07-C0601: American International Health Alliance Twinning Center- Palliative Care Strengthening.

This activity has USG Team Botswana Internal Reference Number C0601. This activity links to the following: C0613 & C0614 & C0617 & C0817 & X1413.

This activity creates a twinning partnership between the APCA in Uganda and the School of Nursing in Botswana. Twinning is a key legislative issue. The aim of this partnership is to strengthen the Botswana nursing school to provide training and technical assistance to other organizations in Botswana that require quality palliative services. The objectives of the partnership are to: •Establish and implement a training of trainers program in palliative care to scale-up and expand the palliative care program. •Facilitate a country-specific advocacy workshop to promote integration of palliative care into HIV/AIDS programs, and advocate for the availability of appropriate palliative care drugs. •Adapt and implement evidence-based standards of care that are already developed by APCA for use in Botswana. •Adapt the palliative care outcome scale already developed by APCA for use in public and private settings in Botswana. •Build capacity to and advocate for the implementation of monitoring and evaluation (M&E) data collection tools to ensure adequate access to quality palliative care. •Build capacity to and advocate for the integration of palliative care training in pre-service and postgraduate training programs.

FY07 funds will help the American International Health Alliance (AIHA) Twinning Center facilitate an exchange visit to Botswana by APCA. At this meeting, AIHA will facilitate the development of a partnership work plan and budget that identifies specific activities the partners will undertake together. Thereafter, AIHA will issue a sub-grant award to APCA to manage this partnership. These funds will be used to support all partnership activities, including the visit by key stakeholders from the nursing school to APCA in Uganda to learn first-hand about the services and resources APCA can bring to the partnership. Some of the activities may include development or adaptation of training materials, M&E tools, etc. and clinical placements for those who will be future trainers. In addition, a multidisciplinary and multisectoral workshop will be planned that will include Batswana policy makers with the aim of influencing policy changes in drug availability, and the integration of palliative care into HIV/AIDS care and support services. AIHA is currently supporting a partnership between APCA and the Palliative Care Association of Zambia, so additional opportunities for cross-learning and exchange of information and support will be identified. The trained nurses will be deployed to government health facilities, such as district hospitals and clinics. In accordance with twinning methodology, the partners will select the outputs or products for the partnership together. Activities include: •Develop twinning work plan and budget. •Exchange visits between Uganda and Botswana. •Conduct Botswana palliative care workshop. •Produce training materials palliative care outcome scale, and M&E tools. •Compile and circulate palliative care information and resources list in collaboration with the MOH. •Make recommendations to policy makers to integrate palliative care into HIV/AIDS care training and services. •Recommend that the nursing school integrate palliative care into pre-service, post-graduate, and continuing education, •Establish informal palliative care networks among Uganda, Zambia, and Botswana.

07-C0817: Twinning.

This activity has USG Team Botswana Internal Reference Number C0817. This activity links to the following: C0601 & C0801 & C0909 & X1413.

This activity creates a twinning partnership between a to-be-determined (TBD) non-governmental organization that provides services for orphans and vulnerable children in Botswana with a tentatively identified counterpart NGO, Children in Distress (CINDI) in South Africa. The final partners will be determined with input from all key stakeholders (HHS/CDC/BOTUSA, American International Health Alliance (AIHA), and potential twinning partners). The main goal of this partnership is to strengthen the organizational response to addressing the needs of OVC in Botswana. Twinning is a key legislative issue and is a new activity for Botswana. The objectives of the partnership are to: o Strengthen organizational capacity to be a responsive and resourceful network for both civil society and government o Build capacity for this NGO to be a funding conduit for other NGOs in Botswana o Strengthen advocacy to develop responsive policy and sustainable integrated programs for OVC o Build capacity for the NGO to mentor CBOs and FBOs Twinning activities will begin with an exchange visit to Botswana by CINDI. This visit will be followed quickly by a visit by key stakeholders from the Botswana NGO to South Africa to learn first-hand about the services and resources of CINDI. At this meeting, AIHA will facilitate the development of a partnership work plan, timeline, and budget that identifies specific activities the partners will undertake together. Thereafter, the Twinning center will issue a subgrant award to CINDI to manage the partnership funds and each partner will select a partnership coordinator. Partnership funds will support the exchange visits and pay for materials and supplies for the activities the partners elect to undertake (e.g., training, joint materials development, workshops, technical assistance, etc.). While it is important that the partners themselves determine their joint activities, we anticipate that activities might include: 1) strategic planning, 2) development or adaptation of organization development training materials, 3) funding conduit policy,4) program and financial management technical assistance,5) network development and management,6) M&E tools, etc. In addition, a NGO/CBO/FBO workshop on OVC will be planned that will draw civil society organizations in Botswana with the aim of sharing information and advocating for a formal network and mapping of OVC activities in Botswana. The expected outputs and products from the partnership activities include: oPartnership workplan and budget oExchange visits between Botswana and South Africa oOrganization development tools and materials, e.g. strategic plan; funding conduit policy; M&E tools, etc. oEstablishment of OVC working groups and information clusters, e.g. education, policy and advocacy; treatment and care; material and psycho-social support oEstablishment of OVC information and resources for Botswana oCBO training and mentoring module oEstablishment of OVC network oList of OVC civil society groups and OVC services oBotswana OVC workshop report

07-C0909: American International Health Alliance Twinning Center.

