Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7226
Country/Region: Côte d'Ivoire
Year: 2009
Main Partner: Johns Hopkins University
Main Partner Program: Bloomberg School of Public Health Center for Communication Programs
Organizational Type: University
Funding Agency: USAID
Total Funding: $2,478,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $1,400,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

With funds reprogrammed in April 2009, CCP will expand AB prevention activities, especially targeting girls

and young women. CCP's combined AB funding will support community-based AB prevention outreach to

an additional 10,000 people, including abstinence-only outreach to an additional 4,000 people.

In 2009, building on momentum created by a 2007-08 youth campaign addressing harmful social and

gender norms (" Ma Vie, C'est Ma Décision"), CCP will continue to disseminate messages through mass

media (national and regional radio, television, billboards, mobile media) that seek to heighten young

people's risk perceptions in relation to sexual partnerships and behaviors that diminish decision-making

capacity, such as alcohol use. CCP is also working with partners adapting materials to promote parent-child

communication and addressing a gap in targeting the behavior of the "post-adolescence" cohort.

COMPLETE COP09 NARRATIVE:

As PEPFAR Cote d'Ivoire's main partner providing technical assistance for behavior change communication

(BCC), JHU/CCP will continue to transfer capacity and provide technical support and tools to PEPFAR

partners by developing, disseminating, and evaluating the use of BCC tools that enable diverse

communities to engage in dialogue about HIV/AIDS risk, behavior, and social norms to achieve behavior

change.

Despite significant delays in finalizing a mechanism and receiving funding, JHU/CCP in 2008:

• Implemented a "Compassion Campaign" with the national inter-denominational network of religious

leaders (ARSIP) in churches and mosques, on faith-based radio stations, and national TV to change

stigmatizing attitudes of the general public and some religious leaders toward PLWHA, increase

compassion and support for PLWHA, reduce fear of HIV in the general public and among some religious

leaders, and reduce exclusion of PLWHA from their families and religious communities. Campaign materials

were distributed through ARSIP and included a TV spot, three radio spots, and 10,000 leaflets on stigma

reduction and posters with respected religious leaders and both female and male representatives of

PLWHA. .

• Designed an interpersonal communication kit for religious leaders to help them discuss difficult subjects of

HIV prevention, and community responsibility in support of PLWHA. Messages also promoted compassion

and support for OVC.

• Provided technical assistance to PEPFAR partners to produce IEC materials for Hope Worldwide, the

National OVC Program (PNOEV), and EGPAF.

• Delivered training and shared resources on BCC for NPI partners and sub-partners. At request of

PEPFAR, shared core content with all prevention partners in COP 2009 preparatory meeting.

• Designed a concept paper for an audience study targeting young people to collect precise information on

their radio and TV habits.

• Trained 50 coaches from the Ministry of Education (MEN) and Care International in the Sports for Life

(SFL) approach.

• Reviewed and reproduced its SFL curriculum.

• Reprinted 3,000 samples of the Parent‘s Guide.

• Organized Mercy Corps donations ceremonies to SFL teams in Abobo.

• Provided refresher training for 96 SFL coaches from old sites and trained 50 new SFL coaches in two new

sites (Adjamé and Port Bouet).

• Organized a preparatory visit to two new sites (Abengourou and San Pedro) to identify partners.

• Coordinated SFL demonstration and information for visit of Under-Secretary General for Sports, Peace

and Democracy at request of PEPFAR team

• Analyzed and responded to data on sex-disaggregated participation levels and challenges in mobilizing

support for girls' participation in SFL by increasing advocacy efforts with local leaders, parents of girls, and

discussing ideas with girls themselves.

• Met with various ministries as needed to provide information, suggestions and facilitate reproduction of

communication tools and national documents, such as the National Youth Prevention Strategy, National

Strategy for BCC in HIV/AIDS Programs; and Ministry of Education Life Skills classroom supports.

JHU/CCP's AB programming with FY09 funding will comprise four complementary and mutually reinforcing

HIV prevention initiatives:

• Prevention activities for youth, including promotion of strong, caring relationships between young people

and increasing protection against intergenerational sex through Phase 2 of a multimedia campaign featuring

the Super Girls, small animated girls who appear as guardian angels to remind girls that "It's My Life, My

Decision!"

• Parent-child communication initiative: a multi-channel intervention promoting parent-child communication

to increase protective behaviors of youth.

