Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5312
Country/Region: Côte d'Ivoire
Year: 2007
Main Partner: American International Health Alliance
Main Partner Program: HIV--AIDS Twinning Center
Organizational Type: NGO
Funding Agency: HHS/HRSA
Total Funding: $250,000

Funding for Care: Adult Care and Support (HBHC): $250,000

The AIHA Twinning Center's new palliative-care project, awarded EP funding in September 2006, is designed to twin the technical expertise and experience of the African Palliative Care Association (APCA) and other palliative-care organizations with the local infrastructure of an Ivorian sub-grantee to strengthen HIV/AIDS palliative-care services in Cote d'Ivoire. The project proposes to facilitate quality-assured scale-up of palliative care services through a needs assessment, development of a national strategic plan, implementation of evidence-based standards of palliative care, and capacity-building for Ivorian partners.

The partnership will consist of a CI entity (to be designated by the USG team and Ivorian stakeholders) and the APCA, with support from the international NGO Douleurs Sans Frontieres (DSF) and the Hospice and Palliative Care Association of South Africa (HPCA). The Twinning Center will provide a sub-grant, administrative support, and supervision for the partnership and will draw on either ESTHER (Ensemble pour une Solidarité Thérapeutique Hospitalière en Réseau) of France and ICAD (Interagency Coalition on AIDS and Development) of Canada for technical assistance in French.

The partnership will bring Cote d'Ivoire into APCA's network of African palliative care associations, which now includes many southern and eastern African countries. Established in 2004, APCA aims to contribute to the African response to the HIV/AIDS epidemic by facilitating the scaling-up of local and national palliative care associations and programs through a culturally appropriate public health approach that strives to balance quality with coverage. Through technical assistance to NGO/CBO/FBOs and advocacy for national policies, plans, training curricula, and budget lines building palliative-care capacity, the APCA aims to: . Promote the availability of palliative care for all in need, including orphans and vulnerable children . Encourage governments across Africa to support affordable and appropriate palliative care, which is to be incorporated into the whole spectrum of health-care services . Promote the availability of palliative care drugs for all in need . Encourage the establishment of national palliative care associations in all African countries . Promote palliative care training programs suitable for African countries . Develop and promote quality standards in palliative care training and service provision for different levels of health professionals and care providers

With FY07 funds, in accordance with USG and national strategic plans and in consultation with the USG team and national authorities, the partnership will pursue the following activities: . Needs assessment to identify the relevant stakeholders and the status of palliative care in CI . Stakeholders meeting and consensus-building workshop . Development of a national strategic plan, which will include: - Establishing and implementing training of trainers program in palliative care to scale up palliative care in CI - Facilitating a country-specific advocacy workshop with the aim of promoting integration of palliative care into HIV and AIDS programs and advocating for the availability of appropriate palliative care drugs . Adaptation and implementation of evidence-based standards of care already developed by APCA for use in other African countries . Adaptation of APCA's palliative care outcome scale for use in CI public and private settings . Building capacity to and advocating for the integration of palliative-care training in pre-service and postgraduate training programs . Provision of mentorship and capacity-building support to increase the sustainability of the project

FY07 activities will working mainly in the emphasis areas of policy and guidelines, local organizational capacity development, and needs assessment, and on the key legislative issue of twinning.

The partnership will work with the Ministry for the Fight Against AIDS, the Ministry of Health, other relevant ministries, EP partners, and stakeholders to enhance links with

related health and social services and to promote coordination at all levels through district, regional, and national HIV and other coordination forums.

The partnership will implement an M&E plan based on national and USG requirements and tools and will contribute to implementation of an integrated M&E system in collaboration with national and international stakeholders. Partnership activities will strive to mobilize and build capacity among local NGO/CBO/FBOs to achieve local ownership and sustainability.