Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3072
Country/Region: Namibia
Year: 2009
Main Partner: Population Services International
Main Partner Program: Social Marketing Association
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,199,120

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $522,277

**THE BELOW ACTIVITY NARRATIVE WAS CHANGED IN APRIL 2009 REPROGRAMMING**

This activity expands on SMA's FY 2007 COP HIV/AIDS AB prevention program for the (i) PolAction project

with the Namibian Police under the Ministry of Safety and Security (MoSS) and (ii) Corridors of Hope (COH)

project. Both projects started in 2005.

While Namibia is experiencing a generalized epidemic, initial data analysis suggests there are geographic

hotspots typical of a concentrated epidemic, as well as most at-risk populations (MARPs) with risk

behaviors higher than that of the general population.

These hotspots include the northern regions of Namibia where >45% of the population resides, land and

water borders (the coast), areas with high migrant populations (cities, mines, large agricultural farms), and

transit corridors.

Goal and objectives of SMA'S HIV/AIDS AB prevention program:

The goal of SMA's HIV/AIDS Prevention and Care (HAPAC) Program is to increase the capacity of SMA to

provide high quality HIV AB prevention programs to the most at risk population through well designed and

targeted BCC programs delivering target specific messaging.

Target audience and target message themes:

The primary target audiences are Truckers, Fishermen, Female out-of-school youth (FOSY), and the police.

Secondary targets include the male out of school youth (MOSY), in-school youth (ISY) and general

community members dwelling in the selected hot spots / high risk communities.

Under the PolAction project the target audience is the police force. SMA operates in all 13 political regions

of Namibia and these are serviced through the seven SMA regional offices (average of two regions per

SMA regional office) working through the Police Regional HIV Coordinators and the Police HIV Peer

Educators. As a result of the success of the DOD funded military HIV prevention program, SMA is able to

extend lessons and best practices from the military intervention to the Namibian Police and also leverage

human and material resources for maximum impact.

Under the COH project, the target population include: Fishermen, Truckers and female out of school youth

reached through, training institutions, workplaces, peer educators, edutainment approaches, community

based organizations (CBOs), faith-based organizations (FBOs) and partners offering prevention related

health services (CT, STI and TB diagnosis and treatment etc.) in the following regions: Khomas, Erongo,

Oshana, Omusati, Ohangwena, Kavango, Caprivi and Omaheke.

Target AB BCC themes and messages:

Targeted AB themes and messages to the MARPs will focus on: secondary abstinence, multiple and

concurrent sexual partnering (MCP) including cross generational and informal sexual relationships, social

norms that exacerbate risk behaviors including harmful male behaviors, gender and alcohol abuse.

Targeted AB themes and messages to the police work force: Multiple and concurrent sexual partnering, and

secondary abstinence while away from the family.

Fishermen and Truckers: MCP, secondary abstinence while away from home. Others will include gender

and alcohol abuse.

Female Out of School Youth (FOSY): Cross generational and informal sexual relationships, MCP, and

social norms that exacerbate risk behaviors including; gender and alcohol abuse. Negotiation skills, self

esteem and decision making process will be taught to the FOSY to equip them to deal with the challenges

posed by pressure from their peers and older men. .

What is PEPP?

Peer Education Plus Program - an intensive BCC approach with higher dosage that uses a curriculum

based manual focusing on inter-personal communication (IPC).

Guiding principles of PEP

Participation of opinion leaders, gatekeepers and beneficiaries at design and implementation; Advocacy for

rights and improved services; Capacity building of Peers, CBO`s and FBO`s through participation and

experiential learning. Focus is on assisting beneficiaries to THINK, ANALYZE & ACT; programming is at

the individual, family and community level; Cross cutting themes e.g. alcohol, cultural barrier, gender,

stigma etcetera are addressed; Theories of change are used (e.g. diffusion theory, health belief model;

stages of change).

BCC Strategy:

In order to reach its objective of providing high quality BCC to the most at risk population, SMA will use the

ongoing strategy of the community based approach adopting Social Change Communications (SCC).

Selected high risk communities are reached with variety of BCC activities while using the Peer Education

Plus Program (PEPP) as a means of delivering the content. The curriculum based manual is used with the

following target group; Truckers, Fishermen, FOSY, FSW and the Police but tailored to suit the needs of

specific groups.

