Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 7220
Country/Region: Guyana
Year: 2010
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,258,290

GHARP II will continue to build and consolidate on the work of phase 1. The goal of phase II is to provide technical assistance and support to the Ministry of Health and NGOs in enhancing efficiency and quality in service delivery. Attention will also be placed on bridging existing health sector programming gaps through further capacity building and stronger linkages with community based HIV care and support programs. To achieve these outcomes GHARP II will be implementing programs and activities in the following PEPFAR technical areas: Prevention PMTCT, Sexual Prevention, Bio-medical Prevention, Adult Care and Support, Orphans and Vulnerable Children and Health Systems Strengthening. These programs will be implemented by NGOs and Ministry of Health facilities located in all 10 administrative regions across Guyana. Under sexual prevention; Prevention other programs will specifically target high risk populations such as MSM and FSWs; emphasis will also be placed on mobile populations and Amerindians. Focus will also be placed on in and out of school youths for prevention AB. A family centered approach will be supported to reach OVC & PLHIV with care and support services.

Cross cutting themes such as gender awareness and empowerment, integration and alignment with the National HIV/AIDS strategy, and other USAID initiatives will also be embraced in the implementation all programs for FY10. To ensure that programs achieve the key deliverables as outlined above, programs and activities will adhere to the following guiding principles:

Collaboration and partnerships with key stakeholders,

Design and delivery of evidence based programs and

Building on existing programs and systems to ensure sustainability

Summary of GHARP II Strategic Objectives for each PEPFAR Program/Technical Areas

CHPC

To reach PLHIV and their family members with the appropriate care and support services

To increase the income generating capacity of PLHIV and family members

To increase compliance and adherence to care and support guidelines

To develop and strengthen linkages and referrals to ensure sustainability and effectiveness of program delivery

To increase the capacity of staff to manage and deliver a quality prevention for positives program

OVC

To reach OVC with appropriate quality care and support services

To strengthen the capacity of parents/care givers to enhance family welfare especially for OVC

To provide a safe environment for the provision of care and support services

To strengthen linkages with the adult care and other appropriate health and social care services

VCT

To reach high risk groups with HIV counseling and testing services

To promote a supportive environment for the promotion and use of VCT services

To increase the involvement of the faith based community in the promotion and use of VCT services

Prevention Other

To reach MARPS with a minimum package of prevention products and services.

To increase compliance and adherence to national guidelines for prevention other programs.

To increase community involvement including workplace in the promotion and delivery of HIV prevention products and services.

To promote a supportive environment among general population for the uptake of prevention products and services.

Prevention AB

To reach youth with a minimum package of preventative interventions focused on AB.

To increase compliance and adherence to program guidelines for AB programs.

To increase community involvement including faith based and private sector organizations in the promotion and delivery of HIV prevention products and services.

To promote a supportive environment among parents, teachers and community leaders to foster and reinforce AB behaviors and practices.

Health Systems Strengthening

To strengthen MOH capacity to improve service delivery quality

To strengthen supportive supervisions and QA among Health care administrators

To reduce administrative inefficiencies in the delivery of HIV services to clients

To provide support in transitioning programs to improve service delivery quality

Monitoring & Evaluation Plan: The M&E Plan will serve as documentation of the proposed activities under the project and a rigorous plan will be in place to support monitoring and decision making. This will take into consideration the M&E needs of the MOH and other strategic partners. Emphasis will also be placed on strengthening data quality, data use and building M&E capacity nationally. Within this context a participatory team approach among national partners will be used to develop the M&R system for programs. Small scale assessment and evaluation of process will be implemented routinely to (maybe monitor will be better here) changes within programs and among implementing partners over time.

