Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5439
Country/Region: Botswana
Year: 2007
Main Partner: Botswana Association for Psychological Rehabilitation
Main Partner Program: NA
Organizational Type: Unknown
Funding Agency: USAID
Total Funding: $58,463

Funding for Care: Adult Care and Support (HBHC): $58,463

07-C0604: Botswana Association of Psychosocial Rehabilitation.

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

The mentally ill are among the most marginalized groups in our society. They are among the least understood and underserved, and in many communities the stigma associated with mental illness cause the mentally ill and their families to suffer in silence. Their isolation and neglect becomes even more pronounced when HIV is involved. The double burden of mental illness and HIV/AIDS creates even more stigma and discrimination and intensifies hardships in their lives.

The Botswana Association of Psychosocial Rehabilitation (BAPR) Psychosocial HIV/AIDS Rehabilitation Project responds to the unique needs of people who are both mentally ill and HIV positive. No other organization in Botswana serves the special needs of this population. BAPR is based in Lobatse, and since 1993 it has served the community as well as the mentally ill hospitalized at the country's only mental health hospital. BAPR helps the mentally ill and their families cope with the debilitating effects of mental illnesses and recovery in an environment plagued with stigma, ignorance, and intolerance towards the mentally ill. BAPR has been a leader in empowering the mentally ill and in educating the community about the various diseases that comprise the large umbrella called "mental illness."

Through the Psychosocial HIV/AIDS Rehabilitation Project, BAPR seeks to enhance the quality of life of PLWHA who are recovering from mental illness through the provision of home-based psychosocial rehabilitation (PSR). The project also seeks to increase the community's capacity to respond accordingly, including the primary care givers/providers in the home, and volunteers providing HBC.

Program Description:

1) Facilitate meetings with key stakeholders to market the program and engage partners who are interested in collaborating, including the CBO that employs the HBC providers, and other HIV/AIDS service providers who will participate in the patient referral network for the specialized PSR centre and other palliative care services. 2) Develop training materials and resource packs for the training provided to the identified HBC providers on basic PSR. The materials will be developed through a consultative process with specialists working with the center to ensure that they are comprehensive and address all key aspects of basic PSR training. 3) Identification and training of HBC providers in basic PSR, including identification of patients who need such services. HBC providers from CBOs and local authorities will be invited to a 5 day training program organized and run by BAPR. This will be followed by in-service training and mentorship by BAPR through supportive supervision provided over the first 6 months following the initial training. BAPR trainers will follow up with the trainees and support them during home visits to patients identified as requiring home-based PSR services. Two workshops will be held annually over the two years of the project, and each training will reach 30 participants. 4) Provide specialized center-based PSR services to patients referred from other services providers such as the ARV treatment centers, HBC services, and orphans and vulnerable (OVC) programs. These services will be provided on a daily basis at the center by specialized program staff. Individualized programs will be developed by the center staff for each patient who is enrolled into the program, including patient follow-up plans. Patients discharged from the specialized program will be linked to trained HBC providers for on-going follow up and support in the community. 5) Referral and follow up for HIV infected patients who are discharged from the mental hospital to palliative care services in the community. This will be done by linking all discharged patients with trained HBC service providers to ensure that they receive ongoing support and palliative care when they return home. BAPR will establish follow-up mechanisms with the HBC programs through which these patients will be provided with ongoing care and support. 6) A detailed M&E plan will be developed including a detailed results framework that shows key anticipated results and indicators, a detailed implementation plan, and key

targets to be achieved during the project period.