This TBD mechanism is intended for a follow-on award to NPI grantee Geneva Global, a U.S.-based professional-services firm that advises private donors on effective philanthropic investment in the developing world. Its core competencies include identifying effective local CBO/FBOs; analyzing and building their organizational, technical, financial, and governance capacities; and monitoring and evaluating funded projects.

In late 2006, Geneva Global was awarded a three-year grant of Redacted as one of three Cote d'Ivoire projects selected in the first round of the New Partners Initiative (NPI). Through the NPI program, Geneva Global is supporting local CBOs and FBOs to promote HIV prevention through abstinence, fidelity, condom use, and other methods; to provide and promote HIV testing and counseling (TC); and to provide care and support for PLWHA and OVC.

Geneva Global's NPI project was granted a Redacted cost extension through September 2010, and based on the partner's contribution to the national program, the USG team plans to provide country funding to allow Geneva Global to continue its activities beyond the end of its NPI award.

Geneva Global provides sub-grants, training, and mentoring to local organizations working in the Abidjan area and in central and western Cote d'Ivoire. Using AED tools for institutional capacity assessment and strengthening, Geneva Global provides mentoring, shadowing, coaching, workshops, and linkages to build subpartner capacities. Ongoing supervision is helping Geneva Global to monitor subpartner performance and progress.

Geneva Global will continue to use project management teams and to implement a capacity-building and mentoring plan for each local partner, including training in project management, M&E, and community mobilization.

All project activities will be coordinated with the Ministry for the Fight Against AIDS, the Ministry of Health, and the Ministry of Family, Women, and Social Affairs and will follow and support the National HIV/AIDS Strategic Plan. Geneva Global will participate in relevant technical working groups and will work with other PEPFAR partners and other donors to avoid duplication and maximize synergies.

Geneva Global will implement an M&E plan tracking project-specific as well as PEPFAR and national indicators and will report to the USG strategic information team quarterly program results and ad hoc requested program data. To help build a unified national M&E system, Geneva Global will participate in quarterly SI meetings and will implement decisions taken during these meetings.

To strengthen capacity building for subpartners, Geneva Global will conduct another assessment of sub-partner capacity to identify areas improved since the FY 2008 assessment. Supervision missions will be carried out at least twice at each site to supervise and monitor activities and progress.

Geneva Global works to promote sustainability by building local capacity and linking subpartners with another in collaborative and mentoring "clusters," with HIV forums at district and regional levels, with the expertise of other PEPFAR partners, and with other public and private funding sources.

Geneva Global's activities contribute to the key issues of TB, as part of care and support activities; gender equity, through targeting of HIV prevention and care activities to women; and increasing women's access to income, through subpartners' income-generating activities.

In the HBHC budget code, Geneva Global will use FY 2010 funding to continue and improve the quality of its work in providing sub-grants, training, and mentoring to nine local organizations providing community-based care and support for people living with HIV/AIDS (PLWHA) in the greater Abidjan area and central and western Cote d'Ivoire. Activities will provide care and support testing for at least 1,500 people by September 2010.

Geneva Global will train and support sub-partners to provide or ensure provision of a full range of community- and home-based care services, including cotrimoxazole prophylaxis for adults and children in accordance with national and WHO guidelines; treatment for OIs, malaria, and STIs; basic pain management; screening for TB; psychosocial support; targeted provision of insecticide-treated nets (ITNs) and clean-water systems for those at highest risk; nutritional assessment and supplementation; HIV testing for family members; ART monitoring and support; and effective referrals to OVC services. All home-based care providers will be cross-trained to identify OVC, assess their needs, and provide or refer them to appropriate services.

Sub-partners will be supported to provide patient- and family-centered care that optimizes the quality of life of adults and children living with HIV through the active anticipation, prevention, and treatment of pain and suffering beginning with the diagnosis of HIV. Geneva Global will work with the National HIV/AIDS Care and Treatment Program (PNPEC) and other stakeholders to design a standard home-based service package and will train its sub-partners in the effective use and evaluation of the package. Training will be done in coordination with the PNPEC using nationally approved trainers and materials. Geneva Global will participate in the selection, training, and supervision of home-based caregivers.

Emphasis will be placed on improving coverage by trying to reach everyone in need of services within a given community, with a focus on simple care that can be provided at home, with referral to medical services when necessary. Trained community-based volunteers will be coached, supervised, and supported to provide services in a cost-effective way.

Geneva Global will train its implementing partners to engage PLWHA at the center of their care management. Caregivers for PLWHA at home will respect them and their right to confidentiality. The care provided will be holistic and focused on identified needs. Advice will be given on common opportunistic infections (e.g. malaria prevention) and on nutrition (e.g. using locally available foods that can improve the health of PLWHA). Support, including training, will be given to family members who provide direct care for PLWHA. Training will be ongoing and empowering and will emphasize how to provide holistic care that goes beyond simple nursing care. Programs will address the care needs of caregivers, most of whom are women.

