Funds reprogrammed in April 2009 will support renovation/upgrades of three additional social centers, as

part of the PNOEV's core platform strategy.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS

In FY09, the PNOEV will:

- Extend its interventions through the platform mechanism to 12 new sites.

- Implement restructured social centers in FY08 sites.

- Integrate OVC-related issues in the training curricula of health and social work schools (INJS, INFAS).

Materials will also be adapted for sensory-disabled people and integrated in the curricula of national training

institutes for the blind and deaf.

- Strengthen coordination of OVC interventions at central and decentralized levels.

- Improve the quality of OVC identification and care by:

• Reinforcing referral systems with PMTCT, CT, and TB services.

• Establishing a pool of 20 master trainers in OVC.

• Promoting children's rights and their participation in all OVC activities.

• Encouraging the promotion of abstinence and fidelity (to moral values) in primary and secondary

education

- Improve advocacy and resource mobilization by training social workers and community caregivers.

- Strengthen behavior change communication and policy advocacy to reduce stigma and discrimination

toward OVC.

- Strengthen quality assurance in OVC services and activities.

- Integrate gender vision in all activities concerning OVC.

COMPLETE COP09 NARRATIVE including updates

The Ministry of Family, Women, and Social Affairs (MFFAS) is responsible for coordinating, monitoring, and

evaluating care and support services for orphans and vulnerable children due to HIV/AIDS (OVC) through

its National OVC Program (PNOEV), with support from the national think tank on OVC (CEROS-EV). In the

past four years, the PNOEV has developed a multi-sector strategy built around social centers (operational

structures of MFFAS) aimed at supporting OVC within family units and communities. PEPFAR funds have

contributed to this effort by strengthening the capacities of the PNOEV and social centers. With financial

and technical support from CDC/PEPFAR and technical support from Measure/Evaluation and FHI, the

PNOEV has improved its monitoring and evaluation system through updating of harmonized data collection

tools, including the Child Status Index (CSI) and the elaboration of an OVC database at peripheral and

central levels. It has also emphasized capacity building for social workers and community caregivers as well

as community mobilization and advocacy for holistic OVC care and protection.

In FY08, with support from PEPFAR and other partners, the PNOEV coordinated care for 63,000 OVC

(50,000 supported by PEPFAR), training for 2,000 social workers and caregivers, and support for 148

community-based organizations and 28 platforms (including 12 new platforms added with FY08 funds). In

addition, 58 community support groups and 28 legal and human-rights committees support sensitization and

legal protection for OVC. With technical assistance from FHI, the PNOEV conducted situation analyses in

28 sites.

Based on an assessment of a pilot in San Pedro, a restructured social center model (IRIS) was scaled up to

15 other sites (Abobo, Yopougon, Koumassi, Abengourou, Bondoukou, Korhogo, Dabakala, Gagnoa,

Dimbokro, Daloa, Man, Bouaké, Agboville, Bouna, and Yamoussoukro). This decentralized and integrated

coordination model provides a good referral system in support of a continuum of care for OVC and their

families. In addition, the PNOEV and its partners developed an integrated strategy for empowering women

and addressing other gender issues, including the vulnerability of adolescent female OVC, and conducted a

study to better understand factors contributing to vulnerability.

With FY08 funds and technical assistance from FHI and JHPIEGO, the PNOEV is creating a pool of 20

master trainers from the OVC national trainers' pool in order to improve the quality of OVC care and

support. Twenty other OVC trainers are being trained in palliative care, in collaboration with the National

HIV/AIDS Care and Treatment Program (PNPEC), and 80 rural health agents and 50 women working at the

Institute of Training and Education for Girls and Women (IFEF) are being trained in OVC care. To

strengthen policy advocacy and reduce stigma against OVC, the PNOEV is working with JHU/CCP and

UNICEF to produce and disseminate audiovisual behavior change communication (BCC) aids and

messages. In addition, 500 social workers and community caregivers are being trained in communication,

strategic planning, and social mobilization.

