Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5438
Country/Region: Botswana
Year: 2007
Main Partner: Bakgatla Bolokang Matshelo
Main Partner Program: NA
Organizational Type: Unknown
Funding Agency: USAID
Total Funding: $158,000

Funding for Care: Adult Care and Support (HBHC): $158,000

07-C0603: Bakgatla Bolokang Matshelo.

This activity has USG Team Botswana Internal Reference Number C0603. This activity links to the following: C0602 & C0604 & C0605 & C0606 & C0607 & C0608 & C0613 & C0614 & C0618 & C0619 & C0802 & X1406.

Bakgatla Bolokang Matshelo (BBM) was initiated in 1998 as a grass roots initiative by local religious groups. The organization works to provide CHBC services through volunteers who visit patients at home and in hospitals to provide clinical, psychosocial, emotional, and spiritual support to patients and their families. With EP funding BBM's objective is to expand palliative care services at the centre and in homes of PLWHA. In FY07, the target is to reach 800 PLWHA with palliative care services. The services provided for PLWHA include: • Pain relief, through provision of drugs like analgesics and through physical methods to reduce pain resulting from advanced HIV/AIDS infection. • Counseling people on antiretroviral (ARV) drug adherence on how to cope with side effects, and providing support for very ill patients in ensuring adherence to treatment. • Nutritional support, through provision of patients information on nutrition and training for families on means to ensure access to food. The center will provide daily meals to patients coming to the center from another funding source. • Psychosocial services through counseling provided by a professional counselor and trained volunteers during home based care services and at the centre.

BBM coordinates support groups for PLWHA. Through the services of a trained counselor, clients are encouraged to create supportive peer relationships that will enable them to provide each other with ongoing psychosocial support. The program target is that 50 patients will enroll and participate in the support groups, and that 4 groups with about 15 people in each will be formed. Participation in the support groups will be voluntary, and group activities will be facilitated by the counselor. Marketing of the support groups is done through the volunteers and center staff as they deliver various services to their clients. Considerations of factors such as gender and age-group will be taken into account as new members join. The groups are encouraged to meet at least once monthly, and will be supported by the professional counselor whenever needed. BBM will refer clients to other services such as medical services. A detailed M&E plan will be developed including a detailed results framework that shows key anticipated results and indicators, a detailed implementation plan including key targets to be achieved during the project period. Objectives:

•To increase the number of volunteers providing services at the centre. •To increase the number of caregivers providing home-based care. •To enhance the development of a support system for clients of BBM through establishing four PLWHA support groups that will include professional counseling services. •To increase the number of individual provided with palliative care by 800