Specifically SMA will use the PEPP manual with average of 8 modules (dosages) to reach the FOSY and

the Police while using the flip charts with average of four modules (dosages) to reach the Truckers and

fishermen who are more mobile. The current PEPP manual will be revised for the FOSY and Police to

highlight priority messages as indicated above. Four flip charts each will be produced for the fishermen and

Truckers with each flip chart focusing on one key message. Volunteers will be expected to reach over 70%

of the Truckers and Fishermen at the regions where SMA operates. Each flip chart will be used for 6 weeks

Activity Narrative: to enable them reach this target. Thus in 6 months, about 70% of the fishermen and Truckers are expected

to be reached with at least four messages to be repeated in the following six months. The volunteers will do

(male & female) condom demonstration at the end of each IPC and leave behind IEC materials focusing on

the BCC theme to reinforce the messages. For example, PSI/SMA staff, volunteers and peer educators will

focus on delivering one key message at a time, for a set amount of time (typically six weeks), before

concentrating on another key message. The idea behind this strategy is that exposure to one message

over a specified period of time is a more effective method of reinforcing key messages and influencing

behavior than delivering multiple key messages simultaneously during each intervention.

Institutional collaboration;

SMA will collaborate with institutions like NAMFI (a training institutions for seafarers based in Walvisbay) to

deliver training for the fishermen community. Fishermen will be reached with formal training using the tailor

made PEPP curriculum with average of six module (dosages). The training is usually a three day training

conducted quarterly to the fishermen. SMA will negotiate with NAMFI to provide a day for HIV prevention

training each quarter focusing on two BCC themes each day. The trainees will also be trained in peer

counseling and peer facilitation to enable them provide HIV counseling and prevention messages to their

peers while on sea.

For the Truckers, SMA will collaborate with the Walvisbay Corridor Group, HIV/AIDS Help Desk, to provide

the truckers with formal training within their workplaces covering the BCC themes identified above and

referrals for STI, C&T services and TB diagnosis and treatment. Trainees will be provided with HIV tool kit

that includes IEC materials, condoms, referral cards, CDs with HIV prevention messages in the form of

songs, drama, interviews etc.

As part of its sustainability strategy, SMA will also build capacity of CBOs focused on youth programming to

implement the communication mix for the FOSY including the peer education plus program, IPC using the

flip charts, facilitation of listening groups using the listening devices, distribution of male & female condoms

including condom demonstration etc. The CBOs will be expected to continue the intervention with minimal

support from the SMA field staff while the latter move into new high risk communities after a year of

intensive BCC program.

The IPC and trainings described above will be complemented with Community Theater, production and

distribution of CDs with HIV messages specifically for the Truckers, listening device with HIV messages for

FOSY and the Police, Interactive IEC materials like the games board and cards as well as other relevant

IEC materials will also be produced and distributed among the MARP. Bar promotion will remain a key

component of the IPC to reach FSW and their clients and the FOSY. Others include: Video facilitation,

community branding (artistic presentation of messages on key themes such as partner reduction, etc. on

walls within the community in local languages). The above is the communications mix and messages

through the above channels are structured to ensure appropriate dosage.

Capacity building Strategy:

Adult learning methodology will be employed during all SMA trainings and

Field staff will be provided with a follow up training on the peer education plus program methodology.

(PEPP - is an intensive BCC approach with higher dosage of messages that uses a curriculum based

manual), a refresher in program development and management training, MIS and referral system, field

research interviews, Focus Group Discussion (FGD) moderation, and Key Informant Interviews (KIIs). BCC

Officers will also be trained on how to facilitate listening groups using a group listening device (An audio

device that plays messages from micro chips for groups of 10 to 15 members. It has the capacity to record

over three hours of messages in the form of drama, songs, spots, interviews, panel discussion etc.) and

collect feedback through the MIS. The SMA field staff in turn will train the Police Regional HIV Coordinators

and Peer Educators.

Also the CBOs and FBOs will be trained by the SMA field staff using a "how to do" tool kit to build their

capacity in community mapping, advocacy, participatory needs assessment, community theater, selection,

training and monitoring of peer educators, gender mainstreaming, referral system, MIS etc. as part of SMA's

sustainability strategy at the community level.

