Challenges in the Response to the HIV / AIDS Problem: The Case of Nekemte Town

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Addis Ababa University


The purpose of this research was to assess the role played by local level !-flV I AIDS implementing organizations in coping with the HIV/AIDS ep idemic in Nekemte town, and hence the performances of GOs, NGOs, FBOs and CBOs were assessed. In this study, two organizations (OSSA and EECMY) were considered as the major implementers of the antiHIV/ AIDS activities and eva luated with regard to the services they being provided to their benefic iari es. The act ivities of other community institutions were also assessed based on the qualitative data obtained from these organizations. Hence, samples of 400 beneficiaries (227 females and 173 males) were successfully interviewed. To supplement the quantitative method, 69 representatives of implementing organization were interviewed by admin istering un-structured (qual itative) quest ions. Moreover, two focus group discussions were conducted. Accordingly, the performance levels of both organi zations in IEC and care and support for AIDS orphans were rated as medium while counseling serv ice, care and SUPPOll for PLWHA and training undertakings were low. Few efforts were being made in coping with the prob lems of HIV/AIDS by the local government and very few NGOs were working in the area of HIV/A IDS interventions during the time of the study. The exist ing and recently adopted - initiatives were those in which very few organi zations (NGOs) took part. The activities of the se lected organizations and other communi ty in stitutions ranged from capacity building to provi sion of IEC, care and support for AIDS patients and AIDS orphans. The overa ll performance of the program being undertaken by implementing organizations was reported as being not satisfactory by more than half of the respondents of the study. This shows that the beneficiaries were not satisfied with the services being provided, indicating the existence of challenges that hinder effective implementation of the program. These were reported to be mainly because of limited capacity (financ ial, human), coord inat ion problem and lack of awareness creation about the program by the implementing organ izations. Based on the findings of the study, further improvement in the provision (allocation) of adequate financial and human resource, coordination as well as undertaking sustainable awareness creation and training about programs by designing local level strategies are recommended to improve the situation of the identified problems.