Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5304
Country/Region: Côte d'Ivoire
Year: 2009
Main Partner: Ministry of National Education - Côte d'Ivoire
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $525,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $290,000

With PEPFAR support, the Ivoirian Ministry of Education (MEN) has implemented a 3.5-year project

designed to improve HIV prevention and care services for students, teachers, and other MEN staff. In 2008,

the MEN was awarded a new five-year cooperative agreement with CDC to continue and extend its HIV

prevention and care activities through 2013. As part of a comprehensive multi-sectoral response consistent

with the 2006-2010 HIV/AIDS National Strategic Plan, and in collaboration with other ministries and

NGO/CBO/FBO partners, the MEN will build on FY04-08 achievements to improve:

• The quality and coverage of HIV prevention activities through skills training for students.

• The promotion of HIV prevention among students and teachers through age-appropriate abstinence and

be faithful (AB) behavior change communication (BCC) designed to delay sexual debut, promote fidelity,

encourage partner reduction, and promote HIV counseling and testing.

In FY05-07, with technical assistance supported by PEPFAR, the MEN developed, validated, and began

piloting and evaluating a life skills curriculum integrated into 11 academic subjects, accompanied by support

materials that were drafted and validated by teachers, each containing HIV prevention and healthy-living

messages. The curriculum was implemented at 10 pilot sites, each consisting of 10 secondary schools (with

600 students per school) and four primary schools (150 students per school). An evaluation of the life skills

curriculum, materials, and process has been completed. More than 80 MEN staff members have been

trained, have started working with the support materials, and have begun integrating the life skills contents

into pedagogic guides and teaching materials.

With FY08 funding, 18 new academic subjects are being added to the life skills program at the primary and

secondary school levels, and the project is being expanded to 10 more sites. The MEN continues to

elaborate guides and pedagogical supports to follow up curricula experimentation in those new subjects in

the first 10 sites. An evaluation of the support and training process is being conducted with FY08 funds.

The AB life skills approach also extends to extracurricular activities through school health clubs.

Conferences, group debates, games, theater, and Sports for Life (using soccer as a vehicle for HIV

prevention education) are being conducted at 10 sites and are being extended to 10 new sites. Technical

and audiovisual materials with AB messages have been disseminated to teachers, other personnel, parents

participating as mentors, student group leaders, coaches for youth social clubs and sports teams, and

others as part of a comprehensive HIV-in-the-workplace program.

Parent associations (COGES) and religious communities are being engaged at these sites to reinforce AB

messages as a component of the life skills approach. The MEN has also developed partnerships and

linkages with other ministries (Health; Family, Women, and Social Affairs) as well as other PEPFAR-funded

partners (Alliance-CI, ANADER, FHI, JHU/CCP) to reinforce HIV sensitization messages and community

outreach.

Using FY09 funding, the MEN will refine its strategy, finalize the life skills curriculum, and extend life skills

implementation to 10 more sites (for a total of 30 sites by March 2010). The MEN expects to reach 60,000

students with AB and healthy-living messages between April 2009 and March 2010. Through close

collaboration with its division of pedagogy and continuing education (APFC), the MEN will work to integrate

life skills information in school books and will build the capacities of the staff unit responsible for life skills

integration (CNFPMD). The MEN will teach life skills techniques to pedagogical supervisors and teachers

from the APFC, train school health club supervisors, and strengthen its Sports for Life AB activities.

Primary activities with FY09 funding will include:

• Identifying 10 new implementation sites and organizing HIV/AIDS information and sensitization sessions at

those sites.

• Strengthening the activities of at least 10 health clubs through the acquisition of audiovisual material (TV,

CD players, DVD players) to facilitate the dissemination of HIV/AIDS audiovisual messages.

• Training peer educator instructors for health clubs at the new sites to implement HIV/AIDS activities.

• Reinforcing the capacities of peer educators and trainers at existing sites in BCC and life skills.

• Training pedagogical supervisors to monitor teachers implementing the life skills approach. This is an

important step in evaluating the life skills strategy and implementation.

