Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013

Details for Mechanism ID: 13635
Country/Region: Côte d'Ivoire
Year: 2012
Main Partner: Johns Hopkins University
Main Partner Program: Bloomberg School of Public Health
Organizational Type: University
Funding Agency: USAID
Total Funding: $2,229,355

JHU/CCP is PEPFAR CIs main partner for communications. The goal is to use communications strategies to reduce HIV infections, improve care/treatment quality, and mitigate HIV impact. Objectives:Abstinence / partner reduction among ages 12-19Improved risk perception and condom use among ages 25-45Healthy social and gender normsImproved ART uptake/adherenceIncreased HIV testingReduced stigma/discrimination, improved support for marginalized groups (e.g. MSM, OVC)Improved government (GoCI) and NGO capacity to design, implement, and evaluate effective social and behavior change communication (SBCC) activities.Priority targets: adolescents/young adults, especially female; adults at higher risk of HIV infection (e.g. sero-discordant couples, MSM); GoCI entities and local NGOs. TA and media activities will have nationwide reach; community-based activities focus on Abidjan and Abengourou.Cost-efficiency strategies: maximizing synergies between project activities, devolving programs to local partners, and supporting a national IEC/SBCC committee to coordinate, facilitate co-financing, and advocate for reduced broadcast costs.Transition strategies: involving partners in learning by doing at every step of program design, implementation, and evaluation; institutionalizing health communications training with the national university; providing capacity building for ministry and working groups.M&E strategies: attendance lists monitored via database, quarterly focus groups, monitoring visits, client exit interviews during National Testing Day, a qualitative midterm evaluation of the SuperGo program, a survey to assess exposure and impact of media activities.Vehicles:Through COP11: 1New requests in COP12: 0Total planned vehicles for life o

Funding for Care: Orphans and Vulnerable Children (HKID): $30,000

Recent violence in Cote dIvoire has weakened the countrys health care and social welfare systems. Among those directly affected are orphans and vulnerable children (OVC), many of whom were displaced along with their caregivers during the recent civil unrest. Through communications materials, strategies, and capacity building, JHU/CCP will continue to support the Ministry in charge of Social Affairs through the National OVC Program (PNOEV) in its efforts to ensure care and support to OVC and their caregivers.After an initial assessment of program needs, JHU/CCP will conduct a social and behavioral change communication (SBCC) materials development workshop for OVC in collaboration with the Ministry in charge of Social Affairs and other key implementers at national and community levels. Materials produced, updated, and revised during this workshop will be distributed and used nationwide by all implementing partners providing care and support to OVC and their caregivers. Since community participation in OVC support is essential, CCP and its partners will make sure that OVC issues at the community level are addressed in public awareness campaigns. Special attention will be paid to the vulnerabilities of female OVC to transactional and intergenerational sex and gender-based violence and exploitation.Capacity building will target the PNOEV, national technical working groups, and OVC implementing partners. Using its learning by doing approach, JHU/CCP will provide onthe-job training to strengthen and expand the capacity of PNOEV and partner staff to develop and implement awareness campaigns for the general public on issues related to OVC and human rights and to create high-quality SBCC materials to raise awareness about the need for OVC protection and care in post-conflict situations. Local partners will also benefit from the opportunity to develop SBCC skills through the use of online technology (an e-toolkit) that CCP will put in place to ensure sustainability of the program.CCP will ensure that the PNOEV and partners involved in designing communication strategies and communication materials receive training and mentoring and use guidance developed with CCP. Guidance and user guides for materials will improve partners organizational and coordination skills as well as the pace of dissemination of communication tools for OVC and their caregivers. CCP will also monitor participants continued engagement and commitment to quality work after they receive training and technical assistance.CCPs technical assistance under this project will help ensure collaboration among PEPFAR partners involved in providing care and support to OVC. Specifically, CCP will make sure that the national OVC technical working group (GTT/OEV) and national OVC commission members in charge of communication take part in and benefit from the national Prevention Technical Working Group experience and network. As part of the Prevention TWG, PNOEV staff and partners will also learn organizational skills while working side-by-side with CPP and other program staff to ensure communication program organization and harmonization.JHU/CCP will monitor the number, quality, and use of SBCC tools distributed to partners using a simple monitoring tool as well as partner reports, field visits, and partner quarterly review meetings with the national TWG to assess the reach and effectiveness of communication materials.

