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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
The narrative above has been edited to reflect planned COP FY 2009 activities (including updated figures).
In COP FY2008, NLT placed its capacity building activities in the Other Health Policy and System
Strengthening (OHPS) program area. In COP FY 2009, with the guidance of the USG team in Namibia, NLT
placed its capacity building activities in HVAB and HVOP. Excess funds from HBHC will be used to bolster
campaign bookings for the "Be There to Care"/MCP campaign(s). Excess funds from PDCS will be used to
expand the Nawa Dance pilot to a third site.
Please review the activity narrative from COP08:
The Community Mobilization Activities (CMA) program was created in 2004 to provide expertise to
communities interested in addressing problems relating to HIV/AIDS and to link them to specific services.
Through dynamic communication and outreach, the program aims to transform communities into active
agents for changing behavior and addressing crucial social factors relating to HIV/AIDS. NawaLife Trust
(NLT) selected each CMA site in consultation with the MOHSS and USAID, based on location of treatment
programs in these areas.
The minimum package of prevention services provided through this program includes strategies to
overcome stigma and discrimination, understanding, empowerment and enhanced efficacy to address
gender equity and male norms and behaviors, increased efficacy for abstinence and faithfulness,
heightened awareness for responsible drinking and increased self-risk perception that lead to safer
behaviors and more caring relationships.
The behavior change objectives for these outreach programs include building skills for safe behaviors such
as abstinence and faithfulness, increasing perceptions of risk regarding multiple concurrent partners,
increasing risk perceptions of cross-generational and transactional sex, increasing positive attitudes and
behaviors for gender equity and empowerment, male engagement and reducing negative attitudes and
behaviors leading to stigma and discrimination.
NLT established 16 Community Action Forums (CAFs) in 12 of Namibia's 13 regions by the start of FY 08.
CAFs consist of 15 elected community members aged 15-60, who mobilize their communities to identify and
address HIV/AIDS-related problems. Specifically, the CAFs conduct Community Participatory Assessments
(CPAs). The CPA process assists communities in identifying and addressing their own HIV/AIDS-related
problems such as alcohol abuse, gender inequity, higher male participation and stigma and discrimination.
Thus, CAFs also address HIV/AIDS-related services such as PMTCT, VCT and, ART. CAFs also promote
and advocate for support services offered by other PEPFAR partners, including the MOHSS. A total of 16
CAFs will continue to operate in the following sites: Keetmanshoop Urban, Rehoboth Urban East, Tobias
Heinyenko, Opuwo, Khorixas, Oshikuku, Gobabis, Oshakati East, Rundu Rural West (two sites), Ndiyona,
Oniipa, Grootfontein, Walvis Bay Urban, Omaruru, and Otjiwarongo.
NLT will use the Communications Pathways Conceptual Framework developed by Johns Hopkins
University/Health Communications Partnership to incorporate this model via CAFs and mass media
campaigns, targeting three distinct levels of communication intervention (social political environment,
service delivery system and community & individual).
In COP 2009, CAFs will reach 30,720 community members ages 15 and above through outreach activities.
Outreach activities will focus on such AB areas as HIV/AIDS awareness, life skills, relationships, gender
equity, and stigma and discrimination. Each CAF will use an average of five sites to conduct these
outreaches continuously throughout an 11 month period. NLT will provide an estimated 40,720 individuals
with IEC materials through CAF outreach activities and special campaign events.
A total of 224 CAF members will receive outreach training in such areas as HIV/AIDS awareness, life skills,
relationships, gender equity, and stigma and discrimination.
NLT will incorporate gender themes within CMA projects, implementing program materials from the Acquire
project implemented by Engender Health and Promundo to address health and development vulnerabilities
of men and women. These themes address violence and coercion within relationships, and encourage male
participation in HIV/AIDS programs. This will have a beneficial cross-cutting effect especially on CAF
outreaches focusing on relationships and HIV/AIDS.
NLT will provide technical assistance to help facilitators from other organizations such as Catholic AIDS
Action and Development Aid from People to People utilize its training guides more effectively.