• The Sports for Life initiative targeting in- and out-of-school youth with HIV education, confidence and

leadership development through sports.

• Prevention and support for PLWHA within faith-based and traditional communities: a collection of high-

impact tools to help religious leaders promote care and support for PLWHA in their communities, and

institutional capacity building in social and behaviour change communication (SBCC) and health

communication programming.

JHU/CCP expects to reach at least 40,000 people with community outreach promoting HIV prevention

through AB methods and to train 1,000 people to conduct such outreach by September 2009.

Prevention Targeting Youth

CCP will build on its work with religious leaders and youth to support youth in making safe sexual decisions

with a multi-channel intervention promoting parent-child communication and enhancing parents' capacity to

help their children adopt and maintain healthy behaviors. CCP participates in BCC and prevention

coordination meetings and will promote synergies with other partners targeting parents, and piloting

Activity Narrative: "Families Matter", such as the Ministry of Education, Hope Worldwide, Care and ANADER. CCP will also

launch new activities promoting healthy gender norms and girls' empowerment to make healthy decisions -

coordinating with partners also working in these areas such as MFFAS, Care, IRC and EngenderHealth. In

addition to SBCC materials produced for these initiatives, CCP plans to develop materials that extend the

impact of the Ministry of Education life skills program that will enable youth to continually assess their risks

and take steps to protect themselves.

The Post-Adolescence Age Group

All PEPFAR partners will need to address the high rates of HIV in the post-adolescence age group.

Adolescents are targeted in AB programs, but a key range for HIV incidence includes young adults aged

25—29 As this age group represents a group at high risk for engaging in behaviors leading to higher risk of

exposure, they need special attention around prevention - particularly women who experience significantly

higher prevalence rates.

Young married youth and young unmarried youth should be targeted differently because the focus on

prevention is different even though in Cote d'Ivoire marriage does not appear to provide protection with

prevalence rates similar for both sexually active adult groups. Young people will continue to be exposed to

messages which promote strengthened relationships as a key to adopting greater protective behavior. To

design the intervention, CCP will conduct formative research with male and female 20-25 year olds as the

first step toward launching refined communication approaches specifically addressing this audience's

needs.

Issues of Parental Involvement

CCP's "next generation" approach will help parents talk about sensitive issues, including sexuality and HIV

prevention, with their children. CCP will work with Hope Worldwide following initial pilot phase to expand

use of the "Family Matters" curriculum as a key component of strategy to reach parents of children aged 9-

15. CCP will collaborate in scaling up this approach and increasing the number of parents who can perform

the model's behaviors. CCP will conduct additional community activities, in particular on mother-child

communication. These processes will begin systematically with listening groups where community members

share their experiences in small intimate settings and the discussions are shared with a larger group to

determine collective action at the community level. By starting with listening groups, actions will be tailored

specifically to community needs. This is particularly useful in changing social and cultural norms over time.

CCP will build parents' technical capacity to support their children by designing tools for confidence building,

networking and communicating for accurate decision-making, discussion of taboo or delicate subjects such

as the decision to have sex, rape, transactional sex, commercial sex work, and HIV testing.

Sports for Life® (SFL)

During 2009, CCP will expand its SFL program, an "HIV prevention + sports intervention", to four new sites

(Marcory, Attiécoubé, Bouaké, and Man); address gender equity through extension of activities beyond

soccer to handball to involve more girls; and deepen its focus on community events and tournaments in the

run-up to the World Cup (South Africa, 2010).

• CCP will begin a pilot SFL program in handball to involve more young girls. The training curriculum guide

will be adapted and coaches trained. Mobilization of local leadership and event planning will be monitored

and evaluated with attention to success in achieving anticipated individual and group outcomes for boys and

girls.

• Training: Four refresher sessions will be organized for coaches (Port Bouët, Adjamé, Abengourou, San

Pedro); 100 new SFL trainers will be trained in the four new sites; and 1,200 new young captains (peer

educators) will be trained in the SFL approach;

• Events: Eight community events (such as meetings with PLWHA, visits to NGOs providing OVC services,

promotion of CT, a sports or cultural day) will be organized per team in SFL sites. In addition, an SFL

Champions United Tournament will be organized at each site - which includes both girls and boys.

