Integrated Activity: This activity links to Activity IDs 5434.08, 10126.08, 3903.06, 10663.08.

SUMMARY:

This project is the continuation of the FY07 FOSREF AB activities which are included and supported by the

National AIDS Strategic Plan of the Ministry of Health (MOH). This program will continue to support

comprehensive HIV/AIDS prevention programming with emphasis on AB, and to support interventions for

youth and men at risk. Expansion of activities with adult men will occur in FY08. This activity is closely

coordinated with Global Funded sites to avoid duplication. This program is split funded, 40% AB and 60%

OP funds.

BACKGROUND:

The activities will continue to target sexually active youth that are tested in the FOSREF centers and will

emphasize Secondary Abstinence in this high risk youth population as the best strategy to "stay negative."

FOSREF will expand their program with men, particularly those who have very high risk sexual behavior,

and will continue to address messages of being faithful. For FY08, FOSREF will utilizing the findings of the

PLACE study which showed strategies to address overpopulated, suspected high transmission areas in

Carrefour and communal sections in Artibonite and the North to better target their youth services. These

activities will be linked to USG supported on-site CT. These activities will continue in the following

departments: Artibonite, North, North-East, West, South, and South East.

ACTIVITIES AND EXPECTED RESULTS:

Activity 1: IN FY08, FOSREF will expand its outreach with male clients of commercial sex workers and

unemployed men. In FY07, the program provided peer education for clients of commercial sex workers and

unemployed men. In FY08 FOSREF will increase the number of peer educators trained to work with clients

and fixed partners of the CSWs. The main themes that will be addressed include reduction of concurrent

partnerships, high-risk sexual behaviors, fidelity, and the importance of CT. The program will use songs,

sketches, mini-films, mimes, and jingles as well as peer to peer IEC. These will be produced and

disseminated in public parks, public transportation stations, in front of bars, brothels, on beaches. Activities

will be organized during regional celebrations and during cockfights addressing the same themes.

Community dialogues, debates and forums will be organized in areas and sites where men are frequent

visitors, with media coverage of the debates by the community radio stations, addressing the same themes

which will be coordinated with all BCC prevention partners through the PEPFAR BCC TWG. The program

will conduct interventions in the media discussing similar messages; which will be followed up with skill-

building sessions by the peer educators that build on and reinforce the theme of the media messages. The

men will be referred to USG supported CT at FOSREF's CT sites.

Activity 2: FOSREF will address the needs of high risk, sexually active youth. In FY08 FOSREF will utilizing

the findings of the PLACE study to target the most at risk youth in densely populated, underserved areas.

The project will continue work in close collaboration with youth associations in the most marginalized areas

around the centers. The program will promote peer dialogue addressing themes such as: secondary

abstinence (promotion of CT services and secondary abstinence post testing), being faithful, perception of

risk, partner reduction, negotiation skills, gender equity, self-esteem, and sexual violence. Peer educators

will refer youth to FOSREF's USG supported youth centers for testing and treatment of sexually transmitted

infections, CT, and other reproductive health services. These youth centers will make referrals to care,

support, and treatment services when needed.

The program will continue to emphasize the post-test clubs that deliver messages about secondary

abstinence. The program will also train street youth in HIV/AIDS prevention using the adapted educational

material elaborated by FOSREF. In order to reach street youth not participating in the clubs, youth club

members will conduct skits and dramas monthly to encourage safe sexual behaviors. New for FY08,

FOSREF will host ‘competitions' amongst the different youth clubs, this will allow the youth clubs to interact

with one another and showcase their skits to each other and the community at large. Linking activities with

the PEPFAR Behavioral Change Communication Task Working Group (PEPFAR BCC TWG), FOSREF will

organize media programs to address themes against sexual violence, cross generational sex, promotion of

secondary abstinence, importance of CT and knowing one's status, and staying negative. The program will

continue to emphasize the use of adapted skits, jingles, radio talk shows with the community groups that will

be produced and coordinated with all prevention partners. The program will reinforce the social

opportunities for the most vulnerable kids, including street kids and kids involved in gang activities.

