PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
SUMMARY:
This project is the continuation of the FY08 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. Emphasis will be put on activities with adult men in FY09. 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 FY09, FOSREF will be 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 FY09, FOSREF will expand its outreach with male clients of commercial sex workers and
unemployed men. In FY08, the program provided peer education for clients of commercial sex workers and
unemployed men. In FY09 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 FY09 FOSREF will be
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. Continuing work from
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.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17175
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17175 11059.08 HHS/Centers for Foundation for 7681 3136.08 $400,000
Disease Control & Reproductive
Prevention Health and Family
Education
11059 11059.07 HHS/Centers for Foundation for 5123 3136.07 $200,000
Emphasis Areas
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Estimated amount of funding that is planned for Education $18,690
Water
Table 3.3.02:
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 the FY 2008 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.
BACKGROUND
This program is a continuation of a COP08 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 continue in the following departments: Artibonite, North, North-East,
West, South, North West, and South East, Nippes and Grande Anse.
Activity 1: Commercial Sex Worker Centers: For FY09, the program will continue to provide behavior
change communication (BCC) messages to promote condoms and other prevention activities through ten
"Lakay" CSW centers in the South, the North, the South East, the Artibonite, the North West , the Nippes
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. This activity will build on
USG-supported FY 2008 results and will continue to train CSW peer educators and to sensitize and inform
the CSWs and their clients in brothels, hotels and bars. At the Lakay centers, sensitization sessions will also
be conducted 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 alcohol and drugs, and "go get tested' messages. Community CSW Peer
Educators will conduct visits to CSW at fixed points frequented by prostitutes. 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 FY09 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.
Activity 2: Commercial Sex Worker Outreach: In FY09 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 800,000 Condoms to the CSWs and to the clients of the
CSWs.
Activity 3: Clients of CSW's and Men: In FY09, 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: For the Sexually Active Youth, FOSREF will continue to address their
unmet needs, particularly at the community level. FOSREF, as it did for FY08, will continue for FY09 to
Utilize the PLACE study, in order to 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 FY09. 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
Activity Narrative: 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 FY09, 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
programs for young girls who are engaging in transactional sex, and also with other education and micro-
finance programs supported by USG/Haiti.
Continuing Activity: 17176
17176 5434.08 HHS/Centers for Foundation for 7681 3136.08 $600,000
9281 5434.07 HHS/Centers for Foundation for 5123 3136.07 $475,000
5434 5434.06 HHS/Centers for Foundation for 3136 3136.06 $592,000
Gender
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
Estimated amount of funding that is planned for Education $12,460
Table 3.3.03:
SUMMARY: The FY09 Palliative Care FOSREF activity is the continuation of the FY08 Palliative Care of
FOSREF. In this activity Clinical palliative care linked with home based care at FOSREF's counseling and
testing (CT) sites serving marginalized communities will be reinforced in the metropolitan area in the West
Department. 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—people living with HIV/AIDS (PLWHAs) that are detected at all FOSREF centers in
the West Department, and it will reinforce the quality of Palliative Care delivered to those populations.
BACKGROUND: This program, which is a continuation of the FY08 Palliative Care, will continue to address
the needs of the PLWHAs 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
PLWHAs 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 which has been upgraded to
provide clinical palliative care since Fiscal Year (FY) 2007 and has had its two satellites-centers in Solino
and Christ Roi completely reinforced in FY 2008, will continue to be the key center of this program in the
West Department, since that this center is also the only ARV center of FOSREF, receiving -all HIV tested
positive patients from the network of FOSREF centers in the West Department. The other FOSREF centers:
FOSREF Youth center-clinic in Lalue, FOSREF Youth center-clinic in Delmas, FOSREF Youth center clinic
in Plaine du Cul de Sac, and FOSREF Lakay center-clinic in Petion-Ville and Lakay FOSREF center-clinic
Downtown Port au Prince will continue to deliver Palliative Care to the PLWHAS of these centers.
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 Haitian Group for the Study of Kaposi's sarcoma and Opportunistic Infections (GHESKIO)
networks located in the area where PLWHAs eligible for Highly Active Anti-Retroviral Therapy (HAART) will
be referred for anti-retroviral treatment (ART). FOSREF will continue to 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.
Activity 1: FOSREF will use funding to maintain the six sites - upgraded with COP 2008 resources 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 reinforce its network of community workers around the six existing 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 site, the CEGYPEF/ FOSREF ARV
site, 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.
Continuing Activity: 17177
17177 10126.08 HHS/Centers for Foundation for 7681 3136.08 $300,000
10126 10126.07 HHS/Centers for Foundation for 5123 3136.07 $250,000
Table 3.3.08:
The narrative will be modified in the following ways:
Activity 1: Modification in Activity 1: Provision of psychosocial and educational support.- The program will
provide psycho-social support to OVC at center level, in the families, and in the community as well as
school fees for children age 5 to 17 years old and support for school materials and uniforms. Older OVC will
benefit from vocational training, when appropriate
.
Activity 4: Edutainment. - Entertaining education sessions on different themes including HIV/AIDS
prevention, fight against sexual violence, gender equity will be realized by social clubs within the FOSREF
Youth program for the OVC. In all departments where the project is implemented, fun activities will take
place during the summer (OVC summer camps), for National Children's Day, and for Christmas.
Activity 5: Clinical services for OVC.- Basic clinical care for common diseases such as non complicated
respiratory infections, diarrhea will be available. The system of referrals of OVC presenting complicated
diseases, at community and at institutional level will be strengthened.
Activity 6: Economic strengthening of OVC and families.- Income-generating activities will be a priority in
FY09, especially for the poorest and most affected large families to help them gain some sense of self-
sufficiency.
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.
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.
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
Continuing Activity: 17178
17178 10663.08 HHS/Centers for Foundation for 7681 3136.08 $400,000
10663 10663.07 HHS/Centers for Foundation for 5123 3136.07 $300,000
Health-related Wraparound Programs
* Child Survival Activities
Estimated amount of funding that is planned for Education $50,000
Table 3.3.13:
* BACKGROUND
The program will continue to deliver the VCT services in the sites of FY08/COP08 and will reinforce VCT
services in all FOSREF VCT sites. 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 (Intrants ,
tests VCT etc…) . Activities targeting youth will be carried out in all existing FOSREF youth centers located
in 9 geographical departments, among those certain are located in very marginalized areas and deserve
very vulnerable and high risk youth.. Activities targeting men will continue to be focused on specific sub-
populations including men with multiple partners, men with high-risk sexual behavior, clients and potential 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.. The activities are a
continuation of USG-supported FOSREF activities funded in FY08.
*Activity 2:
Modifications in the first sentece: "FOSREF will continue to reinforce and enhance the delivery of VCT
services to youth in its all specialized youth centers/clinics".
* Modification in the last sentence: "It is important to signalize that the Youth Clubs will be emphasized and
reinforced for FY09, and the youth will have access to many other social clubs"
* Activity 4 (Pregnant women PMTCT) is a new program area for COP09
Summary: This project activity supports the continuation and the expansion of the FY08 FOSREF
comprehensive voluntary counseling and testing for HIV (VCT). 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.
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.
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
Activity Narrative: 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.
Continuing Activity: 17179
17179 3903.08 HHS/Centers for Foundation for 7681 3136.08 $500,000
9280 3903.07 HHS/Centers for Foundation for 5123 3136.07 $280,000
3903 3903.06 HHS/Centers for Foundation for 3136 3136.06 $200,000
* Addressing male norms and behaviors
Table 3.3.14:
