Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 10312
Country/Region: Botswana
Year: 2012
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,200,000

Population Services International (PSI) is a key partner to the Ministry of Health in delivering evidence-based Behavior Change Communication for HIV prevention. The goal of this project is to contribute to efforts to prevent new HIV infections in Botswana through safe male circumcision (SMC). The specific purpose of this project is to increase SMC prevalence while avoiding risk compensation among circumcised men by improving and strengthening the delivery of the behavior change communications component of Botswanas national SMC Strategy, as led by the Ministry of Health (MOH). To contribute to this goal and purpose, this project will work towards achieving the following objectives:1. Increase the level of accurate knowledge of the benefits and limitations of SMC,2. Increase motivation of the target population to request SMC,3. Establish SMC as a cultural normThe focus for FY 2012 is on five high volume SMC dedicated sites hosted by PEPFAR implementing partners. Other MOH sites will be supported based on service availability. This will be implemented alongside the MOH through helping district management teams (DHMTs) plan for demand creation activities and will use local community based organizations (CBOs) and theatre groups for group discussions following messaging. In an effort to improve program and implementation efficiencies and achieve cost effectiveness, PSI Botswana will highlight SMC role within a wider integrated HIV prevention strategy and will leverage additional resources from the private sector. PSI Botswana will target in-school and out-of school youth, older men, and their families throughout the implementation of the program. Process and outcome evaluations will be conducted to measure campaign reach and linkages to prevention services.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $1,200,000

BBotswana will focus its efforts on demand creation through interpersonal communications (IPC) and mid-media community mobilization activities (Jam sessions, edutainment events through theatre, music and dance, road shows and school events) with particular emphasis on the following areas:Targeted Activities:- 13-19 year old men: This group has the lowest HIV prevalence and may not yet be sexually active. These adolescents are impressionable and most are still in school. School campaigns will be implemented for this group. They will also be reached through edutainment activities at public places during school breaks.- 20-39 year old men: This group is sexually active. They make individual decisions about their sexual lives and some are married. They will be targeted at workplaces where PSI will collaborate with Wellness Coordinators in places of employment to educate employees on the importance of SMC and direct them to both public and private sector service centers.Small group sessions will be conducted for mobile populations such as construction workers and uniformed forces such as police and prisons officers at their work places.Collaboration with and support to MOH and DHMTs:- PSI Botswana will support district health teams (DHMT) in nine PEPFAR-supported high volume SMC sites, as well as other priority districts to help DHMTs plan for upcoming and future demand creation activities.- PSI Botswana will support the MOH in the development and implementation of detailed work plans for demand creation activities.- PSI Botswana will reinforce SMC orientation to community-based organizations (CBO) and theatre groups in targeted districts to incorporate SMC in their community outreach activities.- PSI Botswana will support MOH to develop Information, Education, and Communication materials for use in SMC demand creation activities.SMC Referral System:PSI Botswana will work with MOH and other partners, i.e. Jhpiego and I-TECH to develop a comprehensive referral mechanism which will ensure that:- PSI Botswana mobilized clients are tested on-site during demand creation activities prior to referral for SMC.- Service providers are involved in the planned referral system using referral cards and client registries to track the client from mobilization to service provision.

Cross Cutting Budget Categories and Known Amounts Total: $120,000
Human Resources for Health $120,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
enumerations.Impact/End-of-Program Evaluation
Workplace Programs