Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7078
Country/Region: Côte d'Ivoire
Year: 2008
Main Partner: Network of People Living with HIV/AIDS - Cote d'Ivoire
Main Partner Program: Cote d'Ivoire
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

RIP+ (Réseau Ivoirien des Organisations de Personnes Vivant avec le VIH), a nationwide umbrella network

of PLWHA organizations created in 1997, works to establish and protect the legal rights and improve the

quality of life of persons living with HIV/AIDS. Through fund raising, sub-granting, advocacy, and mentoring,

RIP+ seeks to strengthen the capacities of its 43 active affiliates to build national and local responses to the

HIV/AIDS pandemic. A partner of the Ministry for the Fight Against AIDS (MLS) and the Ministry of Health

(MOH), RIP+ participates in the design and implementation of national policies and strategies as a member

of various technical working groups and committees.

In late 2006, RIP+ was awarded a three-year grant (at least $603,922 in FY07) as one of three Ivorian

organizations selected in the first round of the New Partners Initiative (NPI). Through the NPI program, RIP+

is implementing Project Servir in Côte d'Ivoire to achieve the following objectives: (1) build administrative

capacity of PLWHA organizations, (2) train the members of all PLWHA NGOs in positive HIV prevention, (3)

implement positive-prevention activities, (4) institutionalize a national testing day, (5) provide care and

support to newly diagnosed PLWHA, and (6) provide home-based palliative care to those in need.

In FY08, RIP+ will train and support affiliate organizations to provide a comprehensive package of

community-based HIV prevention services, including counseling and psychosocial support for positive

living, instruction in correct and consistent condom use, support for disclosure and partner/family testing,

and referral to health care as needed (including ART with treatment monitoring and TB screening and care)

as well as OVC and other services. In coordination with the ministries and other EP partners, RIP+ will

develop and implement a plan to increase access to HIV prevention technologies for highly vulnerable

populations by procuring condoms and lubricants and distributing them to people living with HIV and AIDS,

men who have sex with men, and people in prostitution, as part of a comprehensive HIV/AIDS prevention

approach. Prevention activities will be linked with with promotion of CT as well as care and

treatment services by integrating PLWHA into outreach activities.

FY08 prevention activities are expected to reach at least 15,000 people with Other Prevention interventions

and to train at least 300 people to provide such prevention interventions.

RIP+ will provide technical assistance and share its experience to assist national authorities and key

stakeholders, including its affiliate members, to define a simplified monitoring and evaluation plan for

community-based prevention and care activities. RIP+ will provide technical and management assistance to

ensure that local PLWHA organizations receive adequate information and assistance to access funding

opportunities supported by PEPFAR and other donors.

A fund-raising strategy will be put in place to ensure the sustainability of project activities. The project will be

monitored by ongoing data collection and a periodic feedback meeting among stakeholders. A final

evaluation combining a focus group discussion with PLWHA, key stakeholder interviews, and routine data

analysis will assess the project's effectiveness and identify lessons for future prevention activities.

Funding for Care: Adult Care and Support (HBHC): $0

RIP+ (Réseau Ivoirien des Organisations de Personnes Vivant avec le VIH), a nationwide umbrella network

of PLWHA organizations created in 1997, works to establish and protect the legal rights and improve the

quality of life of persons living with HIV/AIDS. Through fund raising, sub-granting, advocacy, and mentoring,

RIP+ seeks to strengthen the capacities of its 43 active affiliates to build national and local responses to the

HIV/AIDS pandemic. A partner of the Ministry for the Fight Against AIDS (MLS) and the Ministry of Health

(MOH), RIP+ participates in the design and implementation of national policies and strategies as a member

of various technical working groups and committees.

In late 2006, RIP+ was awarded a three-year grant (at least $603,922 in FY07) as one of three Ivorian

organizations selected in the first round of the New Partners Initiative (NPI). Through the NPI program, RIP+

is implementing Project Servir in Côte d'Ivoire to achieve the following objectives: (1) build administrative

capacity of PLWHA organizations, (2) train the members of all PLWHA NGOs in positive HIV prevention, (3)

implement positive-prevention activities, (4) institutionalize a national testing day, (5) provide care and

support to newly diagnosed PLWHA, and (6) provide home-based palliative care to those in need.