Sub-partners will use a variety of strategies and activities to mobilize and involve communities in providing care for those infected and affected by HIV/AIDS. C/FBO activities will include training on the use of participatory learning and action (PLA) tools.

In the HKID budget code, Geneva Global will use FY 2010 funding to continue and improve the quality of its work in providing sub-grants, training, and mentoring to at least seven local organizations providing care and support for OVC and their families in the greater Abidjan area and central and western Cote d'Ivoire. Activities will provide care and support testing for at least 1,500 OVC by September 2010.

Partners will be supported to conduct a situation analysis and establish a community OVC referral system involving community leaders, schools, and F/CBOs. Using nationally approved trainers and materials, and working in coordination with the National OVC Program (PNOEV), local partners will be trained to identify OVC at health service entry points (PMTCT, CT, ART, and TB sites), in institutional settings (schools, orphanages), and in the community. They will be trained to assess children's needs and conduct household follow-up using the Child Status Index. In accordance with individual needs, OVC sub-partners will provide or refer OVC to comprehensive care and support, including:

Health care, including pediatric HIV treatment if needed, with referrals and follow-up to ensure integrated care;

Nutritional assessment and support to malnourished children, including referral to food-aid programs if needed;

Clothes and shelter;

Legal support (e.g. in establishing birth certificates);

Psychosocial and spiritual support, including counseling and interventions such as memory books;

Economic strengthening, including vocational training. Families and caregivers of OVC will be supported with income-generating activities and training as well as care and support;

HIV prevention education and life-skills development;

Activities with solidarity groups facilitated by partners;

Recreational activities for all OVC, particularly for those who are heads of households.

Local caregivers will be cross-trained to provide home-based palliative care services. Geneva Global will work to ensure that sub-partners learn about evidence-based and innovative approaches reflecting international best practices and lessons in OVC care and support. Some partners provide food support in collaboration with the World Food Program.

Geneva Global will work closely with the PNOEV to improve its strategies as well as reinforce its collaboration with strategic partners in the field to better integrate its interventions with national policies. Informal periodic meetings will be held with these structures and the OVC think tank CEROS-EV to find the best means of implementing strategies for meeting the needs of especially vulnerable children and youth, including training and preparation for work for older OVC, nutritional support for younger children, and income generation, psychosocial support, and HIV prevention for girls and young women. In providing services, priority will be given to OVC who are HIV-infected, who are caring for elderly or chronically ill family members, who are heads of households, or who are facing severe poverty. Educational support will include teaching practical skills aimed at making OVC self-sufficient.

To ensure community ownership and sustainability of project activities, beneficiary communities will be involved in identifying and prioritizing needs, planning, decision-making, implementation, and monitoring and evaluation. Using Geneva Global's capacity-building process, staff will train implementing partners in the use of participatory learning and action (PLA) methodologies, which enable communities to articulate their perceived needs, discern resources within their communities, and prioritize potential actions and solutions.

Geneva Global will participate actively, and will require sub-partners to participate actively, in building functional coordination mechanisms for OVC activities based on the PNOEV model of collaborative "platforms" anchored by social centers.

In the HVCT budget code, Geneva Global will use FY 2010 funding to continue and improve the quality of its work in providing sub-grants, training, and mentoring to 14 local organizations providing HIV testing and counseling (TC) services and promotion of TC services in the greater Abidjan area and central and western Cote d'Ivoire. Activities will support testing for at least 18,000 people by September 2010.

Some sub-partners provide direct testing services at fixed sites or through mobile services, while others focus on community mobilization, referrals to TC centers, and links to care and treatment. A new simplified national HIV testing algorithm allowing whole-blood, finger-prick testing by non-medical personnel will be gradually implemented to facilitate TC uptake. Community gatherings, peer-education sessions, theater performances, and other events will be used to emphasize the benefits of HIV testing and to promote reduction of HIV-related stigma and discrimination. Geneva Global-supported TC activities will emphasize consent, confidentiality, and skilled counseling and will promote couples and family counseling, supported disclosure, and participation in "post-test clubs."

Counselors will be trained using nationally approved trainers and materials, in coordination with the Ministry of Health's National HIV/AIDS Care and Treatment Program (PNPEC), and will be provided with supportive supervision and access to locally appropriate approaches and manuals. Testing will follow the national algorithm. Geneva Global will work in coordination with JHU/CCP, other PEPFAR partners, and national authorities to ensure that appropriate BCC and TC-promotion materials are available for partner use and will participate in partners' selection and training of staff, peer educators, and supervisors. Test kits will be purchased through government-approved supply chains.

In the HVAB budget code, Geneva Global will use FY 2010 funding to continue and improve the quality of its work in providing sub-grants, training, and mentoring to 15 local organizations working in the Abidjan area and central and western Cote d'Ivoire. Activities will support AB-oriented community-outreach interventions reaching at least 27,000 people by September 2010 and 40,000 more by September 2011.