FOSREF will provide basic short technical trainings (e.g. mechanics, handcrafting, floral arts, masonry,

carpentry, sewing, arts-and-crafts, and computers); elementary classes for literacy; and support for school

reintegration of secondary school kids who have abandoned school. The program will link with rehabilitation

programs for young girls, and also with other education and micro-finance programs supported by

USAID/Haiti.

EMPHASIS AREAS:

Community Mobilization/ Participation 10-50

Information, Education and Communication 10-50

Development of Network / Linkages / Referral Systems 10-50

Training 10-50

Linkages with Other Sectors and Initiatives 10-50

Local Organizational Capacity Development 10-50

TARGETS:

# of individuals reached through community outreaches that promote HIV/AIDS prevention through

Abstinence and / or Being Faithful: 7,700

# of individuals trained to promote HIV/ AIDS prevention through Abstinence and / or Being Faithful: 150

TARGET POPULATIONS:

Out-of-school youth

Community-based organizations

Street youth

Secondary school students

Men (including men of reproductive age)

KEY LEGISLATIVE ISSUES:

Activity Narrative: Addressing male norms and behaviors

COVERAGE AREAS: Artibonite, North, North East, West, South, South East

Integrated Activity: This activity links to Activity IDs 11059.08, 10126.08, 3903.06, 10663.08.

SUMMARY:

This activity is carried out to support continuation and expansion of a comprehensive HIV/AIDS prevention

program targeting the commercial sex workers (CSWs) and their clients, and to support interventions for

youth, men, and women at risk. The program is a continuation of a FY 2007 activity and is supported by the

National AIDS Strategic Plan of the Ministry of Health (MOH). This activity is closely coordinated with Global

Fund sites to avoid duplication. This program is split funded with 40% AB and 60% OP funds.

BACKGROUND

This program is a continuation of a COP07 activity funded by PEPFAR, and it is part of the mandate of

FOSREF in the National AIDS Strategic Plan of the Ministry of Health of Haiti. All the activities of the

program will be implemented and executed directly by FOSREF. This program will put special emphasis on

key issues such as: HIV prevention activity for the most high risk groups of women in the country (CSWs),

violence against women, social rehabilitation for CSWs to help them abandon prostitution, expansion of

prevention programming for male clients of CSW's, and an HIV prevention program for the most at risk

youth in Haiti. These activities will be linked to USG supported on-site CT. These activities will continue in

the following departments: Artibonite, North, North-East, West, South, and South East.

ACTIVITIES AND EXPECTED RESULTS:

Activity 1: Commercial Sex Worker Centers: For FY08, the program will continue to provide behavior

change communication (BCC) messages to promote condoms and other prevention activities through seven

"Lakay" CSW centers in the South, South East and West Departments. Of the 7 centers, 2 are supported by

the Global Fund, and five are USG funded. This activity will continue to compliment those centers funded by

Global Fund. At the Lakay centers, awareness and skill building sessions are conducted during the daytime

with CSWs focused on various subjects including: sexually transmitted infections (STI), consistent and

correct condom use with all partners, "no condom-no sex" messages, negotiation skills, "know your

risk/know your status" messages, dangers of HIV risk related to alcohol and drugs, and "go get tested'

messages. All the USG funded Lakay centers provide access to clinical and laboratory diagnosis and

treatment of STIs for CSWs and their clients. CSWs have access to trained physicians/gynecologists who

conduct gynecological examinations and lab tests. CSWs will receive treatment for STIs and other

reproductive tract infections and have access to family planning methods.

Additionally, in FY08 FOSREF will continue to reinforce its "Other Choice program" through the CSW

centers. This program offers a variety of training courses to provide alternative sources of income for CSW.