RIP+ will manage the project and provide sub-grants and organizational and technical capacity-building to

its affiliate organizations. Direct care and support, as well as CT promotion and services, will be delivered

by local staff members of affiliate PLWHA organizations. Over three years, the project is expected to result

in HIV counseling and testing for at least 100,000 youths and adults through Cote d'Ivoire Testing Day and

to provide direct care and support services to at least 17,500 PLWHA nationwide.

With FY07 NPI funds, RIP+ is partnering with Alliance Cote d'Ivoire, a national umbrella NGO that manages

sub-grants and provides financial and technical assistance to sub-grantees, to build the capacity of RIP+'s

headquarters staff to manage a large number of sub-grants and provide management and technical

assistance to sub-grantees.

RIP+ is also working to strengthen affiliate PLWHA organizations to improve their management, transparent

governance, communication, and coordination and to promote continuum-of-care services. RIP+ is working

with the Ministry of Health, the Ministry for the Fight Against AIDS, and key stakeholders to develop a

national pool of trainers, develop tools, and develop and implement a training plan in support of home- and

community-based palliative care.

In FY08, in coordination with the National HIV/AIDS Care and Treatment Program (PNPEC) and the

National TB Treatment Program (PNLT), RIP+ will provide sub-grants of about $5,000-$10,000 to at least

25 affiliate organizations to provide home-and community-based palliative care services to alleviate

psychosocial, physical, and spiritual distress; promote positive living; and support bereavement for at least

6,500 PLWHA and their family members in six geographic regions (North, South, West, East, Center,

Abidjan). Affiliates will work to improve community support for persons living with HIV or HIV/TB co-infection

and their families to address stigma and discrimination; promote treatment literacy and adherence; and link

clients to comprehensive services, including medical care (ART, TB treatment, and others) and community-

based palliative and OVC care.

RIP+ will work to link community mobilization, treatment literacy, and palliative care and other support

services, including TB-related home- and clinic-based palliative care, with related services in the geographic

area and to promote coordination at all levels through the district, regional, and national HIV and other

coordination forums. RIP+ will ensure that accurate and timely M&E reports are provided to the relevant

bodies and will contribute to building a single national M&E system.

RIP+ will provide technical assistance and share its experience to assist national authorities and key

stakeholders, including its affiliate members, to define a simplified monitoring and evaluation plan for

community-based palliative care activities and to update guidelines for community palliative care as well as

treatment literacy. RIP+ will provide technical and management assistance to ensure that local PLWHA

organizations receive adequate information and assistance to access funding opportunities supported by

PEPFAR and other donors. RIP+ will also promote the creation of a simplified national referral system for

community-based palliative care to address the high rate of loss to follow-up within the care and treatment

program.

RIP+ will coordinate with the Ministry of Health's strategy for decentralizing care and treatment services to

ensure synergistic impact. A fund-raising strategy will be put in place to ensure the sustainability of project

activities. The project will be monitored by ongoing data collection and a periodic feedback meeting among

stakeholders. A final evaluation combining a focus group discussion with PLWHA, key stakeholder

interviews, and routine data analysis will assess the project's effectiveness.

Funding for Care: TB/HIV (HVTB): $0

RIP+ (Réseau Ivoirien des Organisations de Personnes Vivant avec le VIH), a nationwide umbrella network

of PLWHA organizations created in 1997, works to establish and protect the legal rights and improve the

quality of life of persons living with HIV/AIDS. Through fund raising, sub-granting, advocacy, and mentoring,

RIP+ seeks to strengthen the capacities of its 43 active affiliates to build national and local responses to the

HIV/AIDS pandemic. A partner of the Ministry for the Fight Against AIDS (MLS) and the Ministry of Health

(MOH), RIP+ participates in the design and implementation of national policies and strategies as a member

of various technical working groups and committees.