Technical support:

Additional to technical support from PSI and USAID, SMA is working with US government local and prime

partners to integrate program and leverage resources. Partner organizations include:

• EngenderHealth: men and HIV/AIDS, harmful male norms

• C-Change: capacity building for SMA's BCC

• NawaLife Trust media communication partner: Alcohol and HIV

• NABCOA: Private sector HIV Workplace program

• CoHeNA: TB prevention, diagnosis and treatment

Wraparounds and leveraged funding:

The PolAction program is co-funded by Global Fund. Resources leveraged from Global Fund include staff

salaries, travel, production of IEC materials and program support. The COH program is solely funded by

USAID. Also during FY 2009 COP, SMA will be leveraging on its existing structure to integrate TB

awareness and referral into current HIV prevention program. SMA through improvements in its program

delivery and management capacity over the years has been able to attract more funding from other donors

including DFID and the Global Fund to implement the TUSANO post test services for PLWHAs and Malaria

prevention program respectively.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16211

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16211 4739.08 U.S. Agency for Social Marketing 7380 3072.08 $267,804

International Association/Popul

Development ation Services

International

7419 4739.07 U.S. Agency for Social Marketing 4412 3072.07 $0

International Association/Popul

Development ation Services

International

4739 4739.06 U.S. Agency for Social Marketing 3072 3072.06 Cooperative $311,502

International Association/Popul Agreement

Development ation Services

International

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* TB

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $43,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $630,843

**THE BELOW ACTIVITY NARRATIVE WAS CHANGED IN APRIL 2009 REPROGRAMMING**

This activity expands on Social Marketing Association's (SMA) COP07 OP prevention program for the

i) PolAction project with the Namibian Police under the Ministry of Safety and Security (MoSS); and,

ii) Corridors of Hope (COH) project. Both projects started in 2005.

While Namibia is within a generalized epidemic, initial data analysis suggests there are geographic hotspots

typical of a concentrated epidemic, as well as most at-risk populations (MARPs) with risk behaviors higher

than that of the general population.

Within hyper-epidemic geographic hotspots and MARPs, the minimum prevention service package includes

behavioral change communication (BCC) focused on outreach services to MARPs, CT, targeted media,

condom distribution, STI screening and treatment, and referrals to prevention, care and treatment services.

These hotspots include the northern regions of Namibia (where more than 45% of the population resides),

land and water borders, areas with high migrant populations (cities, mines, large agricultural farms), and

transit corridors.

Goal and Objectives of SMA'S HIV/AIDS Prevention Program

The goal of the HIV/AIDS Prevention and Care (HAPAC) Program is to increase the capacity of SMA to

provide high quality HIV prevention programs to populations at risk through well designed and targeted BCC

programs. The objectives of these programs are to strengthen SMA's capacity to:

i) Implement and monitor HIV/AIDS and TB behavior change programs; and,

ii) Provide high quality, gender sensitive and age appropriate BCC to MARPs for comprehensive prevention

activities in HIV/AIDS and TB.

Target Audience

MARPs included are female sex workers (FSWs), truckers, fishermen, Female out-of-school youth (FOSY),

police and PLWHAs. Secondary targets include the general community, male out-of-school youth and in-

school Youth (ISY). For Police, all 13 regions across Namibia are covered through the seven SMA regional

offices (average of two regions per SMA regional office) working through the Police Regional HIV

Coordinators and the Police HIV Peer Educators. As a result of the success of the DOD funded military HIV

prevention program, SMA was able to extend lessons and best practices from the military intervention to the

Namibian Police and also leverage human and material resources for maximum impact.

Under the COH project, the target population include: Fishermen, Truckers and female out of school youth

reached through, training institutions, workplaces, peer educators, outreach workers, edutainment

approaches, community based organizations (CBOs), faith-based organizations (FBOs) and partners

offering prevention related health services (CT, STI and TB diagnosis and treatment etc.) in the following

regions: Khomas, Erongo, Oshana, Omusati, Ohangwena, Kavango, Caprivi and Omaheke.

OP BCC Themes and Messages

OP themes and messages include issues such as alcohol abuse, STIs, consistent and correct use of

condoms during high-risk sexual encounters, C&T and male circumcision.

Targeted AB themes and messages to the police work force: Correct and Consistent condom use, STIs,

Male circumcision, Voluntary Counseling and Testing and TB prevention and treatment.

Fishermen and Truckers: Correct and consistent condom use, STIs, C&T and MC. Others will include

gender and alcohol abuse.

Female Out of School Youth (FOSY): Correct and consistent condom use, C&T, STIs and social norms that

exacerbate risk behaviors including; gender and alcohol abuse. Negotiation skills, self esteem and decision

making process will be taught to the FOSY to equip them to deal with the challenges posed by their peers

and the older men.