A number of options, including computers, floral art/paper, dance, hair, beauty and skin care,

sewing/embroidery, theater, and basic literacy courses will be available at the seven centers. CSWs

attending the trainings will build skills, self-esteem, self-empowerment, and will learn about alternative ways

to earn an income and abandon prostitution. The program will offer links to micro-finance and general

literacy programs. New to the program in FY08 will be the establishment of an ‘alumnae program' which will

match former graduates of the "Other Choice Program" who have been successful in securing jobs with

current students in the course for mentoring and networking opportunities.

Activity 2: Commercial Sex Worker Outreach: Building on FY07 results, in FY08 FOSREF will continue to

train CSW peer educators to work with CSWs and their clients in brothels, hotels and bars. CSWs trained

as outreach workers will conduct evening activities, called "Virées Nocturnes", for those CSWs who do not

access the centers during the day. During those contacts, outreach workers will distribute materials and

brochures promoting safe sex to encourage safe sexual behavior among prostitutes and clients and

facilitate interactive skills-building sessions where issues can be discussed in more depth with CSW who do

not frequent the FOSREF clinics in the daytime. The program will deliver more than 600,000 Condoms to

the CSWs and to the clients of the CSWs.

Activity 3: Clients of CSW's and Men: In FY08, FOSREF will expand its outreach with male clients of

commercial sex workers and men by increasing the number of peer educators trained to work with clients

and partners of the CSWs. The main themes that will be developed include correct and consistent condom

use, reduction of concurrent partnerships, sexual violence against women, alcohol and drug abuse, high-

risk sexual behaviors, STI's, and the importance of CT. Men will be targeted in areas where they frequent,

and the outreach program will continue to deliver messages through songs, sketches, mini-films, mimes,

and jingles particularly in public parks, public transportation stations, in front of bars, brothels, and on

beaches. Awareness activities will be organized during regional celebrations and during cockfights

addressing the same themes. Community dialogues, debates and forums will be organized in areas and

sites where men are frequent visitors, with media coverage of the debates by the community radio stations,

addressing the same themes which will be coordinated with all BCC prevention partners through the

PEPFAR BCC TWG. The program will conduct interventions in the media discussing similar messages;

which will be followed up with skill-building sessions by the peer educators that build on and reinforce the

theme of the media messages. Condoms will be provided to clients of CSW's, and USG supported CT will

be available for adult men at FOSREF's CT sites.

Activity 4: Sexually Active Youth: FOSREF will continue to address the needs of sexually active youth,

particularly at the community level. In FY07, FOSREF hired a Youth Coordinator who planned and designed

programs targeting 15-24 year olds; and trained youth as peer educators. Utilizing the PLACE study,

FOSREF will better address the underserved areas (geographical Gaps), and will better target the programs

to reach the most at risk youth in the communities. In this context, the program will continue to work in close

collaboration with youth associations in the most marginalized areas around the centers. The program

targets the most vulnerable kids, including street kids and kids involved in gang activities and refers them to

the FOSREF centers.

The peer educator program will continue in FY08. The peers educators will increase their community work,

and will continue to promote peer dialogue addressing themes such as perception of risk, negotiation skills,

gender equity, self-esteem, correct and consistent condom use, alcohol and drugs, and sexual violence,

and know your risk/know your status. The program will refer youth to FOSREF's youth centers for STI

treatment, CT and other reproductive health services (USG and Global Fund supported). Post-test clubs will

also be established and the messages described above will be discussed during these meetings. The

program will continue to address and inform the street youth, through monthly skits and dramas that will be

conducted to encourage safe sexual behaviors. FOSREF will continue to organize media programs to

address themes against sexual violence, cross generational partners, consistent and correct condom use,

get tested and stay negative messages, alcohol and drug messages, and decision making skills. Skits,

jingles, a radio talk show with the community groups will be produced and coordinated with other prevention

partners.