Funding for Health Systems Strengthening (OHSS): $399,355

Inadequate national capacity to design, produce, implement, coordinate, and evaluate high-quality social and behavioral change communication (SBCC) tools, materials, and strategies is a barrier to an effective, country-owned response to HIV/AIDS. With FY 2012 funds, JHU/CCP will work to build this capacity at the Ministry for Health and AIDS (MSLS) and in local NGOs and networks by:1. Adopting a Collective Learning and Action approach that emphasizes learning by doing.2. Refining and applying CCPs capacity tracking tools to monitor partner progress.3. Bringing all major SBCC players into a coalition for change by creating virtual tools for coordination and exchange.4. Institutionalizing a communication leadership training course.5. Assisting and mentoring the local NGO Ruban Rouge to bring its HIV/AIDS call-in hotline service into full operation.While CCP applies these approaches in all its activities funded in other budget codes, specific capacity-building efforts are needed to strengthen national health communications systems. At least 30 ministries and partners will benefit from capacity strengthening in strategic communication.

Collective learning and actionUsing measurable outcomes for capacity building, CCPs approach will emphasize the devolution of interventions, learning by doing, and specific capacity and coordination strengthening at the MSLS. CCP will support the MSLS to establish and convene quarterly meetings of an SBCC subcommittee under the Prevention TWG to help coordinate and monitor the roll-out of communication strategies and the distribution and use of materials. Selected partners will take part in designing research and in analyzing and disseminating results.

Capacity assessment and trackingCCP will institutionalize SBCC capacity assessment tools it developed and validated in other countries, including the Institutional Capacity Index and the National Communication Capacity Index. In 2012, CCP is working with partners to review key indicators and rate partner capacity; in 2013, CCP will gauge the countrys progress toward sustainability.

Coalition for changeCCP will help create a network of capable partners to deliver high-quality SBCC after the program ends. CCP will ensure that online resources are accessible (starting with the K4Health toolkit) and partners are trained in their use. The current CI etoolkit designed by CCP will be linked to the MSLS Web site; the final electronic home for these resources will be selected after consultation with counterparts and USAID. Partners will receive extensive training in the production of effective communication tools. CCP will work with partners to develop material catalogs, message guides, and toolkits for specific subjects and events such as World AIDS Day and National Testing Day.

Leadership training courseCCP will assist the University of Cocody and AfriComNet in adapting and integrating CCPs Leadership in HIV/AIDS Strategic Communication course into the university curriculum. CCP will support the participation of selected MSLS and partner staff to build their capacity. CCP will explore the possibility of establishing a health communication degree program in CI.

HIV hotline:After revising the counselors guide, CCP will help Ruban Rouge to promote the hotline number. CCP will train phone counselors in line with MSLS protocols, as well as in the use of SMS Frontline technology as a research and documentation tool.

Funding for Biomedical Prevention: Blood Safety (HMBL): $50,000

A safe blood supply is a critical component of improving health care and preventing the spread of infectious diseases such as HIV. In Cote dIvoire, the quality and safety of blood transfusion remain critical concerns for the government and its partners. Important steppingstones include raising awareness about the vital need for voluntary non-remunerated blood donation and the importance of safe blood supply, as well as having competent and well-trained local partners and high-quality social and behavior change communication (SBCC) materials and strategies.As part of its strategy to decrease the number of new HIV infections in Cote dIvoire, CCP will support the Ministry of Health and AIDS (MSLS) and the National Blood Bank (CNTS) in their efforts to ensure a safe blood supply. The first step will be a rapid assessment of communication-related factors that need to be addressed to improve safe blood donation. From this, CCP will support CNTS to update its communication strategic plan, including evaluation of communication tools and activities.Specifically, CCP will provide technical assistance to the MSLS and CNTS to assess, develop, update, produce, and evaluate social and behavioral change communication (SBCC) materials as well as to revitalize the safe blood donation campaigns based on CNTSs recent KAP (Knowledge, Attitude and Practice) study and a formative study that CCP is planning for 2012. CCP will support the MSLS and CNTS to convene an information education and communication/behavior change communication subcommittee under the national Prevention Technical Working Group. This will allow the MSLS and CNTS to coordinate and monitor the distribution and use of materials as well as to oversee the implementation and evaluation of their campaigns.In addition to mass media campaigns using TV and radio, CCP will propose the use of existing and successful communication platforms and networks. A good example is the use of JHU/CCP Sports for Life online sites to promote blood donation and provide information regarding safe blood donation..JHU/CCP will play an important role in supporting MSLS and CNTS advocacy activities regarding the importance of communication in blood supply services. Targets for this advocacy include organizations that provide blood. Capacity building will also include the participation of key staff from the MSLS and CNTS and other partners in message and SBCC material development workshops organized by JHU/CCP, as well as in the communications technical working group, to help ensure a well-coordinated response.To ensure high-quality M&E, JHU/CCP will work with the MSLS and CNTS to conduct joint observation and monitoring visits to implementation sites during blood donation day to make sure that communication materials are available and are being used appropriately. User satisfaction will also be checked during supervision visits. A simplified supervision tool will be developed with partners to facilitate quality control and use of communication tools.CCP will help the MSLS and CNTS to conduct a random rapid population-based survey during Safe Blood Donation Day to measure the effectiveness of blood donation campaigns.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $620,000

