Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 9350
Country/Region: India
Year: 2010
Main Partner: Project Concern International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

Since 2004, Project Concern International is implementing PATHWAY program (Positive Action for the Health of People Living with HIV/AIDS), at six sites in five high prevalence states of India (Pune in Maharashtra, Salem in Tamil Nadu, Warangal in Andhra Pradesh, Imphal and Churachandpur in Manipur and Dimapur in Nagaland). PATHWAY is an integrated community home-based care (CHBC) and HIV prevention program, which includes the provision of health services, psychosocial support and livelihood.

The PATHWAY program sites carry out prevention activities for the general population on a continual basis and offer community support for PLHIV and their family members through formation and strengthening of PLHIV support networks; and sensitize local leaders to address the needs and issues of the PLHIV.

PCI is also working closely with the National AIDS Control Organisation (NACO) to improve and upgrade its Strategic Information System (SIS) and train its personnel in the management of SIS and other skill areas in high demand.

The project is winding up on August 31, 2010. PCI would be implementing selected activities in FY10 with the funds from the year 5 of the project. In the FY10, there would no outreach activities at the field level since the main focus in FY10 would be on (1) compiling and documenting key lessons learnt under PATHWAY project, (2) undertaking program review and assessment for recommendations on HIV policy related inputs to the National AIDS Control Program and other stakeholders through dissemination initiatives.

Key Ongoing Activities:

Low cost CHBC has been the key activity for the PATHWAY program. The CHBC component included medical care, nutritional support, psychosocial counseling and other basic services to PLHIV and their family members. Apart from these, the project activities also included broad based community sensitization, rapport building with other NGOs/CBOs and providing an enabling environment and community support to PLHIV.

As per the sustainability plan (which is in place since 2004), the programmatic transition is in place and the project activities at the grassroots have been handed over to the local NGOs and CBOs at most places.

The focus is on documenting the learning's and findings of the program. In this regard, documents on CHBC model, operational guidelines and innovations are being produced and are in the process of finalization.

Project Achievements and Innovations:

PCI's PATHWAY project was one of the first CHBC programs in India for PLHIV, modeled on the Ugandan program in Africa. It was adapted to suit the low-prevalence HIV settings in India.

The project reached more than 15,415 PLHIV and their family members in 40 service centers through seven implementing partners in its five years of existence.

The project has implemented various innovative strategies for addressing stigma related issues at the grassroots that includes positive speakers bureau, initiating discussion among general population on HIV through interface with PLHIV at tea stalls and by involving private sector in developing livelihood initiatives for PLHIV.

The project has reached out to the diverse populations such as urban slum population in Pune and tribal population in the North East. But, in spite of these diversities, the project has been able to maintain uniform standard of service delivery. The project has developed wide range of job-aids such as handouts for peer educators, quality verification checklists and policies such as waste management policy for quality assurance purposes.

The project has been successful in providing a platform for meaningful engagement and involvement of the PLHIV in the entire program cycle, including monitoring.

The PATHWAY program has been able to build capacities of the organizations and the individuals working in the area of HIV/AIDS. For example, more than 300 persons visited two Immersion Learning Sites established at Pune and Salem Two of PATHWAY sites (Pune and Salem) are Immersion Learning Sites (ILS) for learning on CHBC prevention, care and support. Medical students and fellows from I-TECH regularly visit project sites.

Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's legal rights and protection
Tuberculosis
Workplace Programs