• The following SFL tools will be reproduced: 1,000 SFL coaches guides (Guides de l'Encadreur), 1,000

community outreach guides (Guides du Capitaine), 3,000 parents' take-away booklets (Guide des Parents);

and 4,500 SFL posters. In addition, 1,000 SFL implementation guides will be produced, along with new SFL

promotional materials (gadgets, bags, T-shirts, banners). Posters and communications materials will be

reviewed for opportunities to include more examples of female sports figures.

• CCP will provide technical assistance to partners implementing the SFL approach (DMOSS in the Ministry

of Education, Care International, ANADER, Hope Worldwide) in training and supervising their coaches.

JHU/CCP will organize a round table with all of the program partners, as well as other organizations working

in sports for development to share experiences, challenges, and successes. These discussions will focus

on strategies to engage more girls, on mobilizing resources, and on the next steps for the program after the

first year of training and activities are completed in each site.

• Evaluation: In 2009, CCP will conduct an SFL program evaluation to assess the impact of the program

after three years.

Evaluation of Youth Interventions

In collaboration with various ministries MLS, MJSL, MEN, MFFAS and other PEPFAR partners, CCP will

conduct a quantitative study to measure and document the evolution of youth indicators and evaluate the

results and impact of all CCP activities since its 2007 youth campaign.

FBOs and Communities Lead Dialogues on Prevention, Care, and Support

With 2009 funding, CCP will carry out the active phase of its Compassion mass media campaign, helping

communities to engage in dialogue with their religious leaders about HIV/AIDS. The campaign will also

support FBOs and religious leaders to address issues related to false AIDS cures and provide referrals to

Activity Narrative: professional health services.

CCP will conduct a study among members of the network of religious leaders ARSIP in Abidjan, Bouaké,

and Korhogo to assess their knowledge, attitudes and perceptions about HIV/AIDS; changes they have

observed in themselves and in their communities; and actions they have taken in the fight against HIV/AIDS

since the launch of the compassion/fidelity campaign. The study will use qualitative methods, and findings

will be used to refine the ongoing campaign.

BCC Capacity Building

CCP envisions local partner institutions able to lead the development, implementation, and evaluation of

strategic health communication interventions that mitigate current levels of HIV incidence in Côte d'Ivoire.

Towards this end, CCP will coordinate with other partners strengthening decentralized planning and

capacity building. CCP will train community-based organizations to use community dialogue techniques,

such as the participatory, results-oriented Community Action Cycle (CAC) or community participatory

assessments. At the national level, CCP will employ the Collective Learning and Action approach (CLA) to

guide capacity-building programs.

During 2009, CCP's Abidjan- and Baltimore-based staff will continue to provide SBCC training, coaching,

and technical assistance, including shared SBCC activity development and implementation to PEPFAR

partners (REPMASCI, the BCC technical working group, Alliance, MLS, PNOEV, ANADER, PNPEC). In

addition, CCP will:

• Develop a third edition of the IEC Materials' Catalogue, Les Best-Sellers, to market relevant select SBCC

materials to other partners and NGOs.

• Mainstream its "Leadership in Strategic Health Communication" course at a local university.

• Create a dissemination and reproduction plan for all SBCC materials produced by CCP, and contribute to

the MLS and BCC working group efforts to accomplish this for other HIV/AIDS-related materials.

• Support the new Department of Information and Communication of the MLS in the development of a

national communication policy document.

• Continue to conduct quarterly meetings with all national and other PEPFAR partners to discuss SBCC

strategies, provide guidance on SBCC materials and interventions, and give technical assistance for the

production of SBCC materials.

All activities will be conducted in consultation with national partners, led by the Ministry of AIDS. CCP's

M&E system will send timely, accurate reports to national authorities and the USG strategic information

team. To help build a unified national M&E system, CCP will participate in quarterly SI meetings and will

implement decisions taken during these meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15125

Continued Associated Activity Information

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

System ID System ID

15125 5012.08 U.S. Agency for Johns Hopkins 7226 7226.08 JHU/CCP $1,280,000

International University Center Communication

Development for Communication USAID 2008

Programs

10295 5012.07 HHS/Centers for JHPIEGO 5323 5323.07 CoAg $850,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

Communication)

5012 5012.06 HHS/Centers for JHPIEGO 3827 3827.06 CoAg $620,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

communication)

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $26,400

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $300,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

With an expanded focus on girls and women, PLWHA, and sero-discordant couples, JHU/CCP‘s Other

Prevention portfolio in 2009 will focus on alcohol use and risk behaviors, cross-generational relationships,

and multiple concurrent partnerships.

