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: Management Sciences of Health (MSH), the institutional contractor for USAID's integrated
health services umbrella mechanism, will receive prevention funds to target at-risk adults and youth with
abstinence and be faithful (AB) prevention messages. These targeted efforts will continue to ensure
sustainable interventions for promoting prevention activities through the local non-governmental
organizations (NGOs) that receive funding under MSH's umbrella mechanism. Umbrella mechanisms
provide the administrative structure and management capacity to build strong local institutions and generate
involvement of local NGOs and CBOs through direct technical assistance and funding by the lead partner.
Building on past investments to strengthen the capacity of the network of health NGOs in Haiti, the USG will
provide support to include HIV/AIDS prevention into the provision of a basic package of health services for
vulnerable groups in Haiti. The NGO sub partners form a network of nearly 100 service delivery sites that
provide access to basic health services to nearly 3.2 million people. Another 30 public sector service
delivery sites are supported under this project to assist the MOH in hard-to-reach communities throughout
the country.
BACKGROUND
With last year's successful elections, the new government has signaled a strong desire to improve basic
social services throughout Haiti, including attention to HIV/AIDS prevention. The new government's program
recognizes that in order to respond to basic health needs, more efforts are required to encourage the
involvement of NGOs and the private sector. As a result, the GOH has indicated support for continuing to
forge public private partnerships in the rebuilding of Haiti's health sector and the delivery of basic services.
Many of USAID's existing NGO partners are in a strategic position to better integrate Being Faithful
messages targeted to couples, men engaging in high risk sex with multiple partners, and sexually active
youth between 15-24 years of age. Many of these NGOs already have organized programs through
mother's clubs, father's clubs, youth associations and have expressed interested in incorporating HIV/AIDS
prevention methods. Recent DHS data on HIV prevalence and behavioral determinants point to the need to
target parts of the country with the highest HIV/AIDS prevalence rates, such as Nippes, North and the North
East Regional Departments, the latter on the border with the Dominican Republic, with the most frequently
used border crossing.
ACTIVITIES AND EXPECTED RESULTS
Activity 1: A special focus will be placed on "Being Faithful" interventions which target men where they
commonly congregate, such as brothels, sporting events, pubs, clubs, community and social events. Again,
efforts will be undertaken to target USAID's network of father's clubs, as well as men through male networks
of local celebrities, entertainers, artisans, and transportation networks, Messages targeting these male
groups will reinforce themes of fidelity, partner reduction, avoidance of commercial sex and linkages to
condom outlets. The needs of HIV discordant couples will be addressed through targeted counseling and
education as well as referrals to CT. Counseling and behavior change education on prevention of
transmission for HIV positive persons, "prevention for positive" will be an integral part of all prevention
efforts. Efforts will be made to train male adult leaders and youth, to better target messages to men in
supporting behavior change and reducing the spread of HIV.
Activity 2: Many of these organizations work in socially and politically unstable "hot spots" (areas
inaccessible due to violence and instability in the past few years). Efforts will be made to create synergies
with USAID's education, food security and economic growth initiative to increase prevention messages and
positive behavior change among high risk groups. In light of Haiti's economic instability and the high
numbers of youth engaging in transactional sex for survival, linkages will be made with USAID job creation
program to target 15-24 year olds. Special efforts will be made within this population to increase awareness
of personal risk, reduce the number of sexual partners through be faithful programming, address
transactional sex and the risks involved. Particular focus will be placed on providing women with access to
programs that address violence and sexual coercion. Referrals will be made to urge counseling and testing
and linkages for care and support.
ACTIVITY 3: Support will be given to youth focused NGOs to accelerate abstinence and being faithful
programs for youth, most of them out of school and working in the informal sector. It is anticipated that
these youth will be identified from the existing NGO network receiving funding under MSH, such as youth
groups and clubs, local musician networks, sporting associations, local civic associations and community
groups. Many of these networks are in security "hot spots" (areas inaccessible due to violence and
instability in the past few years) and are targets for USAID's new three-year strategy to support the
Government of Haiti in its rebuilding efforts. It is anticipated that civil society groups will promote youth in
the planning, design and implementation of training and outreach efforts in order to maximize youth
ownership and buy-in. Following training, youth peer educators will conduct outreach activities during
community events such as carnival, World AIDS Day, sporting tournaments, youth camps, music jamborees
and activities frequented by youth. Sexually active youth will be referred to condom outlets, CT, and
linkages to other USAID reproductive health services, including family planning.
