Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015

Details for Mechanism ID: 17060
Country/Region: Asia Regional Program
Year: 2013
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $5,074,267

The Behavior Change Communication for Infectious Disease Prevention (CAP-3D) project goal is to reduce morbidity and mortality related to HIV, TB and malaria in the Greater Mekong sub-region by increasing an effective regional response, characterized by stronger country ownership, to prevent and mitigate these diseases. CAP-3Ds strategy is to increase the reach and enhance the sustainability of the Comprehensive Prevention Package (CPP) by improving models of delivery through local partners, documenting effectiveness, and advocating for these models to become the regional standard of quality HIV prevention programming for MARPs, implemented by strong local institutions and sustained through local governments and diverse funding sources. CAP-3D will develop and demonstrate successful models for delivering the CPP to MSM and TG in partnership with selected local CBOs, and to recruit other organizations, government offices, hospitals, and donors to use these models.

CAP-3D will focus on: design and implement a strategy to increase demand for and increase uptake of HIV testing among MSM and TG; incentivize case-finding among outreach workers and peer educators; support the provision of MSM and TG friendly VCT; introduce improved data collection and tracking systems to ensure follow up of individuals as they move through the system; assist Sisters to develop and implement a strategy for enhanced outreach services for TG; provide funding, TA, and capacity building support for the roll-out of improved and expanded delivery of the CPP; and support the further improvement of referral systems and mechanisms that will facilitate prevention and ensure access to medical care related to HIV, TB, and malaria for affected and most at risk groups among Burmese migrants in Thailand.

Funding for Care: Adult Care and Support (HBHC): $796,853

GHCS (USAID) = $132,528

GHCS (State) = $33,000

PSI/Thailand will provide a small amount of financial assistance to the Glory Hut to support the provision of shelter and community home-based care (CHBC) for MSM and TG living with HIV.

The Poz Home Center launched its Strategic Plan 2011-2014 in FY11. In FY13, with financial support under CAP-3D, the Poz Home Center will focus on promoting HCT through its telephone advice and support line and peer-based online education and support service; providing follow-up to Post Test Counseling services at BMA and DOH sites; and developing and leading the M-Poz network of groups and organizations providing services to MSM and TG living with HIV. By facilitating experience sharing, cross learning, and the coordination of TA and capacity building for members, the M-Poz network will support replication of the Poz Home Centers model for delivery of the CPP.

To help meet the needs of most at-risk Burmese migrants in Thailand for prevention and treatment of HIV, TB and malaria, Save The Children (SC) will produce and distribute an IEC publication on the prevention of these three target diseases, with useful information and appropriate messages for MARPs. SC will also conduct mapping and an assessment of health services for most at-risk Burmese migrants in Ranong and Ratchaburi provinces.

Funding for Strategic Information (HVSI): $597,640

GHCS (USAID) = $132,528

GHCS (State) = $33,000

PSI/Thailand will conduct the following three research studies in line with the priorities outlined with USAID:

1. A TRaC survey among TG in Pattaya and males sex workers (MSW) in Pattaya and Bangkok, to inform program strategy and to monitor and evaluate the impact of the HIV programs implemented by Sisters and SWING.

2. A venue-based assessment of BCC messages and condom/lube accessibility for MSM, in areas where USAID-supported HIV programs for MSM are being implemented.

3. Routine Behavioral Tracking (RBT) among MSM, in areas where USAID-supported HIV programs for MSM are being implemented.