• Training trainers at in-service teacher-training institutions (ENS, INJS, INSACC) in order to build a pool of

national trainers.

• Continuing to support school health club activities that promote HIV prevention and healthy living (health

club newspapers, activities guides, theater sketches, debates, essay writing, music, dance competitions,

Sports for Life events, etc.). Secondary school social clubs will also be supported in integrating gender-

sensitive and anti-violence content in their activities.

• Piloting Men as Partners, an HIV prevention program that addresses male norms and seeks to involve

men in HIV prevention and care, at 20 sites in collaboration with school health clubs.

• Developing an HIV/AIDS guide for girls to address gender vulnerabilities in the school setting.

• Developing brochures and posters that address appropriate relations between students and teachers and

outline the legal consequences of intergenerational sex in the school setting. These brochures and posters

will be distributed at all public and private schools.

• Strengthening AB outreach with integrated life skills messages through activities such as theater

competitions and film development.

• Training teachers in training (CAFOP) in the life skills approach.

• Continuing sensitization activities during student vacation periods, in collaboration with parent associations

and other partners.

• Training a group of 20 trainers (10 in BCC, 10 in life skills) at all 30 sites.

• Training 4,400 teachers (2,100 primary, 200 CAFOP, and 2,100 secondary) in life skills techniques and

strategies with the APFC.

• Training 900 student peer educators in BCC, life skills, and Sports for Life.

• Training and reinforcing capacities of 300 school health club supervisors in BCC, life skills, and Sports for

Life.

• Organizing at least 3,000 peer educator sensitization sessions on HIV prevention (100 for each site).

Activity Narrative: • Conducting academic and behavioral monitoring of 5,022 students who have received life skills teaching to

assess the impact of life skills teaching.

• Conducting an outcome review/analysis of the life skills content for the 18 new subjects.

• Developing and distributing 3,000 copies of health club newspapers that have HIV/AIDS prevention

information.

• Broadcasting 62 youth program radio spots about AB prevention in collaboration with REPMASCI (the

Ivorian Network of Journalists and Artists in the Fight Against AIDS).

MEN M&E officers will work closely with regional antenna offices in charge of academic evaluation to track

life skills pedagogic activities. The MEN will reinforce its coordination team at each site to track the progress

of activities conducted in conjunction with NGOs and other partners in the school setting. The MEN will

report quarterly program results and ad hoc requested program data to the USG strategic information team.

To help build and strengthen a unified national M&E system, the MEN will participate in quarterly strategic

information meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15138

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15138 4557.08 HHS/Centers for Ministry of 7058 5304.08 CoAg Ministry of $1,300,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

10045 4557.07 HHS/Centers for Ministry of 5304 5304.07 CoAg Ministry of $1,350,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

4557 4557.06 HHS/Centers for Ministry of 3378 79.06 Cooperative $500,000

Disease Control & National Agreement with

Prevention Education, Côte Ministry of

d'Ivoire

National

Education, #

U62/CCU24223

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's legal rights

* Reducing violence and coercion

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $200,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $200,000

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $125,000

With PEPFAR support, the Ivoirian Ministry of Education (MEN) has implemented a 3.5-year project

designed to improve HIV prevention and care services for students, teachers, and other MEN staff. In 2008,

the MEN was awarded a new five-year cooperative agreement with CDC to continue and extend its HIV

prevention and care activities through 2013.

The education sector in Côte d'Ivoire has been severely impacted by the HIV/AIDS epidemic. Large

numbers of Ministry of Education staff, their children, and enrolled adolescents are infected or affected by

HIV. Young children with HIV are starting to receive care and treatment on a larger scale, resulting in a

growing cohort moving through the schools. HIV-related teacher absenteeism is a major problem

undermining the quality and continuity of education. Students, many of whom are sexually active by age 15,

often lack adequate information and skills about HIV prevention. Both teachers and students need multi-

faceted support to mitigate the adverse effects of the epidemic. The MEN has created a national committee

and an action plan to address this problem. Practical steps have included assistance to create support

groups for teachers living with or affected by HIV/AIDS and improving access to HIV prevention, care, and

treatment services, especially for staff based in rural areas.