FSW BCC themes and messages include: correct and consistent condom use, condom use negotiation

skills, STIs, C&T, alcohol and drug abuse, communication and skills building.

BCC Strategy:

In order to reach its objective of providing high quality BCC to the most at risk population, SMA will use the

ongoing strategy of the community based approach adopting Social Change Communications (SCC).

Selected high risk communities are reached with variety of BCC activities while using the Peer Education

Plus Program (PEPP) as a means of delivering the content. The curriculum based manual is used with the

following target group; Truckers, Fishermen, FOSY, FSW and the Police but tailored to suit the needs of

specific groups. Selection criteria for the high risk communities / hot spots includes the presence of at least

two of the target population and presence of STI, C&T and or TB service providers to facilitate referrals for

these services.

Specifically SMA will use the PEPP manual with average of 8 modules (dosages) to reach the FOSY and

the Police while using the flip charts with average of four modules (dosages) to reach the Truckers and

fishermen who are more mobile. The current PEPP manual will be revised for the FOSY and Police to

highlight priority messages as indicated above. Four flip charts each will be produced for the fishermen and

Truckers with each flip chart focusing on one key message and consistent condom use. Volunteers will be

expected to reach over 70% of the Truckers and Fishermen at the regions where SMA operates. Each flip

chart will be used for 6 weeks to enable them reach this target. Thus in 6 months, about 70% of the

fishermen and Truckers are expected to be reached with at least four messages to be repeated in the

following six months. The volunteers will do (male and or female) condom demonstration at the end of each

IPC and leave behind IEC materials focusing on the BCC theme to reinforce the messages. For example,

PSI/SMA staff, volunteers and peer educators will focus on delivering one key message at a time, for a set

amount of time (typically six weeks), before concentrating on another key message. The idea behind this

strategy is that exposure to one message over a specified period of time is a more effective method of

reinforcing key messages and influencing behavior than delivering multiple key messages simultaneously

Activity Narrative: during each intervention.

Institutional collaboration;

SMA will collaborate with institutions like NAMFI (a training institutions for seafarers based in Walvisbay) to

deliver training for the fishermen community. Fishermen will be reached with formal training using the tailor

made PEPP curriculum with average of six modules (dosages). The training is usually a three day training

conducted quarterly to the fishermen. SMA will negotiate with NAMFI to provide a day for HIV prevention

training each quarter focusing on two BCC themes each day. The trainees will also be trained in peer

counseling and peer facilitation to enable them provide HIV counseling and prevention messages to their

peers while on sea.

For the Truckers, SMA will collaborate with the Walvisbay Corridor Group, HIV AIDS Help Desk, to provide

the truckers with formal training within their workplaces covering the BCC themes identified above and

referrals for STI, C&T services and TB diagnosis and treatment. Trainees will be provided with HIV tool kit

that includes IEC materials, condoms, referral cards, CDs with HIV prevention messages in the form of

songs, drama, interviews etc.

As part of its sustainability strategy, SMA will also build capacity of CBOs focused on youth programming to

implement the communication mix for the FOSY including the peer education plus program, IPC using the

flip charts, facilitation of listening groups using the listening devices, distribution of male & female condoms

including condom demonstration etc. The CBOs will be expected to continue the intervention with minimal

support from the SMA field staff while the latter move into new high risk communities after a year of

intensive BCC program.

The IPC described above will be complemented with Community Theater, production and distribution of

CDs with HIV messages specifically for the Truckers, listening device with HIV messages for FOSY and the

Police, Interactive IEC materials like the games board and cards as well as other relevant IEC materials will

also be produced and distributed among the MARP. Bar promotion will remain a key component of the IPC

to reach FSW and their clients and the FOSY. Others include: Video facilitation, community branding

(artistic presentation of messages on key themes such as partner reduction, correct and consistent condom

use etc. on walls within the community in local languages). The communications mix and messages through

the above channels are structured to ensure appropriate dosage for the MARP.

Provision of minimum prevention package and referrals to other programs: SMA will ensure access to a

minimum package of prevention services by the MARPs through linkages and collaboration with other

partners and service delivery points within and around the communities where it works. During FY 2009

COP, two communities per targeted region will be covered. Criteria for selection of communities will be the

presence of at least two member groups of the target audience and the presence of C&T, STI and or TB

service providers for referral purposes.