New/Continuing Activity: Continuing Activity
Continuing Activity: 19564
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
19564 19564.08 U.S. Agency for Management 8719 8719.08 Leadership, $1,250,000
International Sciences for Management
Development Health and
Sustainability
Project
Table 3.3.02:
SUMMARY: Management Sciences for Health (MSH) was awarded USAID's new basic health services
contract in 2007 for a period of three years, thus allowing them to continue the work of its Non-
governmental Organization (NGO) health service delivery network in prevention education to target groups
at high risk for HIV/AIDS. The NGO sub-partners form a network of nearly 100 service delivery sites that
the country. USG will support these civil society NGOs that can be mobilized to quickly launch condom
outlets and other prevention activities in some of the insecure "hot spots" targeting underserved most at risk
population (MARP) groups. Prevention activities will target parts of the country with the highest HIV
prevalence rates and support NGOs and CBOs in the network to target these high risk groups. The 2005
Demographic and Health Survey (DHS) data suggest that while knowledge in ways to prevent HIV
transmission is high—over 90%, condom use is low—30% and accompanied by high risk sexual activity.
Partners will work with marginalized communes, peri-urban areas and secondary cities where major
pockets of high risk activity take place to institute additional condom outlets. Training of network members
will include building skills in risk self assessment, condom negotiation, counseling and testing and linkages
to CT, raising issues related to gender and sexual violence and changing social norms. In 2009, NGO
partners will sharpen the targeting of prevention efforts to five key MARP groups: sexually active youth
aged 15 to 24; couples; men engaging in high risk sex; and migrant/border populations.
BACKGROUND: Historically there have been only a few strong and widely recognized Haitian NGOs with
the managerial and technical capacity to implement effective prevention and behavior change programs
targeting specific high-risk populations. In FY 2006, PEPFAR leveled the playing field by expanding the use
of the USAID umbrella NGO mechanism, the previous MSH contract, to strengthen the capacity of new
smaller, nascent Haitian NGOs, CBOs, Faith-based Organizations (FBOs) and private sector entities to
contribute to prevention efforts for targeted populations that typically engage in high-risk behavior. With the
recent successful elections, the new government has signaled a strong desire to improve basic social
services throughout Haiti, including attention to HIV/AIDS prevention and supporting public private
partnerships in the rebuilding of Haiti's health sector. The condom activities and other prevention efforts in
this activity are in line with this vision. Sub-partner NGOs working under the USAID umbrella mechanism
will target parts of the country with the highest HIV prevalence rates, such as Nippes, the North and the
North East Regional Departments, the latter on the border with the Dominican Republic, with the most
frequently used border crossing.
ACTIVITIES & EXPECTED RESULTS
Activity 1: A special focus will be placed on interventions which target men where they commonly
congregate, such as brothels, sporting events, bars, clubs, community and social events. Special efforts will
be made to reach unemployed young men, street traders, members of the informal sector, and divorced
men. Efforts will be undertaken to target USAID's network of father's clubs, as well as men through male
networks of local celebrities, entertainers, artisans, and transportation networks. Messages targeting these
male groups will reinforce themes of fidelity, partner reduction, avoidance of commercial sex, gender
violence, alcohol and drug use, as well as condom use. The needs of HIV discordant couples will be
addressed through targeted counseling and education as well as referrals to CT services and HIV care and
treatment counseling on prevention of transmission for HIV positive persons, stigma reductions and
"prevention for positive" will be an integral part of all prevention efforts. Linkages will be made with the
USAID-supported social marketing program to increase condom use among MARP groups.
program to target 15-24 year olds. Special efforts will be made to better target 15-24 year olds to increase
awareness of personal risk, reduce the number of sexual partners, address gender and transactional sex
and increase correct condom use. Particular focus will be placed on providing women with access to
ACTIVITY 3: MSH will ensure continuous supply of condoms within areas of each department that has
limited condom service delivery available. Based on the results of the situation analysis performed in FY 08,
MSH will work with the 40 community members and organizations that were identified as willing to promote
condom use and manage condom outlets. This initiative will be linked to other PEPFAR partners conducting
social marketing of condoms or free condom distribution and the Ministry of Health (MOH).
