Recently awarded, the Integrated Health Social Marketing program is designed to contribute directly to the support of the GOM Strategy for Accelerated HIV Infection Prevention, in line with the principles of (GHI), and contributing directly to achieving Goal 1 of the PF to reduce new infections. This program combines products and services which promote health and prevent HIV, eg bednets, contraceptives, safe water tablets, and condoms. PEPFAR funds are supplemented with non-HIV funds to support commodities, services, and appropriate use in the areas of malaria, water and sanitation, nutrition, family planning, while COP11 PEPFAR HVOP funds will continue to support HIV related products and services associated with this program, principally condoms. This program will also procure the basic care package specifically intended for households of PLHAs, and OVCs, and distributed by PEPFAR HBHC partners. The program will ensure continuity in the availability of affordable condoms through retail and other outlets nation-wide, while intensifying the focus of condom promotion and sales in high-risk populations and communities, to improve prevention efforts, and reduce transmission. Regular monitoring of sales and distribution patterns will be conducted to assess increases or decreases in demand and regularity of supply, and to evaluate influences of communication and marketing efforts on demand patterns. USG Pipeline analysis was used on this program to determine request level for FY12 which resulted in a decreased request from FY11. This program also receives $2,100,000 from Malaria, $500,000 from MCH and $550,000 from FP/RH. Purchased/leased from the start of activity FY2011 = 33 which have been transferred from the previous social marketing program. 1 new car is requested.

The Basic Care Package (BCP) is meant for PLHIV, and includes the following health items: 3 bottles of Certeza brand water purifier and 3 bars of hand soap, 30 unbranded male condoms, 1 female condom, and a family health manual, which includes a set of key health messages on safe water, hygiene and malaria prevention provided to patients at home during a visit by a volunteer. Specific topics addressed in the kit through a durable illustrative booklet include: i) use of LLIN for malaria prevention; ii) use of ORS for diarrhea prevention; iii) proper hygiene; iv) HIV counseling and testing; v) tuberculosis (TB) treatment and prevention; vi) nutrition; vii) cotrimoxazole prophylaxis; viii) pain & symptom management; ix) male circumcision; x) multiple concurrent partnerships; xi) family planning, and; xii) positive prevention.

Patients receiving anti-retrovirals should be linked to a partner providing community based care and support. During each Home Visit, a volunteer will review one of the 12 key health messages in the durable pamphlet provided at the first visit. As appropriate, the home visitor volunteer will counsel and refer PLHIV for family planning, OI/STI treatment, testing and other essential health and social services. The kits are designed to contain products sufficient to last for three months. After a period of 3 months, recipients receive 3 additional bottles of Certeza. Basic Care Kits will be assembled by PSI and distributed to the respective beneficiaries through PEPFAR partners. In FY 2012, the BCP will be adapted for the care of ART patients at facility level in selected provinces, on a trial basis. PSI will coordinate with clinical partners in those provinces the appropriate mix of contents, and the effective distribution and resupply systems.

As part of the M&E process for the kit distribution to the beneficiaries, PSI and the implementing partners at the provincial level will meet regularly to discuss the lessons learned and improvement of the process. Community visits should be carried out to selected communities, in coordination with the partner at the provincial level to gain insights on the distribution of kits, use of kit products, and the sensitizing process of the content of the family health manual. Quarterly and final reports from the partners will also be used as part of the follow up process. The current first qualitative assessment of the BCP kits, which is taking place in Inhambane Province (Mabote and Govuro districts), will provide us insight in terms of products use, beneficiaries perceptions of the kits and proper distribution channels.

The goal of this activity is to improve the quality of life of people living with HIV and AIDS (PLWHA) and orphans and vulnerable children (OVC), and their families.

Mozambique has been promoting the distribution of a basic care package (BCP) for OVC and PLHIV families. The BCP contains comprehensive IEC materials and essential basic health products. The BCP kits consists of cardboard boxes that contain: 3 bottles of Certeza brand water purifier, 3 personal bars of Palmolive soap, 30 unbranded male condoms, 1 female condom, and a family health manual. Specific topics addressed in the kit through a durable illustrative booklet include: i) use of LLIN for malaria prevention; ii) use of ORS for diarrhea prevention; iii) proper hand washing; iv) HIV counseling and testing; v) tuberculosis (TB) treatment and prevention; vi) nutrition; vii) cotrimoxazole prophylaxis; viii) HIV transmission; ix) Prevention of HIV from mother to child and x) family planning. BCP Kits for OVC families contain the same but minus female condoms.

Key messages for the family health manual have been selected in collaboration with key personnel in the related health areas and other partners. During each Home Visit, a volunteer will review all the key health messages from the durable family health manual which is included in the BCP kit. Prior to volunteer home visits, training is provided by PSI to the visitors/activists to ensure they familiarize themselves with the content of the family health manual. Volunteers are provided with a summary of the manual for continuous and rapid familiarization with the contents. As appropriate, the home visitor volunteer will counsel and refer older OVC and/or caregivers for family planning, OI/STI treatment, testing and other essential health and social services as referred in the manual.

The kits are designed to contain products sufficient to last for three months. After a period of 3 months, recipients receive 3 additional bottles of Certeza. Basic Care Kits will be assembled by PSI and distributed to the respective beneficiaries through PEPFAR partners. Distribution of the BCP kit to OVC families is through activistas trained by the partner at Community level. Community distribution offers a greater opportunity for 1 on 1 education and follow-up of product use.As part of the M&E process for the kit distribution to the beneficiaries, PSI and the implementing partners at the provincial level will meet regularly to discuss the lessons learned and improvement of the process. Community visits are carried out to selected communities, in coordination with the partner at the provincial level to gain insights on the distribution of kits, use of kit products, and the sensitizing process of the content of the family health manual. Quarterly and final reports from the partners will also be used as part of the follow up process.The current first qualitative assessment of the BCP kits, which is taking place in Maputo province (Moamba and Matutuine districts) will provide us insight in terms of products use, beneficiaries perceptions of the kits and proper distribution channels.

Target populations for HIV activities under this program include sexually active adults; youth; individuals engaging in transactional sex; uniformed services; Women of Reproductive Age; HIV+ persons; Most-at-Risk-Populations; & bridge populations. These HVOP funds will specifically support the repackaging, distribution, sale and promotion of subsidized male and female condoms and lubricants through commercial and non-traditional outlets country-wide. The program will link condom social marketing with targeted outreach and risk reduction counseling in high-risk venues and workplace settings in provinces with high HIV prevalence, in order to increase condom use among MARPs and populations in communities at risk. The program will intensify the number of distribution outlets and increase targeted condom sales in high risk settings and propose a strategy that promotes long-term institutionalization and sustainability of retail sales of condoms. The program will facilitate interpersonal communication activities to ensure adequate condom use, condom negotiation and self-efficacy skills per sub-population; support local organizations, rural supply chain distribution networks, work associations and private sector to operate condom outlets in urban and peri-urban hot spots; and support generic campaigns to address low uptake, misconceptions and negative attitudes about condoms and harmonize messages with BCC developed by other USG partners.

This IM has a pipeline of $3,050,000 from HVOP COP 11 funds. No new HVOP funds will be required in FY12.