CAFs will partner with Catholic AIDS Action and Project Hope at the community and regional levels to
strengthen referrals and share information between their volunteer bases and program activities. As a
result, CAF members will be knowledgeable of and able to refer community members to volunteer services
in different HIV/AIDS-related fields.
NLT will assess its outreach training package through analysis of successes and challenges noted in CAF
monthly feedback forms and activity field reports, and via direct observation through field visits and ongoing
supportive supervision. NLT will incorporate findings from this information into future trainings and technical
assistance efforts to ensure improved intervention quality and relevance.
NLT will train CAF members in campaign messages and outreach tools. CAF members will implement use
their skills to conduct community outreaches in support of campaigns. NLT will analyze the quality of these
outreaches through a review of successes and challenges noted in CAF monthly feedback forms and
activity field reports, and via direct observation through field visits and ongoing supportive supervision. NLT
will incorporate findings from this information into future trainings and technical assistance efforts to ensure
Activity Narrative: improved intervention quality and relevance.
NawaLife Trust will conduct community festivals in three different regions (Omaruru, Okahandja Park, and
Khorixas) in COP 09. These festivals will be coordinated by NLT in collaboration with Community Action
Forums (CAFs) and with community-level partners and stakeholders including Catholic AIDS Action,
Namibia Red Cross, and Regional AIDS Coordinating Committees (RACOCs). NLT's media department will
be active in promoting these events through various print and broadcast media channels. In order to
encourage participation of more youth and maximize community mobilization outputs, NLT will pilot the
NawaDance program in three different CAF sites (Otjiwarongo, Rehoboth and Katutura), focusing on
audiences between the ages of 15-25. This activity will be incorporated into larger events and programs
such as community festivals, NawaSport tournaments, NawaCinema sessions and local community events.
NawaDance (based on Dance4Life) is a tool designed for 15 to 25 year old target audiences to intensify the
BCC to this group. NawaDance is an integrated program spanning both HVAB and HVOP
One of the central goals of the community festivals will be to reach more people with HIV/AIDS-related BC
messages, thereby amplifying behavior change through a multi-faceted approach synergizing NLT
programs, such as NawaSport, NawaCinema and NawaDance, as well as through other activities organized
by partners and stakeholders. NLT will involve RACOCs in the planning phase of each festival, generating
greater ownership of political leadership at the community level. These events will also enhance community
awareness of CAFs and collaboration between partners and stakeholders at the local level.
NLT will continue to be a key partner in the Take Control National HIV & AIDS media campaign as led by
the Ministry of Information and Communication Technology (MICT), building capacity and providing
technical assistance in implementing campaign activities as agreed upon in national planning meetings. In
COP 09, the "Be There" relationship campaign will be closely linked to MCP campaign activities that will
have kicked off in early 2009 as part of an integrated prevention campaign strategy developed in 2008. NLT
will play a lead role in supporting the MICT and Take Control partners to reach the objectives set for the
communication around MCP.
NLT will contribute to reaching 660,000 Namibians ages 15 years and above with mass media messages
under the "Be There to Care"/MCP campaign(s). Key target groups for the 2009 campaign will include
steady couples (married and unmarried) of reproductive ages (15-49 years) with a focus on men. MCP
messaging will focus - after initially targetgin a broad general public - on cohabiting partners and
"experimenting singles". Support to the campaign is spread across HVAB and HVOP sections as it will
contain messaging on condom use, pursuing an ABC approach with a focus on partner reduction.
improved intervention quality and relevance.