COMPLETE COP09 NARRATIVE:

As PEPFAR Cote d'Ivoire's main partner providing technical assistance for behavior change communication

(BCC), JHU/CCP will continue to transfer capacity and provide technical support and tools to PEPFAR

partners by developing, disseminating, and evaluating the use of BCC tools that enable diverse

communities to engage in dialogue about HIV/AIDS risk, behavior, and social norms to achieve behavior

change.

With an expanded focus on girls and women, rural populations, PLWHA, discordant couples, and religious

and traditional communities, FY09 activities will include HIV prevention messages that promote uptake of

HIV testing, positive prevention for PLWHA (PwP) including discordant couples, and social inclusion of

people affected and infected by HIV. Materials will address issues of HIV stigma, male norms related to

multiple concurrent sexual partners, cross-generational sex, and the role of alcohol and other drugs in HIV

transmission. Approaches will target youth using video and print materials complemented by local activities.

JHU/CCP expects to reach at least 20,000 people with community outreach promoting Other Prevention

and to train at least 250 people to conduct such outreach by September 2009.

African Transformation

In 2008, CCP produced four 10-minute AT video profiles for youth on social roles, gender, intergenerational

sex, and HIV/AIDS, accompanied by a facilitator's guide. CCP also conducted a training of 25 trainers in

the community-based AT approach, as well as outreach activities through four Abidjan-based NGOs.

In 2009, CCP will expand the "African Transformation" approach for promoting normative change through

video profiles and accompanying discussion modules. It will provide a forum to engage other partners in

considering how materials and modules complement or can be used within existing programs to achieve

specific outcomes while still advancing the holistic program.

CCP will conduct the next round of interviews with a sample group of young people who participated in the

assessment during 2008. This follow-up will permit monitoring perceived changes since the youth have

been trained and are putting their newly acquired skills into practice. In addition, Lot Quality Assurance

Sampling (LQAS) will be used in selected communities to conduct a rapid assessment of the impact of the

community-based activities.

In 2009, CCP will produce three additional youth profiles with discussion guides on PLWHA, OVC, and

alcohol use among young men, and will conduct training of trainers for key PEPFAR, ministry, and NGO

partners.

Mini HIV Movies Based on FY06 Literary Contest

In 2009, CCP will develop three 10-minute "mini-movies" based on the winners of its successful HIV/AIDS

book Juste pour Gouter printed in 2007 and 2008. These brief edu-entertainment films will be used as

reinforcement materials for CCP activities such as Sports for Life (SFL, see AB narrative) and African

Transformation, as well as for local youth groups, religious congregations, and CBOs working in HIV/AIDS.

The BCC TWG will once again serve as a forum for CCP to engage other partners in envisioning

appropriate use of these new resources in to re-invigorate existing programs.

Radio Diary Program

• Stigma and discrimination directed toward people infected with or affected by HIV/AIDS is a persistent

barrier to promoting improved HIV prevention, care, and support in Cote d'Ivoire. Radio diaries promotes

more favorable attitudes toward PLWHA by enabling listeners in the general population to gain "day in the

life" insights into the lived experience of PLWHA and their families.

• In 2008, CCP identified two Radio diarists and one RD producer, trained them and broadcast two PLWHA

Radio diaries on ONUCI FM and four local radios in Abidjan with TA from REPMASCI. After this pilot phase,

CCP will extend the intervention to five other local radios outside Abidjan and explore the possibility to

broadcast the Radio Program in local languages.

Positive Prevention

• In 2009, CCP will also produce audiovisual materials with discussion guides addressing sero-discordant

couples' challenges, promoting positive living and prevention of re-infection for PLWHA. This involves two

short videos - one with a sero-positive couple and another with a sero-discordant couple - to share how

they have come to terms with their status and how they protect each other. These videos will be

disseminated on DVD with a discussion guide and made available to all PEPFAR partners. CCP will also

explore opportunities or partnerships that enable use of the videos in a televised talk-show or panel

discussion setting.

Alcohol and Risk Behavior

Alcohol has disinhibitory effects and increases risky sexual behaviors such as unprotected sex, early sexual

debut, and multiple partners, all of which can lead to HIV transmission. Alcohol adversely affects health and

Activity Narrative: can contribute to violence against women. Widespread alcohol use by young people in Cote d'Ivoire's

popular bars is a risk factor that needs to be addressed through behavior change strategies.

