Assessment Of Community And Organizational Response Against The Impact Of Hivaids In Tigray Region North Ethiopia

AIDS is an extraordinary kind of crisis; it is both an emergency and a long-termrndevelopment issue. In 2003, the Global PLWHA was 38 million out of whichrn2/3 (25 million) are in Sub-Saharan Africa. In Ethiopia, there are an estimatedrn1.5 million PLWHA with a prevalence of 4.4 % in 2003. In Tigray, NorthernrnEthiopia, the adult prevalence of HIV/AIDS is 4.4 % with an estimated 100,000rnPLWHA in 1997 E.C.rnThe Epidemic is reversing the social and development gains and deepeningrnpoverty. The Government of Ethiopia initiated the response in 1985. Thernresponse include the establishment of NTF, HIV/AIDS prevention and controlrndepartment at MOH,HIV/AIDS prevention and control council and HAPCOrn,development of HIV /AIDS policy and NSF.rnThe objective of this study is to assess the community and organizationalrnresponse against the impact of HIV/AIDS and to draw best practices andrnweaknesses in Tigray region.rnData were collected from February –April 2006 in five districts of Tigray regionrnusing in-depth interview, FGD, document review and observation. Four zonesrnwere selected conveniently and from that five woredas were selected on lotteryrnmethod .All available organizations in the five woreda were eligible for thernstudy.rnviiirnGenerally, the effort to curb HIV/AIDS epidemic is very poor. Absence ofrnworkplace HIV/AIDS policy, implementation guideline, misunderstanding ofrnthe concept and method of mainstreaming, lack of leadership commitment, lackrnof capacity and poor NGO and community involvement are among the majorrnfindings.rnDevelopment of workplace HIV/AIDS policy and implementation guideline,rnrepeated sensitization efforts to enhance high level commitment, rewriting of thernrole and responsibility of the FPP, financing mainstreaming and strengtheningrnthe capacity of coordinating organization.

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