With PEPFAR support and technical assistance from partners such as Abt Associates and FHI, the MEN

conducts HIV prevention and care activities in the education sector, including Condoms and Other

Prevention activities complementary to abstinence and being faithful (AB) messaging. At teachers' training

centers (CAFOP), where training modules on life skills are being implemented, the MEN promotes condom

use and behavior change communication (BCC) messaging. The MEN continues to support QUITUS, an

NGO of teachers living with HIV/AIDS, whose activities include encouraging teachers to seek testing and

promoting positive living for those who are seropositive.

The MEN is also committed to increasing parent outreach to reinforce preventative behavior among

students. Parents are actively engaged through meetings with COGES (parent-led school management

boards) and also serve as members of the management boards of student health clubs at secondary

schools. The MEN continues to coordinate with other partners in training teachers and COGES members in

order to improve communication and reinforce behavior change among the entire secondary school

community.

In collaboration with ANADER, ACONDA-VS, and other partners, the MEN is strengthening its HIV-in-the-

workplace program. Condom demonstrations have been conducted during workplace programs, and

condoms have been made available to staff. More than 2,000 teachers have been trained in Other

Prevention methods, and 8,000 have been reached with comprehensive ABC prevention messages. In

addition, since 79% of primary school teachers and 86% of secondary school teachers are men, the MEN

has prioritized prevention efforts to address male norms and encourage role model behavior in remaining

faithful in relationships, reducing the number of casual partners, and encouraging the use of condoms.

Efforts have focused on scaling up life skills and ABC training for all 360 secondary and 112 primary-level

regional teacher trainers at the 14 branch offices of the department of pedagogy. Teachers in rural areas

are trained by PEPFAR partner ANADER to be "community development agents" to help link school-based

and broader community initiatives in HIV prevention and care. Referral systems for staff and students

needing HIV-related care and treatment are being strengthened.

Using FY09 funding, the MEN will continue to strengthen and expand Other Prevention activities, alongside

its extensive AB prevention portfolio, to 10 additional sites, for a total of 30 intervention sites by March 2010,

each consisting of all public and private secondary schools at that site. The MEN will engage trainers in life

skills, BCC, and Sports for Life (using soccer as a vehicle for HIV prevention education) to disseminate

Other Prevention messages, including promotion of condom use among teachers and students engaged in

high-risk behavior. School health clubs and health committees will organize activities such as debates, radio

spots, and theater competitions to convey Other Prevention messages through peer education. The MEN

will work with QUITUS and other partners to train teachers and members of COGES to deliver BCC

messages. The MEN will also collaborate with FHI to promote condom use as a component of HIV-in-the-

workplace activities.

To address male norms that contribute to HIV risk, the MEN will collaborate with EngenderHealth to initiate

a pilot program targeting men. Training in violence reduction and positive male norms will be conducted

using a proven curriculum effective in other PEPFAR-supported countries (such as the Great Guy program

in Uganda and Men as Partners in South Africa). These approaches will be adapted to the Ivoirian context

and then piloted at 10 intervention sites, including the main teacher training institute.

The MEN's primary activities with FY09 funding will be to:

• Establish 30 school health committees at the 10 new sites.

• Establish health clubs at the 14 teacher-training sites (CAFOP).

• Organize inter-CAFOP competitions on HIV/AIDS at CAFOP sites.

• Provide 100,000 condoms and 60 wooden phalluses for school health committees to use in promoting

correct and consistent condom use.

• Train 300 coordination committee members (10 per site) in BCC and life skills approaches.

• Reach 9,600 students (15 and older), teachers, and staff with Other Prevention messages.

• Train 60 trainers in BCC, life skills, and Sports for Life.