Funding for Care: Adult Care and Support (HBHC): $294,439

This is a Continuation Activity

Under GHARP II, significant emphasis will be placed on leveraging needed resources to strengthen and expand the existing adult care and support initiatives. Innovative approaches will be used to identify and mobilize resources from other programs and agencies such as Ministry of Agriculture, Habitat for Humanity, Public and Private sector agencies and other USG programs to bridge gaps identified within the existing program. As part of our approach to enhance economic empowerment among the target group GHARP II will work closely with GBCHA to design innovative strategies to mobilize resources and services from private sector entities.

GHARP II will also work in collaboration with stakeholders on joint training for implementing agencies. Further capacity building will be fostered through quarterly feedback meetings and technical working groups. Through these mechanisms service delivery standards, training needs and other needed support to enhance the program quality will be identified and implemented. To strengthen and reinforce capacity building activities a team approach consisting of relevant agencies will jointly plan and implement site visits and mentoring and coaching to build confidence and effectiveness.

Emphasis will also be placed on enhancing the network among partners to increase uptake, reduce drop-out rates and strengthen referrals to care treatment facilities. This effort will be complemented by sensitization sessions for staff on stigma and discrimination.

Funding for Care: Orphans and Vulnerable Children (HKID): $98,146

This is a Continuation Activity GHARP II strategy for the OVC program involves greater collaboration and partnerships between UNICEF Guyana OVC program. Innovative strategies will be developed to leverage support from Food for the Poor, Ministry of Human Services and Social Security, the Ministry of Education and the Adolescent Health Unit MOH. A major part of the strategy will be collaborating with public and private sector agencies working with OVC to develop a technical working group. Through this network stakeholders will collaboratively identify issues and develop strategies and approaches to strengthen OVC programming nationally. The Technical Working Group will also develop and implement service delivery standards and policies to safeguard the wellbeing of children and families accessing OVC services. GHARP II will also collaborate with relevant stakeholders such as UNICEF to develop a supervisory assessment team to monitor and build capacity at implementing organizations. Similar to the HBC program emphasis will be placed on enhancing the network among partners to increase uptake, reduce drop-out rates and strengthen referrals to care and treatment services. Service providers will also be sensitized on stigma and discrimination and the impact on program uptake.

Funding for Prevention: HIV Testing and Counseling (HVCT): $294,439

This is a Continuation Activity

GHARP II will work with the MOH to identify technical support needs to strengthen the existing national C&T program. We will use a participatory approach to develop strategies and approaches aimed at improving service quality and uptake. An evidence based approach will be adopted in identifying key strengths and capacities existing within the program. We will work closely with technical staff at the MOH to build capacity, assess services delivery quality and develop systems to standardize quality.

GHARP II will work closely with the NAPS, NGOs, and other stakeholders to promote counselling and testing approaches which aim to achieve the highest coverage of HIV screening possible with a focus on populations; such as MSM and FSWs. This will include emphasis on mobile and community testing sites, linkages to care treatment and support sites Linkages will also be made with existing prevention programs targeting positives. Greater attention will also be placed on reaching underserved populations such as Amerindian communities in remote regions. GHARP II will also collaborate with the MOH and other stakeholders to strengthen gaps in training and quality assurance.

Funding for Health Systems Strengthening (OHSS): $786,097

This is a Continuation Activity:

The strategic objectives for the Health System Strengthening (OHSS) component of GHARP II will be achieved through working in close collaboration with staff of the relevant units within the MOH and key personnel from all other agencies involved in activities aimed at strengthening the health system within Guyana. To facilitate sector wide strengthening and enhance sustainability, GHARP II will use an approach which will ensure that all of its activities aimed at health system strengthening are integrated with ongoing efforts. Moreover, parallel approaches/interventions will not be supported. All activities will be initiated and guided using existing national guidelines and strategies. As such the GHARP II team will work very closely with all of the other agencies supporting CSDS, the NGOS and the MOH, to build partnership, for conducting joint activities and to avoid the duplication of efforts. Also will continue to support the Global fund Secretariat as the build capacity.