For FY08, FOSREF will emphasize the vocational training programs, and will continue to deliver short

technical trainings in many technical fields (e.g. mechanics, handcrafting, floral arts, masonry, carpentry,

sewing, arts-and-crafts, and computers); elementary classes for literacy; and support for school

Activity Narrative: reintegration of secondary school kids who have abandoned school. The program will link with rehabilitation

programs for young girls who are engaging in transactional sex, and also with other education and micro-

finance programs supported by USG/Haiti.

EMPHASIS AREAS:

Community Mobilization/ Participation 10-50

Information, Education and Communication 10-50

Training 10-50

Human Resources 51-100

TARGETS:

# of targeted condom service outlets: N/A

# of individuals reached through community outreach that promotes HIV/AIDS prevention through other

behavior changes beyond Abstinence and/ or Being faithful: 403,200

# of individuals trained to promote HIV/AIDS prevention through other behavior changes beyond Abstinence

and/ or Being faithful: 1,075

TARGET POPULATIONS:

Adults

Commercial Sex Workers

Children and Youth (non-OVC)

Men (including men of reproductive age)

Partners /clients of CSWs

KEY LEGISLATIVE ISSUES:

Increasing women's access to income and productive resources

Increasing gender equity in HIV/AIDS programs

Reducing violence and coercion

Wrap arounds

Microfinance /Microcredit

COVERAGE AREAS:

West - North - South-East - Artibonite - North-East - South

Summary: Clinical palliative care linked with home based care at FOSREF's counseling and testing (CT)

sites serving marginalized communities will be expanded from the metropolitan area in the West

Department to two additional departments, namely the South and South East. FOSREF will continue to

integrate the program with prevention and CT activities targeting high-risk groups, youth, and prostitutes.

The program will continue to offer more comprehensive HIV services to the target population—PLWHA that

are detected at all FOSREF centers in the three departments.

BACKGROUND:

This program will continue to address the needs of the PLWHA tested at FOSREF centers and those from

PLWHA partner associations. FOSREF will continue to integrate palliative care in its network to provide a

better continuum of care to PLWHA and also an incentive to encourage people to get tested. The Centre

de Gynécologie Préventive et D'Education Familiale ([CEGYPEF]/Port-au-Prince) in the metropolitan area

has been upgraded to provide clinical palliative care in Fiscal Year (FY) 2007 and will reinforce its two

satellites in Solino and Christ Roi in FY 2008. This package will include clinical and home-based care (HBC)

services and will include networking with the other FOSREF CT sites in the area and with existing anti-

retroviral (ARV) sites in the Ministry of Health (MOH) and GHESKIO networks located in the area where

PLWHA eligible for HAART will be referred for anti-retroviral treatment (ART). FOSREF will develop

linkages with the Association of Evangelical Relief and Development Organizations HIV/AIDS Alliance (or

"the Alliance" AERDO), the main community-based organization (CBO) through which the USG will channel

resources to provide community palliative care to PLWHAs in the West Department.

ACTIVITIES AND EXPECTED RESULTS:

The proposed program will allow FOSREF to provide standard palliative care in a network of six FOSREF

centers to address specific needs of youth and CSW groups served through these centers.

Services provided to patients will be patient- and family-centered and will optimize quality of life by active

anticipation, prevention, and treatment of suffering through respectful and trusting relationships formed with

an interdisciplinary team throughout the continuum of illness, addressing physical, intellectual, emotional,

social, and spiritual needs and facilitating patient autonomy, access to information and choice by providing

relief from pain and other distressing symptoms.

Activity 1: FOSREF will use funding to maintain three sites - upgraded with COP 2007 resources - and two

other sites in order to assess the clinical status of patients and to provide opportunistic infection (OI)

treatment and prophylaxis, nutritional assessments, counseling and support according to national norms

and protocols. Patients will also benefit from long-tern follow-up to determine the optimal time to begin ART

and to refer them to ARV sites.