NLT will continue to build capacity with the MICT and to support the creation of a central informational
warehouse that will be able to serve the IEC needs of partners and stakeholders countrywide. This
warehouse will become operational during COP 08 with support of UN partners and NLT. While MICT will
finance the physical structure, NLT will contribute to running costs and NLT will be allocating a designated
portion of its IEC materials to the national warehouse.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16140
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16140 4048.08 U.S. Agency for Nawa Life Trust 7648 7648.08 Nawa Life Trust $1,273,484
International Cooperative
Development Agreement
7455 4048.07 U.S. Agency for Johns Hopkins 4422 1146.07 Health $1,268,027
International University Center Communication
Development for Communication Partnership
Programs
4048 4048.06 U.S. Agency for Johns Hopkins 3061 1146.06 Health $1,053,714
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $240,133
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Program Budget Code: 03 - HVOP Sexual Prevention: Other sexual prevention
Total Planned Funding for Program Budget Code: $6,562,085
Total Planned Funding for Program Budget Code: $0
Table 3.3.03:
In COP FY 2008, NLT placed its capacity building activities in the Other Health Policy and System
Strengthening (OPSS) program area. In COP FY2009, with the guidance of the USG team in Namibia, NLT
placed its capacity building activities in HVAB and HVOP. With excess funds from HBHC and PDCS, NLT
will concentrate on sustaining the mass media components of the "Alcohol aids HIV" and Take Control
campaigns which is coordinated by the Coalition for Responsible drinking/MICT respectively. A small
amount also will be used to strengthen the training component around NawaCinema outreaches.
These activities build and expand existing community mobilization and mass media activities from COP07
and COP 08. The Community Mobilization Activities (CMA) program, created in 2005, uses dynamic
communication and outreach, the program transforms communities into active agents for changing behavior
and addressing crucial social factors relating to HIV/AIDS. NawaLife Trust (NLT) selected each CMA site in
consultation with the MOHSS and USAID, based on location of treatment programs in these areas.
NLT has established 16 Community Action Forums (CAFs) in 12 of Namibia's 13 regions. CAFs consist of
15 elected community members aged 15-60, who mobilize their communities to identify and address
HIV/AIDS-related problems. Overall, the behavior change objectives for community mobilization OP
outreaches are consistent with this minimum package of prevention services: enhancing understanding and
self-efficacy towards responsible drinking with awareness of sexual risk behaviors associated with alcohol
abuse and towards risks of multiple concurrent partners, increasing efficacy of correct and consistent
condom use within steady relationships, increasing risk perceptions for youth and older audiences of cross-
generational and transactional sexual practices, promoting efficacious behaviors towards counseling and
testing, especially male and couple testing, and creating an enabling environment in which needed referrals
to HIV/AIDS-related services are correctly advocated. NLT will reach a total of 63,298 through its different
OP program activities.
16 CAFs and 5 regional coordinator offices will serve as condom service outlets at the community level.
These 21 noted service outlets will distribute a total of 266,112 condoms in COP 09 (16 CAFs and 5
regional coordinator offices x 2 box containing 144 smile condoms x 11 months x 4 outreaches monthly) in
the following sites: Keetmanshoop (Tseiblaagte) ,Walvis Bay (Kuisebmund), Rehoboth (Block E), Katutura
(Okahandja Park), Oniipa, Oshakati,Oshikuku, Rundu (Kasote and Sauyemwa) ,Nyangana, Gobabis
(Epako),Grootfontein, Omaruru, Otjozonjupa (Tsara Xeibes),Opuwo, Khorixas.
NawaSport: NawaSport is a behavior change intervention created to engage young men 15 - 35 years, who
have been underrepresented in prevention & care activities. The program uses soccer playing to create a
comfortable environment for men to discuss basic life skills and HIV/AIDS-related issues, including alcohol
abuse, stigma and discrimination and gender inequity through a 12 session curriculum. The NawaSport
Coaches Guide will be updated in 2008 providing advanced HIV/AIDS-related information on treatment
literacy, stigma and discrimination, gender equity and possibly circumcision. NLT will work with partner
organizations such as Catholic Aids Action and other community-based groups to bring this program to new
sites and audiences.
The NawaSport program will expand to five additional communities by the end of COP 2008, for a total of
16 sites. The program will reach 2,280 men between the ages 15-35 years in the 16 CAF sites. Each of
these individuals reached will participate in 13 different NawaSport sessions, which relate to a variety of OP
themes. NLT will train at least 338 individuals in the NawaSport program in COP 09. This will include 192
CAF members, 96 coaches and 50 additional stakeholders, which will most likely be from the Ministry of
Defense and the Ministry of Safety and Security.