Continuing Activity: 19568
19568 19568.08 U.S. Agency for Management 8719 8719.08 Leadership, $500,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Family Planning
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
ACTIVITY UNCHANGED
SUMMARY: The Leadership, Management and Sustainability (LMS) Program will receive support from
USAID to work with partners to develop their capacity to serve People Living with HIV/AIDS (PLHWA). LMS
will continue to work with the Maison l'Arc-en-Ciel (MAEC) to expand the number of OVCs and PLWHA
families impacted by MAEC's outreach program to metropolitan Port-au-Prince's children infected/affected
by HIV/AIDS and to build on a model MAEC has begun to develop for community mobilization using a large
group of community-based organizations (CBOs) in the Frères and Croix des Bouquets areas. Through this
support, MAEC will continue to increase its caseload from its present 286 families and 572 children/youth to
367 families and 873 children/youth through identification and referral by MAEC partners such as Cornell-
GHESKIO. MAEC will create support groups of PLWHA and non-infected CBO volunteers for its families in
these two zones. The families will receive tangible services such as health care, training, nutritional
support, and school fees as well as participate in MAEC's peer home visiting program that has had an
important effect on bolstering self-esteem and reviving hope among its families. This support offers MAEC
the opportunity to extend its model into Cité Soleil, probably the neediest area in the exceptionally resource-
poor country. In summary, the MAEC activities consist of two main activities: care and support of OVCs
and their families; and a community-level partnership with international, local, and CBOs to support PLWHA
families while working to prevent HIV infection and reduce stigmatization. LMS will help strengthen the
leadership and management skills of the MAEC support groups and increase the involvement and capacity
of the staff towards a common sustainable goal and lasting impact of the program. This program is funded
through 75% HKID and 25% HBHC funding, and a description of these activities can be found under both
program areas.
In addition, LMS will continue support to FOSREF to provide access to services for sexually transmitted
infections (STIs), HIV/AIDS, and sexual and reproductive health, at the institutional and community levels,
to the youth of Cité Soleil. The program plans to reduce by 50% the HIV prevalence in the population of
Cité Soleil and particularly among the youth in this area. In addition, the program will offer other alternatives
to the youth of Cité Soleil. This program is funded through 50% HVOP, 25% HVCT, 15% HVAB, and 10%
HBHC funding, and a description of this activity can also be found under those program areas.
BACKGROUND: MAEC is a Haitian non-profit NGO that began work in the Port-au-Prince area in July
1996 with the opening of the first residential care and treatment facility in Haiti for children orphaned or
affected by AIDS. MAEC began a non-residential program in 1998 and provided monthly medical visits and
other activities for children as well as a dry food ration for the family and regular home visits by social
workers and auxiliary nurses. The participating families live in some of the most HIV-affected areas of the
country, the metropolitan Port-au-Prince communes of Carrefour, Croix des Bouquets, Cite Soleil, Delmas,
Pétionville (including Frères), Port-au-Prince, and Tabarre. Families living in an impoverished area with at
least one HIV+ child or a child who had lost at least one of his or her parents to the disease were eligible to
receive care. As the program has expanded since 2002, through partnerships with Plan Haiti, FHI, and
UNICEF, MAEC was able to add an outreach center that houses classrooms for children and heads of
families, provides medical and psychological consultations as well as cultural activities, etc. Food is
provided by partners CRS and WFP. Community mobilization activities were added through the use of
elected mothers who were trained and able to provide home visits even during times of instability in the
country.