• Organize 300 debate groups, conferences, and other activities that promote AB as well as other

prevention. A campaign to promote HIV counseling and testing will be one component of these outreach

activities.

The MEN will continue to implement routine monitoring and evaluation (M&E) activities to track all

prevention activities. The MEN also will reinforce its coordination team at each site to track the progress of

activities conducted in conjunction with NGOs and other partners in the school setting. The MEN will report

quarterly program results and ad hoc request program data to the USG strategic information team. To help

Activity Narrative: build and strengthen a unified national M&E system, the MEN will participate in quarterly strategic

information meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15139

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15139 10505.08 HHS/Centers for Ministry of 7058 5304.08 CoAg Ministry of $400,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

10505 10505.07 HHS/Centers for Ministry of 5304 5304.07 CoAg Ministry of $75,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's legal rights

* Reducing violence and coercion

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $50,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $100,000

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $40,000

With PEPFAR support, the Ivoirian Ministry of Education (MEN) has implemented a 3.5-year project

designed to improve HIV prevention and care services for students, teachers, and other MEN staff. In 2008,

the MEN was awarded a new five-year cooperative agreement with CDC to continue and extend its HIV

prevention and care activities through 2013. As part of a comprehensive multi-sectoral response consistent

with the 2006-2010 HIV/AIDS National Strategic Plan, and in collaboration with other ministries and

NGO/CBO/FBO partners, the MEN is building on FY04-07 achievements to improve the quality and

coverage of HIV care services; strengthen linkages and referral networks to HIV treatment and other health,

social, and education services; and address negative gender and discriminatory attitudes conducive to HIV

infection.

To complement its life skills curricula and HIV prevention activities for youth in the classroom and in school

social and health clubs, the MEN has developed an HIV-in-the-workplace program that focuses on behavior

change communication (BCC), peer education, stigma reduction, and psychosocial support and care and

treatment referrals for seropositive teachers and staff. With PEPFAR support, these approaches were

piloted in FY04-08 at 20 sites and are ongoing activities aimed at strengthening systems that address the

health-care needs of HIV-infected and -affected students and teachers with comprehensive, family-based

care, in coordination with the National Care and Treatment Program (PNPEC).

The MEN advocates a holistic, family-based approach to HIV care and support and seeks to provide, in

coordination with the PNPEC, a complete and integrated package of quality services that includes:

• Prevention (counseling and testing (CT), prevention of mother-to-child transmission (PMTCT), secondary

sexual prevention)

• Adult, child, and family care (ART provision, prevention and treatment of opportunistic infections and other

health problems, and promotion of positive living)

• Psychosocial support and a continuum of care through links with QUITUS (an NGO of teachers living with

HIV/AIDS)

The MEN approach relies on linking clinical care provided by its medical staff (or through referrals to other

providers) to the home-based care and support provided by QUITUS members, AB peer educators from

student health clubs, and other NGO service providers. Teachers and other MEN staff in need of services

are identified through CT centers and other caretaking centers (such as maternity wards, hospitals, and

NGOs). Infected or affected personnel are provided with follow-up care, home visits, and ongoing support

through partners ACONDA and QUITUS. The MEN works closely with QUITUS to mobilize resources, fight

against stigma and discrimination, and offer peer support in the workplace to staff and family members

while creating functional referral to social, spiritual, and health services. In collaboration with QUITUS, the

MEN has provided assistance in creating psychosocial support groups for the more than 500 teachers living

with or affected by HIV/AIDS.

In addition to the care and support interventions of QUITUS, the MEN has established a technical working

group to identify other opportunities to address HIV in the workplace. With technical assistance from FHI,

BCC modules were adapted for the MEN and implemented in coordination with PNPEC.

To assist with medical care, the MEN works in close collaboration with the National School Health Program

(PNSSU) under the Ministry of Health (MOH). The MEN acquired HIV laboratory and office materials for the

school health clinics, or SSSUs, that serve teachers, school administrators, and students at the 20

intervention sites. In FY07, capacity-strengthening workshops in STI treatment and caretaking were

conducted, and 60 SSSU physicians were trained in new ARV prescription methods and in tracking and

care of STI symptoms.

