Process Evaluation of the Quality of Services Given by the Program of Secondary School Anti-Aids Clubs in South West Shoa Zone

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Addis Abeba Universty


Back ground- HIV/AIDS prevention strategy that focuses on school youth has a two fold importance. First, they can easily learn how to raise awareness about HIV/AIDS among their fellow students in an effective way. Second, they learn how to take the same massage in to their local community and thereby multiply the people to people efforts. Objectives-The objective of this study was to assess level of quality of services given by high school anti-AIDS clubs in south West Shoa Zone based on the status of the program inputs, program outputs and on the level of involvement by stakeholders of the program. Methods –A cross-sectional study was employed from November 2005 to January 2006. Data was collected from ten high school students, teachers and heads of stakeholder institutions. Self-administered questionnaire survey, focus group discussions and in-depth interviews were used for data collection. Students were selected from sections of ten high schools by probability sampling proportion to size. Individuals for the qualitative study were selected on purposive basis. Trained facilitators, supervisors, and note takers were used in data collection. Quantitative data was analyzed using SPSS Version 11 statistical package. Descriptive statistics and associations between variables were assessed by using chisquares, p-values, Odds Ratios, and 95%CIs. Qualitative data was transcribed, translated, coded, classified segment by segment, categories and themes were developed to answer the research questions. Results- 333 (78.9%) of the participants reported that they participated in the activities of the club, and 77.9% of them reported that services given by the club was adequate. Students’ participation and level of services given was significantly high in schools where school directors and teachers gave support for the anti-AIDS club (p< 0.001) and when forum of viii discussion on HIV/AIDS exists among students (p<0.001). Students’ participation was high where parents were aware of the presence of anti-AIDS clubs in schools (p< 0.001). Frequent use of posters and reminders on HIV/AIDS was significantly associated with the services given and student participation level (p<0.001). Level of services given was also significantly associated with presence of counseling services in schools (OR=3.35, 95%CI= [1.99, 5.61]). Limited participation by stakeholders, absence of financial support and training for peer educators and teachers were major problems of the club. Conclusion and recommendations- This study addressed that the majority of secondary school anti-AIDS clubs in the study area are rendering adequate level of services, as reported by study participants, to create awareness among the school youth population. The program needs to get consistent financial support, supervision, training for peer educators and club advisors from its stakeholders. Similar studies are recommended to generate more in-depth information on secondary school anti-AIDS clubs



Process Evaluation of the Quality of Services Given