Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 1331
Country/Region: Caribbean Region
Year: 2008
Main Partner: University of Washington
Main Partner Program: NA
Organizational Type: University
Funding Agency: enumerations.HHS
Total Funding: $490,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $375,000

Result: reduced transmission of HIV among STI clients

Targeting High Risk Populations: STI Clients

In 2002, the MOH AIDS/STD Unit, I-TECH, and HHS/CDC/BOTUSA began working with STI providers and

clients to improve linkages between high risk individuals and HIV prevention, treatment, and care. Among

the activities was an effort to improve management of STIs, so that high risk populations can be better

identified, and more quickly linked with HIV testing and related services. The project has also involved

working with the MOH to develop videos on routine testing of HIV, with an accompanying facilitator's guide

and distribution plan. This teaching tool emphasizes the importance of learning one's HIV status and is

offered for use in clinics that offer STD and other health services, such as TB client service sites.

Inputs: The USG will provide funding.

Activities/Outputs: In FY05, the USG will provide financial assistance to I-TECH to complete its work

improving the identification of people with STIs who are at high risk of HIV infection. Funding will also

support further implementation of the video program on routine HIV testing and the improvement of HIV risk

assessments and risk reduction counseling among this population. Activities will include planning to apply

this program to Tuberculosis (TB) patients, another population at high risk of HIV.

Outcome: Better linkage between HIV and STI health care providers and systems; better identification of

individuals at high risk of HIV infection; higher rate of HIV testing among STI clients; reduced transmission

of HIV among STI clients; and improved management of STIs in the health care sector.

July 13, 2005: This activity was initially bundled with other activities that were not approved by OGAC.

Without those unapproved activities included, it became more reasonable to un-bundle them and find

individual partners for the remaining two activities. This activity involves carrying out a needs assessment

of commercial sex work in Botswana, and ITECH (University of Washington) has agreed to do this activity.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $115,000

Karina will add to activity. Similarly, there is a need to further identify the extent and nature of transactional

sex in Botswana and to promote commitment and program planning to address that important aspect of HIV

transmission. Finally, efforts have already been made to identify the various ways that gender relations

affect and are affected by HIV/AIDS. However there is a need to strengthen knowledge about particular

issues so that stronger commitments are made by government and other agencies to better address such

issues. Collaboration and coordination among members of the HIV/AIDS community about how gender is

addressed in prevention activities needs strengthening.