Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11738
Country/Region: Cambodia
Year: 2009
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,550,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $1,550,000

The same as activity 28754.09 -- funding is split between GHCS (USAID) and GHCS (State)

ACTIVITY UNCHANGED FROM FY 2008

FHI's comprehensive HIV prevention strategy focuses on entertainment service workers (ESWs), their

clients, men who have sex with men (MSM) and injecting and non-injecting drug users. Interventions

concentrate on behavior change approaches that reduce risk and vulnerability; promote and ensure access

to health information, products and services; create a more enabling environment for HIV prevention and

care; and improve the capacities of implementing agencies to manage, implement and monitor the program.

During FY 2008, FHI implemented the SMARTgirl and MStyle programs which will continue during FY 2009.

In FY 2009, FHI and its partners will continue the SMARTgirl initiative which targets female entertainment

service workers employed in brothels and non-brothel based entertainment establishments. This program

responds to issues identified in the 100% condom use program (such as the movement from brothels to

other entertainment establishments; low health service uptake and negative portrayal of all ESWs as sex

workers, when many of them do not sell sex) and establishes targets for annual reach and service uptake

using a social marketing approach. Outreach workers and peer educators will use invigorated tools and

communications materials to respond to specific objectives, while establishment owners and health

providers will be mobilized as SMARTgirl supporters to deliver messages, products and interventions. FHI

staff and partners will participate in capacity building sessions to improve and standardize program

implementation.

Male clients of female entertainment service workers will be reached through a combination of mass media

and interpersonal communications approaches. A weekly television program (Cambodia's Man among

Men), which challenges gender stereotypes and promotes male responsibility for self and family health and

well being, may continue into FY 2009. FHI and its implementing agency partners will also continue to

conduct targeted outreach for men in high risk entertainment establishments using tools developed jointly

by PSI (Population Services International) and FHI.

In FY 2009, FHI and its partners will continue to implement the MStyle program for MSM (Men who have

Sex with Men) in Phnom Penh, Kandal and Banteay Meanchey, and in other areas supported by the Global

Fund. MSM will be reached through a variety of channels including outreach and peer education, the

internet, phone messaging and special events. Targets for annual reach and service uptake will be

established and standards applied across implementing sites to ensure quality and foster greater impact.

FHI will continue to provide technical support to partner agencies, the MSM national technical working

group and Bandanh Chaktomuk (the National MSM network) in strategic behavioral communications,

information and MSM programming.

The revised uniformed services program which targets subgroups at greatest risk will continue in FY 2009.

FHI will work with the Ministry of National Defense (MoND) and the Ministry of Interior (MoI) to ensure that

HIV and health issues continue to be integrated into schools and recruitment sites and that both ministries

identify and monitor key strategic priorities from their HIV strategic plans.

In FY 2009, FHI and its partners will continue to implement its positive prevention strategy for PLHA, health

care workers and community volunteers. Positive prevention messaging and interventions will be integrated

in all of FHI's prevention, care, treatment and mitigation programming.

In six targeted sites, FHI will work with NCHADS and its local NGO partner, MEC, to strengthen VCT/STI

(Voluntary Counseling and Testing/Sexually Transmitted Infections) case management capacity and service

delivery for MARPs (Most At Risk Populations). FHI and its partners will provide quality assurance training,

monitoring and support among government/NGO STI clinics and health centers serving MARPs, particularly

PLHA, ESWs and their clients, and MSM.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.03: