Determinants of sustainability of HIV/AIDs projects in Nyanza region
Mutisya, Caroline W.
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HIV/AIDS was declared a national disaster in Kenya in 2000. Since then, the HIV prevalence rate in the country has declined, with national estimates showing that the prevalence among adults (15-49 years) has declined from 10 percent in 1997-1998 to 6.2 percent in 2011. Various projects were initiated to provide care and support to the infected and affected in the society. However, sustainability of the projects has been a problem; projects are consistently seeking funding to continue implementing activities. Minimal studies on project sustainability have been conducted in Kenya previously. This motivated the research objective which was to identify the determinants of sustainability of HIV/AIDS projects in Nyanza region. Previous literature studies on determinants of sustainability of HIV/AIDS projects were analysed. The study done by Mancini and Marek identifies seven sustainability elements and provided the model of community based program sustainability. This study was used because it is comprehensive and incorporates the drivers of sustainability identified by the other scholars. The research design used was a descriptive survey. The study area was Nyanza region and the population was the HIV/AIDS projects in the Nyanza region. From a total of 427 HIV/AIDS projects in the region, a sample size of 196was selected using stratified random sampling. A fillable questionnaire was developed based on the variables identified in Mancini and Marek's program sustainability model. The questionnaire was sent to the identified respondents to provide information. The study used factor analysis to identify determinants of sustainability and the output was presented in tables. The study results found the following to be determinants of sustainability of HIV/AIDS programmes: community understanding and prior program evaluation, project strategic funding, staff involvement, program collaboration and program success awareness, program result awareness and staff project evaluation involvement, project leadership, project responsiveness, and project sustainability plan and local collaboration. These factors were considered important for HlV/AIDS project implementers to embrace when designing their projects. The study recommended early adoption processes of these determinants by HIV/AIDS projects so as to remain sustainable, and also embracing other income generating activities to minimize reliance on donor funds. The study faced challenges of respondents replying late to email questionnaires. The study recommended a country wide study to include other regions not covered under the study and also another analytical technique to be used to determine the impact of the sustainability factors.