Activity 2: FOSREF will expand its network of community workers around the three existing and new sites to

ensure the delivery of a package of care at home to enrolled PLWHAs. Home visits will be realized to track

patients and provide counseling services regarding HIV positive prevention and best health practices.

Activity 3: A system of reference and counter-reference with the ARV sites located in the three targeted

departments will be put in place in order to refer PLWHA eligible for ARV. FOSREF will continue to offer

tracking, adherence support, and basic home-based care for the ARV patients. FOSREF will also ensure

that enrolled PLWHA will get access to psycho-social and preventive care services at the community level,

including psychological and spiritual care to patients, support system to help patients live as actively as

possible and to help the family cope during the patient's illness and in their own bereavement.

Activity 4: FOSREF will continue to reinforce its technical and logistical capacity to supervise daily program

activities and to coordinate with the Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic

Infections (GHESKIO) and Partners in Health (PIH) the training of the different categories of staff at the five

sites in clinical and home-based care using national norms and protocols.

Activity 5: FOSREF will organize post-test clubs and support groups for PLWHA, involving HIV (+) youth in

decision-making for positive prevention. PLWHA will be trained as peers in communication skills, HIV/AIDS

prevention. Trained PLWHA will have a key role in executing, monitoring and in evaluating activities of the

project. They will be involved with the other community health workers and the health providers at center

level, in the screening of HIV (+) people presenting early signs or symptoms of opportunistic infections.

EMPHASIS AREAS:

Community Mobilization/ Participation 10-50

Development of Network / Linkages/ Referral Systems 10-50

Food/Nutrition 10-50

Training 10-50

TARGETS:

# of services outlets providing HIV related Palliative care (Excluding TB/HIV) : 5

# of individuals provided with HIV related Palliative care (Excluding TB/HIV) : 2.000

# of individuals trained to provide HIV related Palliative care (Excluding TB/HIV) : 60

2.000 PLWHAs (and their families) will be supported

100 % of the PLWHAs needing ARV treatment will receive it

300 Peers PLWHAs will be trained

TARGET POPULATIONS:

PLWHA, Community Based Organizations, PLWHA associations.

KEY LEGISLATIVE ISSUES:

Food, Stigma and Discrimination.

COVERAGE AREAS:

West, South, South East Departments

SUMMARY:

This activity seeks to expand FOSREF's program for Orphans and Vulnerable Children (OVC). The primary

emphasis areas for this activity are community mobilization/participation, information, education and

communication, and training. Specific target populations include street kids and children affected or infected

by HIV/AIDS. The activities will be carried out in five departments within Haiti: the South, South East,

Grande Anse, Nippes and West with particular attention given to the cities of Les Cayes, Jacmel, Jérémie,

Miragoane and Port-au-Prince (three sites) and their surrounding communes.

BACKGROUND

This activity is the continuation of the FOSREF OVC program started in Fiscal Year (FY) 2007 and will

continue to extend its OVC services in other departments of the country. All activities in the program will be

implemented and executed directly by FOSREF. This program will put special emphasis on key issues

related to OVC and will have a strong community level focus.

ACTIVITIES AND EXPECTED RESULTS:

Activity 1: Peer education for street kids. Training sessions for OVC peers will be organized at the center

level in all of FOSREF‘s seven youth centers within its five department service areas, as well as in shelters,

meeting points, and institutions that work with street kids. These training sessions will cover interpersonal

communication techniques, perception of risk level, negotiation skills, sexually transmitted infection (STI)

and HIV/AIDS prevention and life skills. Training sessions on STI/HIV/AIDS prevention will be held weekly

at the center and community level.

Activity 2: Provision of psychosocial and educational support. - The program will provide psychosocial

support to OVC at the center and community level and for individual families. The program will also provide

school fees for children age five to 18 years old and support for school materials and uniforms.

Activity 3: Special sessions for girls. - Specific individual or group education sessions will be organized for

OVC girls on self-esteem, negotiation skills, life sk

Integrated Activity: This activity links to Activity IDs 5434.08, 10126.08, 11059.06, 10663.08.

Summary: This project activity supports the continuation and the expansion of the FY07 FOSREF

comprehensive voluntary counseling and testing for HIV (VCT) interventions included an organized testing

and referral system for HIV-positive commercial sex workers (CSWs), HIV-positive youth, HIV-positive men,

and HIV-positive pregnant women and also post-test clubs. This activity will continue to deliver high quality

VCT services to the CSWs, to the Youth, to the men and to pregnant women. The primary emphasis areas

for these activities are training, human resource development and infrastructure development. Specific

target populations include CSWs and their clients; youth aged 15 - 24 years, men, and pregnant women.

BACKGROUND

The program will continue to deliver the VCT services in the same sites of FY07 and will extend and

reinforce the VCT services in other FOSREF VCT sites, and will implement 2 new VCT sites for the youth at

risk. The Activities targeting CSWs will be carried out in USG-supported FOSREF centers for CSWs located

in many cities (reference to the Departments: Coverage areas and in the CSWs centers mainly funded by

the Global Funds and that receive support from PEPFAR (Intrnats , tests VCT etc…) . Activities targeting

youth will be carried out in 15 existing FOSREF youth centers located in 9 geographical departments, and 2

new other ones in 2 very marginalized areas, where a lot of veey high risk youth live. Activities targeting

men will continue to be focused on specific sub-populations including men with multiple partners, men with

high-risk sexual behavior, clients of prostitutes, and single men. These activities will continue to be carried

out in the following departments: West, particularly the metropolitan region; South; North; Nippes; North

East; South East; North West and Artibonite departments considered as the ones having most of the men

with higher risk. Program activities for pregnant women will continue to be delivered in the three FOSREF

adult sites located in the metropolitan area and sub-urban, marginalized areas, of the West Department.

The activities are a continuation of USG-supported FOSREF activities funded in FY07. Haiti's national HIV

operational plan includes FOSREF's counseling and testing services.

ACTIVITIES AND EXPECTED RESULTS:

Activity 1: FOSREF will provide VCT services to CSWs in 10 sites. The CSWs trained peers will continue

to be fully involved in the counseling process as key actors. FOSREF will continue to promote VCT services

and availability of mobile VCT services at fixed points of prostitution including brothels and bars. The supply

of condoms at recruiting/gathering points for potential clients of prostitutes (e.g. bars, restaurants, bus

stations, and garages) will continue as a key intervention of the program. FORSEF will conduct HIV

awareness sessions for the clients of CSWs in an effort to discourage them from engaging in high risk

sexual behaviors. Those HIV-positive CSWs will be integrated in support activities that will promote positive

prevention, care and support. HIV-positive CSWs also will be integrated into antiretroviral treatment (ART)

programs or palliative care and support, as appropriate (See also: FOSREF Palliative Care narrative and

ARV Services narrative). HIV-negative CSWs will be integrated in the Stay Negative program, and 100%

condom use program, and will receive secondary abstinence messages.

Activity 2: FOSREF will continue to reinforce and enhance the delivery of VCT services to youth in 15

specialized youth centers/clinics. The program will be extended by the implementation of 2 new VCT/youth

sites. The 2 new centers will use the same strategies and activities that are in used in the existing youth

centers reinforced by the program. The strategy of VCT services that are delivered by trained youth

facilitators/counselors will be maintained. Youth aged 15 to 24 years will continue to receive VCT-related

services, integrated with other reproductive health services such as diagnosis and treatment of sexually

transmitted infections (STIs), services that are available at the Youth centers. Both HIV-positive and HIV-

negative youth will be integrated in post-test clubs which will function as psycho-social support groups. The

VCT services will be supported by a community program organized by trained youth. An outreach network

of youth facilitators will organize community activities that promote the VCT services and other related

services among the youth. They will also promote post-test secondary abstinence, which is the key strategy

of the Stay Negative program for HIV-negative youth. HIV-positive youth will also be referred to organized

care and support services and antiretroviral treatment (ART)

