Sexual HIV Prevention Project (SHIPP) Evaluation

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Objective


USAID/South Africa contracted Khulisa to conduct an external, mid-term performance evaluation of
the Sexual HIV Prevention Program (SHIPP) project. SHIPP was a 5-year technical assistance program
supporting multiple levels of the South African Government (SAG) as well as communities in selected
high-prevalence districts in South Africa to strengthen “combination HIV prevention” for reducing
overall HIV incidence.
The evaluation, covering SHIPP’s implementation from September 2010 to March 2014, aimed to: (i)
assess the quality of the program implementation, particularly in relation to support to SAG
departments, (ii) document lessons learned, (iii) explore challenges and accomplishments, and (iv)
provide strategic guidance for the program going forward.

Approach


This project illustrates Khulisa’s experience in conducting project performance evaluations in Africa.
Seven overarching evaluation questions guided Khulisa’s approach:

  1. To what extent has SHIPP achieved its stated objectives/results so far? What are the reasons
    for any shortfalls?
  2. To what extent have combination HIV prevention approaches been incorporated into policy,
    planning, and strategy in partner SAG departments?
  3. What are the strengths and weaknesses of the program so far?
  4. What key aspects of the SHIPP model should be continued in future HIV/AIDS programming?
    What should be discontinued? What should be scaled up?
  5. What systems have been established due to the technical assistance provided by SHIPP?
  6. What are the examples of working partnerships established with SAG structures?
  7. What aspects of small grant activities are successful to inform future prevention models?

A non-experimental design was used which took into consideration SHIPP’s direct and indirect contributions to observed changes. Khulisa selected elements of several evaluation theories for their utility in answering the evaluation questions:

Impact:

The evaluation's findings and conclusions included recommendations for PEPFAR/USAID for future HIV prevention programs. The following recommendations were made:

1. Strengthen Leadership and Governance:

2. Enhance Policy Development and Operational Plans:

3. Improve Service Delivery:

4. Promote Combination HIV Prevention:

5. Address Challenges in Staff and Implementation:

6. Strengthen Monitoring and Evaluation (M&E):

7. Operationalize Policies:

Broader Implications: