Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9423
Country/Region: Côte d'Ivoire
Year: 2010
Main Partner: Alliance Nationale Contre le SIDA
Main Partner Program: Cote d'Ivoire
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,600,000

The Alliance Nationale Contre le VIH/SIDA (ANS-CI) is a national umbrella NGO that provides sub-grants and organizational and technical assistance to local community- and faith-based organizations (CBO/FBOs) providing direct HIV/AIDS prevention and care services in communities throughout Cote d'Ivoire. ANS-CI was established in 2005 with the support of the International HIV/AIDS ANS-CI and PEPFAR in order to build the capacity of civil-society organizations to achieve their HIV- and other health-related objectives working at the community level.

In using PEPFAR funding to strengthen the local response to HIV/AIDS, ANS-CI's approach (called ICOP, for Initiative Communautaire Participative) is to support HIV testing and counseling facilities as a hub for community-based prevention and care activities and linkages to PMTCT, TB, and other services. PEPFAR funding is provided in the HVAB, HVOP, HVCT, HBHC, and HKID budget codes.

As the PEPFAR Cote d'Ivoire team's primary mechanism for building local capacity, ANS-CI grew rapidly from its inception to reach a funding level of $4.6 million in FY 2007. ANS-CI's significant internal organizational and management problems caused the USG team to decrease the partner's funding drastically in FY 2008. As partner performance has gradually improved since then, funding has followed suit. Proposed FY 2010 funding represents a continuation of this trend toward regaining expected activity levels, rather than a major shift in the partner's scope of work or in USG strategy.

FY 2010 funding will continue and slightly expand ANS-CI's FY 2008-09 activities in support of local subpartners providing HIV testing and counseling, AB and OP prevention outreach, and care and support services for people living with and affected by HIV/AIDS, including OVC. These activities are described in COP 2009 narratives and updated in COP 2010 budget code narratives.

As a cornerstone of PEPFAR CI's efforts to build local sustainability and country ownership (reinforced by capacity-building work by SSDS, Geneva Global, and others), ANS-CI will be expected to demonstrate quantifiable improvement in subpartners' organizational, financial-management, and technical capacities. ANS-CI will participate in relevant national technical, coordination, and quality-assurance committees and progressively reinforce the capacity of faith- and community-based organizations and community and district structures to promote quality, local ownership, accountability, and sustainability of activities.

ANS-CI will work to link project interventions with existing HIV care and treatment and other social services, including services supported by other PEPFAR-funded initiatives and by other donors (Global Fund, World Bank), and will promote coordination at all levels, including through bodies such as district, regional, and national HIV coordination committees and networks of PLWHA and faith-based organizations.

Monitoring and evaluation (M&E) of all interventions, including baseline and impact assessments, will be essential in measuring the success of these activities. Using participatory approaches, ANS-CI will continue to implement a project-specific strategic information/M&E plan consistent with national policies and OGAC guidance that draws on available data and national tools and uses quantitative and qualitative methods. This plan will require the collection, analysis, and dissemination of data to ensure adequate baseline data and regular data reports to support targeted service delivery, program M&E, and appropriate information systems. This information will also serve to measure the coverage and to analyze the effectiveness of project interventions.

ANS-CI will gather data on a monthly basis from its sub-partners and will report to the USG strategic information team quarterly program results and ad hoc requested program data. To help build a unified national M&E system, ANS-CI will participate in quarterly SI meetings and will implement decisions taken during these meetings.

ANS-CI's activities contribute to the key issues of child survival, through health, nutritional, and other support for OVC; of TB, through sensitization and referral of TB patients for HIV testing and of HIV patients for TB screening, as well as home-based care for HIV/TB co-infected clients; of malaria prevention, through distribution of impregnated bed nets; of addressing male norms and behaviors, as part of behavior change communication for HIV prevention by peer educators; of increasing women's access to income and productive resources, by training 30 women from three local NGOs in creating and managing income generating activities; of end-of-program evaluation, through planned risk assessments and an end-of-project evaluation; and of mobile populations, through prevention outreach to truckers and sex workers by peer educators.

Funding for Care: Adult Care and Support (HBHC): $200,000

With FY 2010 funding, ANS-CI will continue and expand its FY 2009 activities. In the HBHC budget code, ANS-CI will provide subgrants and technical assistance to 11 local subpartners, who will provide care and support services for at least 13,000 people living with HIV/AIDS by September 2010. At least 110 people will be trained to provide HIV/AIDS care and support by September 2010.

Funding for Care: Orphans and Vulnerable Children (HKID): $400,000

With FY 2010 funding, ANS-CI will continue and expand its FY 2009 activities. In the HKID budget code, ANS-CI will provide subgrants and technical assistance to 11 local subpartners, who will provide care and support services for at least 7,000 OVC, with training for at least 117 people, during FY 2010.

Funding for Testing: HIV Testing and Counseling (HVCT): $600,000

With FY 2010 funding, ANS-CI will continue and expand its FY 2009 activities. In the HVCT budget code, ANS-CI will provide subgrants and technical assistance to 19 local subpartners, who will provide HIV testing and counseling (TC) services to at least 67,000 people, with TC training for at least 230 people, by September 2010.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $200,000

With FY 2010 funding, ANS-CI will continue and expand its FY 2009 activities. In the HVAB budget code, ANS-CI will provide subgrants and technical assistance to six local subpartners, who will conduct community-based individual and small-group activities reaching at least 40,000 people with AB prevention messages during FY 2010, with training in AB prevention outreach for at least 140 people.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $200,000

With FY 2010 funding, ANS-CI will continue and expand its FY 2009 activities. In the HVOP budget code, ANS-CI will provide subgrants and technical assistance to four local subpartners, who will conduct community-based individual and small-group activities reaching at least 15,000 people with OP prevention messages during FY 2010, with training in OP prevention outreach for at least 80 people.

Subpartners Total: $0
Action Evangelique de la Lutte Contre le SIDA: NA
Association Feminine pour le BienEtre de lEnfant : NA
Centre de Depistage Volontaire de Dabou: NA
Centre dEcoute et Depistage Volontaire Port Bouet: NA
Cercle dAmitie et Progres: NA
Conseil General: NA
Conseil General: NA
Conseil General: NA
Conseil General: NA
Côte d'Ivoire Prospérité: NA
Croix Bleue: NA
Groupe Biblique des Hopitaux: NA
Lumiere Action: NA
Mairie d'Agnibilekro: NA
Mairie d'Anyama: NA
Mairie de Grand-Lahou: NA
Mairie de Sinfra: NA
Mairie Mafere: NA
M'PETE: NA
Notre Grenier: NA
Organisation pour l'assistance en Milieu Urbain et Rural: NA
Rose Blanche: NA
Ruban Rouge: NA
Vivre, Informer, Fraterniser: NA
Wawadou: NA
Cross Cutting Budget Categories and Known Amounts Total: $569,200
Construction/Renovation $28,000
Economic Strengthening $10,000
Education $214,800
Food and Nutrition: Policy, Tools, and Service Delivery $58,000
Human Resources for Health $218,400
Water $40,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
End-of-Program Evaluation
Increasing women's access to income and productive resources
Malaria
Child Survival Activities
Mobile Populations
Tuberculosis