Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 12328
Country/Region: Ethiopia
Year: 2010
Main Partner: Nazarene Compassionate Ministries
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: USAID
Total Funding: $1,000,000

Nazarene Compassionate Ministries, Inc. (NCMI) has been a prime partner since FY 2007 under the PEPFAR New Partnership Initiative project, which NCMI has implemented in Ethiopia through its lead implementing agency Fayyaa Integrated Development Association (FIDA) with the capacity building and monitoring support of Helping Hands Africa. Under the New Partnership Initiative, NCMI provided comprehensive HIV/AIDS prevention and care services in the areas of AB, OVC, and basic palliative care. As a continuation of this initiative, NCMI will implement these three projects in Ethiopia through FY 2011 to reach 30,000 beneficiaries in AB, 250 PLWHAA and 700 OVC in two regions at seven project sites. The beneficiaries will be targeted through AB, adult care and support and OVC projects, respectively.

FIDA will implement the AB, OVC and palliative care activities at seven project sites found in the Oromia and SNNPR regions in five zones at Nekempte (East Wollega zone), Metu, Bedele (Illubabora zone) Kersa (Jimma zone), Adami Tulu and Dugda (East showa zone), Mizan Tederi (SNNPR in Bench maji zone) districts.

The program uses the peer education model to provide AB programming to youth ages 10-24 and married couples between the ages of 15-49. Under the OVC component, a comprehensive package of services including economic strengthening, shelter and care, education, food and nutrition, psychosocial counseling, and legal protection will be provided to needy OVC beneficiaries. Clinical, social, spiritual, preventive, and psychological services will also be provided under the palliative care project. Cross-cutting and key issues will also be strategically incorporated in the implementation of these three project activities in order to leverage other projects and provide more comprehensive community health services. Accordingly, food and nutrition, economic strengthening, education and gender issues will be addressed through our interventions under AB, OVC, and basic palliative care projects. Moreover, key issues like malaria, child survival, family planning and gender issues will be addressed through wrap-around activities by creating a strong linkage to our other ongoing community health projects including the President's Malaria Initiative, Child Survival and Mitigation, Ending Gender- Based Violence, and Reproductive, Maternal, Neonatal, and Child Health projects.

While implementing these projects, NCMI will devise different mechanisms for cost effectiveness and consequently the projects that are planned for COP 2010 will be coordinated with other existing programs in order to maximize shared costs and create economies of scale. NCMI has already developed a well-defined M&E plan for the implementation of these three project activities under the NPI project and this plan will be updated in order to incorporate the next generation of indicators. The link between activities, output and outcome has been clearly defined in NCMI's M&E plan and the systematic M&E tools will be used for ongoing analysis, quality assurance, and tracking the progress at all levels.

Funding for Care: Adult Care and Support (HBHC): $300,000

None

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

The OVC Care Model features a comprehensive approach to supporting orphans, vulnerable children, and their caregivers through a wide range of support services, including education, economic strengthening, legal protection, nutrition, health, and psychosocial support and referral linkages by assessing individual needs and creating specific individualized plans to support the needs of each OVC and caregiver. The project is committed to providing a comprehensive package of services for OVC that will be based on inventorying and prioritizing the needs of each individual beneficiary through community-based volunteer OVC care committees and tailoring a unique service package for each primary direct beneficiary that will include at least three essential services.

A focus on family/household strengthening is a top priority that will be addressed by mobilizing the community and forming OVC committees as a frontline in addressing the need of OVC beneficiaries. Male and female OVC ages 0-17 will be targeted with special attention given to supporting female OVC. This project will be implemented in Oromia and SNNPR regions at Bedele, Metu (Illubabora Zone), Kersa (Jimma Zone), Nekempte (East Wollega Zone) and Dugda and Adami Tulu (East Showa Zone), Mizan Teferi (Benchi Maji Zone) sites. Around 700 OVC and their caregivers will be provided with the same package of services. The OVC project will also be linked with palliative care and AB projects in all of the project sites.

During NPI project implementation NCMI along with Fayyaa Integrated Development Association have achieved success in implementing the OVC project to improve the lives of OVC and their caregivers by providing income generating activities, shelter, educational materials, psychosocial support and legal protection for the children and their caregivers. Most of the caregivers are now able to generate income to meet the basic need of their children.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $300,000

The primary aim of this program is to prevent HIV infection in youth by equipping them with positive messages for delaying sexual debut and encouraging those who are practicing sexual intercourse to choose secondary abstinence. Another focus is to reduce the prevalence of HIV/AIDS by promoting fidelity among couples and educating them on the necessity of reducing multiple, concurrent partners. Youth ages 10-24, couples 15-49, and prisoners practicing risky behaviors will be targeted. At a flat funding level, NCMI will reach 60,000 AB beneficiaries. At a reduced funding level, NCMI will reach 30,000 AB beneficiaries with the same prevention services.

The program will be implemented in Oromia and SNNPR regions in five zones at Nekempte (East Wollega zone), Metu, Bedele (Illubabora zone) Kersa (Jimma zone), Adami Tulu and Dugda (East showa zone), Mizan Tederi (SNNPR in Bench maji zone) districts. The program follows the peer education model developed by Food for the Hungry and successfully implemented with Track One ABY PEPFAR funding in Ethiopia, Nigeria, Mozambique and Haiti. The model involves Youth-to-Youth (Y2Y) Groups of 14 Leader Youth (LY) per group led by Promoters who provide ongoing training for the LY to lead their peers in additional groups of 14 through 12 months of training and discussion of the Choose Life curriculum. This program promotes a positive approach to abstinence and uses BCC methods to identify and overcome barriers to abstinence and faithfulness. Additionally, couples are encouraged to remain faithful by attending faithfulness classes; discordant couples are encouraged to protect the uninfected spouse through correct use of condoms. The AB curriculum has been adapted to local religious and cultural settings in Ethiopia through the establishment of community-based curriculum review committees consisting of youth, parents, and religious and traditional leaders.

After completing the Choose Life or faithfulness curriculum, beneficiaries have the opportunity to pledge for abstinence or faithfulness and will also be referred to VCT services. A well-defined M&E system is already in place to track program progress at different levels, measure impact and ensure the quality.

Subpartners Total: $0
Fayyaa Integrated Development Organization: NA
Helping Hands: NA
Key Issues Identified in Mechanism
Malaria
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning