In FY 08, World Relief will continue to implement the FY 07 activities, the Strengthening Capacity for

Improved Community Health, Sokhapheap Phum Young: "Our Healthy Village" project (SPY) and its

Mobilizing for Life (MFL) project. There are two components to these activities. The first component is to

increase knowledge about PMTCT through education and training, and secondly to finance transportation

to PMTCT and antenatal care (ANC) for pregnant women. The goal of these activities is to increase the

number of pregnant women receiving VCT, this will lead to an increase in the number of HIV-positive

pregnant women who receive a full course of anti-retroviral prophylaxis.

Training and education will emphasize the importance of pregnant women choosing VCT and their test

results; the importance and benefits of a complete course of antiretroviral prophylaxis if needed; importance

and benefits of getting ANC from a trained provider; how HIV can be transmitted from mother to child;

services available if a pregnant women tests positive; and location of VCT services.

Education will be provided through a variety of channels to different population groups, mainly through

training. In SPY, 30,045 persons will receive training in HIV including PMTCT topics. SPY has planned

flexibility on topics covered and will select emphasis areas for FY 09 trainings based on needs identified in

the FY 08 project mid-term survey. In MFL, the project expects to train 15,850 persons in PMTCT topics.

Additional expecting mothers will be reached through interpersonal communication from trainees. Within

SPY, an additional 348,925 people will be reached with information from those trained through monthly

health education sessions, and in MFL, 136,000 people should be reached. SPY adapts and distributes IEC

material in the form of leaflets, flip charts and other materials to its trainees. Another channel used is radio,

SPY produces and airs one hour radio programs. Another channel used is folk media performances - each

quarter SPY's male behavior change team stages performances (such as story telling and puppet shows) in

all project villages incorporating education into the entertainment reaching most village residents.

With FY 07 USG funds, the SPY project has begun to develop a system for supporting transportation for

pregnant women to access VCT (or PMTCT/ANC) services at Health Centers for whom distance and

transportation costs are a barrier to VCT access. In FY 08, the project plans to continue to support this

activity in order to reduce the barriers to pregnant women to receive VCT.

The key population groups reached in SPY include: 12,202 women health educators - 20 to 50 year old

women volunteers selected by their communities, 1,993 male behavior change communication volunteers -

2 male leaders selected by their community, 183,030 heads of households, and community members

specifically pregnant women. The population groups reached in MFL include 1,050 CREDIT microfinance

group members - a cross section of the population and mostly women, 5,000 church leaders and members,

4,500 youth aged 11-18 and 5,300 village leaders and community members, specifically pregnant women.

The SPY project is centered on the utilization of the Care Group Model - a community-based, volunteer-

driven, capacity-building health education model used successfully by World Relief in Kampong Cham

Province since 1998, as well as other parts of the world. Every month, 12 women volunteers meet (forming

a Care Group), where volunteers receive training on a health topic, information from their previous months'

work is recorded, and management issues are worked out. Training numerous volunteers in each village

provides a critical mass for community-wide change and the maintenance of changed behaviors.

Each month, the female volunteers conduct visits to 15 designated households and discuss the information

learned at the training. The volunteers are provided with IEC material to assist in recalling the key points

and as a guide in relaying information to the female heads of households (and others who care to join).

After male volunteers receive training, they participate in and help conduct community mobilization for

performances in their village by SPY staff every three months. The performances change medium each

quarter (puppet show, story telling for example).

MFL activities are also focused on providing education to several audiences and the project expects to train

a total of 13,600 people. These volunteers are expected to further disseminate (formally and informally)

information to a total of 124,750 people. CREDIT microfinance group members, church leaders and

members, youth 11-18 and village leaders and members all receive training on a biweekly basis (weekly for

teens) on different aspects of HIV/AIDS topics from MFL staff and volunteers, and then trainees further

spread the information to other persons in their family and community.

In addition to working with the Provincial Ministry of Health (MOH), World Relief works closely with Belgium

Technical Cooperation (BTC) in Kampong Cham. BTC supports the MOH in improving service quality. In

addition, World Relief will work closely with FHI who are the main coordinators of the Continuum of Care

(CoC) in Kampong Cham, to ensure information disseminated is in line with CoC and service availability.

Because MFL is also working in Phnom Penh and Kandal province, in addition to Kampong Cham

province, all MFL activities are closely coordinated with the Provincial and District MOH in those provinces.

These activities contribute towards achieving the vision outlined in the USG HIV/AIDS 5 Year Strategy.

Activities will contribute to increasing the numbers of people who receive VCT. As VCT is being rapidly

scaled up in Cambodia, the projects work to increase awareness about, the demand for and thus utilization

of VCT services that are getting closer and more accessible to more people. Activities also link to ANC by

educating about the importance of pregnant women getting ANC from a trained provider, which should

increase the number of pregnant women coming in contact with CoC, thus they are offered VCT (when

available) or get referred to VCT from her ANC provider.