FOSREF has a mandate from the Ministry of Health and Population (MSPP) to deliver youth-focused sexual
and reproductive health and HIV/AIDS services to youth nationwide. In Haiti, youth, who represent more
than 50% of the population, are the most vulnerable groups for HIV/AIDS and unwanted pregnancies, with a
high incidence of clandestine abortions. In this context, FOSREF has identified key cities in the country
where specific programs for youth must be implemented to meet the unmet needs of young people for
sexual and reproductive health and HIV/AIDS prevention. To date, FOSREF has created and implemented
a network of 15 youth centers in many cities. During the last four years, FOSREF has identified areas in the
marginalized segments of the large cities, particularly in the Metropolitan areas of Port-au-Prince, where
there are no existing youth services. Cité Soleil is one of these areas, representing one of the largest
challenges in terms of unmet needs of youth for sexually transmitted infections, HIV/AIDS, sexual violence,
and other sexual and reproductive health matters. Young people have been victims of gang activities that
have reduced them to an almost hostage-like situation. Based on recent official information from the
Ministry of the Interior, the Director of the National Police, and from the UN Peace Keeping Forces
(MINUSTAH), the security situation in Cité Soleil has improved enough to begin to target services to the
population in this area.
Continuing Activity: 19577
19577 19577.08 U.S. Agency for Management 8719 8719.08 Leadership, $350,000
Table 3.3.08:
USAID to work with partners to build their capacity to provide services to Orphans and Vulnerable Children.
Specifically, LMS will continue to work with the Maison l'Arc-en-Ciel (MAEC) to expand the number of OVCs
and PLWHA families impacted by MAEC's outreach program to metropolitan Port-au-Prince's children
infected/affected by HIV/AIDS and to build on a model MAEC has begun to develop for community
mobilization using a large group of community-based organizations (CBOs) in the Frères and Croix des
Bouquets areas. Through this support, MAEC will continue to increase its caseload from its present 286
families and 572 children/youth to 367 families and 873 children/youth through identification and referral by
MAEC partners such as Cornell-GHESKIO. MAEC will create support groups of PLWHA and non-infected
CBO volunteers for its families in these two zones. The families will receive tangible services such as
health care, training, nutritional support, and school fees as well as participate in MAEC's peer home visiting
program that has had an important effect on bolstering self-esteem and reviving hope among its families.
This support offers MAEC the opportunity to extend its model into Cite Soleil, probably the neediest area in
the exceptionally resource-poor country. In summary, the MAEC activities consist of two main activities:
care and support of OVCs and their families; and a community-level partnership with international, local,
and CBOs to support PLWHA families while working to prevent HIV infection and reduce stigmatization.
LMS will help strengthen the leadership and management skills of the MAEC support groups and increase
the involvement and capacity of the staff towards a common sustainable goal and lasting impact of the
program. This program is funded through 75% HKID and 25% HBHC funding, and a description of these
activities is included in both program areas.
This activity also relates to activities in Care: Pediatric Care & Support. It has 3 components:
ACTIVITY 1: Care and support of OVCs and their families: MAEC has a comprehensive program for the
communities it serves. Each community forms a coordination committee composed of one Mere Déléguée,
two Youth Peer Educators, two Agents de Liaison, two Agents de Formation, two Agents de Sensibilisation,
and MAEC staff. The Coordination Committee oversees all of the activities in its community as well as
receives, helps to select, and follows community projects designed to improve the conditions of local OVCs.
The project will support an extensive series of educational courses for heads of households (mostly single
mothers) as well as provide key training for children/youth (more than 9 years old) on subjects such as
simple health care, first aid (through the Haitian Red Cross), stigmatization, conflict resolution, and
responsible sexuality. The children's trainings will be interspersed with educational or cultural outings.
