MARCH Outcome Evaluation
modes of transmission of HIV in Ethiopia are heterosexual contacts and prenatal transmission (Sentjens et al, 2002; MOH, 2002; Fontanet et al, 1998). Like in most Sub-Saharan African countries, high-risk sexual behavior and sexually transmitted infections play major roles in the spread of HIV infection in the country (Mekonnen et al, 2003; Fontanet et al, 1999; Fontanet et al, 1998). Despite the high level of knowledge about HIV/AIDS, a significant proportion of the population, particularly the young, is at risk of HIV infection. Casual and extramarital sex is very common while condom use has not yet reached high level.
In view of the recognition of the severity of the HIV epidemic in Ethiopia and its severe and multitude impacts, CARE Ethiopia in collaboration with the Centre for Disease Prevention and Control (CDC) initiated and implemented a project titled “The Modelling and Reinforcement to Combat HIV/AIDS (MARCH)” in 2001 in Addis Ababa and West Hararghe. The project is part of the CARE-CDC Health Initiative (CCHI). It was implemented in Woreda 15 of Addis Ababa and in 21 peasant associations (PAs) of East Hararghe. The project has been operational for over three years and phased-out around Mid-2005. The purpose of this evaluation is therefore to examine the contribution of the project, identify important lessons and document best practices.
Addis Ababa and West Hararghe