This activity has USG Team Botswana Internal Reference Number C0909. This activity links to the following: C0817 & C0901 & C0908 & X1413.

This activity creates a twinning partnership between two Botswana VCT NGO organizations (Tebelopele VCT Centers and BOCAIP) with counterpart VCT organizations in Kenya and Uganda. The partnerships will be set up by American International Health Twinning Center (AIHA). The objectives of the partnership are to share ideas, best practices, and resources related to •post-test services for VCT clients, •prevention with positives, •how to transition from anonymous to confidential VCT service delivery; •how to provide Youth friendly VCT; •provision of home-based VCT; and •management of NGOs and resource development in particular. Twinning activities will begin with an exchange visit to Botswana by well-capacitated NGOs that are selected to partner with Tebelopele VCT and BOCAIP - likely Liverpool in Kenya and the AIDS Support Organization (TASO) in Uganda. The partners in Kenya and Uganda will be selected in collaboration with the leadership of Tebelopele VCT and BOCAIP. The initial exchange visit will be quickly followed by a visit from Tebelopele and BOCAIP leaders to Kenya and Uganda to learn first-hand about the services and resources of their selected counterpart VCT organizations. At this meeting, AIHA will facilitate the development of a partnership work plan and budget that identifies specific activities the partners will undertake together. Partnership funds will be used to support the exchange visits and pay for materials and supplies for the activities the partners elect to undertake (e.g., training, joint materials development, etc.). In addition, a small portion of the funds will be used to support staff at one of the partner organizations to oversee the partnership and the financial and M&E reporting as required by AIHA and HHS/CDC/HHS/CDC/BOTUSA. The expected outputs from the partnership activities include the improvement of existing VCT services at Tebelopele and BOCAIP which strengthens these organizations' abilities to reach particular population groups (e.g., youth, discordant couples, etc.). Another output may be the implementation of an entirely new service (e.g., confidential test, prevention with positives, etc.). In accordance with twinning methodology, the partners will select the outputs for the partnership together.

07 - X1413: American International Health Alliance Twinning Center (AIHA).

This activity has USG Team Botswana Internal Reference Number X1413. This activity links to the following: C0601 & C0817 & C0909 & X1493.

MISA is a regional non-government organization operating in the Southern African Development Community (SADC) region. MISA Botswana is one of the regional chapters. Currently, there are 20 organizations and 155 individuals affiliated to this chapter. One of the objectives of this chapter is to encourage the independent media to assume social responsibility and to publish information and statistics on social challenges including HIV/AIDS, to raise public awareness, and to advocate for policy and program implementation. MISA is managing 5 programs, including strengthening of media legislation; monitoring violations to media legislation; diversifying broadcasting; creating a supporting media environment; and legal protection of media. This activity creates a twinning partnership between MISA Botswana with ZAMCOM, the Zambia Institute of Mass Communication Educational Trust through the American International Health Alliance Twinning Center. The goal of the partnership is for these two national journalism groups to share experiences and best practices and to participate in joint training activities to strengthen the skills of journalists in Botswana to effectively disseminate accurate, timely, and relevant information about Botswana's HIV/AIDS epidemic through practical, skills-based training. This activity is expected to contribute in the longer term to the overall reduction of stigma and discrimination in the country. Print and media journalists from the 20 MISA member organizations in Botswana will be targeted, especially those who work in key media outlets or in the greatest areas of need. The Twinning activities will begin with an exchange visit to Botswana by ZAMCOM leaders to meet with leaders of MISA. This will be followed by an exchange visit by MISA leaders to meet with ZAMCOM leaders and to tour the ZAMCOM facilities. At this meeting, a partnership work plan and budget will be developed that identifies a specific project that the two groups will undertake together. The two partners will select one or two HIV-related target areas (e.g., stigma and discrimination; gender issues; women, HIV, and violence; male behavior and norms, etc.) and concentrate their activities to increase reporting skills in those areas. At least two training sessions for 40 Botswana journalists will be conducted and will highlight those areas selected by the partners. Each training session will be limited as it will be very intense and include field trips and story production. Expected Results: oExchange visits between Zambia and Botswana oIncreased media coverage in the selected topic areas oEstablishment of informal networks amongst Zambian and Batswana journalists oRegional Workshop document on lessons and best practices in health journalism in Zambia and Botswana oRecommendations for practical practices with action plans to mainstream HIV/AIDS within MISA and to proactively report on HIV/AIDS