.04.2015
134
MARISHA
13.04.2013
49 SIZINDA
16.08.2014
53
BHANGO
11.06.2013
28 MAKOKOBA
02.04.2015
203
IMINYELA
15.06.2013
33 LOBENGULA
25.04.2015
102
AMAKHOSI
29.06.2013
40 IMINYELA
21.03.2015
117
PHUMULANI PN
10.07.2013
30 SILWANE
11.04.2015
142
SOSHANGANE
31.07.2013
42 MARISHA
21.03.2015
159
EMAKHANDENI
30.11.2013
47 BANGO
13.12.2014
111
NKETA GROUNDS
16.02.2014
33 NGUBOYENJA
30.08.2014
84
250
200
150
PARTICIPANTS TESTED
PRIOR
100
FOLOWING
50
0
1
HTC TOURNAMENTS
The number of participants that got tested and recorded at different HTC
tournaments is continuous (scale) data.
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Continuous data are often summarised by giving their average and standard
deviation (SD), and the paired t-test is used to compare the means of the two
samples of related data.
The paired t-test compares the mean difference of the values to zero. It
depends on the mean difference, the variability of the differences and the
number of data.
Hypotheses:
The 'null hypothesis:
H0: There is no difference in mean PRIOR and FOLLOWING number of participants
tested at an HTC Event
And the 'alternative hypothesis':
H1: There is a difference in mean PRIOR- and FOLLOWING number of participants
tested at an HTC Event
Results
The relevant results for the paired t-test are in are on column 7of the Paired samples
Table.
From this row observe the t statistic, t = -5.302, and p = 0.001; this indicates that
there exists a very small probability of this result occurring by chance, under the null
hypothesis of no difference.
The null hypothesis is rejected, since p < 0.05 (in fact p = 0.001).
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There is strong evidence (t = -5.302, p = 0.001) GRS 2.0 is effective in scaling up the
uptake of HTC. In this data set, the number of participants that got tested improved
greatly as the PRIOR mean was 38 and the mean following the implementation of
GRS 2.0 mean number per HTC is 122
Its statistically significant that the strategy 2.0 improved greatly the uptake of HTC
by approximately 302%
Home Visits
The M&E department managed to track 608 home visits were conducted in the
period January to June 2015. Home visits are meant to inform the parents and/or
guardians of the participants about our program as well as solicit for parental testing
consent for minors under the age of 16. Legally written consent is enough for the
participants to be tested, but testing partners refused to accept the written consent
and insisted on parents/guardians being present when their youths were being
tested because they are liable if the written consent is later challenged. In the VCT
stakeholders meeting, GRS tried to convince the testing partners to accept written
consent as our coaches are present when it is signed and we are willing to keep
such records but they declined. GRS continues to explore options to overcome this
challenge.
Tracking Voluntary Counselling and Testing
Voluntary Counselling and Testing (VCT) Tournaments are football competitions
aimed at gathering a large number of community members while promoting testing,
counselling and Know Your Status messages. GRS participants were asked to
invite their friends and families to come and get tested. GRS Coaches also
embarked on a community sensitisation program.
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CHAPTER 3
Promoting parental engagement to increase HCT consent rates for adolescent
girls: a mixed-methods pilot study in Bulawayo.
BACKGROUND
HIV counselling and testing (HCT) encourages people to become aware of their HIV
status, promotes HIV/AIDS prevention-education, and facilitates access to ART.
Grassroot Soccers (GRS) research has shown that 33% of youth ages 15-16 report
having ever tested for HIV. Increasing access to and acceptability of HCT among
adolescents, particularly by promoting parental engagement and creating
adolescent-friendly testing environments, is a priority.
Bridging the Gap (BtG) uses the power of soccer to address stigma and increase
uptake of youth-friendly HIV services using a continuum of care model. BtG was
initially developed and implemented in Lusaka, Zambia in 2010. Due to its success
increasing HCT uptake to 62% among youth participants, GRS sought to replicate
the BtG model at another GRS site in Bulawayo.
From February 2015 to May 2015, four 6-week BtG pilot programmes were
conducted in Bulawayo, Zimbabwe with participants (n=899) aged 12-16 in two
secondary schools. Adolescent youth entered the pilot through participation in a
sport-based HIV prevention programme led by young community leaders
coaches. After a 3-day training, coaches conducted phone calls to parents and
visits to participants homes to promote HCT. At the programmes end, participants
were invited to an event with HCT provided by local partners. A mixed-methods study
was conducted to evaluate the effects of Home Visits on parental consent rates and
HCT uptake.
