community Palliative care that will be integrated with OVC services to offer a comprehensive range of services based on a family-centered-approach. The program will reach out to 4,000 PLWA and their families by September 2007 and 7,000 by September 2008. The interventions will take place in part of the West regional department not covered by AERDO, the main CBO thru which community palliative care support will be provided to this department and the Center regional department.

BACKGROUND: This intervention is the extension of the PEPFAR-funded SAFENET Plus approved in FY06 targeting OVC who will receive care and support to improve their well-being and quality of life. The Ministry of Health (MOH), through the Health Directorates of the West Regional Department and Center Regional Department, will support the project by allowing active cooperation with the public clinics located in the intervention area. Three nongovernmental organizations (NGOs) will implement the project: World Vision acting as a principal recipient; Save the Children, acting as a sub-recipient; and Management and Resources for Community Health (MARCH), acting as a sub-recipient. The activities will be carried out in the World Vision's Area Development Projects (ADP) and in the intervention areas of the sub-recipients. The SAFENET Plus program will work with the HIV sites where PLWA are detected to enroll them in community palliative care in integration with the OVC program activities.

ACTIVITIES AND EXPECTED RESULTS.

Activity 1: Identification of PLWAs and provision of a basic package of services: SAFENET will first establish mechanisms with PEFAR supported sites spread in the two targeted departments to identify potential beneficiaries. Those sites are namely in the West: Hopital de Petit Goave, Centre de Sante Croix des Bouquets, Centre Mennonite Crx des Bouquets, POZ et Clinique St Paul Montrouis, SADA (Matheux, Belanger), Pierre Payen; and in the Center:Maissade, Mirebalais, Saut-d'Eau, Savanette, Thomassique, and Thomazeau. SAFENET will ensure that its points of services are accessible to the population served by those sites, and staffed with trained personnel, including social workers to organize the services and manage the information system. The core set of services that will be available at each outlet include: psychosocial support, nutritional supplement; transportation cost for access to health care, schools or other basic services etc. Others services may be provided based on assessment of specific needs.

Activity 2: Empowerment of PLWAs : SAFENET Plus will provide a wide array of psychosocial support to PLWAs in their communities through support group activities Funds will be used to hire social workers at each point of services. The community health agents working in some of the sites will be trained to support the action of the social workers. Club leaders, especially youth from within the communities, will be taught simple art, music or drama projects that can be done at little cost, such as papier-mâché figures that can then be used to tell a story. Through the Community Coalition Care (CCC), negotiations will be held with financial institutions functioning in the intervention area to arrange jobs or training opportunities for PLWAs.

Targets

Target Target Value Not Applicable Total number of service outlets providing HIV-related palliative care  (excluding TB/HIV) Total number of individuals provided with HIV-related palliative care 7,000
(excluding TB/HIV) Total number of individuals trained to provide HIV-related palliative 200
care (excluding TB/HIV)

Target Populations: HIV/AIDS-affected families People living with HIV/AIDS

Key Legislative Issues Stigma and discrimination

Wrap Arounds

Table 3.3.06:

Lilnked to Activities 8155, 10666, 10664, 10665.

SUMMARY: This intervention is designed to improve well-being and quality of life of OVC living in the catchments area of VCT/PMTCT/ARV sites supported by the PEPFAR program, along with some other areas where World Vision develops other interventions. The OVC services will integrate the Palliative care package develop as well by SAFENET with PEPFAR support to offer to PLWA and their family a comprehensive range of services based on a family-centered-approach, whereby the likely infected parents and caregivers will receive care to prolong their live and their dependants could receive a an array of supportive services. The program will reach out to 6,000 children by September 2007 and 9,000 by September 2008. The interventions will take place in two geographical departments the West to reach out other sites not covered by AERDO; and the Center.