To better coordinate the national response, the PNOEV has developed a collaboration framework with

technical ministries (Education, Vocational and Technical Training, Sports and Youth, Justice) to address

the educational needs of OVC ages 16-18. In collaboration with MFFAS technical units (including the

Direction of Family Promotion and Socio-Economic Activities (DPFASE)), the PNOEV has developed a

national guide for income-generating activities (IGA) for vulnerable people, including OVC and their families.

The PNOEV is also establishing close working relationships with the Direction of Social Protection, which is

responsible for OVC due to causes other than HIV, in order to maximize synergies between the two

programs. To address gender issues, the PNOEV is developing strong links with the Direction of Gender

Promotion and supporting ongoing reflections on gender issues in HIV/AIDS committees.

With FY09 funding, the PNOEV will continue to strengthen the quality of OVC services and reinforce its

coordination mechanisms by continuing to increase the number of social centers with OVC platforms.

Twelve more OVC platforms will be added, for a total of 40 OVC platforms by September 2009. In all, with

PEPFAR funding, the PNOEV will support training for 265 caregivers and care for at least 16,400 OVC by

September 2009, including at least 4,920 OVC receiving primary direct services and at least 10,800 OVC

receiving nutritional support.

With FHI assistance, situation analyses will be conducted in 12 sites as a basis for new collaboration

Activity Narrative: platforms, community support groups and legal committees. Sites will be provided with basic office

equipment. With financial support of PEPFAR and the technical support of IYCN/PATH and the National

Nutrition Program (PNN), 10 social centers will be provided with nutrition education materials and

therapeutic food for malnourished OVC. AVSI, a new PEPFAR OVC partner in Cote d'Ivoire, will provide

technical assistance to help the PNOEV to strengthen coordination platforms and education-support

approaches.

The PNOEV will strengthen and integrate OVC care and support through stronger links with other MFFAS

technical departments (Family Promotion and Socio-Economic Activities (DPFASE), Social Protection

(DPS), Gender (DPEG), Documentation and Planning (DPD), Disabled People (DPPH)). Quarterly

coordination meetings with PEPFAR and other partners and with CEROS will allow the PNOEV to improve

monitoring and harmonization of OVC interventions in accordance with national policy. To improve the

quality of OVC care, the PNOEV will supervise the training of 240 social workers and caregivers at its 12

new sites, with technical assistance from FHI and JHPIEGO. The program will establish a pool of 20 master

trainers/monitors to supervise and certify national OVC trainers. To strengthen HIV prevention among OVC,

the PNOEV will participate with other ministries and partners in the promotion of abstinence and fidelity to

moral values in primary and secondary education. In order to involve all social workers and community

caregivers in OVC care, the PNOEV will collaborate with FHI and JHPIEGO to continue to integrate OVC

modules in the training curricula of health and social work schools (INJS, INFAS). With support from PATH

and FANTA, existing training modules will be updated based on a new OVC nutritional care manual, and

national OVC trainers will be trained in nutritional care and support.

In collaboration with the UNFPA and the Direction of Gender Promotion (DEPG), the PNOEV will develop

sensitization programs and training for social workers and community caregivers on gender issues

(stereotyping, prejudice, discrimination, socio cultural difficulties, gender-based violence, etc.) and their

integration in OVC activities.

In accordance with the National OVC Strategic Plan 2007-2010, the PNOEV will develop training modules

on OVC care adapted for sensory languages for the disabled (deaf, blind), in collaboration with the national

social work training school (INFS) and the Department of Disabled Promotion (DPPH). These modules will

be integrated in the curricula of training schools for the deaf (ESIS) and the National Institute for the Blind

(INIPA) in order to train blind and deaf caregivers to improve care and support for disabled OVC.

To promote sustainability of OVC care, the PNOEV will collaborate with the departments of family promotion

and socio-economic activities (DPFASE) to train 120 social workers and caregivers in income-generating

activities, based on the best-practices guide elaborated with PEPFAR support. In FY09, the PNOEV will

prioritize the development of IGA for female OVC caregivers.

The PNOEV will continue to develop its certification system for OVC training (training plan, development of

national trainers based on JHPIEGO criteria, national training certificates, and centralized data collection).

