PSI will support the following objectives in line with PF objectives: create an enabling policy and politicalenvironment through which leadership for HIV prevention efforts will ensure successful programmaticactivities; support the expansion and coordination of evidence-based behavioral interventions which

reduce the risk of HIV infection and enhance protective behaviors in the general population; and supportthe sustainable integration of adult and neonatal medical MC services throughout the national healthsystem and provide mobile and outreach services to increase the prevalence of MC across the country.All PSI programs are national. Target populations include infants, youth, adults, MARPs and men. MaleCircumcision targets 15-49 year males, parents, from birth to 8 weeks for EIC; Behavioral interventionstarget youth, men, MARPs. Cost sharing will be done with other partners where possible. Private sectorpartnerships will be utilized to match resources for HIV prevention interventions. The community HTCAward will be used as an opportunity to harmonize activities and cost share. PSI will continue engagingthe public sector despite the economic challenges to make sure that a clear handover strategy isdiscussed and agreed upon for long term ownership and sustainability. PSI will build capacity for localNGOs to increase ownership of interventions beyond this funding period. PSI will continue to work with itssub-awards in ensuring quality data reporting and the formalization of data quality improvementprocesses. Program monitoring will use the national monitoring and evaluation framework. Further, PSIwill adopt an RDQA process in line with the national SI objectives of quality and clean data, supportingthe MOH in RDQA on HTC, MC and Condoms.

There are two components: voluntary medical male circumcision (VMMC) for adult males and early infantmale circumcision (EIMC). PSI will capitalize on the systems put in place by the accelerated saturationinitiative (ASI) to help capacitate the hospitals and health centers to offer adult MC services as anintegrated health service. PSI will work with RFM, Hlatiklulu, Piggs Peak, Nhlangano Health Center andGood Shepherd hospitals to strengthen the integration of VMMC services and start work with MbabaneGovernment Hospital, Mkhuzweni Health Center, Dvokolwako Health Center, Sithobela Health Centerand Matsanjeni Health Center. PSI will conduct outreach and mobile services at clinics and communitysites. PSI will leverage the M&E, supply chain and human resource systems that have put into place. PSIwill work with SCMS for logistics, procurement and commodities support. PSI will work with JSI totransition the M&E function. For EIMC, PSI will focus on strengthening service delivery systems atNhlangano Health Center, Mankayane Hospital and Hlatiklulu Hospital by coordinating with the MoH onthe M&E systems and putting the task shifting framework into action. PSI will work with several newfacilities on EIMC. Jhpiego will provide EIMC trainings using the WHO curriculum and work with the MoHon supportive supervision and mentorship. Jhpiego and PSI sit on the National QA Committee and willensure that all sites undergo internal and external QA assessments. Jhpiego will ocus on integratingVMMC training into pre-service education for nursing students. PSI will work closely with Futures Groupto ensure a smooth transition. PSI will continue interpersonal EIMC communication activities at both thefacility and community level and expand EIMC testimonials. EGPAF will integrate EIMC messages intoPMTCT activities. VMMC services will be provided along with HTC, STI diagnosis and treatment and theprovision of condoms. EIMC messages will be integrated at PMTCT, ANC, waiting huts and in thecommunities. PSI will support facility-based and community-based expert clients to help facilitatepost-test support for those who test HIV-positive and ensure linkages to care and treatment.Strategic Area Budget Code Planned Amount

PSI will continue to work closely with Khulisa Umntfwana and train a network of peer educators who willbe responsible for spreading the message amongst their peers. Targets for Umhlanga are young girls,aged from 10 to 18 and for Lusekwane, young men aged from 10 to 18. In order to renew its approach,after several years of successful interventions, PSI will develop new education and promotional material,based on target audience insights. These materials will be developed jointly with behavioral interventionpartners and will leverage the cultural component of both events. Messages during these two events willinclude broader prevention messages, including faithfulness messages. Beyond these youth targetedevents, PSI will increase its messaging around faithfulness by expanding its ‘Choose One' campaign.This campaign has been a great success, as it is based on a simple and catchy phrase, on the channelsit exploits (clubs, street theatre, guerrilla marketing) and the tone is adopts (light, positive, nonjudgmental). Four main actions surrounding Choose One will be deployed: development of a full M&Eplan, using PSI's TRAC 2010 as a baseline; consolidation of partnership to turn Choose One into a‘franchise' that prominent people and place in Swaziland will own: a club, a soccer team, a media house;development of an ambassador program based on prominent people disclosing that they chose one, whoit is, and why; and renewal of the Above the Line visibility by extension of murals, stencils - to ‘engrave'the slogan. PSI will focus on specific activities to increase adoption of a safer culture among youth:development of a single national standard Life Skills curriculum to be taught in the schools and used bycommunity-based organizations, NGOs and faith-based organizations; development of targeted IECmaterial and educational activities for 10-14 yrs and 15-18 yrs. Monitoring and evaluation of SBCCactivities will performed through routine monitoring reporting to the national M&E system. A behavioralTRAC survey will be conducted in 2013.

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PSI will increase its pilot female condom project ‘Angel' by extending it to more regions, targeting morehair salons and increasing its uptake in workplaces and tertiary institutions. The target audience for‘Angel' is women between 18 and 30. The support mechanism will include branding material to bedisplayed in hair salons, and IEC material to educate the target audience on product use. Messagingtowards men will also be increased. PSI will work with the Condom TWG to implement the nationalcondom strategy and develop a national condom brand for free issues, following the DELTA processwhich includes identification of issues in demand creation, advocacy, and definition of a target audience,definition of a positioning statement and writing of a creative brief. PSI will continue to work with MSM,

CSW and Transport Operators. Activities include the provision of product and services - mobileoutreaches, public sector condom distribution and other HIV prevention products - as well as promotionalmaterials. Through its Corporate Aids Program, PSI will continue providing prevention messages andservices to companies. PSI will partner with Lusweti on the following: identify HIV champions; develop acoordinated Behavioral Research Agenda; support national SBCC systems to ensure implementation ofthe national SBCC strategy; build capacity for government spokesperson on media relations for HIVprevention; and advocate for the development of the national prevention with positives strategy toemphasize the role of PLHA in HIV prevention. To create an enabling environment for the scale up ofbiomedical and non biomedical HIV prevention interventions PSI will support the following: develop thenational coordination framework; support implementation of the national HIV and AIDS action plan;strength the national HIV Prevention TWG; disseminate the HIV prevention mapping report; disseminateand ensure implementation of National HIV prevention policy; lobby for policy improvements; anddevelop a National HIV Prevention minimum package. Targets will be NERCHA, MOH and HIVprevention implementing partners and the national and regional level.