BACKGROUND: This intervention is the extension of the PEPFAR-funded SAFENET Plus approved in FY06 targeting 6,000 OVC who will receive care and support to improve their well-being and quality of life. The Ministry of Health (MOH), through the Health Directorates of the West Regional Department and Center Regional Department, will support the project by allowing active cooperation with the public clinics located in the intervention area. Three nongovernmental organizations (NGOs) will implement the project: World Vision acting as a principal recipient; Save the Children, acting as a sub-recipient; and Management and Resources for Community Health (MARCH), acting as a sub-recipient. The activities will be carried out in the World Vision's Area Development Projects (ADP) and in the intervention areas of the sub-recipients. The SAFENET Plus program will provide enrolled OVC a package of services that combines medical and social interventions. Gender issues will be taken into account in all the processes related to this intervention. For example, curricula used for youth education will exclude sexist stereotypes and will include topics such as domestic violence, machismo, sexual responsibility, and parental responsibility.

ACTIVITIES AND EXPECTED RESULTS.

Activity 1: Identification of OVC and provision of a basic package of services: SAFENET will at first establish mechanisms with PEFAR supported sites spread in the two targeted departments to identify potential beneficiaries. Those sites are namely in the West: Hopital de Petit Goave, Centre de Sante Croix des Bouquets, Centre Mennonite Crx des Bouquets, POZ et Clinique St Paul Montrouis, SADA (Matheux, Belanger), Pierre Payen; and in the Center:Maissade, Mirebalais, Saut-d'Eau, Savanette, Thomassique, and Thomazeau. SAFENET Plus will also build on its existing child sponsorship programs in the Center Department and La Gonâve along with ties already develop with different community organizations in Fonds Verrettes, and Ganthier, to identify other OVC. SAFENET will ensure that its outlets for delivery of OVC services are accessible to the population served by those sites, and staffed with trained personnel, including social workers to organize the services and manage the information system. The core set of services that will be available at each outlet include: psychosocial support for the OVC and their families or caregivers, educational activities for both groups, school fees and school materials , nutritional supplement; transportation cost for access to health care, schools or other basic services; support for birth registration. Others services may be provided based on assessment of specific needs within selective community and capacity of the local partners and may include: day care center or canteen for OVC, placement services for children without family care, and cooperative activities

Activity 1: Empowerment of OVC and caretakers: SAFENET Plus will provide a wide array of psychosocial support to children and youths in their communities through clubs and other recreational and supportive activities. Funds will be used to hire social workers at each outlet to train OVC caretakers and provide support to the beneficiaries and their families. The community health agents working in some of the sites will be trained to support the action of the social workers. Club leaders, especially youth from within the communities, will be taught simple art, music or drama projects that can be done at little cost, such as papier-mâché figures that can then be used to tell a story. Through the Community Coalition Care (CCC), negotiations will be held with financial institutions functioning in the intervention area to arrange jobs or training opportunities for the oldest OVC. Moreover, the families (caretakers) and community groups of the intervention area will be sensitized on issues related to child rights and empowered to provide improved

care to the children. They will be given proper training and support to care for the children. They will be supported in adoption of strategies aimed at raising and supporting their income.

Activity 2: Increased access to other services such as school and health care: SAFENET Plus will provide the families of enrolled OVC with scholarship fees and purchase some school materials such as uniforms, books, or other supplies. The social workers will cooperate with the members of the CCC and the benevolent home visitors to assess the needs of each beneficiary. Funds will be used to: pay the scholarship fees; train the caregivers; and pay for school materials. SAFENET Plus will create linkages with health institutions to offer preventive and curative care to the OVC. The preventive care package includes: an enrollment card and identification (ID); health education; referral to basic health care services; referral to abstinence and be faithful programs or other preventive services for older OVC; sensitization of the families and caregivers to encourage uptake of preventive services available in the intervention area for their children; negotiations with the managers of the health facilities to guarantee economic access of preventive care to the most vulnerable children. Special arrangements will be made to cover fees and drugs for those services when required.

ACTIVITY 5: Support to Community Responses: Efforts will be deployed to sensitize local leaders including religious leaders, women's groups, journalists, teachers in the on the issue of OVC in order to encourage them to talk more openly about the issues, take action in support of affected children and alert them to the risk of abuse faced by these children. SAFENET will also foster and support initiatives organize by the community in support to those children such as: community gardens, community day-care centers, local adoption and foster care or other cooperative activities,. Funding from the program may be used for: information session, startup capital for community activities. TARGETS: - 11 service delivery points providing OVC-related services - 6,000 OVC receiving care and support - 2,815 individuals trained to provide OVC care and support