JHU/CCPs AB program works to change the social norms that make youth vulnerable to HIV, improve dialogue among young people and their parents and role models, provide technical assistance and capacity building in social and behavioral communication (SBC) for the Ministry for Health and AIDS (MSLS) and local NGO partners, and develop tools and materials promoting healthy behaviors, including fidelity. Gender is a cross-cutting issue.To address both norms and risk behaviors in order to prevent infections, priority topics will include gender norms, risk perception, transactional sex, abstinence, couples and parent-child communication, pregnancy prevention, partner reduction, and correct and consistent condom use for sexually active youth.

Geographic zones: National for mass media and capacity building. For community-based interventions, Abidjan (six sites) and Abengourou, both in high-prevalence zones.

Target audiences:Girls aged 12-19 and unmarried women aged 20-24, who are at highest risk of HIV infection.Boys aged 12-19 and unmarried men 20-24 who engage in or are exposed to high-risk behaviors.Target audiences will be segmented by other socio-demographic characteristics (activity, education), with an emphasis on youth who are at highest risk.Secondary audiences: Sports for Life soccer coaches, captains, parents/guardians, role models

Targeted behaviors:Delay onset of sexual activityPartner reductionImprove communication with parents, partners and friends

Secondary behaviors:o Condom use, if sexually activeo HIV testing know your status

Three major activities will improve relevant knowledge and skills:Sport for Life (SFL):SFL mobilizes and develops life skills of boys and girls aged 12-19. SFL will also start training key partners (9 local NGOs and 5 municipalities) to take over the program.Community activities will be organized around the African Cup tournament.The curriculum will be revised to integrate reproductive health topics and parent-child communication.New female role models will make the program more attractive to girls.The SFL Web site will be redesigned and updated.

SuperGo (SuperGirl (SG)):SG focuses on girls (ages 12-19), engaging them in community action and normative change. Four new implementing subpartners will be added.CCP will conduct an inventory of NGOs providing income generating activities and literacy courses to engage them in the program.

Capacity building:CCP will provide technical assistance to national partners to develop and implement effective SBC strategies and tools, including materials on fidelity, and will collaborate in assessing HIV infection risks among women in rural and urban areas and developing appropriate approaches and materials to reach those women.

CCP will support the MSLS in drafting a new HIV/AIDS communications strategy and convening an SBC subcommittee under the Prevention Technical Working Group to coordinate and monitor the roll-out of communication strategies and the distribution and use of materials. CCP will engage partners to develop a multimedia campaign to ensure message harmonization, as well as to build partner capacity through the learning-by-doing approach. This will include participation in message and materials development workshops, as well as pre-testing and monitoring activities.

