In China under the USAID PSI CAP-3D (Control and Prevention of Infectious Diseases: HIV, Tuberculosis, and Malaria) Project, FY 2012 will be characterized by the continuation of technical assistance (TA) to existing program sites focusing on community capacity building for sustainability, with a specific focus on the Continuum of Prevention to Care to Treatment (CoPCT) model site at Luzhai; the consolidation of other Cooperating Partner (CA) sites (that are scheduled for close-out at the end of FY 2012) and proven approaches into the CAP-3D project as appropriate (where funding allows, after a timetable has been agreed with CAs, a comprehensive evaluation to identify the sites which require further support has been conducted, and the type of assistance they require has been identified), and; an eventual exit from China in FY 2013 leaving behind sustainable interventions implemented by strong local, organizations. PSI/China will implement the CAP-3D project in close collaboration with our partners, the Yunnan Association of STI and AIDS Prevention and Control (SAA), Pact, and Research Triangle International (RTI). The following target groups will be served: 1) MSM, 2) PWID, 3) PLHIV in the following hotspots: Kunming, Mengzi, Gejiu, Nanning, and Luzhai.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVOP Provincial level government 0 As needed/requested, provide HIV-related technical assistance to the provinical government for GF implementation.IDUP Provincial level government 0 As needed/requested, provide HIV-related technical assistance to the provinical government for GF implementation.

GHCS (State) = $154,364

In FY12, PSI/China will collaborate with the other CAs and local partners to continue prioritizing the collection of strategic information, packaging and documentation and dissemination of programmatic research which demonstrates the success of the USAID funded intervention models. The following SI activities are scheduled during FY12:IDU RBT survey, covering Kunming, Gejiu, Nanning and LuzhaiMSM qualitative assessment in Kunming and Nanning to explore the intervention/services gaps with regards to prevention, care and availability of health products, including the need for MSM targeted condoms and lubricants and effective distributionSecond round of MSM RBT in Kunming, Nanning and selected hotspots in Honghe PrefectureCoPCT process evaluation in Luzhai in collaboration with the other CAs and local partners, under the lead of RDMAPromote the adaptation of MIS system across PSI/China supported program sites as well as that of local partners to promote the effective tracking of referral linkages using the MIS training manualsBuilding Local Capacity to Collect and Use Strategic Information (SI)During FY12, PSI/China will continue to build the capacity of local organizations to use SI tools and results to inform program interventions, while simultaneously implementing quantitative studies to inform, monitor and improve project implementation, through trainings, and the dissemination of research methodology and findings etc. A special focus will be placed on operational research, which documents new ways of implementing the CPP and CoPCT.Pact will specifically provide TA on M&E training to select CBOs and public health care providers in Yunnan. Two modules of M&E trainings will be delivered in FY12 to the selected CBOs to develop a community-based approach to M&E with increased skills and ownership, in full compliance with relevant donor requirements.The first module of M&E training will be delivered to select CBOs in Q2 or Q3 with follow up mentoring. The content includes: Introduction to M&E for Me; Logic models; Stakeholder analysis.The second module of M&E training will be delivered to select CBOs in Q3 or Q4 with follow-up mentoring. The content includes: M&E questions; M&E indicators; M&E protocols; M&E flow chartsDisseminating Strategic Information for Scale Up and AdvocacyUnder the leadership of USAID/Beijing, publish research and program papers in the Chinese Journal of STI and AIDS Prevention, to promote the use of SI for program scale up and advocacy for the CPP replication.Disseminate SI at local, national and international conferences/meetings (e.g. the bi-annual MSM network meetings in Yunnan and Guangxi, and the Harm Reduction network meeting in Yunnan, the NCAIDA meeting in Beijing, and the Annual Conference of International Harm Reduction Association in Australia etc).Review and package findings from PSI/Chinas social marketing research series (conducted between 2003 ¡V 2009) for dissemination among local partners.PSI will collaborate fully with the US CDC office in Beijing to promote the CPP model at the national level through experience sharing meetings and study trips to PSI CAP-3D sites in Yunnan and Guangxi for CDC personnel.

GHCS (State) = $46,309Please see above description of the inclusion/integration of HIV counseling and testing services as a part of the CPP.

