Note: To align the UTAP budget and new COP submission cycles, FY 2012 funding will support activities through March 2014.

The projects goal is to strengthen the Ivorian health and social systems by increasing the capacity of the government of Cote dIvoire (GoCI) to improve access to and quality of services for STI/HIV/AIDS prevention, care and treatment.The objectives are to improve capacities of:- GoCI and civil society to develop HIV/AIDS prevention standards?local, regional and national health facilities and community programs for STI/HIV/AIDS care, treatment, and support interventions-GoCI and key stakeholders on strategic informationTarget populations include the Ministry of Health and AIDS (MSLS), GoCI social centers, civil society, sex workers, men who have sex with men, prisoners, OVC, and women.Working at the national level and in seven regions, strategies focus on implementing operational plans based on capacity and gap analyses to strengthen key national programs/departments; increasing technical and organizational capacities of key partners; meeting operational plan milestones for national leadership; and working with the GOCI to develop key national reference documents.M&E strategies?Strengthen GOCI and other partners capacities in monitoring interventions at central, regional and peripheral levels?Document best practices and lessons learned with key stakeholders;

- Measure performance, quality of services, and data quality of national programs and networks of NGOs?Develop operations research projects to build the evidence baseVehicles: Through COP 11: 1. New requests in COP12: 1. This vehicle ($54,433) will be used to coordinate interventions. Total for live of project: 2.

FHI360 will:Continue to strengthen the national coordination of care and support, in collaboration with Mnistry of Health and AIDS (MSLS) divisions (DGLS, DGS, DSC, PNPMT, PNPEC) through bi-annual meetings in order to reinforce coordination at national levels.Provide technical support to the National HIV/AIDS Care and Treatment Program (PNPEC) to organize annual assessment workshops regarding care and support to share best practices.Participate in the quarterly meetings of the TWG for care and support to improve quality of service delivery.

Provide support for quarterly meetings in Bas-Sassandra, Lacs and Fromager to harmonize interventions and to share best practices.

Promotion of care and supportUnder the leadership of MSLS, FHI360 will contribute to the organization of African Days of Traditional Medicine in order to highlight and to promote the integration of HIV/AIDS care and support interventions.In collaboration with PNPEC and other MSLS divisions, FHI360 will support national networks in the HIV/AIDS fight (COSCI and RIP+) to continue advocacy and sensitization of regional leaders, health and community workers on care and support including PwP, in the framework of continuum of care in 3 other regions.

Strengthening care and support demonstration centerAfter the establishment of a care and support demonstration center, FHI360 will continue to assist PNPEC to ensure effective implementation of care and support in this center.Students at national training schools for health and social workers (INFAS and INFS) will be sent to the care and support demonstration center for a practical training in order to complete their ability to address this program area. PNPEC will facilitate students and health and community workers access to the center for a teaching practice in care and support.

Revision of national care and support documentFHI will support MSLS in the process about updating the community sector documents. FHI360 will support MSLS to disseminate the national Care and support guidelines document for health providers.

Strengthening national M&E systemFHI360 willSupport individual tracking system in the care and support demonstration center in order to avoid double counts, to facilitate investigation of lost-to-follow up clients and improve data quality. Every PLWHA will be tracked from the demonstration center to their home by community workers. This approach will facilitate better follow up of PLWHA and their families including PwP.

Support the MSLS and health districts to set up a system to document references from traditional care givers (TCG) to health care services in Bas-Sassandra, Lacs and Fromager. TCG of these regions will be sensitized and trained to refer clients.Assist PNPEC to organize bi-annual joint supervisions with key partners to improve the quality of service delivery.

FHI360 will continue to reinforce the 4 social centers (Yamoussoukro, San Pedro, Dimbokro and Bongouanou) where capacity assessment was conducted in 2011. Thus, FHI360 will contribute to take up key challenges regarding i)-effective operational coordination of social centers activities (including partners interventions) ii)-accessibility improvement to Quality services delivery by social centers and partners at departmental level and for OVCs and other vulnerable populations.Strengthen technical and organizational capacities of Yamoussoukro, San Pedro, Dimbokro and Bongouanou social centersIn collaboration with the National OVC Program (PNOEV), FHI360 will assist these 4 social centers to develop their 2012 operational plan. This plan is important to appreciate the quality of services delivered in terms of level of realization. The social center actors will be coached in the implementation of this plan. In addition, FHI360 will provide the social center actors with appropriate techniques in resource mobilization at district and regional levels.FHI360 will also support social centers coordinating meetings, including OVC program area. This support will enable social centers to effectively implement their consolidated action plans. The level of implementation of these plans will be evaluated during the monthly meetings with all the technical human resourcesStrengthen Social centers partners activitiesFHI360 will provideAssistance to social centers for the organization of regular platform meetings in order to improve quality of services targeting OVC and other vulnerable people,monthly support to social centers to coordinate key partners activities concerning trainings, reference and counter reference, data management and quality service interventions.Moreover, FHI360 will support social centers activities in the community in collaboration with GCS: Ex: advocacy, community mobilization, resources mobilization, case resolution/conflict, OVC integration, fight against stigma and discrimination.Strengthen social centers data management and best practices documentationFHI360 will provide technical assistance to Social centers for data management at the local level. Thus, FHI360 will coach socials centers M&E staff in order to improve data collection, analysis, reporting and transmission at regional and national levels. This assistance will focus on data quality control for better strategic and operational decisions.FHI360 will assist social centers staff for best practices, success stories and abstract documentation methodologies. This process will be implemented through quarterly coaching.Strengthen regional coordination of social centers interventionsFHI360 will support regional offices in their role of coordination, planning, supervision/coaching, monitoring and evaluation of social centers activities. For this purpose, FHI360 will provide technical assistance to regional office staff to carry out quarterly field visits in order to strengthen social centers staff ability for better coordination of activities and quality delivery of services. .Participate national coordination of interventions towards OVCFHI360 will participate in OVC partners technical meetings to harmonize interventions, assess progress, share experience and improve care and support for OVC and their families.

