This is a continuing Field Support activity under COP08 with the following new activities.

1. Income generation activities (IGA) targeting at-risk girls: Many girls aged 12-18 in Zavala and Jangamo

Districts are at high risk of engaging in transactional and cross-generational sex by various compounding

factors. Both seaside districts are popular destinations of tourists who regularly pay for sex with local girls

and women. It has been noted that up to $100 USD is offered to girls as payment for staying the night with

"foreign" tourists. Furthermore, as coastal areas are populated with fishermen, many young girls and

women engaged in buying/selling fish as a primary source of income are vulnerable to transactional sex,

which can play a part in local business networks. Zavala is a trade corridor with constant passage of truck

drivers, posing high potential for adult men to engage in commercial or transactional sex with young girls.

Many young girls come to Zavala from isolated villages in other districts in order to continue their education,

as secondary schools are relatively few in the rural areas. Many girls come in groups and live

unaccompanied by adults, with little to no economic support. SP will complement existing AB activities by

establishing and supporting IGA activities aimed at: girl OVCs, girls aged 12-18, out of school, living

unaccompanied and all other girls identified as high-risk. Provision of vocational, life skills and income

generation opportunities is crucial in deterring girls from engaging in risky behaviors. Examples of IGAs are

agriculture/food production; sewing and local craft; business skills (book keeping, typing, filing, accounting);

‘junior' health care workers/nurse's assistants (HBC giver assistants, community IEC for wat/san, malaria,

etc.). This component will be linked to the new Vulnerable Girls Initiative activities.

2. AB Prevention aimed at Orphans and Vulnerable Children: Through non-USG funds, SP will implement

OVC services in Massinga and Zavala districts. As a wraparound service, SP will carry out increased AB

prevention activities aimed at OVCs and their caregivers. Greater efforts at the community level are also

critical in increasing awareness of child protection and gender-based violence issues.

3. Prevention with Positives: Through non- USG funds, SP is currently implementing HBC activities in

Massinga and Zavala, providing wraparound to PEPFAR funded AB and CT activities, resulting in a

comprehensive package in those districts. SP will leverage its ongoing AB activities by increasing

prevention interventions focused on reaching PLWHAs, their partners, and families. Coordinated efforts with

PEPFAR funded CCT activities will also be made to identify and support discordant couples.

4. Community Radio aimed at Couples: Community radio programs aimed at Mozambican couples ages 25-

49 will address: multiple, concurrent partnerships, discordance, CT and couples CT, disclosure related

domestic violence, family planning and condom use, communication, fidelity, widow cleansing, gender

related issues, and positive living.

The FY2007 reprogramming narrative below has not been changed.

This funding will allow Samaritan's Purse (SP) to:

1) Expand MET activities to Jangamo district in Inhambane.

2) Increased program activities aimed at adults and higher risk populations in Jangamo, Maxixe and

Massinga.

3) Organize a provincial HIV prevention technical workshop for MET staff, Government of Mozambique staff

and other NGOs.

Jangamo is a PEPFAR target district with currently just one other PEPFAR partner implementing AB

programs According to 1997 census data, Jangamo has an estimated population of 81,210, with an

estimated youth population of 25,905.

Program activities will mobilize churches and communities to advocate healthy behavior change for both

youth and adults. AB focused HIV prevention activities targeting youth and activities targeting adults and

higher risk populations (i.e. miners, migrant workers) will be implemented with a stronger focus on

increasing risk perception.

Start up activities aimed at youth will follow a similar framework used for current MET programs. Both in

and out-of-school youth will participate in lessons following an AB curriculum taught in schools, church and

community settings. Activities include facilitation of workshops from the MET Approach for Primary Behavior

Change in Youth, recruitment of committed workshop participants, and formation of youth clubs to increase

self perception of risk and actively promote healthy behavior change. Youth leaders and school teachers will

be trained in a two- part intensive workshop and then be used to lead and out reach to youth in their

spheres of influence.

To specifically address adults and higher risk populations, a B-based curriculum will be developed or

adapted from other partners operating in Mozambique. Behaviors for discussion will include multiple,

concurrent sexual partnerships, transactional sex, cross-generational sex, sexual violence and coercion,

alcohol and drug abuse, as well as other behaviors and norms identified by the communities. A two- part

intensive workshop will train men and women of influence in communities and mobilize them to increase

individual risk perception among community members and to promote healthy behaviors and relationships

around them. Community forums for discussion, as well as support groups for men, women, and couples

that are married or unmarried, will be introduced. Activities focused on faithfulness will include information

on the risks of multiple concurrent partnerships, and the importance of knowing your and your partner's HIV

status as key to reducing one's risk through "B" behaviors.