Cultural activities are designed to help children deal with their highly stressful living conditions. Many
children work through psychosocial issues during play, and MAEC trains its youth peer educators to lead
the teaching and cultural activity sessions. Les Ateliers Copart has been identified to train MAEC's children
and youth as well as to help them develop puppet and theatrical presentations. The MAEC program also
will provide primary health care through the services of an on-site pediatrician. She will perform routine
health care and will refer to partner Cornell-GHESKIO for ART and partners Grace Children's Hospital and
Hôpital de Nos Petits Frères et Soeurs for hospitalizations. School fees will be paid for primary age
children, and other educational possibilities will be provided for youth who are no longer eligible for primary
school. Psychological support will continue as well as home visits supervised by a full-time nurse
supervisor. Other services will include monthly food distribution; hygiene kits for the families; financial
assistance for burial of deceased children; and support to the peer educators involved in micro-credit
projects to generate income; and distribution of clothes and shoes for the neediest children. This component
of this activity will work to serve 393 male and 367 females OVC
ACTIVITY 2: Community-level partnership with international, local, and community-based organizations
(CBOs) to prevent HIV infection and reduce stigmatization: MAEC will work to demystify HIV in participating
families' environments so that neighbors can once again receive them as members of the community.
Community-level activities are directed by the Coordination Committee, which will oversee the
organization/coordination of home visits; school fees; invitations for the drafting and submission of
community-level projects for the benefit of vulnerable children and youth; selection of promising projects
and their recommendation to MAEC leadership; awarding funds to those projects that are approved by
MAEC; and taking the lead in monitoring and evaluating the projects. MAEC will maintain its strong
partnership with the Ministry of Health and Population (MSPP). All of MAEC's activities fall within the
national strategic plan, particularly the emphasis on reducing the vulnerability of youth to HIV infection
through awareness and reinforcement of responsible sexuality and the reduction of the impact of the
disease through the care and support of PLWHAs and their families, especially OVCs. A number of
MAEC's partners, including, most importantly, its partnerships with a number of CBOs in its catchment
areas, will remain a hallmark of the program. These partnerships will continue to be strengthened and
expanded, especially in Cité Soleil. These CBOs will benefit from sharing experiences with other MAEC
partner CBOs from Croix des Bouquets and Frères. This component of this activity will work to serve 393
males and 367 females OVC
ACTIVITY 3: Leadership Development Programs: Good leadership is more important than ever in the
Activity Narrative: health care environment in Haiti. The rise of HIV/AIDS and other infectious diseases; health reforms such
as decentralization; and uncertainties in donor funding present formidable external challenges to health care
organizations. At the same time, organizations confront low staff morale, staff shortages, weak systems and
processes, difficulty in sustaining high-quality services, and other internal challenges. To address these
challenges, they need managers who can not only manage, but also lead their staff through change. When
organizations invest in leadership development for managers at all levels, they will increase their ability to
adapt to change. Their managers will learn to reinforce leadership values and apply leadership practices
that promote sustainable organizational performance. By practicing both leading and managing, managers
will be better able to achieve results and maintain high-quality services despite the obstacles they face.
LMS will implement Leadership Development Programs (LDP) to help MAEC to develop managers who
lead with a vision of a better future. The program has three major learning objectives: (1) learn the basic
practices of leading and managing so that managers are capable of leading their workgroups to face
challenges and achieve results; (2) create a work climate that supports staff motivation; and (3) create and
sustain teams that are committed to continuously improving client services.
LMS will help develop facilitators for the LDPs who will go on to help teams carry out this process at several
levels and for specific audiences—NGOs, youth, and women. As part of the process, these teams engage
in the program over a period of four to six months. Teams will discuss strategies for—and actively
address—their challenges through all program activities. To help organize and support their work, five kinds
of program activities will be held: (1) Senior Alignment Meetings, an initial meeting which generates
commitment and ownership of the LDP among key organizational stakeholders; (2) LDP Workshops, a
series of workshops comprised of 12 half to full day core sessions during which participants learn core
leading and managing practices and concepts; (3) Local Team Meetings, on-the-job meetings between
workshops in which participants transfer what they learned to the rest of their work team, discuss strategies
to address their challenges, and apply leading and managing practices; (4) Regular Coaching, in which
local health managers support the teams in implementing the tools of the LDP; and Stakeholder Meetings,
in which stakeholders are periodically updated and enlisted as resources to support the teams. This
component of this activity will work to train 50 providers/caregivers in caring for OVC
Monitoring and Evaluation of these activities including data collection, use, quality and feedback will be an
ongoing and focused effort.
Continuing Activity: 19583
19583 19583.08 U.S. Agency for Management 8719 8719.08 Leadership, $600,000
Estimated amount of funding that is planned for Human Capacity Development $350,000
Estimated amount of funding that is planned for Education $50,000
Table 3.3.13:
SUMMARY: The Leadership, Management and Sustainability (LMS) Program, through support from
USAID, will provide assistance in capacity building to NGOs. LMS will continue to work with FOSREF to
provide youth access to services for sexually transmitted infections (STIs), HIV/AIDS, and sexual and
reproductive health, at the institutional and community levels, to the youth of Cité Soleil. The program plans
to reduce by 50% the HIV prevalence in the population of Cité Soleil and particularly among the youth in this
area. In addition, the program will offer other alternatives to the youth of Cité Soleil. This program is funded
through 50% HVOP, 25% HVCT, 15% HVAB, and 10% HBHC funding, and a description of this activity can
also be found under those program areas.
BACKGROUND: In Haiti, youth, who represent more than 50% of the population, are the most vulnerable
groups for HIV/AIDS and unwanted pregnancies, with a high incidence of clandestine abortions. FOSREF
has a mandate from the Ministry of Health and Population (MSPP) to deliver youth-focused sexual and
reproductive health and HIV/AIDS services to youth nationwide. In this context, FOSREF has identified key
cities in the country where specific programs for youth must be implemented to meet the unmet needs of
young people for sexual and reproductive health and HIV/AIDS prevention. To date, FOSREF has created
and implemented a network of 15 youth centers in many cities. During the last four years, FOSREF has
identified areas in the marginalized segments of the large cities, particularly in the Metropolitan areas of
Port-au-Prince, where there are no existing youth services. Cité Soleil is one of these areas, representing
one of the largest challenges in terms of unmet needs of youth for sexually transmitted infections,
HIV/AIDS, sexual violence, and other sexual and reproductive health matters. Young people have been
victims of gang activities that have reduced them to an almost hostage-like situation. Based on recent
official information from the Ministry of the Interior, the Director of the National Police, and from the UN
Peace Keeping Forces (MINUSTAH), the security situation in Cité Soleil has improved enough to begin to
target services to the population in this area.
This activity also relates to activities in Care Pediatric Care & Support Health System Strengthening. It has
4 components:
ACTIVITY 1: Behavioral Communication Change with Youth: FOSREF will conduct training of youth peers
and youth facilitators from various community-level groups. These youth will then go on to train youth in
schools and in the community and will provide information and sensitization sessions at the Youth Centers.
They will carry out groups education sessions both at the Youth Centers and out in the community. To
support this work, the project (including the youth) will develop/adapt BCC materials that address HIV
prevention, responsible sexual behaviors, promotion of VCT services, addressing stigma and discrimination,
etc. The project will also use trained youth theater groups to deliver HIV/AIDS promotion messages,
consistent and correct condom use, and promotion of VCT, among other topics. This component of this
activity will work to train 60 individuals in counseling and testing according to national and international
standards.
ACTIVITY 2: Youth Access to Clinical SRH and HIV/AIDS Services: The two Youth Centers in Bois Neuf
and Boston will be staffed with trained providers who will deliver sexual and reproductive health and
HIV/AIDS services to youth from Monday to Saturday. During the first year of the project, all clinical
services will be available in the Boston Center and in Bois Neuf, the community outreach activities will be
implemented during the first year, and the clinical services starting at the beginning of the second year.
Youth will have access to STI diagnosis and treatment services, gynecological exams, sexual violence
management, contraceptive methods, VCT services, and other related services. Services will be supported
by trained youth facilitators who will participate in the VCT as counselors and referral sources. Young
people who test HIV+ will be referred to other specialized centers for their medical follow up and integration
into support groups for PLWHA. At the Youth Center, there will be trained youth facilitators who will be in
charge of organizing the referrals. The points of referrals are other established FOSREF Youth Centers in
the Metropolitan area that offer palliative care as well as other institutions offering ARVs such as Choscal in
Cité Soleil. Both HIV+ and HIV- youth will be integrated into post-test clubs that function as psycho-social
support groups. An outreach network of youth facilitators will organize community activities that promote
the VCT services and other related services among youth. This component of this activity will support two
service outlets to provide counseling and testing according to national and international standards. It will
work to provide to 5,600 individuals counseling and testing for HIV and their test results (excluding TB).
ACTIVITY 3: Social Development Program for Youth: The project's social program is based on a model
used by FOSREF in its "Other Choices Program." These are activities that offer social alternatives to the
youth of Cite Soleil, offering them other socio-economic opportunities through training to decrease their
participation in gang activities. Social Clubs supported by the project will provide possible alternative forms
of income, such as computer skills training, floral art/paper training, dance courses, hair/beauty and skin
care courses, sewing/embroidery classes, theater training, and basic literacy courses. Youth attending the
clubs will build skills, self esteem, self empowerment, and will learn about alternative ways to earn income
rather than engaging in risky behaviors.
ACTIVITY 4: Social Rehabilitation/Re-insertion Programs for High-risk Youth, including Youth-Oriented
Leadership Development Program (YOLDP): This activity will address the needs of the most vulnerable
youth, including street children and gang members, to integrate them in social activities and refer them for
other USG partner vocational training. These youth will receive special short technical training in topics
such as mechanics, handcrafting, masonry, carpentry, and so forth. The project will offer elementary
classes for literacy and support for school reintegration of secondary school youth who have dropped out.
The program will link with rehabilitation programs for young girls, and also with other education and
microfinance programs supported by the USG. Particularly for the youth who were gang members, the
project will adapt a youth-oriented Leadership Development Program, to ensure that these former gang
members have the sense of belonging and importance that will replace what they felt as gang members.
Continuing Activity: 19586
19586 19586.08 U.S. Agency for Management 8719 8719.08 Leadership, $300,000
Table 3.3.14:
Development of BCC materials: Following the mapping interventions and the inventory of BCC materials
conducted under COP07, LMS will develop a state of art database IEC materials containing both an
electronic catalog and a hard copy .This database will serve as a national resource for all partners with an
interest in communication materials. This will facilitate the coordination in the development of BCC materials
and the harmonization of prevention, care and support messages.
Management of condoms and family planning commodities: Under PEPFAR, the use of PEPFAR HIV funds
to support the integration of family planning services into HIV services is permitted. LMS will provide
technical assistance for the management of the condoms and other USAID-funded family planning
commodities to support HIV/AIDS activities.LMS will work in collaboration with SCMS, SDSH and other
partners to effectively manage PEPFAR-funded condoms in the USG-supported service delivery sites in
close coordination with USG partners while technical assistance is provided to the MSPP to support efforts
to establish one unique and secure commodities management system for the health sector and activity that
unites all of the LMS Project in Haiti: improving leadership and management capacity across partner
organizations, the Ministry of Health, and LMS project staff
SUMMARY: In COP 08 the Leadership, Management and Sustainability (LMS) Program will continue to
provide institutional capacity building support to selected Government of Haiti units, such as the CNLS, to
increase their abilities to provide nationwide coordination, thereby increasing synergies and effectiveness of
the PEPFAR programs. LMS will develop leadership and management skills at national and departmental
levels. Support will also include strengthening organizational and program management capacity to
efficiently and effectively affect the national response, with particular emphasis on coordination issues.
LMS will provide support in areas of organizational development such as: development and maintenance of
constructive, informed working relationships with all stakeholders, including the USG, their IPs, and other
donor organizations; project management; clarifying roles and responsibilities; monitoring and evaluation;
strategic planning; sound governance; and leadership development. The goal of this technical assistance
and capacity building is an improved organizational structure with a clear mission, more efficient
governance, effective internal and external communication, monitoring and evaluation systems, and
improved management.