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METHODOLOGY
Evaluation forms were administered to measure coach preparedness for Home Visits
(n=23). Monitoring data were collected regarding participant attendance, Home Visit
progress, and HCT uptake. HCT events were observed by GRS staff.
Three of the four pilot programmes were for females-only; the fourth programme was
mixed-sex. A participant was dened as a learner who attended at least one session
of the 10-session female-only programme or at least one session of the 7 session
mixed-sex programme.
Interviews were conducted with parents/guardians (n=7) to explore: awareness of
GRS, perceptions of the Home Visit and HIV testing, and interest in attending the
HCT event. Interviews were conducted by a GRS staff member and transcribed
immediately after the interview.
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A Generation Skillz participant going through a HIV and AIDS counselling session
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RESULTS
Of the 899 participants (mean age=14 years), coaches conducted visits to 607
homes. 98% of parents/guardians that were visited at least once gave HCT consent
(n=594; males=84; females=510). At the HCT events, 47% of participants received
HCT (n=425).
Differences in HCT uptake between programmes were due to a variety of
circumstances, including:
1) Poor weather conditions
2) Shortage of testing kits
3) Scheduling conflicts with school exam periods.
4.) Unavailability of transport to ferry participants and guardians to the testing site as
GRS has only one vehicle intended for transportation to the HTC.
5.) Religious issues since HTC tournaments are held on Saturdays its difficult for
participants that are seven day Adventists turn up on the day of the HTC.
6). Late arrivals at the testing site by our community testing partners.
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Attendance data, home visit progress and HCT uptake among participants
*HCT parent/guardian consent was obtained during the first visit to the home.
**HCT parent/guardian consent was obtained during the second visit to the home.
Evaluation forms suggest coaches felt prepared, although some coaches were
nervous to discuss HTC with parents.
Interviews suggest high acceptability amongst parents the majority shared that the
Home Visit inuenced them to give HCT Consent.
After the [coaches] claried my concerns about testing how the results are translated to
my child, I felt it was safe and useful and that is why I agreed or offered consent for my
child to test if she wants to.
Mother of female participant!
The most prominent perceived barrier amongst parents was lack of availability.
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I asked my daughter] about testing and if she will want to, and she agreed. I also wish for
her to test, but I was unavailable for a [Home Visit] because I work and I come home very
late.
Mother of female participant
CONCLUSION
Findings suggest Home Visits can effectively engage parents/guardians and promote
HCT among adolescents. Although logistical challenges are a concern, the time
invested in visiting participants homes resulted in 98% of parents/guardians visited
giving HCT consent. Even parents who were not available for a Home Visit
expressed gratitude for the opportunity to discuss their childs involvement in the
programme over the phone. It is important to note that 85% of parents/guardians
who signed consent forms were female. HCT uptake among total participants varied
between programmes. Planning for HCT events should include ensuring the external
testing partner has sufficient testing supplies and avoiding scheduling testing events
during busy school periods. Limitations include lack of a control group.
Future research should be conducted to determine how to overcome logistical
barriers and better engage male parents/guardians in the HCT consent process.
Additionally, the BtG pilot should continue to be evaluated to assess the
effectiveness of linkage to care among youth living with HIV.
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Testing partner capacity One of the major setback in the VCTs has been the
capacity of the testing partners. Ta times they are overwhelmed with the number of
people who would have been mobilized to come to the event and as a result they
turn away participants and community members. Since participants are the primary
targets of the project, measures have been put in place to make sure that they are
given preferential treatment in VCTs. This includes a separate queue for participants
and making sure that such a queue is attended first.
Over subscription of the VCT service - In dealing with over subscription of VCT
services by community members, a ticket system has been devised which enables
referral of community members who come when GRS would have reached the
number of testers that VCT service providers can accommodate on each testing
event. These would be referred to an upcoming VCT or to the service providers
offices.
Punctuality of testing partners This has been discussed at length in the
stakeholders meetings. This was further cemented by having all the service
providers sign MoUs for service production.
SUPERVISORS SIGNATURE ..
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(T.MURAI)
STUDENTS SIGNATURE..
(F.MUSHONGA)
DATE.
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