The program will continue to encourage HIV-negative youth to be enrolled in post-test clubs that will help

them to maintain their negative serostatus. The youth of the Youth VCT centers which are already linked

with existing Prevention of Mother-to-Child Transmission (PMTCT) and ART sites will continue to work as

peer counselors, companions (accompaniers) for pregnant women, patients on ART, or people living with

HIV/AIDS (PLWHA) receiving palliative care. These youths also will collaborate with community health

workers at the HAART sites to help identify orphans and vulnerable children (OVCs). FOSREF youth

centers also will counsel youth referred by the "high risk sexually active program" for STI diagnosis and

treatment, VCT services and post-test clubs services, and special services for victims of sexual violence

(gender equity aspect ) Those services will be available in all the FOSREF youth centers. The program will

also deliver mobile VCT services to youth in marginalized areas and in rural areas where there is no clinic

available. It is important to signalize that the Youth Clubs will be emphasized and reinforced for FY08, and

the youth will have access to many other social clubs.

Activity 3: FOSREF will continue to deliver VCT services to CSW and their clients through mobile VCT

services that travel to fixed points of commercial sex work including brothels and bars. FOSREF will

maintain a constant availability of condoms at client recruiting/gathering points (bars, restaurants, bus

stations, garages). In addition, FOSREF will conduct HIV awareness sessions with clients of CSWs in VCT

sessions to encourage them to stop engaging in unsafe sexual behaviors. Clients of CSWs will receive also

STIs diagnosis and treatment.

Activity 4: The program will continue to counsel pregnant women regarding PMTCT during prenatal visits at

the 3 adult FOSREF reproductive health Centers and will ensure that HIV+ women are formally enrolled in a

PMTCT site in their community that offers a comprehensive package of PMTCT services. The information

sessions will cover HIV counseling and testing during pregnancy for all pregnant mothers, and also for all

women in the waiting rooms of those centers providing integrated sexual and reproductive health services.

Key activities of the program will be: education and sensitization of all women attending the Centers

(sessions of education will target mainly the pregnant women during prenatal clinic activities), education and

sensitization sessions for clients in the community during outreach activities, and PTMCT club activities.

Services provided will include: information and education; clinical VCT services; psychological and

nutritional support; development of a strong referral system for HIV-positive mothers; and training.

Activity Narrative: EMPHASIS AREAS:

Infrastructure 10-50

Information, Education and Communication 10-50

Training 10-50

Human Resources 10-50

Development of Network / Linkages / Referral Systems 10-50

TARGETS:

# of services outlets providing counseling and testing according to national and international standards : 27

# of individuals who receive counseling and testing for HIV and receive their test results: 25.500

# of individuals trained in Counseling and testing according to National and international standards: 45

a) For CSWs:

5.500 CSWs tested for HIV

100% of HIV (+) CSWs referred for ARV services

10 CSW centers sites offering VCT services

b) For youth at risk

16.500 youth tested for HIV

100% of youth tested HIV (+) referred for ARV services

100% youth tested integrated in post-test club activities

15 youth centers reinforced in VCT Services (+ 2 new youth centers)

2 VCT trucks offering mobile VCT services

c) For pregnant women

2.500 pregnant women tested in the program

7.000 women informed in the community about PMTCT

45 service providers trained in PMTCT

3 functional sites offering PMTCT services

100 patients and families receiving nutritional support

100% of referred HIV positive pregnant women delivering

With medical assistance

d) For Men: 3.500 Men will be tested for HIV

TARGET POPULATIONS:

Adults

Commercial Sex Workers

Children and Youth (non-OVC)

HIV positive pregnant women

KEY LEGISLATIVE ISSUES:

Gender Equity- Food

COVERAGE AREAS:

West - North - South-East - Artibonite - North-East - Nippes- South -Grande Anse- North-West