SMA plans to launch the PEPP at the end of the pilot to share lessons, best practices and the PEPP tools

and materials to facilitate scale up of the intervention by other CBOs and institutions in other high risk

communities in the country.

Capacity building Strategy:

Adult learning methodology will be employed during all SMA trainings and field staff will be provided with a

follow up training on the peer education plus program methodology to update them on the revisions made to

the program based on lessons learnt and feedback from the review team. A refresher in program

development and management training, MIS and referral system, field research interviews, Focus Group

Discussion (FGD) moderation, and Key Informant Interviews (KIIs) will also be conducted. BCC Officers will

also be trained on how to facilitate listening groups using a group listening device (An audio device that

plays messages from micro chips for groups of 10 to 15 members. It has the capacity to record over three

hours of messages in the form of drama, songs, spots, interviews, panel discussion etc.) and collect

feedback through the MIS. The SMA Field staff in turn will train the Police Regional HIV Coordinators and

Peer Educators.

HIV policy development and institutional capacity building: 40 police members will be trained in HIV related

policy development. Four CBOs will receive technical assistance in HIV related institutional capacity

building. Forty (40) individuals will be trained in HIV related institutional capacity building (8 police

members, 32 MARPs), and 33 in HIV related community development for prevention, care, and treatment (6

police, and 27 community members).

Also CBOs and FBOs will be trained by the SMA field staff using a "how to do" tool kit to build their capacity

in community mapping, advocacy, participatory needs assessment, community theater, selection, training

and monitoring of peer educators, gender mainstreaming, referral system, MIS etc. as part of SMA's

sustainability strategy at the community level.

Technical Support

In addition to receiving technical support from PSI and USAID, SMA is working with US government local

and prime partners to integrate programs and leverage resources. These organizations include and their

focus areas include:

• EngenderHealth: men and HIV/AIDS, harmful male norms;

• C-Change: capacity building for SMA's BCC;

• NawaLife Trust media communication partner: Alcohol and HIV;

• NABCOA: Private sector HIV Workplace program; and,

• CoHeNA: TB prevention, diagnosis and treatment.

Wraparounds and Leveraged Funding

The PolAction program is co-funded by Global Fund. Resources leveraged from Global Fund include staff

salaries, travel, production of IEC materials and program support. Also during FY 2009 COP, SMA will be

leveraging its existing structure to integrate TB awareness and referral into current HIV prevention program.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18277

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18277 18277.08 U.S. Agency for Social Marketing 7380 3072.08 $596,196

International Association/Popul

Development ation Services

International

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* TB

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $43,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Strategic Information (HVSI): $46,000

**THE BELOW ACTIVITY NARRATIVE WAS CHANGED IN APRIL 2009 REPROGRAMMING**

Funding for this activity expands on SMA's FY 2007 COP HIV/AIDS AB prevention program for the (i)

PolAction project with the Namibian Police under the Ministry of Safety and Security (MoSS) and (ii)

Corridors of Hope (COH) project. Both projects started in 2005 and target the most at risk population

(MARPs).

MARPs included are female sex workers (FSWs), transport workers, fishermen, female out-of-school youth

(FOSY), police and PLWHAs. Secondary targets include the general community, male out of school youth

(MOSY) and in-school Youth (ISY). For police, all 13 regions across Namibia are covered through six SMA

regional offices working through the Police Regional HIV Coordinators and the Police HIV Peer Educators.

For the other MARPs, the following regions are targeted: Khomas, Erongo, Oshana, Omusati, Ohangwena,

Kavango, Caprivi, Omaheke and Karas.

Specific components of this activity include the following:

1) Training and Capacity Building

In order to build capacity in the Management of Information system, seven Research/MIS staff will undergo

refresher training on data management and seven SMA BCC Officers and three research staff will also

undergo refreshers in MIS, Field Research interviews, Focus Group Discussions (FGD) and Key Informant

Interviews (KIIs). During FY 2009 COP, four MIS staff and seven BCC officers will also be trained on the

collection of MIS using information from the listening group device as explained in the AB and OP activity

areas. Peer Educators will be trained and monitored in using MIS forms.

SMA plans to train 40 individuals (eight Police Peer Educators [PEs] and 32 other PEs from CBOs and

FBOs working with MARPs) on how to complete referral cards and MIS forms monitoring the referral system

and how to respectfully obtain regular feedback on program impact. SMA will also provide the Namibian

Police with technical assistance and capacity building with regard to strategic information.

2) Management of Information (MIS)

The MIS system introduced during COP08 will be reviewed continuously and adjustments made based on

lessons learned. Project Monitoring and Evaluation Plans will also be updated in collaboration with USAID's

M&E Advisor.

MIS forms allow for the tracking of all outreach activities, the PEPP model and referral management, and in

FY 2009 COP, the integration of information obtained through listening group sessions, an approach

initiated to link the mass media effort of other partners with the messages provided at the community level.

At the service delivery level, all BCC officers and PEs/volunteers fill out forms for each outreach event,

recording information such as the type of event, topics covered, number of people reached, challenges,

lessons learned and successes. PEs also record all peer session information, such as names and gender of

all participants, modules covered and classification of modules (AB or OP). PE sessions are evaluated by

BCC officers or peers using evaluation forms. BCC officers collect monthly summary sheets from all PEs

and the data are captured at regional SMA offices, before transmittal, in electronic format, to the SMA head

office.

A referral system was established in COP08 to refer people who attend SMA activities to other services.

Referred services include C&T, STI, TB and support services for people living with HIV/AIDS. Referral

cards (clinic and non clinic based) were developed to monitor the number of people referred and the type of

services to which they are referred. Referral boxes are available at the service delivery points to collect the

referral cards. Appointed BCC officers collect the content of these boxes from the referral points on a

monthly basis. The referral directory, developed in conjunction with other partners, will be updated and

referral cards adjusted accordingly.

3) Quality Assurance

This component sets parameters for minimum standards, defined in terms of targets and impact needs to

be refined during COP08. Information from assessment tools, including checklists, training assessments

and peer education tools will be used to identify gaps and challenges and to assess program

implementation on a continuous basis. The use of these tools will be expanded to include workplace

programs and integration of the TB strategy (new initiatives for FY 2009 COP). Also, feedback from

qualitative and quantitative research, field trips and periodic field reports are analyzed during SMA's

quarterly review meetings to improve the quality of the program.

4) Supervision

Senior management's quarterly regional supervisory visits evaluate performance and ensure quality of

implementation. Regional coordinators supervise BCC officers who in turn supervise PEs. The PEPP model

includes tools for the supervision of PEs and peer sessions.

5) Research

SMA will continue to build a research team with the capacity to assess existing evidence that supports

sound programmatic decision making, utilizing both qualitative (FGDs and KII) and the quantitative Tracking

Results Continuously (TRaC) surveys research. During FY 2009 COP, SMA plans to conduct pre- and post

PEPP surveys among FSW, FOSYs and Police. The use of pre- and post questionnaires will be expanded

to include private sector companies opting for this service in the workplace program, a new initiative under

COP08. Qualitative studies through FGDs and KII for concept and pre-testing of IEC materials and

community mapping will also be done. To build on the TRaC survey (COP08) among MARPs, a second

round will be conducted in COP10. SMA will only conduct USAID-funded research with approval from

USAID's M&E and Prevention Advisors. Results will be shared with partners and interested parties.

An operations research will be conducted to investigate attrition both at the Peer Educators' level and that of

Activity Narrative: the participants. Findings from the study is expected to guide SMA to come up with relevant incentives for

the Peer Educators and to further review the number of sessions for the PEPP manual. A review of existing

literature will also be done on HIV message priorities for the MARP as SMA revises the existing PEPP

manual to highlight priority messages for the different target groups. The completed pre and post PEPP

questionnaires will be analyzed to measure the impact of the PEPP among the participants.

6) Technical support

In addition to technical support from PSI and USAID, SMA will work with the following organizations to build

capacity and foster a culture of cross learning:

- University of Namibia (UNAM) - SMA will provide internships to 2-4 students and will also seek guidance

on International Review Board (IRB) approval issues.

- International University of Management (IUM) - Collaborate on input with regard to concept development

and surveys.

- MoHSS - Collaborate with the Research Department and the Division of Special Programs on issues

relating to research & M&E.

- Collaborate with research agencies such as SIAPAC, Vision Africa, and others for some of the protocol

development and field surveys.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $10,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17:

Cross Cutting Budget Categories and Known Amounts Total: $96,000
Human Resources for Health $43,000
Human Resources for Health $43,000
Human Resources for Health $10,000