Assessment of the status of HIV/AIDS Mainstreaming at the government sectors in Addis Ababa and factors affecting the implementation

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Addis Abeba Universty


ackground: Mainstreaming HIV/AIDS at various levels is being increasingly recognized as a fundamental component of expanding the response to the epidemic globally and across Africa, and it is defined as the process of analyzing the impact that HIV/AIDS has, and will have, on all sectors. Though it is recognized as a means of expanding the response to the epidemic, the understanding and application of mainstreaming remains somewhat limited, and has different barriers. Objectives: the study is designed to assess the status of HIV/AIDS mainstreaming at government sectors in Addis Ababa. Methods: a cross sectional descriptive study was conducted in five sub-cities of Addis Ababa from February to March 2010. From five sub-cities a total of 420 government workers were participated in the study with a response rate of 99.5%. The data entered to EPI6 and analyzed by SPSS version 16. In-depth interview and FGD were also conducted. Results: nearly 50% of the study participants have no information about HIV mainstreaming. Respondents who had knowledge about HIV/AIDS had significantly higher attitude towards mainstreaming with COR=9.42, 95% CI (1.62, 54.70) and AOR= 25.1(1.13, 558.07). Out of 55 sub-city sectors and 11 bureaus interviewed for mainstreaming implementation, only 20 (36%) of the sub-city sectors and 5 (45%) of regional bureaus were implementing stage one of UNDP’s criteria. The over all implementation of HIV/AIDS mainstreaming was 38 percent. The most commonly raised reasons for this low coverage include; low attention and lack of commitment from leader ship, limited resources, perception that HIV/AIDS work is only the responsibility of health sector and weak monitoring & evaluation system. Conclusion and recommendation: the implementation status of HIV mainstreaming at government sectors in Addis Ababa is poor and in its initial stage due to different barriers. Therefore addressing those factors though continuous awareness raising is expected from HAPCO and Health bureau. HAPCO should also develop a clear guiding document and distribute to every sectors.



Assessment of the status of HIV/AIDS Mainstreaming at the government sectors