In late 2006, RIP+ was awarded a three-year grant (at least $603,922 in FY07) as one of three Ivorian

organizations selected in the first round of the New Partners Initiative (NPI). Through the NPI program, RIP+

is implementing Project Servir in Côte d'Ivoire to achieve the following objectives: (1) build administrative

capacity of PLWHA organizations, (2) train the members of all PLWHA NGOs in positive HIV prevention, (3)

implement positive-prevention activities, (4) institutionalize a national testing day, (5) provide care and

support to newly diagnosed PLWHA, and (6) provide home-based palliative care to those in need.

RIP+ will manage the project and provide sub-grants and organizational and technical capacity-building to

its affiliate organizations. Direct care and support, as well as CT promotion and services, will be delivered

by local staff members of affiliate PLWHA organizations. Over three years, the project is expected to result

in HIV counseling and testing for at least 100,000 youths and adults through Cote d'Ivoire Testing Day and

to provide direct care and support services to at least 17,500 PLWHA nationwide.

With FY07 NPI funds, RIP+ is partnering with Alliance Cote d'Ivoire, a national umbrella NGO that manages

sub-grants and provides financial and technical assistance to sub-grantees, to build the capacity of RIP+'s

headquarters staff to manage a large number of sub-grants and provide management and technical

assistance to sub-grantees.

RIP+ is also working to strengthen affiliate PLWHA organizations to improve their management, transparent

governance, communication, and coordination and to promote continuum-of-care services. RIP+ is working

with the Ministry of Health, the Ministry for the Fight Against AIDS, and key stakeholders to develop a

national pool of trainers, develop tools, and develop and implement a training plan in support of home- and

community-based palliative care.

In FY08, in coordination with the National HIV/AIDS Care and Treatment Program (PNPEC) and the

National TB Treatment Program (PNLT), RIP+ will provide sub-grants of about $5,000-$10,000 to at least

25 affiliate organizations to provide home-and community-based palliative care services to alleviate

psychosocial, physical, and spiritual distress; promote positive living; and support bereavement for at least

5,000 PLWHA, including 1,000 with HIV/TB co-infection, and their family members in six geographic regions

(North, South, West, East, Center, Abidjan). Affiliates will work to improve community support for persons

living with HIV or HIV/TB co-infection and their families to address stigma and discrimination; promote

treatment literacy and adherence; and link clients to comprehensive services, including medical care (ART,

TB treatment, and others) and community-based palliative and OVC care.

In FY08, RIP+ expects to provide direct care to at least 1,000 people with HIV/TB and to train 50 people to

provide such care. RIP+ will work in partnership with TB care centers to implement a continuum of

integrated community-based palliative care services

RIP+ will work to link community mobilization, treatment literacy, and palliative care and other support

services, including TB-related home- and clinic-based palliative care, with related services in the geographic

area and to promote coordination at all levels through the district, regional, and national HIV and other

coordination forums. RIP+ will ensure that accurate and timely M&E reports are provided to the relevant

bodies and will contribute to building a single national M&E system.

RIP+ will provide technical assistance and share its experience to assist national authorities and key

stakeholders, including its affiliate members, to define a simplified monitoring and evaluation plan for

community-based palliative care activities and to update guidelines for community palliative care as well as

treatment literacy. RIP+ will provide technical and management assistance to ensure that local PLWHA

organizations receive adequate information and assistance to access funding opportunities supported by

PEPFAR and other donors. RIP+ will also promote the creation of a simplified national referral system for

community-based palliative care to address the high rate of loss to follow-up within the care and treatment

program.

RIP+ will coordinate with the Ministry of Health's strategy for decentralizing care and treatment services to

ensure synergistic impact. A fund-raising strategy will be put in place to ensure the sustainability of project

activities. The project will be monitored by ongoing data collection and a periodic feedback meeting among

stakeholders. A final evaluation combining a focus group discussion with PLWHA, key stakeholder

interviews, and routine data analysis will assess the project's effectiveness.