Using FY09 funding, the MEN will help install QUITUS support groups at 10 new sites (for a total of 30

intervention sites). The MEN intends to further develop and promote support groups involving spouses and

children of teachers living with HIV/AIDS and to create a reference network with strong involvement of

parent associations (COGES). MEN representatives will work closely with these associations to mobilize

their members around HIV care and support in collaboration with HIV-related trainings initiated by the

PNSSU. The organizational and technical capacities of QUITUS will be strengthened through participation

in regional or international conferences, to enable the organization to more effectively plan relevant

activities and extend the impact of its efforts. QUITUS will organize conferences on stigma, legal rights of

persons living with HIV/AIDS, psychosocial support, and other subjects.

In FY09, the MEN's principal activities in adult care and support will include:

• Organizing 360 meetings or training sessions on HIV/AIDS subjects (12 per site).

• Sensitizing at least 2,000 teachers and other MEN personnel to accept an HIV test through a targeted CT

campaign.

• Establishing 10 new QUITUS sites.

• Strengthening the capacities of QUITUS through peer educator training and technical assistance.

• Training 30 HIV-positive peer educators (three per site) in psychosocial support, community care and

support, and adherence to ART.

• Collaborating with the PNSSU to provide care for adults living with HIV at the 30 sites.

• Working in close collaboration with the PNSSU to identify training needs for health care workers in the

SSSUs.

• Evaluating a sensitization campaign, to begin in FY08 and continue in FY09, targeting teachers and other

staff, in collaboration with JHU/CCP.

The MEN will monitor activities at sites where QUITUS groups and SSSUs are installed and will implement

a monitoring and evaluation plan based on national indicators. The MEN will provide quarterly program

results and ad hoc requested program data to the USG strategic information team. To participate in the

building and strengthening of a single national M&E system, the MEN will participate in quarterly strategic

information meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15140

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15140 5039.08 HHS/Centers for Ministry of 7058 5304.08 CoAg Ministry of $200,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

10052 5039.07 HHS/Centers for Ministry of 5304 5304.07 CoAg Ministry of $200,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

5039 5039.06 HHS/Centers for Ministry of 3378 79.06 Cooperative $100,000

Disease Control & National Agreement with

Prevention Education, Côte Ministry of

d'Ivoire

National

Education, #

U62/CCU24223

Emphasis Areas

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $30,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

Funding for Care: Pediatric Care and Support (PDCS): $20,000

With PEPFAR support, the Ivoirian Ministry of Education (MEN) has implemented a 3.5-year project

designed to improve HIV prevention and care services for students, teachers, and other MEN staff. In 2008,

the MEN was awarded a new five-year cooperative agreement with CDC to continue and extend its HIV

prevention and care activities through 2013. As part of a comprehensive multi-sectoral response consistent

with the 2006-2010 HIV/AIDS National Strategic Plan, and in collaboration with other ministries and

NGO/CBO/FBO partners, the MEN is building on FY04-07 achievements to improve the quality and

coverage of HIV care services; strengthen linkages and referral networks to HIV treatment and other health,

social, and education services; and address negative gender and discriminatory attitudes conducive to HIV

infection.

To complement its life skills curricula and HIV prevention activities for youth in the classroom and in school

social and health clubs, the MEN has developed an HIV-in-the-workplace program that focuses on behavior

change communication (BCC), peer education, stigma reduction, and psychosocial support and care and

treatment referrals for seropositive teachers and staff. With PEPFAR support, these approaches were

piloted in FY04-08 at 20 sites and are ongoing activities aimed at strengthening systems that address the

health-care needs of HIV-infected and -affected students and teachers with comprehensive, family-based

care, in coordination with the National Care and Treatment Program (PNPEC).