A half-day module on alcohol and HIV/AIDS has been developed by CCP in Uganda. It puts emphasis

on helping participants to understand what is abuse and what is responsible use of alcohol, and includes a

self-assessment tool that participants use to see if they have been abusing alcohol.

In 2009, CCP will translate and pilot this module, and train PEPFAR partners to use communication in

addressing social norms that contribute to alcohol abuse and risky behaviors. CCP will mount an advocacy

campaign to affect social attitudes so that drinking and subsequent violence against women are publicly

condemned. CCP will identify at least one champion, such as international soccer player Yaya Touré

Gnégnéry (SFL Ambassador), to carry this message and promote responsible, respectful relationships.

Condom Use in Multiple Concurrent Partnerships

In 2009, CCP's "next generation" approach will place increasing emphasis on developing messages to

increase awareness of multiple concurrent partnerships as a risk factor for HIV infection.

CCP will develop prevention messages through mass media and ICC/ P activities to address all domains of

the concurrency risk matrix:

• Reducing high partner turnover and short relationships with little commitment; emotional maturity to space

relationships; taking longer to initiate sex; avoiding concurrency; avoiding transactional rationale for sex;

avoiding inter-generational sex

• Correct and consistent condom use with all partners, unless other strategies adopted (i.e. relationship

management, commitment to no MCP, VCT)

• Knowledge of own HIV status, knowledge of sexual partner HIV status in established relationships

MSM Initiative

• In 2009, CCP will develop targeted messages and communication tools on HIV prevention and risk

reduction, mobilization for testing and encouragement to access health care services and messages for

men who have sex with other men (MSM). CCP will collaborate with the MLS-led HVP working group to

review findings of 2008 formative research with MSM in Abidjan, and respond to MSM prevention needs

and motivation to use services. This includes collaborating with MOH and HVP team on development of job

aids for service providers to use with MSM and orientation of service providers to updated information and

resources.

All activities will be conducted in consultation with national partners, led by the Ministry of AIDS. CCP's

M&E system will send timely, accurate reports to national authorities and the USG strategic information

team. To help build a unified national M&E system, CCP will participate in quarterly SI meetings and will

implement decisions taken during these meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15126

Continued Associated Activity Information

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

System ID System ID

15126 6382.08 U.S. Agency for Johns Hopkins 7226 7226.08 JHU/CCP $250,000

International University Center Communication

Development for Communication USAID 2008

Programs

10299 6382.07 HHS/Centers for JHPIEGO 5323 5323.07 CoAg $200,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

Communication)

6382 6382.06 HHS/Centers for JHPIEGO 3827 3827.06 CoAg $100,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

communication)

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Treatment: Adult Treatment (HTXS): $300,000

Studies have demonstrated that interpersonal communication and counseling (IPC/C) is critical to clients'

satisfaction and continued use of health services. Improving the quality of services contributes to increasing

demand and use of services.

In 2008, CCP conducted a qualitative study on perception of the quality of services to PLWHA and

HIV/AIDS-related stigma in four antiretroviral therapy sites in Abidjan (USAC Treichville, CAT Adjamé, the

CHR of Abengourou and the CHR of San Pedro). Individual interviews were conducted with medical

officers, nurses, social workers, and religious leaders, and focus groups with community counselors,

PLWHA, and members of the general public. The outcomes of this research helped CCP support and

strengthen the health centers providing antiretroviral therapy to PLWHA and, more particularly, strengthen

IPC/C trainings for service providers, and design communication campaigns to minimize HIV/IADS related

stigma .

CCP also designed an intervention to improve the quality of HIV/AIDS care and treatment services with a

focus on strengthening the IPC/C skills of clinic-based health-service providers and community counselors.

In 2009, three major initiatives will focus on improving the quality of HIV/AIDS services for adults and

children; promoting ART, PMTCT, and CT services, including men's involvement; and a youth-friendly

initiative.

Improvement of the Quality of HIV/AIDS Services

• CCP will continue work to increase the use of HIV/AIDS services through improved and accredited service

quality and promotion of services. CCP will scale up its program to include additional sites in Abidjan, San

Pedro, and Abengourou, as well as sites in additional cities, in consultation and close collaboration with the

National HIV/AIDS Care and Treatment Program (PNPEC), URC and PEPFAR HIV services partners.