Geneva Global's strategy is to support prevention education through peer educators, influential figures, local HIV/AIDS committees and clubs, and mass media campaigns that promote delay of sexual debut, partner reduction, faithfulness with knowledge of HIV-status, correct and consistent condom use for high-risk groups, and uptake of HIV counseling and testing. Messages also address gender issues (gender norms, transactional and intergenerational sex, and gender-based violence) and seek to reduce HIV-related stigma and discrimination.

Geneva Global defines prevention through a behavior-change framework that seeks to sensitize young boys and girls (ages 9-14) to delay their sexual debut; teaches older boys and girls (age 15 years and above) to delay their sexual debut or practice fidelity to a single sexual partner; and targets men, women of childbearing age, and high-risk groups (sex workers, discordant couples) with appropriate ABC prevention interventions. Geneva Global will fund prevention activities focusing on individual and community behavior change and attitude development through a variety of participatory methods, including peer education in group and one-on-one settings in classrooms, churches, community committees, and clubs, as well as through film projections followed by discussions and referrals to TC services and to religious leaders for psychosocial and spiritual support.

Geneva Global partners will use appropriate HIV prevention education methodologies that may include theater, picture sheets and cards, role modeling and role play, debates, films, and prevention education during home-based palliative care and OVC activities. Prevention activities will cover topics including HIV/AIDS and STI awareness, life-skills development, sexuality and safer sex, relationships, peer pressure, and gender norms.

Geneva Global will work in coordination with JHU/CCP, other PEPFAR partners, and national authorities to ensure that appropriate BCC materials are available for partner use and will participate in subpartner selection and training of animators, peer educators, and supervisors. Geneva Global subpartners will work to promote parental involvement and parent-child communication.

With FY 2010 funds, Geneva Global will also implement a KAP survey, conduct an evaluation of peer educators, and train 25 out-of-school girls as peer educators.

In the HVOP budget code, Geneva Global will use FY 2010 funding to continue and improve the quality of its work in providing sub-grants, training, and mentoring to 12 local organizations working in the Abidjan area and central and western Cote d'Ivoire. Activities will support AB-oriented community-outreach interventions reaching at least 13,000 people by September 2010 and 13,000 more by September 2011.

Geneva Global subpartners focus on life-skills education for behavior change and condom-distribution sites combined with prevention education. Geneva Global defines prevention through a behavior-change framework that seeks to sensitize young boys and girls (ages 9-14) to delay their sexual debut; teaches older boys and girls (age 15 years and above) to delay their sexual debut or practice fidelity to a single sexual partner; and targets men, women of childbearing age, and high-risk groups (sex workers, discordant couples) with appropriate ABC prevention interventions promoting partner reduction and condom use. Geneva Global funds prevention activities focusing on individual and community behavior change and attitude development through a variety of participatory methods, including peer education in group and one-on-one settings in classrooms, churches, community committees, and clubs, as well as through film projections and referrals to TC services and to religious leaders for psychosocial and spiritual support.

Other behavior change interventions beyond abstinence and being faithful include the targeting of behaviors that increase risk for HIV transmission, such as engaging in casual sexual encounters, engaging in sex in exchange for money or favors, having sex with an HIV-positive partner or one whose status is unknown, and using drugs or alcohol in the context of sexual interactions.

Sub-partners' prevention activities will include peer-educator work, small groups with trained facilitators, and the training and equipping of community and religious leaders and influential figures for prevention activities. Partners will be supported to assess community needs and available resources, including educational outlets such as church youth groups and cooperatives. Peer educators will be trained in group recruitment and facilitation. Peer educators will use appropriate age- and gender-sensitive materials and will work in after-school settings, youth groups, women's groups, workplaces, and church groups.

Geneva Global partners will use appropriate HIV prevention education methodologies that may include theater, picture sheets and cards, role modeling and role play, debates, films, and prevention education during home-based palliative care and OVC activities. Prevention activities will cover topics including HIV/AIDS and STI awareness, life-skills development, sexuality and safer sex, relationships, and peer pressure and gender norms. With support from JHU/CCP, Geneva Global subpartners will work to promote parental involvement and parent-child communication, including the use of signed contact forms.

Prevention programs will be tailored to specific groups to obtain a higher degree of effectiveness. Geneva Global implementing partners will work to reduce the vulnerability of commercial sex workers through provision of focused information, improved access to CT services, establishment of peer-support groups, availability of key medical and STI treatment, support for accessing PMTCT, activities to reduce community stigmatization, outreach to those who use sex-worker services, and support for F/CBOs that seek to prevent entry into the trade through education and income-generation activities.

Geneva Global will work in coordination with JHU/CCP, other PEPFAR partners, and national authorities to ensure that appropriate BCC materials are available for partner use, and will participate in partners' selection and training of animators, peer educators, and supervisors. All materials are developed based on nationally approved documents. The strategic partners will participate as possible in partners' selection and training of animators, peer educators, and supervisors.

With FY 2010 funds, Geneva Global will also implement a KAP survey, conduct an evaluation of peer educators, and support income generating activities for 100 out-of-school girls participating in peer groups.