Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 7323
Country/Region: Botswana
Year: 2010
Main Partner: Johns Hopkins University
Main Partner Program: Bloomberg School of Public Health
Organizational Type: University
Funding Agency: USAID
Total Funding: $0

The PEPFAR Gender Initiative on Girls' Vulnerability to HIV is part of a set of PEPFAR special gender initiatives. The program aims to prevent HIV infection among 13-19 year-old girls, by 1) developing innovative program interventions to successfully modify contextual factors associated with increased sexual risk behavior and rates of HIV infection among these adolescents, and 2) assessing the feasibility and effectiveness of these interventions and their potential for sustainability, scale-up, and transferability to other settings. Botswana, Malawi and Mozambique are the three countries selected for this Initiative.

Many PEPFAR programs reach adolescent girls through broad-reaching AB prevention activities that focus on HIV education in church and school settings. However, these programs often do not reach those at highest risk, who are commonly found outside of these settings. Those at highest risk often need a package of comprehensive services, including economic strengthening activities, to meet their unique situations. In addition, many OVC programs focus on younger children and overlook the needs of adolescent orphans, although this latter group represents a significant proportion of all orphans. This Initiative seeks to address these programming gaps by implementing and evaluating promising integrated models to reach highly vulnerable adolescent girls with comprehensive services tailored to their particular needs.

The focus is on the most vulnerable girls to address the antecedents of risk. They target the intervention according to the different types of risks girls face, to both prevent girls from adopting risky behaviors and address the needs of girls already engaged in risky behaviors. Program components may include the following: HIV prevention education focused on the "ABC" approach; Non-material support for girls' continuation in, or return to, school; Outreach and linkages with HIV-related health services as well as reproductive health services such as pregnancy prevention; Wrap-around or direct support for training in sustainable livelihoods and/or improved access to economic resources such as development of appropriate age- and gender-specific financial literacy, development of savings products and related social support mechanisms, sustainable livelihoods and/or improved access to economic resources, including government-provided entitlements and health services; parenting skills among parents and guardians of adolescents; for those adolescents without parents, developing mentoring programs to ensure all adolescents have support on a continuing basis from a caring mentor/community member; empowerment and interpersonal skills to enable girls to adopt and/or maintain healthy sexual behaviors, including promotion of decision-making power of young girls within relationships, families and communities; addressing peer influence by promoting positive group norms and behaviors; and, addressing community social norms that help to reduce sexual coercion and exploitation and other harmful practices contributing to girls' vulnerability.

Subpartners Total: $0
Botswana Christian AIDS Intervention Programme: NA
Makgabaneng: NA
Youth Health Organization: NA
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Family Planning