Funding for Testing: HIV Testing and Counseling (HVCT): $0

RIP+ (Réseau Ivoirien des Organisations de Personnes Vivant avec le VIH), a nationwide umbrella network

of PLWHA organizations created in 1997, works to establish and protect the legal rights and improve the

quality of life of persons living with HIV/AIDS (PLWHA). Through fund raising, sub-granting, advocacy, and

mentoring, RIP+ seeks to strengthen the capacities of its 43 active affiliates to build national and local

responses to the HIV/AIDS pandemic. A partner of the Ministry for the Fight Against AIDS (MLS) and the

Ministry of Health (MOH), RIP+ participates in the design and implementation of national policies and

strategies as a member of various technical working groups and committees.

In 2006, RIP+ was awarded a three-year grant (at least $603,922 in FY07) to support of one of three Cote

d'Ivoire projects selected in the first round of the New Partners Initiative (NPI). Through the NPI program,

RIP+ will implement Project Servir to achieve the following objectives: (1) build administrative capacity of

PLWHA organizations, (2) train the members of all PLWHA NGOs in positive HIV prevention, (3) implement

positive-prevention activities, (4) institutionalize a national testing day, (5) provide care and support to newly

diagnosed PLWHA, and (6) provide home-based palliative care to those in need.

Direct care, support, and CT promotion will be delivered by local staff members of affiliate PLWHA

organizations. RIP+ will manage the project and provide organizational and technical capacity-building to its

member organizations. Over three years, the project is expected to successfully encourage HIV counseling

and testing for at least 100,000 youths and adults through Cote d'Ivoire Testing Day and to provide direct

care and support services to at least 17,500 PLWHA nationwide.

RIP+ will build on its experience and on outreach activities of its affiliates to continue to strengthen and

expand the capacity of local PLWHA to respond to HIV/AIDS in their communities, including strengthening

access to and uptake of HIV counseling and testing as a critical component of prevention and treatment

strategies. With FY07 NPI funds, RIP+ will collaborate with JHU/CCP to develop, launch, and institutionalize

a Côte d'Ivoire Testing Day. RIP+ will coordinate national planning meetings with the Ministry for the Fight

Against AIDS (MLS), the Ministry of Health (MOH), the Global Fund, PEPFAR partners (including EGPAF

and Alliance Cote d'Ivoire), the Public Health Pharmacy (PSP), CT centers, REPMASCI (network of

journalists and artist), and RIP+ affiliate members to develop a roadmap for the testing day. The first testing

day is planned as a pilot in the Abidjan area in late 2007, followed by year-long activities promoting CT and

culminating in the first nationwide testing day planned for FY08. These activities will involve PLWHA, NGOs,

and other HIV/ AIDS organizations in conducting ongoing community-awareness activities and promoting

family and couples testing. JHU/CCP and Alliance will assist RIP+ by providing technical assistance to

assure training, supervision, and quality of CT-related communication and community-mobilization activities.

RIP+ will assure the overall coordination, management, and monitoring of the testing day and will sign

memoranda of understanding with the National HIV/AIDS Care and Treatment Program (PNPEC), the MLS,

the Global Fund, EGPAF, Alliance, and others to define the roles and responsibilities of the various parties

in support of the testing day. RIP+ will also sign MOUs with the heads of the 58 health districts to define

contributions, responsibilities, and assistance in achieving the target objective of the testing day.

With FY08 NPI funds, RIP+ will train at least 125 community-based PLWHA counselors to provide CT

promotion within the community and to assist in CT provision. The trained counselors will use innovative

community-based approaches to promote CT uptake and will assist CT sites with counseling and effective

referrals for newly diagnosed PLWHA. In collaboration with national stakeholders and EP partners, RIP+ will

work to build a national standardized referral system capable of ensuring a continuum of care for all

identified PLWHA.

JHU/CCP will provide technical assistance to RIP+ in developing a communications strategy involving a

national television broadcast and community-based radio stations. RIP+ will also seek JHU/CCP support to

develop, adapt, or replicate appropriate IEC and publicity materials.

