Process Evaluation of World Vision Zimbabwe Behaviour Change Programme: a Focus on HIV/AIDS Service Demand Creation in Insiza District

The purpose of the study was to determine the effectiveness of the Behaviour Change Programme implemented by World Vision Zimbabwe. A case of HIV/AIDS and SRH services demand creation in Insiza District of Matabeleland South Province. The study was guided by four objectives: to determine how inter-personal communication influences Behaviour Change; to examine the association between inter-personal communication information dissemination and HIV/SRH and GBV services utilization; to analyse the relationship between interpersonal communication and Behaviour Change Programme outcomes; to identify some of the challenges and barriers of implementation of the Behaviour Change Programme. Four data collection methods were employed namely: review of literature, interviews for key informants and programme staff, focal group discussions for programme volunteers and selfadministered questionnaires for community members. The study established high awareness of Behaviour Change programme being implemented and HIV/SRH services available in Insiza District. Noted was that the information dissemination on HIV/AIDS and SRH issues was through Behaviour Change Facilitators and other cadres from MoHCC and CBOs in the District. Despite the comprehensive exposure to information, the results towards positive sexual behaviour change are rather sluggish. Uptake of services is however showing a positive upward trend despite the reservations displayed by the community members to fully utilize the referral system implemented by the BCFs at community level. There seem to be no agreed guidelines on how the implementer should engage the service providers to fully commit to making the referral system should be structured and monitored. The study recommended that there should be agreed guidelines on how the referral system works between the BCFs and service providers. These guidelines should be agreed between the implementing agent and service providers. Furthermore, the implementer should attend to concerns of its programme cadres (BCFs) and go beyond just information dissemination to incorporate a livelihoods component to the programme. This will go a long way in keeping especially the youths from negative behaviours and empower them in establishing incomegenerating initiatives. The implementer should also structure its programme content in such a way that it caters for the needs of various population groups including youths, people with disabilities and sex workers