Funding for Prevention: HIV Testing and Counseling (HVCT): $150,000

Access to high-quality social and behavioral change communication (SBCC) tools, materials, and strategies is important in order to be effective in mobilizing and providing quality services for clients.JHU/CCP supports HIV/AIDS services (testing and counseling (TC), ART, PMTCT, care and support) through development, provision, and evaluation of client and provider materials; provider training in interpersonal communication/counseling (IPC/C), strengthening of health protocols through communication indicators; and promotion of HIV/AIDS services.As a complement to PEPFAR-funded service-delivery programs, CCP will continue to produce and distribute interpersonal communication materials for ART, PMTCT, TC, and stigma reduction to health service providers and community organizations. CCP will support training for service providers to strengthen their skills, knowledge, and practices, and for PLWHA organizations and religious leader associations to carry out community activities.CCPs communication strategy aims to improve awareness of and access to services, retention of clients, and quality of health services. This approach, based on evidence from other JHU programs in other African countries as well as CI operations research, results in messages and communications tools that are targeted to the focal audiences to produce desired behavior change. The reach of CCPs activities will be nationwide, as partners are expected to distribute communication materials to health service providers and community counselors they work with.With FY 2012 funding, JHU/CCP will provide support to the Ministry of Health and AIDS (MSLS) to organize a national HIV testing and counseling communication campaign, building on the success of a 2009 campaign and adding an emphasis on encouraging men to get tested and correcting the misconception that if a woman tests negative, then her partner is negative as well. CCP will also continue working to encourage couples to go for HIV testing and counseling. Messages will include both patient-initiated and provider-initiated TC. In addition, women and girls who were victims of rape during the recent civil war will be encouraged to seek HIV TC to ensure that they will know their status as they continue their psychological recovery.During National Testing Day, client exit interviews will be used to assess the effects of program activities in support of the national event.CCP will continue its collaboration with RIP+ (national network of PLWHA organizations) and will work with selected religious networks to bring TC services into churches, mosques, and other spiritual venues.The national HIV/AIDS information hotline managed by Ruban Rouge with JHU/CCP technical assistance will be used to inform the public on where TC services are available.Subpartners for the Sports for Life HIV prevention program (local NGOs, municipal governments) will support community mobilization for TC. In anticipation of the 2013 African Cup of Nations, activities using soccer themes and stars to promote TC will be conducted in collaboration with EngenderHealths Men as Partners program. Outreach will include group talks and a door-to-door campaign. Soccer games will be projected for public viewing in places where free testing will be provided by local NGOs in six communities of Abidjan. The project expects at least 1,500 people, including 1,000 men, to seek TC as a result.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $680,000

JHU/CCPs program will challenge social and gender norms and encourage protective behaviors among adults at risk of HIV infection, including men having sex with men (MSM), while working to build national capacities in effective communications. Key activities will include a multi-phase multimedia campaign, with reinforcing community-level activities, as well as capacity building and strategy development interventions for the Ministry for Health and AIDS (MSLS) and local NGO partners. Interpersonal communication activities will complement mass media campaigns to maximize message efficacy and generate a call to action. Gender will be a cross-cutting issue.

With FY 2012 funds, CCP will address gender inequality through:- African Transformation (AT). CCP builds the capacity of young men and women to make healthy life choices by discussing social and gender norms. CCP will begin the devolution process to local NGOs by organizing 45 workshops on AT for young adults. Facilitators will be trained to address gender-based violence. CCP will promote the program to various partners, including UNFPA, to inspire replication. CCP will also produce an additional AT video profiling a young man who countered social-cultural norms that put young men at risk of STI/HIV infections. AT materials will also be used by partners implementing activities in rural areas.- Brother for Life (BFL): To address male sexual and reproductive health issues, CCP will adapt the successful South African program for Cote dIvoire in partnership with EngenderHealth, drawing on expert opinion, data from national surveys, and discussions with men and women. CCP will train health providers on how to use this new material.- Risky Behavior: Working in collaboration with the MSLS, the Ministry of Communication, and the national TV station, CCP will produce and broadcast a 6-episode TV series building on CCPs Club Risky Business in Zambia. The mini-series will explore social, cultural, and gender dynamics surrounding multiple and concurrent partnerships (MCP), the risks of sexual networks, and the idea that a lifelong relationship can be fulfilling. Conception, production and pre-testing will take place in 2012, with broadcast in 2013 expected to reach at least 1.5 million viewers. DVDs and discussion guides will be distributed to partners to organize screenings and facilitate discussions in workplaces.- A multi-channel campaign focusing on risk and prevention behaviors. The objective is to get people talking about unacceptable risky behaviors (MCP, unprotected sex, cross-generational sex, drug and alcohol abuse, not knowing HIV status) and to identify individual and community strategies to change social norms around such behaviors. Interpersonal communication activities will complement radio and TV messages.- Communication materials addressing the needs of MSM, based on PEPFAR formative research. CCP will produce materials in collaboration with the MSLS and local NGOs and national networks (e.g. of PLWHA organizations) that implement programs targeting MSM,- Assessment of HIV infection risks among women in rural and urban areas. CCP will participate in the risk assessment and in developing appropriate approaches and materials to reach those women.In all activities, CCP will work collaboratively to build the communications capacities of the MSLS and partners. CCP will use its Communication Capacity Index to review key indicators and track partners' capacities.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $200,000

