MARCH Outcome Evaluation
This study presents results of the outcome evaluation of an intervention project titled “Modelling and Reinforcement to Combat HIV/AIDS -MARCH” in Addis Ababa and West Hararghe. In particular, the study envisaged to systemically asses the achievements of the MARCH project vis-à-vis its goals and objectives; and document lessons learned. MARCH is part of the CARE-CDC Health Initiative (CCHI) program.
The MARCH intervention is a behaviour change communication project that promotes preventive behaviours against HIV/AIDS. The project was implemented in three rural Woredas (districts) of West Hararghe and the former Woreda 15 of Addis Ababa. It employed a peer education strategy, where by peer educators were selected from their respective communities, took trainings regarding issues related to HIV/AIDS to raise awareness through dialogues and facilitate a group discussion among their peers. These activities were supplemented by a radio drama (called Yeken Kegenet) and community drama series and role model stories aired at the two areas. The peer discussions were systematically guided by the listening and discussion guide developed for the purpose. The intervention targeted both males and females in the age group 15-49 years. Although some of the activities of the MARCH project were initiated as early as 2001, the actual implementation of the project at a full scale was started in 2003 in both of the sites. It was phased-out around mid-2005
A baseline and outcome surveys, respectively, were fielded in September 2003 and May-June 2005 in both of the sites. Both of the surveys were based on a multistage random sampling technique. Kebeles/Peasant Associations (i.e. the smallest administrative units) to be included in the surveys were selected using probability proportional to size (PPS). As the primary sampling unit, the surveys focused on 4 groups of respondents to achieve its several objectives. These are (1) single women aged 15-24 years (2) single men aged 15-24 years (3) married women aged 15-49 years and (4) married men aged 15-49 years. The sample size for the outcome survey was 800 and 807 individual respondents in Addis Ababa and West Hararghe, respectively. The baseline survey also achieved similar sample size as that of the outcome (i.e. 803 for Addis Ababa and 809 for West Hararghe). Data were collected through a house-to-house interview using a pre-coded questionnaire that was pre-tested and translated into the local languages. Basically, this evaluation was based on a non-experimental design that makes use of two approaches: (1) a comparison of the exposed and non-exposed respondents of the outcome survey and (2) a comparison of the baseline and the outcome surveys results. However, due to a number of reasons, the evaluation was heavily dependent upon the former approach; i.e. A Static-Group Comparison of the exposed and non-exposed data in the outcome survey. Bivariate and multivariate analyses were done, as deemed necessary. All associations/correlations were tested for statistical significance and a
Addis Ababa and West Hararghe