1. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project HIV- vulnerability assessment for programmes MADAGASCAR

2. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project CONTEXT Madagascar is characterized by a low HIV prevalence Activities targeted at high risk vulnerable groups (prostitutes, MSM, marginalized youth...). HIV /Aids Project focus on mots at risk population and offers technical support to the MS interventions

3. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project CONSULTATION PROCESS AT COUNTRY LEVEL MS Workshop Develop pertinent, cost-effective and proven interventions comply with the national HIV strategies of targeting high risk populations → study of the risk and vulnerability of ongoing activities → to review the ToR of the focal points accordingly

4. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project DEFINITIONS Risk: the probability of an individual becoming infected by either through his or her own actions, knowingly or not, or via another person’s actions ( IDU, unprocted sex with multiple partners) (*unaids) Vulnerability: individual’s or community’s inability to control their risk of hiv infection (poverty, gender inequality, displacement,…) (*unaids) A project is vulnerable if these conditions are completed : – the HIV epidemic threaten to undermine or reverse the project’s or the programme’s outputs, use of outputs or outcomes – this sector’s programmes/projects inadvertently contribute to the spread of the epidemic ( *Rapport de la Réunion du Réseau Francophone des Points Focaux VIH de la Coopération Allemande, Kigali, du 30 Mars au 2 Avril 2009, *)

5. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project PROCESS Questionaries relates to: – Does the HIV epidemic threaten to undermine or reverse the project’s or the programme’s outputs, use of outputs or outcomes? – Does this sector’s programmes/projects inadvertently contribute to the spread of the epidemic? Interviews, 1 hour (CTP, responsible of projects, employee, partners), Analyses: – no risk to activities of ¾ projects/ and no change the way of life of the employee – No contact with MARP – No desplacement (conflict, natural desasters,…) for the 3 projects – Two potential areas(Ambilobe, Ambanja): MARP are partners – HIV/aids project targeted MARP

6. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project RESULTS LITTLE VULNERABILITY AND RISK FOR THE PROJECTS TWO POTENTIAL AREAS OF INTERVENTIONS EM (VULNERABLE GROUP) ACTION PLAN NEEDS TO BE DEVELOPED

7. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project ACTIONS External Mainstreaming : limited to the identified areas of sectoral interventions Internal Mainstreaming : no change, activities are developed as before. (integrated them: FP, STI,..) ToR of national HIV focal point was reviewed (5 to 10% of a full time job, person intergrated as a staff member of HIV/aids project)

8. Presented by : Dr Miaro-Zo ANDRIANOELINA Technical Responsable of HIV/AIDS GTZ Project THANKS A LOT FOR YOUR ATTENTION