With the end of the HCP Project in Haiti, the Leadership, Management and Sustainability (LMS) Program
will continue to be supported by USAID to lead the current program on strengthening departmental-level
capacity to plan, coordinate, and monitor interventions focusing on promoting appropriate behaviors for
HIVAIDS prevention, addressing issues of stigma and discrimination reduction, and community mobilization
for increased demand for and use of HIV/AIDS services. JHU/CCP will continue to provide some technical
assistance to the program through a subcontract with LMS. This program is funded through prevention
funds, and a description of these activities is included under both AB and OP program areas.
BACKGROUND: As part of the development assistance under the USAID Investing in People Objective,
3.1 Health Area, 3.1.1 HIV Program Element, USAID provides technical assistance to the Government of
Haiti to reinforce the national health care delivery system and strengthen the leadership capacity and
systems of the Ministry of Health and Population (MSPP) to better manage the National AIDS Program.
The MSPP Departmental Health Directorates are increasingly taking on responsibilities for planning,
monitoring, and coordinating health care services in their regions.
ACTIVITY 1: Development of BCC materials: Following the mapping interventions and the inventory of
BCC materials conducted under COP07, LMS will develop a state of art database IEC materials containing
both an electronic catalog and a hard copy .This database will serve as a national resource for all partners
with an interest in communication materials. This will facilitate the coordination in the development of BCC
materials and the harmonization of prevention, care and support messages.
ACTIVITY 2: Coordination: LMS will assist the departmental teams to formalize the structures and
mechanisms for coordination. Following the mapping exercise done between September and December
2007 in six departments, LMS will work closely with the departments to put in place a system allowing better
coordination of community mobilization and prevention interventions. LMS also will continue to assist the
MSPP central level in the planning and organization of mapping exercises in the four remaining
departments.
ACTIVITY 3: Planning and Monitoring: LMS will assist the MSPP departmental directorates in the planning
of community interventions and their monitoring. The work will consist of analyzing and disseminating the
results of interventions to the partners in order to make appropriate updates and changes.
ACTIVITY 4: Capacity building: While managing and leading the process of coordination of BCC
interventions, LMS also will reinforce the capacity of the departments, implementing partners, and
providers, through training in leadership and management, BCC, community mobilization and/or
interpersonal communication, depending on the specific needs. To support the capacity building effort and
ensure a coordinated and integrated approach, LMS will develop/adapt tools and support materials for the
management of communication and community mobilization activities.
ACTIVITY 5: Leadership Development Programs: Good leadership is more important than ever in the
health care environment in Haiti. The rise of HIV/AIDS and other infectious diseases; health reforms such
LMS will implement Leadership Development Programs (LDP) to help Haitian NGOs and the MSPP to
develop managers who lead with a vision of a better future. The program has three major learning
Activity Narrative: objectives: (1) learn the basic practices of leading and managing so that managers are capable of leading
their workgroups to face challenges and achieve results; (2) create a work climate that supports staff
motivation; and (3) create and sustain teams that are committed to continuously improving client services.
levels and for specific audiences—NGOs, MSPP, youth, and women. As part of the process, these teams
engage in the program over a period of four to six months. Teams will discuss strategies for—and actively
in which stakeholders are periodically updated and enlisted as resources to support the teams.
ACTIVITY 6: Direct support to MSPP Units: As requested, LMS will support technical advisors to specific
MSPP Units to assist in targeted capacity building, planning, monitoring, leadership development, and
ACTIVITY 7: Management of condoms and family planning commodities: Under PEPFAR, the use of
PEPFAR HIV funds to support the integration of family planning services into HIV services is permitted.
LMS will provide technical assistance for the management of the condoms to support HIV/AIDS
activities.LMS will work in collaboration with SCMS, SDSH and other partners to effectively manage
PEPFAR-funded condoms and family planning commodities in the USG-supported service delivery sites in
organizations, the Ministry of Health, and LMS project staff .
Continuing Activity: 19591
19591 19591.08 U.S. Agency for Management 8719 8719.08 Leadership, $550,000
Table 3.3.18:
