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ANOPA+ capacity assessment report


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Network of Networks of HIV Positives in Ethiopia (NEP+)

Institutional and Technical Capacity Assessment Report Conducted in ANOPA+

March 2019 Addis Ababa

I.

Background

The Community HIV Care and Treatment (CHCT) Activity is a five-year cooperative agreement awarded to NEP by Project HOPE (USAID project) to work in partnership with International nonGovernmental organizations (Management Sciences for Health (MSH), DIMAGI and Population Services (PSI)) and the Ministry of Health (MOH) to accelerate and sustain HIV and AIDS epidemic control in Ethiopia through delivery of high impact community based HIV services. The objectives and interventions are designed to impact UNAIDS 90-90-90 goals. There are three major objectives of the activity:

Objective 1: Community health and support systems for service delivery strengthened Objective 2: Organizational and technical capacity of community structures strengthened Objective 3: Data collection and use for learning and program improvement strengthened

To achieve the objectives stated above, CHCT takes a systems approach to meeting the needs of target beneficiaries that rests on major pillars stated below: O Providing quality targeted HIV testing services to priority populations with integrated

referral linkages O Strengthening community based HIV/AIDS case management with individualized action

plans O Improving adherence to treatment including tracking and reengaging those lost to follow up O Building the capacity of local organizations and systems to provide high impact HIV/AIDS

prevention, care and treatment services at the community level O Increasing data availability with improved use for decision making by community health

services NEP+ has been implementing this activity in all regions in a selected high case load woredas by employing community volunteers (CRPS) in PLHIV associations. The grass root LHIVs associations play an important role in implementing and periodic reporting of the activity. CRPS work in conjunction with community engagement facilitators (CEF) to screen &identify index cases and link them to HTC. Moreover, CRPs are engaged in providing adherence counseling, nutritional assessment and economic strengthening and other activities in their locality.

This capacity assessment activity took place in ANOPA+ to identify the organizational and technical gaps so as to take remedial action; and as a pre-requisite prior to signing project agreement for the next year.

II.

Objectives 

To help the regional network identify the available capacity within their structures.



To assesses the capacity and ability to mobilize resources and respond to the demands of the target beneficiaries



To assess the existing ability in planning and implementing activities, managing members, establishing and maintaining relations stakeholders, ensure sustainability of the program and provide quality services

III.

Methodology

During this capacity assessment, a team comprising two delegates from NEP+ was employed in interviewing and reviewing of documents in the networks offices. Management members of the regional networks participated in the interviewing process. To give the correct rate for each question in the domain, participatory discussions followed by consensus was adopted.

IV.

Data collection

Throughout filling out the questionnaire in this capacity assessment, interviewing, document reviewing and observations methods were adopted.

V.

Analysis and summary of the findings

Addis Ababa Network of Positive Associations (ANOPA+) was established in April 11, 2007 and currently contains a total of 15 PLHIV associations having 19,075 (m=5,723, f=13,982) members under the network. The network has been licensed by the Federal Charity & Society Agency. The network has a structure having clear duties and responsibilities in the hierarchy. The general assembly is the highest governing body followed by the executive board. The general assembly is given the highest and ultimate power for formulating policy with which the office is guided. The executive board on its part is responsible to provide guidance to the office. The secretariat office with its manpower is responsible to carry out the day to day activities in the region.

The network has been implementing different short and long term projects that were mainly granted through NEP+. The target beneficiaries of the projects are mainly PLHIV population and OVCs and families of PLHIVS. The network has been implementing projects solicited from different partners and has managed to implement both community and facility based interventions. a. Community based intervention: the network has been providing services to ins beneficiaries in the community including psychosocial support, adherence education & follow up, condom promotion, FP, referral linkages, economic strengthening and other similar activities b. Facility based intervention: adherence counseling, tracing of lost to follow up, facilitating referral linkages, screening of index cases, promotion of disclosure, PMTCT, etc c. Capacity building: the network has been working to build the capacities of its member PLHIV associations through providing financial, material and technical assistances. d. Advocacy: the network has been representing PLHIVs in the city administration in any platforms to promote PLHIVs right to treatment. The network has been also working as a mouthpiece of PLHIVs by influencing policy and decision makers in the way of insuring GIPA VI.

Gaps observed

Whilst performing the above mentioned strengths and achievements, the network has many gaps and weaknesses that need improvements as per the domains of the capacity assessment tool. The following are areas that need improvement by the network:  Knowledge about gender equality, GBV and gender mainstreaming into their plan. The organization’s readiness for succession plan  There is no method in place to inform the public about its intervention;  Absence of structure and personnel for resource mobilization; and has no manual/guideline this purpose  the organization has no mechanism to diversify its resource

base so as to ensure

sustainability of its program and the support to its beneficiaries  there is no mechanism put in place to insure long term financial sustainability

VII.

Capacity Strengthening Plan

To address to the above gaps and weaknesses, the regional network has planned depending on how much the area helps the organization to boost the organization’s performance and programmatic sustainability. Based on this, the planning was basically made to strengthen the organization’s capacity in four major areas.

a. Leadership and governance b. Community participation and engagement c. Resource mobilization d. Local ownership and sustainability

VIII.

Concluding Remarks

When exercising to fill out the capacity assessment by using this tool, the regional network has clearly observed its strengths that are believed to keep up; and weaknesses that need further work to fill the gaps. Among the gaps, like absence of structure for resource mobilization is addressed by revising the overall structure by responsible body. Moreover, some limitations can be addressed by allocating optimum budget and giving attention through prioritization.

IX.

Appendices

Annex 1: Capacity Strengthening Plan Capacity

Domain

Leadership and Governance

Gaps

Proposed

Deliverable/

Identified

Priority Action

Output

Gender mainstreaming

Lack of promoting Community its engagement to participation and the public through engagement media

Resource mobilisation

Resources required

Lack of resource mobilization structure in the organogram; and absence of guideline

Develop gender sensitive plan into their program

Internal

Gender will be mainstreamed into their next strategic plan -

Inform the public about its intervention through the use of different A number of media broadcasting events

-

Responsible

Time

Person

Line

External

-

Program

2019

50,000

Program

One year

120,000

ED

One year

-

RM

One year

Recruiting/or Revise the existing assigning personnel organogram; for RM; Develop RM guideline

The guideline will be developed -

Devise mechanism Gathering resource Local ownership and Unable to diversify to diversify resource from different sustainability its resource base base sources

-

Annex 2: List of Assessment Team Members/Facilitators

S.N

Responsibility/ Name

2

I.

FedhesaTadese

NEP+

Function Project Coordinator

Date 20/03/2019

List of participants S.N

1

II.

Organization

Name of participants

Sex

Responsibility

Ato Edilam G/Sillasie

M

ED

2

Ato Getachew Olijira

M

PM

3

Fitsum Kassahun

M

Project officer

4

Beniam Bayu

M

Project Officer

5

Bethelihem Yiberta

F

Finance

Remark

List of documents (source documents) S.N

Name of the document reviewed

Date printed/produced

1

License

Feb 2016

2

Periodic reports

2019

3

Organization’s bylaw

April 3009

4

Annual plan and report

January 2019

5

Audit report

January 2019

6

Financial documents

2019

7

Service directory document

2013

Remark

Signature