The MEN works in close collaboration with the National School Health Program (PNSSU) under the Ministry

of Health (MOH) to meet the HIV care and support needs of students and staff. Students in need of HIV

services are identified through counseling and testing (CT) services (such as school health centers or

SSSUs) and other care centers (such as maternity wards, hospitals, and NGOs). Infected students are

provided with follow-up care, such as home visits, treatment for sexually transmitted infections, and referrals

to other forms of care.

To assist with medical care, the MEN has acquired HIV laboratory and office materials for SSSUs that serve

teachers, school administrators, and students at the 20 sites. In FY07, capacity-strengthening workshops in

STI treatment and care were conducted, and 60 SSSU physicians were trained in new ARV prescription

methods and in tracking and care of STI symptoms.

Using FY09 funding, the MEN will continue to provide care and support services for HIV-infected and -

affected students, particularly through support to SSUs and strong involvement of parent associations

(COGES), and will expand services to 10 more sites (for a total of 30 sites). The SSUs will be equipped to

treat sexually transmitted infections and provide condoms, HIV prevention messages, and referrals to care

for seropositive students. SSSU health care workers will be trained in CT using the new national rapid-test

algorithm.

In FY09, the MEN's principal activities for pediatric care and support will include:

• Sensitizing 1,000 students to accept an HIV test through a targeted CT campaign.

• Collaborating with the PNSSU to provide care for children with HIV, at 30 the sites.

• Working in close collaboration with the PNSSU to identify training needs for health care workers in the

SSSUs.

The MEN will monitor activities at all sites. The MEN will implementing a monitoring and evaluation plan

based on national and PEPFAR indicators and will produce quarterly program results and ad hoc requested

program data to the USG strategic information team. To participate in the building and strengthening of a

single national M&E system, the MEN will participate in quarterly strategic information meetings.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $20,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.10:

Funding for Care: Orphans and Vulnerable Children (HKID): $50,000

With PEPFAR support, the Ivoirian Ministry of Education (MEN) has implemented a 3.5-year project

designed to improve HIV prevention and care services for students, teachers, and other MEN staff. In 2008,

the MEN was awarded a new five-year cooperative agreement with CDC to continue and extend its HIV

prevention and care activities through 2013. As part of a comprehensive multi-sectoral response consistent

with the 2006-2010 HIV/AIDS National Strategic Plan, and in collaboration with other ministries and

NGO/CBO/FBO partners, the MEN is building on FY04-07 achievements to improve the quality and

coverage of HIV care services; strengthen linkages and referral networks to HIV treatment and other health,

social, and education services; and address negative gender and discriminatory attitudes conducive to HIV

infection.

To meet the needs of children who have been orphaned or otherwise made vulnerable by HIV/AIDS (OVC)

in the national school system, the MEN implements activities in collaboration with UNICEF and the National

OVC Program (PNOEV) under the Ministry of Family, Women, and Social Affairs (MFFAS). In FY07, the

MEN conducted an OVC advocacy meeting and activities workshop to assess the needs of OVC in Côte

d'Ivoire and define the roles of the MEN and other partners. In FY08, 8,000 OVC are being provided with

targeted services that address case-by-case needs (such as school fee subsidies, school canteen

subsidies, supplies, psychosocial support, palliative care, and academic tutoring). Social workers and other

MEN staff are being trained to identify and address OVC-specific needs and provide referrals to care at the

MEN's 20 pilot intervention sites.

With FY09 funds, these activities will continue at the 20 pilot sites and will be expanded to 10 new sites, for

a total of 30 sites. The MEN will work with the PNOEV-supported collaborative "platforms" built around

social centers to provide comprehensive OVC care. The MEN will focus on providing educational support to

improve school attendance and school performance among OVC. To avoid double-counting in reporting

project results, the MEN will work closely with the PNOEV and its social center coordination platforms to

standardize data-collection tools and contribute to a national OVC database.