RIP+ will coordinate with the Ministry of Health's strategy for decentralizing care and treatment services to

ensure synergistic impact. A fund-raising strategy will be put in place to ensure the sustainability of project

activities. The project will be monitored by ongoing data collection and periodic feedback meetings among

stakeholders. A final evaluation combining a focus group discussion with PLWHA, key stakeholder

interviews, and routine data analysis will assess the project's effectiveness. RIP+ will ensure that accurate

and timely M&E reports are provided to the relevant bodies and will contribute to building a single national

M&E system.

Funding for Health Systems Strengthening (OHSS): $0

RIP+ (Réseau Ivoirien des Organisations de Personnes Vivant avec le VIH), a nationwide umbrella network

of PLWHA organizations created in 1997, works to establish and protect the legal rights and improve the

quality of life of persons living with HIV/AIDS. Through fund raising, advocacy, and mentoring, RIP+ seeks

to strengthen the capacities of its 43 active affiliates to build national and local responses to the HIV/AIDS

pandemic. A partner of the Ministry for the Fight Against AIDS (MLS) and the Ministry of Health (MOH),

RIP+ participates in the design and implementation of national policies and strategies as a member of

various technical working groups and committees.

In late 2006, RIP+ was awarded a three-year grant (at least $603,922 in FY07) as one of three Ivorian

organizations selected in the first round of the New Partners Initiative (NPI). Through the NPI program, RIP+

is implementing Project Servir in Côte d'Ivoire to achieve the following objectives: (1) build administrative

capacity of PLWHA organizations, (2) train the members of all PLWHA NGOs in positive HIV prevention, (3)

implement positive-prevention activities, (4) institutionalize a national testing day, (5) provide care and

support to newly diagnosed PLWHA, and (6) provide home-based palliative care to those in need.

RIP+ will manage the project and provide sub-grants and organizational and technical capacity-building to

its affiliate organizations. Direct care and support, as well as CT promotion and services, will be delivered

by local staff members of affiliate PLWHA organizations. Over three years, the project is expected to result

in HIV counseling and testing for at least 100,000 youths and adults through Cote d'Ivoire Testing Day and

to provide direct care and support services to at least 17,500 PLWHA nationwide.

In conjunction with technical capacity development interventions, the project will help ensure that RIP+

affiliate organizations have the necessary management and organizational capacities to sustain their

technical contributions to a scaled-up HIV/AIDS response at the community level. A special emphasis will

be placed on networking, working in partnership with already-existing programs, and building capacity to

leverage other resources as a way to ensure sustainability of their activities.

In FY08, in coordination with national authorities, key partners (including Alliance Cote d'Ivoire and

JHU/CCP), and national stakeholders, the RIP+ will:

- Develop its headquarters capacity to provide sub-grants and technical and administrative/management

support to its NGO affiliates;

- Provide the necessary technical support for the organizational development of 25 affiliate organizations,

including support to develop their internal systems and procedures. In consultation with local stakeholders,

a Project Selection Committee will be formed, and competitive and transparent granting systems will be

established;

- Continuously work to promote and enforce an established Code of Conduct for all affiliate organizations.

The code will enable RIP+ affiliates to respond to the challenges of sustaining democratic and participatory

institutional rules while creating an enabling environment in which PLWHA can collectively determine their

goals. The code will address themes such as values, transparency, good governance, accountability, and

partnership. RIP+ will reinforce the Code of Conduct by leading by example;

- Reinforce the capacities of the 25 affiliate NGO/CBO/FBOs to contribute to HIV prevention, care, and/or

treatment services, with technical support to promote good governance, develop effective advocacy skills,

and build capacity in basic bookkeeping, partnership building, resource mobilization, and monitoring and

evaluation;

- Develop lessons learned and recommendations for sustainability and continuity of quality services,

focusing on networking models and fund-leveraging capacity with local governments, the private sector, and

diverse donors.