With COP12 funding, FHI360 will continue to assist MSLS divisisions and at least one national network to improve coordination of their activities. FHI360 will support the MSLS HIV directorate (DGLS) to update its 2 year capacity building plan. FHI360 will support the DGLS with the development of a guidelines manual for HIV/AIDS interventions. The manual will provide clear guidelines and explanations about coordination, planning, monitoring and evaluation at the central, regional, and district levels This will be disseminated. FHI360 will also support: The DGLS to assess blockages ensure planning, and documentation to strengthen national coordination. The production of a repertoire of all HIV/AIDS-related TWGs, with TORs and focal point.FHI360 will continue to assist the DGLS about:Using the IRIS coordination model, which has been well received in pilot of 4 departments.Presenting the IRIS model to other donors/actors, and consider adopting it as national harmonized tool.FHI360 will also support the DGLS to train at least 4 trainers in each health district and CDLS in M&E. FHI will support the district AIDS committee to ensure that trained persons in turn, train other committee members, to transfer these capacities and ensure a common understanding of the importance, tools, principles, and responsibilities associated with effective data management and use for decision making. In line with the new National Health Policy, FHI360 will assist the MSLS in developing a policy framework document that explains and guides the interaction of the private and public health sector actors, including private health clinics. FHI360 will support the Director of Public Sector interventions (DSP) to organize a workshop for the vice presidents of the anti-Aids sectoral committees, to advocate for their effective implication in AIDS control activities.FHI360 will support quarterly coordination meetings for the DSP and DSPSC with key partners to harmonize interventions in workplace. After 2 years of DSP and DSPSC capacity building, FHI360 will: Organize a 2nd assessment with TOCAT in order to capture successes, challenges, and lessons learned. 4 training workshops, with the leadership of DSP and DSPSC, in 4 areas to strengthen the capacity of anti-AIDS committees members FHI360 will continue to assist CECI to strengthen the PPP platform and to organize a workshop to share results and lessons learned. In COP 12, FHI will use the recommendations from the HIV/AIDS behavioral and biological survey among women to develop and support the implementation of an action plan. FHI360 will support the public sector committee of the Ministry in charge of Family & Women with the capacity building plan of the Abengourou Federation of Females movements (FEMFECA). In addition, FHI360 will facilitate quarterly coaching on data management and quality control in public and private sectors. Under the leadership of DGLS, FHI360 will identify and support a national coordination Network fighting against HIV/AIDS. This support aims to contribute to civil society empowerment. FHI 360 will continue to assist 2 NGOs identified during the COP 11 in collaboration with DGLS. FHI360 will collaborate with DGLS and key partners to organize a training of networks in TOCAT administration methodology. Moreover, FHI will support DGLS to organize a workshop in order to share experiences, best practices and lessons learned in TOCAT process with key partners.

FHI360 will support the national HIV program for highly vulnerable populations (PLS-PHV) to strengthen this program in accordance with the PLS-PHV capacity plan developed in 2011 and updated periodically. This support will be useful for the coordination and overview of all the interventions. Indeed, FHI 360 will develop and contribute to integrate norms and standards of MARPS activities into national supervision guidanceFHI360 will assist PLS-PHV to ensure regular meetings of the TWG to coordinate national interventions targeting MARPs with strategic partners.

In addition, FHI360 will set up quarterly new coordination meetings with PLS-PHV, PNPEC and PNLT in order to analyze the gaps and find out new approaches to address the needs of MARPs at central, regional and districts levels.

To strengthen the coordination of interventions, FHI360 will support PLS-PHV to organize thematic and capitalization workshops to analyze problems, harmonization of interventions and to share best practices.

FHI360 will provide technical support to PLS-HVP for the development of a BCC reference training manual and participant workbooks for community workers in STI/HIV/AIDS targeting MSM and prison population.FHI360 will support to PLS-PHV in the development of a Minimum Package of Activities for prisoners.FHI 360 will provide technical support for the development of a trainers guideline and participant workbook for STI/HIV/AIDS prevention training of community workers in prisons.

FHI360 will assist PLS-PHV to develop national reference documents such as trainers guideline, manual of training and minimum package of activities in order to strengthen the quality of service delivery regarding MARPS.After situation analysis of HIV interventions in some prisons, it will be very useful to develop minimum package of activities to addres this issue based on the need assessment.

Under the leadership of DPSE and DIPE, FHI360 will provide assistance to PLS-PHV to set up a database management system. A harmonization and validation workshop will be held on data collection and reporting tools.

FHI360 will support biannual joint supervisions with PLS-PHV, DPSE and DIPE to improve the quality of service delivery to the MARPs. FHI360 will also coach PLS-PHV to organize biannual missions for data quality control.

To scale up the Individual Tracking System (SSI) of the MARPs population, FHI360 will support PLS-PHV in the organization of advocacy meetings with strategic partners, and trainings of PLS-HVP staff and M&E focal points of local NGOs in order to facilitate the implementation and scaling up of this system.FHI360 will work closely with the PLS-PHV during COP 12 to monitor the prevalence and behaviors surveillance system of female sex workers to ensure the transfer of competencies of this system to the national staff in COP 13.

FHI 360 will assist PLS-PHV and PNPEC to conduct a Survey of HIV and Associated Risk Factors Among MSM in San Pedro and Yamoussoukro in collaboration with Retro-CI and MSM organizations (ARC EN CIEL+ and ALTERNATIVE).