In FY 08, through the Strengthening Capacity for Improved Community Health, Sokhapheap Phum Young:

"Our Healthy Village" project (SPY) and through its Mobilizing for Life (MFL) project, World Relief expects to

achieve the following targets: 27,795 persons will receive training in HIV that will include AB information;

141,784 persons will be reached with AB information; and 32,543 persons will be reached with Abstinence

only information.

Training and education will emphasize the following: the importance of abstinence, secondary abstinence,

partner reduction and faithfulness, increasing knowledge about how A and B reduce HIV risk, the benefits of

practicing A and B and skills, and how to practice A and B.

Education will be provided through a variety of channels to different population groups. The main channel is

through training. In SPY, 30,045 persons will receive training in AB messaging. In MFL, the project expects

to train a total of 13,600 persons in AB and another 2,250 trained in A only. Within SPY, an additional

17,034 people will be reached with AB information from those trained, 21,293 people reached with A only

information from those trained, and in MFL, 124,750 people should be reached with AB information and

11,250 reached with A only information. SPY adapts and distributes IEC material including leaflets and flip

charts as references and to assist in educating others. Another channel used is radio, SPY produces and

airs one hour radio programs once per week on all project topics, including AB, which reaches SPY's

geographical focus areas. Another channel used is folk media performances - each quarter SPY's male

behavior change team stages performances (such as story telling and puppet shows) in all project villages

incorporating education into the entertainment, reaching most village residents.

The key population groups reached through SPY include: 12,202 women health educators - 20 to 50 year

old women volunteers selected by their communities, 1,993 male behavior change communication

volunteers - 2 male leaders selected by their community, 183,030 heads of households, 17,034 14-18 year

old youth and 21,293 under 14 year old youth and general community members. The population groups

reached in MFL include 1,050 CREDIT microfinance group members - a cross section of the population

including women, 5,000 church leaders and members, 4,500 youth aged 11-18 and 5,300 village leaders

and community members.

The SPY project is centered around the Care Group Model - a community-based, volunteer-driven, capacity

-building health education model used successfully by World Relief in Kampong Cham Province since 1998,

as well as other parts of the world. Every month, 12 women volunteers meet (forming a Care Group), where

volunteers receive training on a health topic, information from their previous months' work is recorded, and

management issues are worked out. Training numerous volunteers in each village provides a critical mass

for community-wide change and the maintenance of changed behaviors. The female volunteers are each

responsible for visiting 15 designated households to discuss the information learned at the training. The

female volunteers are provided with IEC material to assist in relaying those key points to the female heads

of households (and others who care to join). After male volunteers receive training, they participate in and

help conduct community mobilization for performances in their village by SPY staff every three months. The

performances change medium each quarter (puppet show, story telling for example). Radio programming

will also be aired focused on HIV topics throughout the project.

Within SPY, it is expected that these trainings will result in 21,293 youth under 14 years reached with

abstinence only information, and 17,034 youth aged 14-18 reached with abstinence and faithfulness

information through interpersonal communication from trainees and other communication channels. In the

MFL project, World Relief will support 600 churches to institutionalize HIV education efforts, which will

include training 5,000 church leaders and members in AB outreach, train 2,250 youth in abstinence only,

and reach 124,750 with AB outreach and 11,250 with A only outreach.

MFL activities are also focused on providing education to several audiences and the project expects to

reach a total of 124,750 persons in AB topics during the fiscal year. CREDIT microfinance group members,

church leaders and members, youth 11-18 and village leaders and members all receive training on a

biweekly basis (weekly for teens) on different aspects of HIV and related topics. A and B are topics that are

regularly covered.

In addition to working with the Provincial Ministry of Health (MOH), World Relief works closely with Belgium

Technical Cooperation (BTC) in Kampong Cham. BTC supports the MOH in improving service quality

including the MoH's involvement with VHSG. In addition, World Relief will work closely with FHI who are the

main coordinators of the Continuum of Care (CoC) in Kampong Cham, to ensure information disseminated

is in line with CoC and service availability.

Since MFL is also working in Phnom Penh and Kandal province, in addition to Kampong Cham province, all

MFL activities are closely coordinated with the Provincial and District MOH in those provinces.

For condoms and other prevention (OP) activities, World Relief will undertake education and training

activities that increase knowledge about HIV prevention and awareness of high risk behaviors, through the

Strengthening Capacity for Improved Community Health, Sokhapheap Phum Young: "Our Healthy Village"

project (SPY) and through its Mobilizing for Life (MFL) project.