GHCS (State) =$849,000

PSI/China will adopt a blended and staged approach to the effective implementation of the Comprehensive Prevention Package (CPP) in during FY12. The only services that will be delivered directly by PSI/China at the beginning of FY12 are the Huxianghao Ba (HXH) Drop in Center (DiC) and Sisterhood Health Home (SHH) DiC in Mengzi, and the activities at these sites will gradually be transitioned to local ownership in FY12. The support PSI/China has provided to existing programs sites (e.g. Kangxin Home in Mengzi and the Poplar Tree in Gejiu) have allowed these partners to implement the CPP model directly and the contribution PSI/China will make at these sites will also gradually be reduced as their fundraising capacity is increased in FY12. These sites will be transitioned to local ownership or under SAAs umbrella in FY12. Finally, investments in the organizational and technical capacity of SAA (and in turn the CBOs they will support) to implement the CPP will be increased in FY12. PSI/China likens this approach to a pendulum swinging gradually, but firmly, towards increased implementation of the CPP model by strong, locally owned and operated organizations (either via SAA or as a result of USAIDs investments) by the end of FY12.Pact will play an important role in helping to build the capacity of the SAA according to the results of the organizational assessment and the organizational capacity development plan produced in FY11. This work will center around the institutional capacity of SAA, including capacity development approaches, technical and organizational capacity areas, training methods, mentoring and coaching, and utilization of monitoring and evaluation methods. Early in FY12, using agreed selection criteria and an open and transparent call for EOIs selection process, 3-4 CBOs working in Kunming will be identified (serving MSM, PWID, and PLHIV populations). SAA and Pact will then develop Organizational Capacity Development (OCD) road maps for these CBOs and follow up on their implementation by SAA. It is hoped an additional CBO in the Hongehe area will be added towards the end of FY12. It is envisioned the support provided by CAP-3D international partners will contribute to SAAs development as the premier capacity building organization in the area of HIV/AIDS in Yunnan and position them well for future funding opportunities for alternate donors. This is especially critical as the national SAA (based in Beijing) has just been selected as the China Global Fund Civil Society Sub-Recipient. Pacts FY12 budget for carrying out these activities has been supplemented by PSI/Chinas country budget.RTI will also play an important role in promoting the value and benefits of the CPP model to external stakeholders and provide trainings on stigma & discrimination (S&D) reduction within MARP communities and ensure the legal rights of PLHIV and PWIDs are promoted during S&D reduction training with law enforcement agencies.

GHCS (State) = $493,964PSI/China will continue to provide TA to existing PWID program sites in Yunnan and Guangxi, focusing on local partner capacity building efforts to enable them to gradually effectively implement the full package of CPP model services, while preparing for the gradual transition of mature PWID CPP intervention program sites to local ownership.PSI/China will strengthen its partnerships with the local health bureaus and collaborate with them on the development of community detoxification and rehabilitation programs in Kunming. The operational and day-to-day management of the PSI/China operated HXH DiC will be gradually transitioned to local ownership during FY12. PSI/China will, however, continue to support the DiC with the provision of TA. PSI/China will support two peer-led PWID grassroots groups, the Kangxin Home in Mengzi and the Poplar Tree in Gejiu, to promote community-based targeted PWID BCC interventions, while documenting standard operating procedure (SOP) and lessons learned for future TA to the other peer-led PWID grassroots groups. PSI/China will work with local Government of China (GoC) partners to gradually transition these two CBOs to local ownership or under SAAs umbrella, while promoting the two programs as focal sites for targeted and essential HIV prevention/control services to PWIDs in Honghe prefecture. In order to improve linkages between the IPC prevention outreach work and care/treatment services, PSI/China will continue to work with community health centers, private health clinics and public health hospitals on a clinical health network (CHN) in Kunming.PSI/China will continue to promote targeted community-based PWID activities using peer-led IPC intervention and strengthen the referral linkages to care, treatment, and support in Nanning. PSI/China will support Wangzhou Community Center to refine the community rehabilitation model site, while promoting the replication of the Wangzhou model in Heng Yang Bei, Bei Hu Bei as well as 12 other Community Rehabilitation Centers in Qingxiu and Xingning Districts in Nanning. In addition, PSI/China will increase the provision of TA to Shu Guang Jia Yuan PWID grassroots group in Nanning. Finally, PSI/China will support Nanning CDC to conduct TOTs among inmates at Nanning No.1 and No. 2 Detoxification Centers, providing them with trainings on BCC and IPC on harm reduction and HIV prevention as well as information for the existing care, treatment and support services to prepare them for release and return back to the communities.PSI/China will continue to provide TA to Luzhai PHB, local Luzhai CDC, and Narcotics Control Committee with the aim of establishing the Chengxi rehabilitation center as a model, locally owned site for community-based PWID intervention in Luzhai, based on lessons learned from the Wangzhou site in Nanning. To complement the CoPCT model, particular efforts will be made to link the prevention services at the community rehabilitation centers with the existing care and support services. PSI/China will integrate USAID-supported PWID interventions in the MMT clinic, community rehabilitation centers, and the compulsory detoxification center in Luzhai, with local partners to ensure long-term sustainability.A special focus will be placed on enhancing coordination among CAs to ensure those PWID sites whose support from other CAs will cease in FY12 will continue to receive support until they are ready to be transitioned to local owner