The program's main emphasis area is community mobilization. Key legislative issues addressed are

Gender and Stigma. This community based activity targets children and youth (both in and out of school),

men, women, PLWHA, OVC, community and religious leaders, teachers and community based volunteers.

This funding will support a workshop for all MET and AB prevention staff. The purpose of this workshop is to

expand the capacity of the AB prevention staff team to increase the quality and impact of the program.

During this workshop, staff will receive refresher training on curriculums, an update on the status of the

HIV/AIDS epidemic in province and country, updated epidemiological information on behaviors that increase

transmission and ways to communicate that information to the beneficiaries in the field, Mozambique's

national strategic plan to combat HIV/AIDS, team building, sharing lessons learned and experiences, as

well as organizational development training on monitoring and evaluation, reporting, and leadership.

Activity Narrative: Leaders from within SP, other NGOs, CNCS, DPS, and DDS will be invited as keynote speakers.

This is a continuing activity under COP08 funded through Field Support.

SP will expand community counseling and testing (CCT) services to Zavala District, which is considered a

corridor and high risk area with a population of 176,000 (UNICEF 2007 projection). Currently, Zavala has

one fixed VCT site that is managed through the district health facility with no funding from PEPFAR. SP will

establish 2 community-based counseling and testing satellite sites in Zavala district with COP08 funding.

Services to be funded include staff, training, materials and equipment, transportation and other operating

costs.

Through networks and relationships established under SP's existing AB PEPFAR activity and non-USG

funded HBC program, individuals will be easily identified for participation in CCT. Target populations

include secondary school students, teachers, adults, out of school youth, HIV/AIDS affected families, as

well as community and religious leaders. Trainings will be organized to train a total of eight new community

based counselors. There will be community based CT services at two new sites and a targeted 5,000

people will receive HIV counseling and testing and receive their results.

The activity narrative below from FY2007 has not been updated.

This is a new activity for this partner and is funded through Field Support. This Community Based

Counseling and Testing activity is related to: USAID_HVAB_Activity 8231, Samaritan Purse's Track One

activity for $475,596 and USAID_HVAB_Activity 9391, Samaritan Purse's Field Support funded activity for

$400,000. It is also linked to CDC_HVCT Activity 8572, as JHPIEGO will continue provision of technical

assistance and support National AIDS Council efforts in coordinating the community-based Counseling and

Testing activities.

In late 2005-early 2006, the National AIDS Council (CNCS) with technical assistance from JPHIEGO,

organized a pilot project for four organizations (ADPP, Anglican Church, HAMUZA and PSI) to provide

community based CT in five pilot sites in Moma District in Nampula, Milange District in Zambezia, Maciene

District in Gaza, Matola and Boane Districts in Maputo province, and Dondo District in Sofala. The initial

pilot project is on-going, with partner trainings in managing community based counseling and testing. It is

expected that the Ministry of Health will expand community based CT to other partners and geographic

areas in the second semester of 2007.

This funding will provide Samaritan's Purse resources to participate in the first post-pilot group of

organizations to initiate community based counseling and testing, slated to begin in the second semester of

FY07 or early FY08. Samaritan's Purse is currently an AB Track One partner in Inhambane province,

implementing its Mobilizing, Equipping and Training (MET) program in Mabote, Massinga and Zavala

districts. Samaritan's Purse will modify its AB Track One cooperative agreement to include provision of

community based counseling and testing in Massinga district. This wrap around service will reinforce SP's

current AB program and will help to further achieve PEPFAR's Five Year strategy prevention objective of

"Strengthening Access to the Ministry of Health's Integrated Health Networks".

Access to VCT services is extremely limited in Massinga district. Currently, there is only one fixed VCT site

managed through the district health facility and zero PEPFAR funded VCT services. With this funding, SP

will establish two (2) community based counseling and testing satellite sites in Massinga district including

staff, materials and equipment, transport, and other operating costs. Columbia University is currently a USG

funded treatment partner in Massinga and SP will work with them to coordinate a system of referral.

Access to VCT services is extremely limited in Massinga district. Currently, there is only one fixed VCT site

managed through the district health facility and zero PEPFAR funded VCT services. With this funding, SP

will establish two (2) community based counseling and testing satellite sites in Massinga district including

staff, materials and equipment, transport, and other operating costs. Columbia University is currently a USG

funded treatment partner in Massinga and SP will work with them to coordinate a system of referral.

The main emphasis area of this new activity is community mobilization/participation. Through networks and

relationships built through SP's two year old MET AB program, individuals will be easily identified for

participation in community based CT. Target populations include Secondary School students, Adults,

HIV/AIDS affected families, community and religious leaders, traditional birth attendants, and traditional

healers. Trainings will be organized to train a total of ten community based counselors. There will be

community based CT services at two sites and a targeted 3,000 people will receive HIV counseling and

testing and receive their results.