Access to high-quality social and behavioral change communication (SBCC) tools, materials, and strategies is important in order to be effective in mobilizing and providing quality services for clients.JHU/CCP supports HIV/AIDS services (testing and counseling (TC), ART, PMTCT, care and support) through development, provision, and evaluation of client and provider materials; provider training in interpersonal communication/counseling (IPC/C), strengthening of health protocols through communication indicators; and promotion of HIV/AIDS services.As a complement to PEPFAR-funded service-delivery programs, CCP will produce and distribute interpersonal communication materials for ART, PMTCT, TC, and stigma reduction to health service providers and community organizations. With new WHO guidelines on PMTCT, messages and tools for HIV-positive women will be updated. CCP will support training for service providers to strengthen their skills, knowledge, and practices, and for PLWHA organizations and religious leader associations to carry out community activities; more than 50 NGOs will be trained on how to use the Choisis la Vie (Choose Life) kit, which includes radio diary CDs, stigma reduction materials, care and support talk shows, videos on ART and PMTCT, and HIV prevention leaflets.Working with the national technical working group to build national capacity, CCP will continue to assist implementing partners to develop or improve protocols and procedures through quality accreditation processes at existing and new intervention sites. CCP will provide technical assistance to service delivery partners to supervise their projects achievement of communication quality indicators.CCPs communication strategy aims to improve awareness of and access to services, retention of clients, and quality of health services. This approach, based on evidence from other JHU programs in other African countries as well as CI operations research, results in messages and communications tools that are targeted to the focal audiences to produce desired behavior change. The reach of CCPs activities will be nationwide, as partners are expected to distribute communication materials to health service providers and community counselors they work with.

Funding for Treatment: Adult Treatment (HTXS): $100,000

Access to high-quality social and behavioral change communication (SBCC) tools, materials, and strategies is important in order to be effective in mobilizing and providing quality services for clients.JHU/CCP supports HIV/AIDS services (testing and counseling (TC), ART, PMTCT, care and support) through development, provision, and evaluation of client and provider materials; provider training in interpersonal communication/counseling (IPC/C), strengthening of health protocols through communication indicators; and promotion of HIV/AIDS services.As a complement to PEPFAR-funded service-delivery programs, CCP will continue to produce and distribute interpersonal communication materials for ART, PMTCT, TC, and stigma reduction to health service providers and community organizations. CCP will support training for service providers to strengthen their skills, knowledge, and practices, and for PLWHA organizations and religious leader associations to carry out community activities; more than 50 NGOs will be trained on how to use the Choisis la Vie (Choose Life) kit, which includes radio diary CDs, stigma reduction materials, care and support talk shows, videos on ART and PMTCT, and HIV prevention leaflets.Working with the national technical working group to build national capacity, CCP will continue to assist implementing partners to develop or improve protocols and procedures through quality accreditation processes at existing and new intervention sites. CCP will provide technical assistance to service delivery partners to supervise their projects achievement of communication quality indicators.CCPs communication strategy aims to improve awareness of and access to services, retention of clients, and quality of health services. This approach, based on evidence from other JHU programs in other African countries as well as CI operations research, results in messages and communications tools that are targeted to the focal audiences to produce desired behavior change. The reach of CCPs activities will be nationwide, as partners are expected to distribute communication materials to health service providers and community counselors they work with.

Subpartners Total: $0
Action pour la Promotion Sante et Education: NA
Association Ivoirienne pour le Bien-Etre Familial: NA
Bureau International Catholique de lenfance: NA
Chigata: NA
Côte d'Ivoire Prospérité: NA
Federation des Femmes d'Abengourou: NA
Force Jeune Universelle: NA
Fraternite St Jean de la Misericorde: NA
Groupe Biblique des Hopitaux: NA
International Sante pour Tous: NA
Lumiere SanPedro: NA
Mairie Abengourou: NA
Mairie d'Adjame: NA
Mairie de Port-Bouet: NA
Mairie de Treichville: NA
Mouvement Action Jeunes: NA
Mouvement Estudiant pour la Sensibilisation: NA
Omni Vinci Amor: NA
ONG Ngouan: NA
Reseau de la Jeunesse pour la Promotion de l'Aphabetisation et la Lutte contre le VIH sida: NA
Ruban Rouge: NA
Save Our Soul: NA
Secours Plus: NA
Sidalerte International: NA
Union des Centres de Formation de Football de Yopougon: NA
Univers Sante: NA
Cross Cutting Budget Categories and Known Amounts Total: $1,220,000
Gender: Reducing Violence and Coercion $360,000
Human Resources for Health $860,000
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
Family Planning