Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5442
Country/Region: Botswana
Year: 2007
Main Partner: Silence Kills Support Group
Main Partner Program: NA
Organizational Type: Unknown
Funding Agency: USAID
Total Funding: $41,267

Funding for Care: Adult Care and Support (HBHC): $41,267

07-C0607: Prime TBD-Silence Kills.

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

The Silence Kills support group is an NGO established by PLWHA in Selibe Phikwe. It was formed to involve PLWHA in the provision of counseling services to the HIV infected and affected members of the community. Its mission is to increase the number of PLWHA in Botswana who continuously practice positive living, to provide quality counseling and testing services for PLWHA, and to fight stigma and discrimination against infected persons.

Using EP funding, Silence Kills provides palliative care and support through counseling and support for PLWHA and their families at the center and household levels. The Silence Kills support group employs two counselors who perform a range of counseling and care services, both on site at the Support Group Center and through community outreach efforts. Additional trained volunteers support the activities of the counselors. The range of services available to PLWHA include: ?Pain relief, by providing drugs like analgesics and physical methods. ?Provision of one on one support to PLWHA including psychosocial support and ARV adherence counseling, coping with side effects, and providing support for very ill patients. ?Nutritional support, by providing patients with information on nutrition and training families on ways they can ensure access to food. The center provides daily meals to patients coming to the center. ?Psychosocial services are provided by a professional counselor and trained volunteers during HBC services and at the center. ?The counselors coordinate with the Government's HBC services to ensure that people are accessing and receiving regular HBC.

On a quarterly basis, the Centre hosts working groups of service providers to discuss challenges in their work, best practices, lessons learned, and ways forward. The workshops aim to improve approaches to testing, treatment, and care service provision. The participants of the working groups include medical doctors, nurses, counselors, home-based care providers, social workers and active members of the Centre. Each working group has approximately 30 participants. Quarterly workshops are held in the community on basic palliative care and "positive living."

Objectives: •To provide counseling, care, and support for treatment adherence to 172 registered patients. •To identify at least 200 new HIV infected clients through outreach and follow-up visits, door-to-door campaigning, and working directly with two anti-retroviral clinics. •To enhance the knowledge and skills of infected persons and care service providers about recommended treatment and care practices and "positive living" through workshops and monthly meetings. •To develop a referral system for clients to ensure a comprehensive care system.

This organization will be monitored by the Prime Partner to ensure provision of quality services to PLWHA. The organization will participate in tracking data that is relevant to the needs of the MOH PCU. In addition, it will monitor its activities using its own organizational palliative care indicators. The Prime Partner will assist the organization to develop its detailed implementation plan and the monitoring performance plan.