To reduce the vulnerability of OVC, social workers and special educators employed by the MEN will work

with NGO/CBO/FBOs to monitor the progress of OVC in school and coordinate with other organizations to

provide care services. To increase community participation in OVC support, the MEN will collaborate with

other partners in community activities and national campaigns to raise awareness and reduce discrimination

and stigmatization of OVC. Social workers and teachers will be trained to recognize and address the

vulnerabilities of OVC, especially girls who may be at risk of engaging in transactional or inter-generational

sex. Collaboration with care partners (such as the school health centers (SSSUs), the PNOEV, QUITUS (an

NGO of teachers living with HIV/AIDS), RIP+ (network of PLWHA organizations), Alliance-CI, Care

International, and UNICEF) will facilitate the identification of OVC in the schools and help to strengthen the

system of referral to comprehensive care. These strategies will be complemented by training and technical

assistance, as well as sensitization and advocacy meetings to strengthen coordination and harmonize

monitoring efforts.

A lack of sufficient school canteens continues to be a challenge in the education sector. Through dialogue

with partners such as the World Food Program (WFP), UNICEF, and the National Direction of School

Canteens (DNCS), the MEN will explore how best to provide nutritional support to OVC in the absence of a

canteen, in addition to mobilizing resources to fund additional canteens at the secondary-school level. The

MEN will continue its collaboration with the WFP for the provision of food and nutritional assistance in rural

areas, supplemented by income-generating activities in conjunction with school canteens through technical

assistance from ANADER.

Specific activities with FY09 funding will include:

• Collaborating with the PNOEV and the national OVC think tank CEROS-EV in the creation of a national

OVC database and revision of standardized data collection tools that integrate new PEPFAR indicators.

• Collaborating with the PNOEV and social-center platforms to enhance referral and monitoring systems to

ensure comprehensive OVC care.

• Strengthening the system of tutoring and educational follow-up to facilitate OVC academic success.

• Conducting at least three visits to each site, in collaboration with the PNOEV, to advocate for OVC

academic, nutritional, and economic support, including from local government authorities and other partners

(such as ANADER, SODECI, and COGES).

• Training 460 social workers in identifying behavioral problems and needs of OVC, as well as in providing

referrals to OVC care services.

• Providing access to existing school canteen programs for 1,000 OVC who need nutritional support. Follow-

up will be conducted to evaluate the results and develop a strategy to better cover OVC nutritional needs at

school.

• Collaborating with CEROS-EV to update extension strategies for OVC activities in the Ministry of

Education.

• Evaluating the academic results of OVC at 30 sites at the end of the school year to assess whether the

children's needs were met and to bridge service gaps.

• Coordinating with the PNOEV to pay school enrollment and examination fees for OVC in need of financial

support in order to increase school retention.

• Collaborating with the PNOEV to train 44 trainers in OVC care.

• Collaborating with UNICEF to acquire and distribute 1,000 school kits for OVC in need of school supplies.

The MEN will continue to implement monitoring and evaluation activities based on national requirements

and PEPFAR indicators. Quarterly meetings of the OVC supervisory team, with the participation of relevant

ministries and key stakeholders, will rotate among pilot sites to enhance monitoring and evaluation of the

sites. The MEN will report quarterly program results and ad hoc requested program data to the USG

strategic information team. To participate in the building and strengthening of a single national M&E system,

the MEN will participate in quarterly strategic information meetings.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15141

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15141 10059.08 HHS/Centers for Ministry of 7058 5304.08 CoAg Ministry of $450,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

10059 10059.07 HHS/Centers for Ministry of 5304 5304.07 CoAg Ministry of $450,000

Disease Control & National Education

Prevention Education, Côte #U62/CCU2422

d'Ivoire

3

Emphasis Areas

Health-related Wraparound Programs

* Child Survival Activities

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $15,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $15,000

Water

Table 3.3.13:

Cross Cutting Budget Categories and Known Amounts Total: $630,000
Human Resources for Health $200,000
Education $200,000
Human Resources for Health $50,000
Education $100,000
Human Resources for Health $30,000
Human Resources for Health $20,000
Human Resources for Health $15,000
Education $15,000