Funding for Biomedical Prevention: Injection Safety (HMIN): $98,146

This is a Continuation Activity

In keeping with the overall OHSS strategy GHARP will work with Guyana Safer injection program and the MOH to identify technical assistance and support needs to accommodate the integration of programs and activities of GSIP into the existing MOH system. Particular emphasis will be placed on mainstreaming specific activities relevant to PMTCT and VCT program areas.

HIV Sexual Prevention Programming The focus of the GHARP II prevention interventions will be to strengthen existing programs started under GHARP I targeting ISY, OSY, MSM, FSW and other risk groups. Opportunities will be created to broaden impact and expand coverage through closer collaboration with programs and agencies such as UNAIDS, UNICEF, PAHO, GBCHA, Private Sector etc. who may also be working with these populations. As part of GHARP II approach to capacity development and program strengthening, we will partner with the implementing agencies to develop and use innovative approaches such as MSH's Community Mirror for community mobilization. To complement educational interventions efforts, we will work to ensure that the target populations have access to appropriate prevention products. GHARP II will work with other stakeholders, to facilitate linkages with other programs which will address the unique needs of various subsets of the target populations such as drug and substance users.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $48,146

This is a Continuation Activity

Under GHARP II, significant attention will be placed on strengthening the existing ISY and OSY programs. GHARP II will work with CSOs, FBO, MOH, and other USG partners to support and develop innovative program strategies to reach youths with a comprehensive health education and prevention program. Additional emphasis will be placed on strengthening program linkages between the MOH youth health services so as to offer additional services not currently available through programs implemented by CSOs and to reach youth earlier than is currently possible under the ISY program. To complement this, support will also be provided to strengthen HIV health promotion at MOH service delivery points.

Programming responding to yellow-lit activities- Guyana PEPFAR Interagency team has adopted OGAC Prevention Technical Working Group recommendations for the sexual prevention portfolio.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $442,585

This is a Continuation Activity

Under GHARP II, significant attention will be placed on providing appropriate services and products to high risk groups such as MSM, FSWs, mobile workers and Amerindians. GHARP II will work with CSOs, FBO, MOH, and other USG to support and develop innovative program strategies to reach members of this population residing or working within interior locations. Additional emphasis will be placed on strengthening program linkages to substance use and STI screening, access to Sexual and Reproductive Health Services including HIV testing. To complement the prevention focus, capacity building to support economic empowerment of at risk groups and linkages with the Guyana Business Coalition will also be strengthened.

Programming responding to yellow-lit activities- Guyana PEPFAR Interagency team has adopted OGAC Prevention Technical Working Group recommendations for the sexual prevention portfolio.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $196,292

This is a Continuation Activity

GHARP II technical strategy for PMTCT is consistent with our mandate of technical advisors and will be achieved through working within the existing national program. We will use participatory methods to improve quality and service uptake. We will work closely with technical staff at the MOH to assess quality of service and usage of program guidelines and protocol. Collaboration with NAPS, NGOs, and other stakeholders will be strengthening to promote the use of PMTCT services within various communities and regions. The aim of these approaches is to increase program uptake, and assure appropriate follow-up, counseling, and treatment to clients before, during and after pregnancy.

GHARP II will work from the policy level to the site level collaborating with the Ministry of Health and NAPs to develop and implement strategies which will lead to earlier enrolment in clinics and increased uptake of clients. Linkages to care, treatment and support sites will also be strengthened through the support and development of mother-to-mother peer counseling groups. We will also work to assess and strengthen linkages within and across facilities. GHARP II will also collaborate with the MOH to strengthen gaps in training and quality assurance.

Subpartners Total: $0
AIDS Health Care Foundation: NA
Howard Delafield International: NA
Cross Cutting Budget Categories and Known Amounts Total: $170,000
Construction/Renovation $0
Economic Strengthening $45,000
Education $10,000
Food and Nutrition: Policy, Tools, and Service Delivery $35,000
Human Resources for Health $80,000