• CCP will conduct a qualitative study among PLWHAs receiving services at the sites to evaluate its quality-

improvement program. In addition, sex-disaggregated service statistics will be examined to analyze trends

in service utilization by women and men in different settings.

Promotion of ART, PMTCT, and CT Services

• To increase use of HIV/AIDS care and treatment services, CCP will continue to promote services for

communities around delivery sites. CCP's "next generation" program will roll out an updated version of its

2008 multimedia campaign promoting HIV services, involving billboards, posters, brochures, leaflets, radio

and television spots, and new service-provider job aids.

• CCP will introduce a community planning and action process (CPAP) to assist affected communities in

determining their needs and defining their goals and outcomes. CCP will introduce this process

progressively as communities become engaged in the mitigation of the effects of HIV and AIDS on their

members. This process is particularly important as communities examine OVC and PLWHA needs and plan

for long-term support. Ultimately, this aligns with district model action plans and coordination strategies.

Men's Involvement

• CCP will work to involve men in PMTCT care and support activities. Men can offer moral support to their

partners and accompany them to PMTCT services to learn how to protect their children from HIV, including

deciding as a couple which feeding practices are most appropriate for the infant. By being involved in

PMTCT, men are also more likely to be tested for HIV and more likely to be educated about HIV, thus

reducing stigma within communities and dispelling myths and misconceptions. In July 2008, CCP produced

a 26-minute mini-film titled "Porteuses de Vie" in which male involvement in PMTCT is shown to be

essential to the family's well-being.

• CCP will continue collaboration with religious leaders and faith-based organizations to bring men's health

initiative and CT services into churches, mosques, and other religious settings. As men get older, their

health concerns evolve to include prostate cancer, hypertension, and cardiovascular issues. In addition to

protective screening for these illnesses, men will be encouraged to be tested for HIV and counseled to

protect their partners and their families. Religious leaders can offer older men an opportunity to discuss

these issues confidentially, and they will be supported with counseling tools for this new audience. Media

programming will be developed to discuss men's health issues on national television as a promotion for all

sorts of screening, including CT. A strong link will be made between this intervention and the national

testing day program, including identifying a well-known man willing to publicize being tested for HIV as part

of his screening-for-health experience.

Youth-Friendly Initiative

• CCP will develop a youth-friendly services initiative that includes adaptation of various curricula based on

young people's insights regarding their need and motivation to use services; orientation of service providers

to the adapted curricula; development of job aids for service providers to use with youth (cards to insert in

the existing HIV flipchart and algorithms); development of simple materials (leaflets/cue cards) for youth to

carry with them as reminders; and promotion of youth-friendly services through print and audio-visual

materials.

All activities will be conducted in consultation with national partners, led by the ministries of AIDS and of

Health. CCP's M&E system will send timely, accurate reports to national authorities and the USG strategic

information team. To help build a unified national M&E system, CCP will participate in quarterly SI meetings

and will implement decisions taken during these meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15129

Continued Associated Activity Information

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

System ID System ID

15129 5845.08 U.S. Agency for Johns Hopkins 7226 7226.08 JHU/CCP $400,000

International University Center Communication

Development for Communication USAID 2008

Programs

10072 5845.07 HHS/Centers for JHPIEGO 5323 5323.07 CoAg $0

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

Communication)

5845 5845.06 HHS/Centers for JHPIEGO 3827 3827.06 CoAg $200,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

communication)

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $51,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09:

Funding for Care: Orphans and Vulnerable Children (HKID): $50,000

In Côte d'Ivoire, the Ministry of Family, Women, and Social Affairs (MFFAS) is responsible for coordinating

services for the country's estimated 540,000 orphans and vulnerable children (OVC) due to HIV/AIDS

through its National OVC Program (PNOEV). In the past three years, the PNOEV has developed,

disseminated, and begun to implement a sector strategy that operationalizes the national priority of

supporting OVC within families and communities.

In 2007, JHU/CCP developed with PNPEC, PNOEV, and other PEPFAR partners a communication strategy

and a curriculum on interpersonal communication/counseling for people affected or infected by HIV/AIDS.

About 50 health workers and community counselors have been trained with this curriculum. Care and

support for OVC is one of the areas of this curriculum, which addresses insufficient knowledge of OVC

needs and services, laws to protect OVC, OVC rights, and barriers to effective identification of OVC.

In 2008, JHU/CCP consolidated its past work with religious leaders on stigma reduction and support for

PLWHA and extended it to OVC through its Compassion Kit.

In 2009, drawing upon its past work in stigma reduction and support for PLWHA, JHU/CCP will start to

develop, in collaboration with the PNOEV, relevant materials addressing stigma, discrimination, and

psychosocial support for OVC and caregivers. Materials will include TV and radio spots in French and local

languages, posters, and information leaflets).

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Reducing violence and coercion

Refugees/Internally Displaced Persons

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

Funding for Prevention: HIV Testing and Counseling (HVCT): $228,000

The 2005 National AIDS Indicator Survey revealed that more than 90 percent of sexually active Ivorians had

not been tested for HIV, and in 2008, HIV-related stigma remains a serious barrier to widespread testing.

JHU/CCP, the USG's primary partner for behavior change communication and mass-media activities in the

fight against HIV/AIDS, is charged with developing a more comprehensive, effective, and sustained

approach to promoting public interest in and uptake of HIV counseling and testing (CT) services.

In 2008, JHU/CCP worked with the MLS, RIP+ (the national network of PLWHA organizations) and its

affiliates, plus key stakeholders from public and private sectors to mobilize local communities around CT

services by initiating and institutionalizing the first edition of National Testing Day in Abidjan. The testing day

aimed to screen the general population for HIV infection and to prevent new infections by increasing

awareness of the importance of taking the test and by bringing testing services to people in their community

settings. A behavior change communication campaign has been designed with mass-media, billboards

community-outreach activities that culminated in a national testing day. Target audiences included youth

from 18 to 25, and adult men and women (25 to 45).

JHU/CCP conducted a rapid evaluation of CT interventions to measure the impact of promotional activities

on the use of CT services, as well as the evolution of public perceptions and acceptance of testing. CCP will

conduct three sets of activities to estimate the impact of the campaign:

1) Statistics on the number of individuals being tested for HIV have been collected in selected CT sites one

month before the campaign, during the month of the campaign, and during the month following the

campaign. Analysis of the monthly fluctuation in number of people getting tested will provide information on

trends as well as impact of the campaign.

2) Special CT sites were installed during part of the campaign. The number of individuals coming to these

sites for testing was monitored. In addition, a sample of individuals coming to the testing sites was surveyed

to track how they learned about the CT campaign and HIV/AIDS more generally. This provided JHU/CCP

information about the relevance of various channels used.

3) Testimonials have been collected during the campaign from organizers, NGOs, community and religious

leaders, and the general public to document their perceptions of the campaign and the importance of HIV

testing.

In 2009, JHU/CCP plans to help organize a second Testing Day, extended to the entire country in

coordination with MLS ,RIP+ and other partners, and to conduct new BCC activities aimed at changing

social norms regarding testing for HIV.

Specifically, in 2009 CCP will::

• Update and reproduce BCC audiovisual materials to promote CT, including two radio spots in local

languages and two TV spots in local languages;

• Update and reproduce print materials, including four posters, with specific CT messages;

• Roll out a mass-media campaign on community radio stations, national TV, and billboards to reach at

least 1,000,000 people with CT promotion messages. Partners in this campaign will include RIP+, ANADER

(in rural areas), REPMASCI (national network of journalists and artists), the Ministries of Education (MEN)

and Health, the MLS, and Care International (in the North and West);

• Collaborate with Ivoirian and international soccer star Yaya Touré Gnégnéry (already engaged as

Ambassador for the JHU/CCP-supported Sports for Life program for youth) to promote CT;

• Continue to implement community-outreach activities focused on interpersonal communication and

counseling, including group discussions among youth groups and other community groups based on the

campaign's audiovisual materials;

• Help put on a road show with a variety of activities promoting CT, conferences, PLWHA testimonials, etc.

RIP+, ANADER, REPMASCI, MLS, MEN, and Care International will be partners;

• In collaboration with RIP+ and ARSIP (network of religious leaders), continue JHU/CCP's collaboration

with religious leaders and faith-based organizations to bring CT services in their churches, mosques, and

other settings and minimize stigma and fear of disclosure.

JHU/CCP will work with the MLS, the National HIV/AIDS Care and Treatment Program (PNPEC), RIP+, and

other national partners in the design and implementation of these CT interventions to build capacity through

the transfer of skills. Key national-level partners will be oriented in the use of these tools to empower them

to roll them out, with other funding sources in addition to PEPFAR, for scale-up of HIV/AIDS services.

