Evaluation of HIV/AIDS Prevention and Support Project, Implemented by Ethiopian Evangelical Church Mekane Yesus Development and Social Services (EECMY DASSC) in Jimma Town, South Western Ethiopia.

Abstract

Background: Today HIV/AIDS is a major global crisis affecting all regions of the world, causing of deaths and suffering to millions more. The epidemic remains a significant problem for individuals, communities in Ethiopia. It was estimated about 722,248 - 730,975 people living with and 3,975,738 orphans were living in Ethiopia. The commission HIV/AIDS Prevention and Support Project is operating in Jimma town has been addressing the needs of people living with HIV/AIDS and orphan with vulnerable children. The project has been operated since 2107 and its evaluation was not conducted. Objective of the evaluation: to evauate the implementation status of Evangelical Church Mekane Yesus Development and Social Services Commission HIV/AIDS Prevention and Support Project in Jimma Town by the year 2018. Method: A case study design with both qualitative and quantitative methods of data collection was employed from 01- 30 March/2018. Its approach was Formative. Availability, fidelity and acceptability dimensions with 39 indicators were used. One hundred forty (140) participants were in exist interview and 16 key informants for interview were selected purposively. Resource inventory and document review were also done. Questionnaires, interview guide, document review checklist and resource inventory checklist tools were used to collect data. Descriptive statistics was done and the result presented in frequency, percentages and figures. Logistic regression analysis was used to identify determinants of beneficiary satisfaction .Qualitative data was analyzed manually and presented as triangulation with the quantitative results. The overall implementation of the project services was determined based judgmental criteria. Results: The availability dimension implementation status was 85.8 %, which was very good implementation according to judgment parameter. The project had shortage of trained human power and rooms required for counseling service provision. The fidelity dimension status was 85.6 %, which the implementation was good according to judgment parameter. From total beneficiaries 111(71%) reported that the project financial support was inadequate. The implementation status of acceptability dimension was 65.73%, which was fairly implemented according to judgment parameter. Majority of the beneficiaries were not satisfied with the inconvenience of the counseling room, psychological counseling session and monthly financial support. Marital status, duration of enrollment, distance from the service area and waiting time for counseling service were determinant factors for beneficiaries' satisfaction. Conclusion: The overall implementation level of EECMY DASSC HIV/AIDS Prevention and Support Project in Jimma Town was good with 79.7 % per the pre set judgment criteria. The project should fulfill counseling room and trained human power. Besides, adequate financial support should be given for the target beneficaries. Close sites should be arranged for the beneficaries to receive services.