Evaluation of the socio economic program of reintegration of vulnerable groups (MSM, PLWHA, SW) in Senegal
Enda Tiers Monde / Santé, Mbour, Senegal
Background: In Senegal, the prevalence of HIV / AIDS is relatively low in the general population (0, 7%) but rather high in specific groups like sex workers 19.8% and MSM 21.5%. As part of its program of prevention and care for vulnerable groups (PLWHA, MSM and SW), a support program for the socio economic reintegration was implemented by enda santé to reduce the impact of HIV / AIDS in those groups.
This program is a partnership with micro finance institutions for the conduct of income-generating activities (IGAs) through funding together or individually or vocational training for socio-economic reintegration of those groups. During the preparatory phase, there is training in self-esteem and management of IGAs.
After the first step of implementation, an evaluation was conducted by enda santé to see the relevance and impact of this program.
Methods: The study took place in Thies Senegal with 100 SW, 40 PLWHA and 20 MSM. Datas was collected by questionnaires, interviews and focus groups. The study is exhaustive qualitative both retrospective and prospective.
* The repayment rate is higher among PLWHA 90% with improving their daily income 1,000 to 5,000 FCFA.
* In 40% of TS and 85% of MSM funding has exacerbated their difficulties and hence their vulnerability and they use of risky practices (prostitution) to repay the loans agreed.
* The financing together works much better than the individual funding.
* the program has failed for all those who had no qualifications or training before starting the activities.
Conclusions: The program has helped to reduce poverty especially among PLWHA. Particular emphasis should be placed on funding together and vocational training for SW and MSM to increase the chances of success of this program.