In FY 08, WR will emphasize the following: the role and benefits of condom use in HIV prevention, the

dangers of other high risk behaviors such as injecting drug use and commercial sex, the benefit of STI

diagnosis and treatment for HIV prevention, promotion of condom use as a family planning method to help

make it more acceptable for regular use among married couples, the dual benefit of protecting against

disease transmission, and general knowledge about STI and HIV transmission and prevention.

Education will be provided through a variety of channels to different population groups, however the main

channel will be through training. SPY adapts and distributes IEC material including leaflets, as well as flip

charts to its trainees as a reference and to assist in educating others. Another channel used is radio; SPY

produces and airs one hour radio programs once per week on project topics, which include VCT, and

reaches SPY's geographical focus areas. Another channel used is folk media performances - each quarter

SPY's male behavior change team stages performances (such as story telling and puppet shows)

incorporating education into entertainment and reaching most village residents.

The key population groups reached in SPY include: women health educators - 20 to 50 year old women

volunteers selected by their communities, male behavior change communication volunteers - 2 male

leaders selected by their community, heads of households, and community members (specifically male and

female adults.) The population groups reached in MFL include CREDIT microfinance group members - a

cross section of the population and mostly women, church leaders and members, youth aged 11-18, and

village leaders and community members.

The targets will be reached as follows: the SPY project is centered on the utilization of the Care Group

Model - a community-based, volunteer-driven, capacity-building health education model used successfully

by World Relief in Kampong Cham Province since 1998, as well as other parts of the world. Every month,

12 women volunteers meet (forming a Care Group), and receive training on a health topic, information from

their previous months' work is recorded, and management issues are worked out. Training numerous

volunteers in each village provides a critical mass for community-wide exchange and the maintenance of

changed behaviors.

MFL activities are also focused on providing education to several audiences during the fiscal year. These

persons are expected to further disseminate (formally and informally) information to others in their

community. CREDIT microfinance group members, church leaders and members, youth 11-18 and village

leaders and members all receive training on a biweekly basis (weekly for teens) on different aspects of OP

and other HIV topics.

The main Counseling and Testing activities World Relief will undertake through the Strengthening Capacity

for Improved Community Health, Sokhapheap Phum Young: "Our Healthy Village" project (SPY) and

through its Mobilizing for Life (MFL) project are: training and education to several population groups about

VCT in order to increase the number of persons who receive VCT services. As World Relief does not

directly support VCT service delivery, no direct targets have been established, however, the project efforts

intend to indirectly contribute towards increased utilization of VCT services and improved quality of services.

The emphasis areas of the training includes increasing knowledge about the benefits of testing, where

testing can be obtained, who should get tested, and how testing happens.

Currently, only a very small proportion of the population from SPY's geographical area is accessing VCT. In

2006, 4739 persons, up from 1015 individuals in 2005, from the target population (men and women 15-49

year) were tested.

Education will be provided through a variety of channels to different population groups. The main channel is

through training. In SPY, 30,045 persons will receive training in HIV including VCT topics. In MFL, the

project expects to train 15,850 persons in VCT topics. More people will be reached through interpersonal

communication from trainees. Within SPY, an additional 348,925 people will be reached with information

from those trained, and in MFL, 136,000 people will be reached. SPY adapts and distributes information,

education and communication (IEC) material including leaflets, flip charts, and other materials which its

trainees use as a reference to assist in educating others. Another channel used is radio, SPY produces and

airs one hour radio programs once per week on all project topics, including VCT, which reaches SPY's

geographical focus areas. Another channel used is folk media performances - each quarter SPY's male

behavior change team stages performances (such as story telling and puppet shows) which incorporate

education into the entertainment and reach most village residents.

The key population groups reached in SPY include: 12,202 women health educators - 20 to 50 year old

women volunteers selected by their communities, 1,993 male behavior change communication volunteers -

2 male leaders selected by their community, 183,030 heads of households, and community members. The

population groups reached in MFL include 1,050 CREDIT microfinance group members - a cross section of

the population and mostly women, 5,000 church leaders and members, 4,500 youth aged 11-18 and 5,300

village leaders and community members.

MFL activities are also focused on providing education to several audiences and the project expects to train

a total of 15,850 persons in VCT topics during the fiscal year. CREDIT microfinance group members,

church leaders and members, youth 11-18 and village leaders and members all receive training on a

biweekly basis (weekly for teens) on different aspects of HIV and related topics. VCT is covered on a

regular basis. The project will also raise awareness of the available ARV treatment from MSF in Kampong

Cham and to address possible fears of testing, including the perception that HIV treatment is not available.

In addition, the project will encourage all openly HIV positive individuals to be tested for TB.

These activities contribute towards achieving the vision outlined in the USG Cambodia HIV/AIDS 5 Year

Strategy.