In collaboration with its partners, the program will organize the supervision of training at national health and

social work training institutes (INFS, INFAS, and INJS) based on tools developed in FY08.

Advocacy to reduce discrimination and stigma toward OVC will be strengthened through promotion of BCC,

in accordance with the National OVC Strategic Plan. Proximity communication will be prioritized, with

assistance from JHU/CCP and UNICEF, working through community support groups and including a variety

of subgroups (chiefs, OVC, families, old people, parent substitutes, women's and youth associations,

religious leaders, etc.) to strengthen community dialogue. In these session, a particular emphasis will be

placed on the reduction of intergenerational and transactional sex, male norms, violence and sexual abuse,

equitable access to girls' and boys' education, and the importance of women's and children's inheritance

rights. The PNOEV will emphasize the promotion of children's rights and the effective participation and

leadership of children in OVC activities. The PNOEV will advocate with the Ministry of Justice to facilitate

access to legal support for women and children in the case of rights abuses.

Results of an FY08 study on girls' vulnerability will inform the development of a strategy to help girls

manage sexual issues and promote girls' autonomy. The PNOEV will also seek technical assistance from

an international consultant or partner to design, write a protocol for, and implement an assessment of the

impact of OVC activities on children's lives.

To build self-sufficiency of families, and particularly of women, the PNOEV will work with the DPFASE to

build capacity of 200 representatives of platform members organization in advocacy, resource mobilization,

IGA financing, and microcredit.

With technical support from PEPFAR, Measure, and FHI, the PNOEV will work to improve the national M&E

system, including working with PEPFAR and other partners intervening in OVC care to compile quality data

for the national OVC database. An audit for OVC data quality will be conducted with Measure support in the

40 social centers with collaboration platforms and at the national level.

PNOEV will develop a quality-assurance strategy with technical support from Measure and a new technical

partner. This strategy will be introduced as part of a strategic plan that will seek to provide OVC partners

with the information they need for decision-making and will include partner capacity building for quality

assurance regarding both services and data, with post-training monitoring to ensure expected results. The

PNOEV will disseminate updated OVC tools to all sites and will conduct on-site supervisory missions to

coach M&E focal points at social centers on the use of tools to assess data quality. Use of the CSI will be

promoted to better assess the quality of services delivered. Mapping of OVC services will be extended to

all sites.

The PNOEV will take part in PEPFAR and national strategic information meetings and will benefit from

Measure technical support for the implementation of meeting recommendations and in strengthening

strategic information use for decision-making (visualization/Web and data dissemination) at central and

decentralized levels as well as among community actors and OVC platform members. In addition, the

Activity Narrative: PNOEV will produce a resource book based on situation analyses and will ensure that this data is widely

available through simplified communication aids for use in decision-making.

PNOEV and other ministry staff, M&E focal points of social centers, community organizations, and partner

organizations will continue to benefit from capacity building and technical support in M&E, with support from

PEPFAR, Measure, and FHI for the elaboration of the OVC database at central and decentralized levels.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15142

Continued Associated Activity Information

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

System ID System ID

15142 4554.08 HHS/Centers for Ministry of 7059 5302.08 CoAg Ministry of $1,011,508

Disease Control & Solidarity, Social Solidarity

Prevention Security and #U62/CCU0243

Disability, Côte

14

d'Ivoire

10058 4554.07 HHS/Centers for Ministry of 5302 5302.07 CoAg Ministry of $950,000

Disease Control & Solidarity, Social Solidarity

Prevention Security and #U62/CCU0243

Disability, Côte

14

d'Ivoire

4554 4554.06 HHS/Centers for Ministry of 3376 77.06 Cooperative $350,000

Disease Control & Solidarity, Social Agreement with

Prevention Security and Ministry of

Disability, Côte

Solidarity,

d'Ivoire

#U62/CCU0243

14

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Increasing women's legal rights

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $400,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $50,000

and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $0

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $50,000

Education

Estimated amount of funding that is planned for Education $20,000

Water

Table 3.3.13: