The increases in funding for HIV prevention and surveillance provided by the Global Fund for AIDS, Tuberculosis and Malaria and the (US) President’s Emergency Plan for AIDS Relief (PEPFAR), increased also the imperative and the opportunities for evaluation of the scaled-up HIV interventions among key populations at higher risk of HIV. HIV transmission can be decreased if prevention programmes include a mix of behavioural, biomedical and structural interventions appropriate for the epidemic context. Evaluation of HIV programmes enables to document how improvements in availability, access, utilization, and coverage with HIV interventions result in decreased rates of HIV infection.
The aim of this course is to provide participants with practical guidance on how to set up an evaluation plan for HIV interventions implemented among key populations at higher risk (sex workers, injecting drug users, men who have sex with men) and other vulnerable groups.
The course starts with the outline of the current evidence of effectiveness of biological, behavioural and structural HIV prevention strategies, obtained mainly from systematic reviews and meta-analysis. The lectures on the second day will outline the key sources of evidence on effectiveness of interventions, such as Cochrane Collaboration and latest WHO and CDC recommendations and guidelines.Participants will be given an opportunity to share their own country-specific experiences of evaluation of HIV programmes among populations at higher risk of HIV on the first and the second day.
The next part of the course will present the simple approaches to designing HIV evaluation protocols, which rely on programmatic and surveillance data, and more complex approaches which use prospectively collected data, step-wedged and randomized trial designs. The issues to be addressed include the selection of the study population, sampling, statistical inference and measuring outcomes and impact. The key part of the course is a group work which consists of the development of an evaluation protocol that participants will present at the end of the course. Participants can choose the topic of the evaluation protocol which they can later on use in their countries. An evaluation protocol describes every step of the evaluation, with special focus on the design, methodology, and analytical procedures of the evaluation.
- Current evidence of efficacy and effectiveness of biological, behavioural and structural HIV prevention interventions
- Choosing a prevention intervention –Cochrane Reviews and CDC and WHO guidelines and recommendations
- Implementing interventions: challenges in scaling up
- Choosing and monitoring indicators
- Designing a programme evaluation
The course consists of lectures, presentation of case studies, exercises and group work. The course is designed to provide participants with practical skills and knowledge on how to choose, monitor and evaluate HIV interventions in their countries.
Epidemiologists, public health professionals, social scientists
The course takes place in five days.