Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7813
Country/Region: Botswana
Year: 2009
Main Partner: Light and Courage Centre Trust
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Funding for Care: Pediatric Care and Support (PDCS): $0

09.C.PC06: Light and Courage Center Trust - Palliative Care NPI

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The activities under care and support to people living with HIV/AIDS (PLWHA) have been modified to

provide clinical care and pain management for asymptomatic and symptomatic infections.

Additional activities will include a Rehabilitation Program that provides PLWHA in Francistown with physical,

psychosocial, occupational and vocational rehabilitation.

Capacity building through training of staff and volunteers on adult care and support, HIV/AIDS, the basics of

anti-retrovirals, adherence counseling, reporting skills, monitoring and evaluation, leadership skills, nutrition

and HIV, child nutrition and behavior change communication will be administered in FY2009.

From COp08:

This activity is linked to OVC and Prevention areas. The Light and Courage Centre Trust (LCCT) offers

holistic support to all people, infected, affected, living with HIV/AIDS by effectively utilizing physical, social

and spiritual resources available in Francistown. LCCT will support and scale up its Francistown activities.

LCCT will replicate the present model of care, to additional locations within Francistown. The pattern of

palliative care provided is described below:

1. "Hospice at home" assists clients in the terminal stage of their illness or to the stage where they are able

to access day care at the Light and Courage Centre, and to support the care giving role of household

members. This effort will continue and expand into the four satellite centres being established in COP07. In

addition to the activities directly implemented by LCCT, LCCT has partnered with the Francistown Home

Based Care Program which includes care assistants whose stipends are supported by the city council to

provide HBC services.

2.Day Center Care - Clients come to access LCCT services via referrals made by other care agencies in the

city. They are also referred by other clients, caregivers or family. Some clients refer themselves by coming

to the Center for help. Each potential client is interviewed and a care plan in drawn up. Where this involves

day care the Center transport will collect and return them from and to their homes each day. At each Center

they will receive counselling, education, skills development, spiritual encouragement, tea breaks and a

nourishing meal. LCCT provides an informal atmosphere for mutual support. LCCT provides regular

workshops for caregivers to assist in their education and to share information. They share in a regular

review process to assess their progress and are encouraged to plan for the time when they will be fit

enough to no longer require day care. This has proved an effective means of re-integrating clients into the

community and assisting them to return to work. LCCT provides prevention, treatment adherence,

psychosocial support, education and training services, as well as referrals to other agencies and services.

3. Counselling -The nature and duration is unique to each client, but focuses on health, education, social

and behavioural issues. Each client will have a key worker who will accompany them along whatever path

their illness takes them. When clients no longer require day care they are encouraged to visit the Center

regularly to encourage new clients and to deal with any outstanding / ongoing issues. In addition to the

direct support LCCT provides, LCCT has partnered with BOCAIP to provide support and counselling to the

children of LCCT clients.

4 To provide education training and behavior change support messaging to ongoing and drop-in clients.

While a lot of information is shared in formal and informal counseling situations, there is a need for more

formal behavior change efforts and training. Ongoing clients will include those who are accessing day

centre care who will receive teaching as appropriate in literacy and numeracy, education on the nature of

HIV and appropriate lifestyle responses (including abstinence and faithfulness) and nutrition. Along with

skills development and training this program will empower clients to return to play a full part in family and

community life.

5 OVC Support - In order to support the needs of vulnerable children, LCCT has partnered with BOCAIP

and Bopaganang Basha to offer young people a variety of services. The BOCAIP counseling activities are

described previously. Bopaganang Basha offers young people a variety of activities. It operates during the

day for those who have finished full time education but are unemployed and after school hours for those in

education. It also acts as a health information centre, providing accurate and up to date information on

HIV/AIDS. The program will strengthen Bopaganang's organizational capability and their outreach activities.

In particular it will support a drama based outreach program seeking prevention through abstinence and

faithfulness. Whilst materials used at present are based on publications from the District Health Team it is

anticipated that they will link with YOHO's new initiative also funded under PEPFAR-NPI to improve their

materials. The Light and Courage Centre is anxious to work in partnership to complement its own education

program to ensure the young people learn from the experiences of older clients and so make informed

decisions about their own lives.

The present Center, established in 1998, will remain the main focus for information and resources, based

on the Resource Center and the work of the Education and Training Officer. It will also be the Center

providing more advanced occupational therapy, skills training, education and outreach to the general public,

business and government organisations. In line with the Center's integrated and holistic approach to care

for those infected and affected with HIV/AIDS, this project includes three sub-partners (Francistown Home

Based Care program, BOCAIP, Bopaganang Basha) to enable capacity building and quality improvements

in service delivery.

This whole project will build on the experience already gained in these areas by partnering more effectively

with other organisations and extending the coverage and provision of day centre care by the establishment

of four new satellite centres.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17713

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17713 17713.08 U.S. Agency for To Be Determined 7813 7813.08 GHH-A-00-07-

International 00017: Light &

Development Courage Trust-

New Partners

Initiative

Table 3.3.10:

Subpartners Total: $0
Botswana Christian AIDS Intervention Programme: NA