Funding for Testing: HIV Testing and Counseling (HVCT): $1,016,067

GHCS (USAID) = $132,528

GHCS (State) = $33,000

PSI will design and implement a strategy to drive demand for and increase the uptake of HIV testing among MSM and TG. Focus will be on promoting the benefits of HIV testing and early access to HIV care and treatment among MSM and TG. An intensive case finding approach will be adopted to reach those most at risk for transmission and acquisition of HIV, complemented by a broader communications strategy using internet, mobile phone, and targeted media communication. PSI will engage implementing partners to assist in designing appropriate innovative methods to connect with individuals most likely to acquire or transmit HIV, including respondent-driven sampling style approaches. PSI will support the provision of MSM and TG friendly quality rapid response HIV testing services through public, private, and civil society providers, building upon lessons learned from the current PEPFAR-supported HIV rapid testing demonstration sites.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,663,707

GHCS (USAID) = $485,937

GHCS (State) = $121,000

In FY11, PSI/Thailand facilitated a marketing planning workshop for Sisters, in which the profile of Sisters audience and Sisters brand position were thoroughly analyzed to identify strategic priorities for increasing safer sexual behavior and use of HCT and STI services among TG. As part of this marketing plan, in FY13 the Sisters team will develop and implement a strategy for effective interpersonal outreach to TG, and a strategy for effective BCC through the newly developed Sisters website.

Sisters will provide on-site counseling and rapid testing for HIV at the DiC. To strengthen referral linkages to care and support services for PLHA, the Sisters team will hold regular meetings with positive support groups and staff at Banglamung and Somdejsriracha Hospitals, Glory Hut and the Health Opportunity Network (HON). PSI will provide a small amount of financial assistance to the Glory Hut to support the provision of shelter and community home-based care (CHBC) for MSM and TG living with HIV.

In FY13, PSI will explore the opportunity of adding on-site rapid testing for syphilis to the range of services offered at the Sisters center.

The Poz Home Center launched its Strategic Plan 2011-2014 in FY11. In FY13, with financial support under CAP-3D, the Poz Home Center will focus on promoting HCT through its telephone advice and support line and peer-based online education and support service; providing Follow-up to Post Test Counseling services at BMA and DOH sites; and developing and leading the M-Poz network of groups and organizations providing services to MSM and TG living with HIV. By facilitating experience sharing, cross learning, and the coordination of TA and capacity building for members, the M-Poz network will support replication of the Poz Home Centers model for delivery of the CPP.

To help meet the needs of most at-risk Burmese migrants in Thailand for prevention and treatment of HIV, TB and malaria, Save The Children (SC) will produce and distribute an IEC publication on the prevention of these three target diseases, with useful information and appropriate messages for MARPs. SC will also conduct mapping and an assessment of health services for most at-risk Burmese migrants in Ranong and Ratchaburi provinces.

PSI will survey the web chat sites frequented by MSM in Thailand and develop and implement a strategy for disseminating BCC messages on these sites. Messages will address safe sex, knowing ones HIV status, accessing support and treatment services, as well as positive health and prevention. PSI will .

PSI will engage in meetings with SWING, M-Plus, Violet Home, and the mobile HCT operations of the Thai Red Cross, to gain a better understanding of their mission, strategic direction, capacity, and needs in order to help improve their instituational capacity moving foward. With one-time supplemental Challenge Fund resources, PSI will help Thailand and Laos develop, demonstrate, and disseminate enhanced intervention models to intensify HIV, STI, and TB case finding among MSM, TG, and other key populations and to support early and sustained access to prevention, care, and treatment services.

Subpartners Total: $0
APM Global Health: NA
Caremat: NA
Chiang Mai Publich Health Office: NA
Glory Hut Foundation: NA
Laos Positive Health Association: NA
International Federation of Red Cross and Red Crescent Societies: NA
Mplus: NA
Pact, Inc.: NA
Poz Home Center Foundation: NA
Promotion For Education and Development Association: NA
Population Services International: NA
RTI International: NA
Save the Children: NA
Service Workers in Group: NA
International Federation of Red Cross and Red Crescent Societies: NA
Violet Home: NA
Cross Cutting Budget Categories and Known Amounts Total: $1,770,000
Gender: Gender Based Violence (GBV) $70,000
Key Populations: Sex Workers $300,000
Key Populations: MSM and TG $1,400,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Mobile Populations
Tuberculosis
Workplace Programs