Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5326
Country/Region: Botswana
Year: 2007
Main Partner: Botswana Christian AIDS Intervention Programme
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $170,000

Funding for Testing: HIV Testing and Counseling (HVCT): $170,000

07-C0908 Botswana Christian AIDS Intervention Program (BOCAIP).

This activity has USG Team Botswana Internal Reference Number C0908. This activity links to the following: C0901 & C0904 & C0909 & C0911 & C0912 & P0103 & P0205 & P0213.

Objectives of the program: •To strengthen VCT services by providing follow-up supportive and prevention counseling •To increase the number of youth receiving CT •To provide preventive counseling and community education •To train 18 peer educators and 18 BOCAIP staff on provision of youth friendly service •To strengthen referral and linkages with other service providers

For this program, BOCAIP proposes to strengthen follow-up at three of the eleven existing BOCAIP counseling sites. The program will provide ongoing support and follow-up services to VCT clients who test positive and to those on treatment. In addition, the program will provide family-based preventive counseling. The three sites are located in Francistown, Maun and Ramotswa (and the site in Ramotswa also operates two satellites in Otse and Mogobane).

At these sites, BOCAIP has a total of 24 counselors trained in VCT. However, there is an urgent need to better equip these counselors and their supervisors with skills in providing youth-friendly services.

BOCAIP's current youth interventions focus on abstinence. For example, many youth attend abstinence clubs in the BOCAIP centers on a regular basis. This program aims to take advantage of these structures to increase mobilization for youth. These activities will be integrated into the centers' daily services.

With FY2007 funding, BOCAIP plans the following activities: •Two BOCAIP counselors trained in VCT will conduct daily follow-up to clients in their homes. The time allocated to each counselor will accommodate travel to the household using public transport. •BOCAIP staff will run group counseling sessions for PLWHAs, covering 15 persons each quarter. •Two counselors working with 2 peer educators will reach out to 300 youth per center per month to encourage them to test. •BOCAIP aims to train 18 peer educators to work with counselors to motivate youth to access the youth services offered in their localities. Training for these counselors will focus on issues to be discussed during outreach efforts such as the benefits of testing and risk reduction. •For center staff, BOCAIP will provide training in providing youth-friendly services.

BOCAIP proposes to "twin" this program with existing similar services in Uganda and Kenya. The aim of this effort will be to learn from their models of follow up services as well as provision of youth VCT, as described separately under C0909.

Follow-up services by BOCAIP BOCAIP currently provides VCT that is integrated into other services such as family preventive services, marital counseling, and prevention messages focusing on abstinence and faithfulness. Specially training volunteer counselors provide follow-up services, traveling with public transport to the clients' homes.

Linkages between BOCAIP and Tebelopele VCT Centers

An informal working relationship exists presently between BOCAIP and Tebelopele. This includes referrals of clients after testing for on-going supportive counseling, as well as with provision of joint mobile and outreach testing services.

With FY2007 funding, BOCAIP will establish a formal relationship with Tebelopele. BOCAIP counselors will visit the Tebelopele centres in the three program cities on a weekly basis. These visits will enable Tebelopele to communicate with BOCAIP about referrals of clients who have consented to be followed up at home for family counseling and post

testing services. In addition, Tebelopele and BOCAIP will participate in regular referral network meetings in all the localities where their centers exist. This will allow for feedback on issues regarding client referrals. In addition, the two organizations will agree on tools to be used by providers for tracking and reporting on referrals.

Linkages between BOCAIP and Public Health Facilities

Since 2002, BOCAIP centers in different localities such as Gaborone, Kanye and Lobatse have established linkages with government clinics to enhance the clinics' follow up service. BOCAIP's involvement in this activity has helped to address the overwhelming demand for follow up services at the clinics.

With FY2007 funding, BOCAIP intends to use a similar approach for the three proposed implementing BOCAIP sites. BOCAIP counselors will visit the clinics once a week to identify clients referred and willing to be followed at home by the BOCAIP counselors. BOCAIP counselors will also refer any family members of clients visited at home to the health facilities for care and treatment.