In addition, JHU/CCP will work to improve the quality of CT services through appropriate messages and

materials, with a special focus on developing youth-friendly CT services (also see Adult Treatment

narrative)

All activities will be conducted in consultation with national partners, led by the ministries of AIDS and of

Health. JHU/CCP's M&E system will send timely, accurate reports to national authorities and the USG

strategic information team. To help build a unified national M&E system, JHU/CCP will participate in

quarterly SI meetings and will implement decisions taken during these meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15128

Continued Associated Activity Information

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

System ID System ID

15128 12212.08 U.S. Agency for Johns Hopkins 7226 7226.08 JHU/CCP $178,000

International University Center Communication

Development for Communication USAID 2008

Programs

12212 12212.07 HHS/Centers for JHPIEGO 5323 5323.07 CoAg $200,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

Communication)

Emphasis Areas

Gender

* Addressing male norms and behaviors

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.14:

Funding for Health Systems Strengthening (OHSS): $200,000

JHU/CCP's Sports for Life, a program that uses youth soccer as a vehicle for promoting HIV prevention, is

well-designed to attract corporate interest, and the probability of broad financial support is high. Soccer is a

proven public-relations vehicle (the telecommunications company Orange, for example, is the corporate

sponsor of Côte d'Ivoire's national soccer team), and the various activities and publications involved in

Sports for Life offer many opportunities to enhance positive public-relations for corporate sponsors. Sports

for Life is poised to build up to the 2010 Men's World Cup in South Africa and is marshaling strong support

from local and international soccer teams and organizations, including the national soccer federation (FIF).

In 2008, CCP produced marketing tools (promotional kit including advocacy booklets, "Play to Win" global

SFL brochure, and informational leaflets); produced a SFL video documentary; promoted SFL by publicizing

the Nike/Mercy Corps materials donation received in 2007; organized a gala soccer game with Yaya Touré,

SFL Ambassador as the guest, in Abidjan (with private sector, PEPFAR partners).

In 2009, CCP will continue to mobilize private-sector involvement through:

• Capacity building in advocacy and fund raising for local SFL partners;

• Strategic marketing activities;

• Close collaboration with the PEPFAR-supported Business Coalition for HIV/AIDS;

• Continue to build the SFL Web site, which presents all BCC components of the PEPFAR-supported CCP

portfolio in Côte d'Ivoire. This Web site will become a resource for BCC practitioners and will provide

information and sample tools and materials for BCC program planning and implementation. The Web site

will also have links to global JHU/CCP resources that are relevant to the Côte d'Ivoire program;

• Conduct additional advocacy activities and media campaigns. Private-sector resources will be leveraged

to support Sports for Life products (the magazine Extra Time, soccer uniforms and balls, uniforms for

coaches) and media campaigns (TV and radio coverage of SFL tournaments). Support from at least eight

private enterprises is expected;

• Explore options to raise visibility of female sports figures as spokeswomen and role models.

• CCP will organize a third annual Leaders' Tournament during World AIDS Day (with CECI, RIP+, and

other PEPFAR partners);

• CCP will continue the collaboration with the Ministry of Education to integrate select modules of the Sports

for Life curriculum in the ministry's school-based life-skills program.

All activities will be conducted in consultation with national partners, led by the ministries of AIDS and of

Health. CCP's M&E system will send timely, accurate reports to national authorities and the USG strategic

information team. To help build a unified national M&E system, CCP will participate in quarterly SI meetings

and will implement decisions taken during these meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15131

Continued Associated Activity Information

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

System ID System ID

15131 5058.08 U.S. Agency for Johns Hopkins 7226 7226.08 JHU/CCP $200,000

International University Center Communication

Development for Communication USAID 2008

Programs

10080 5058.07 HHS/Centers for JHPIEGO 5323 5323.07 CoAg $200,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

Communication)

5058 5058.06 HHS/Centers for JHPIEGO 3827 3827.06 CoAg $200,000

Disease Control & #U62/322428

Prevention JHU UTAP

(JHPIEGO/JHU

communication)

Emphasis Areas

Gender

* Addressing male norms and behaviors

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $10,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18:

Cross Cutting Budget Categories and Known Amounts Total: $87,400
Human Resources for Health $26,400
Human Resources for Health $51,000
Human Resources for Health $10,000