NLT will assess NawaSport through its program activity forms, pre- and post test quizzes, Training of
Trainer course evaluations, and via direct observation on field visits and ongoing supportive supervision.
NLT will incorporate findings into future trainings and technical assistance (TA) to improve intervention
quality and relevance.
NLT will conduct at least five regional and one national StreetSquad tournaments in COP 09. This may be
supplemented by tournaments conducted in partnership with interested parties such as the Namibian
Agricultural Union (negotiations to be concluded in COP 08). The regional tournaments are planned to be
conducted in Oshikuku, Otjiwarongo, Omaruru, Khorixas and Nyangana. An average of 240 participants (48
teams x 5 players per team) and 300 spectators will be involved at each regional event. Overall, these
regional events will reach 2160 individuals (2700 attendees - 20% overlap with other OP programs). NLT
will conduct 10 mini-tournaments in Rehoboth, Opuwo, Gobabis, Oshikuku, Oniipa, Keetmanshoop, Kasote,
Grootfontein, Windhoek and Oshakati. An average of 100 participants (20 teams x 5 players per team) and
200 spectators will be involved in each of the mini-tournament activities. Overall, these regional events will
reach 2400 individuals (3000 attendees - 20% overlap with other OP programs). Master Coaches will
coordinate these events and be supported/assisted by CAFs and NLT staff members. Community level
partners and stakeholders such as New Start, Catholic AIDS Action, Namibia Red Cross, Lifeline/Childline,
AED and RACOCs will be involved in planning and conducting these events. The NawaSport national
tournament will reach 1008 individuals (12 teams x 5 players per team + 1200 spectators attending - 20%
overlap).
The NawaSport program will incorporate outreach HIV testing services into the regional tournament events,
reaching an estimated 180 individuals (10 clients counseled and tested per 8 hour event per counselor x 3
counselors per outreach testing facility x 6 tournaments) per event. NLT's media unit will promote these
events and services through various print and broadcast media channels. NLT will enter into a MOU with
IntraHealth and New Start partners to conduct these testing services. Through its media unit, NLT will build
Activity Narrative: on the enthusiasm generated around NawaSport especially among young men to develop mass media
messages on HIV prevention, testing and responsible drinking with an explicit sports link. This will serve to
create greater program visibility and to reach audiences outside the training and event components of the
program.
NawaSport will enroll in the international Street Football World Network in COP 09. This network is affiliated
with FIFA, and focuses on development issues in the context of soccer. With this membership, NawaSport
will be able to promote its events through this international alliance, improving its overall reach within
Namibia. This affiliation will also enable NLT to network with partners and stakeholders worldwide that
utilize sport as a means of reaching people with HIV/AIDS-related messages.
Currently NawaSport is working within four correctional facilities. Due the success of these programs,
several other correctional facilities have requested programs. NawaSport is planning to expand its program
to two additional prisons. These institutions are in the process of being identified.
The StreetSquad Soccer Community enables NawaSport men completing the formal program or individuals
reached during tournaments to continue their involvement. In COP 09, the StreetSquad Soccer will be
expanded to 10,000 members and step up club marketing activities to involve individuals by improving their
knowledge and practice in public health issues as well as focusing on and sport skills concentrating on
soccer skills.
NawaCinema: NawaCinema is designed to generate participatory discussions through thought-provoking
films on issues relating to HIV/AIDS prevention, care and treatment in a socially comfortable and
entertaining way. NawaCinema targets older audiences, using videos from the Steps for the Future series
within its program format.
NawaCinema will continue to be active in all 16 CAF sites, reaching 30,720 community members, ages 15+
years. Each CAF will screen approximately 20 videos at three different local venues over an 11 month
period. The videos will cover 10 OP topics, including alcohol awareness, gender themes, male engagement,
condom use and PMTCT.
NLT will assess NawaCinema through analysis of its facilitator and audience feedback forms, a follow-up
program evaluation, and via direct observation through field visits and ongoing supportive supervision. NLT
will incorporate findings from this information into future trainings and TA to improve intervention quality and
relevance.
Mass Media: NLT is actively working through the Take Control national HIV & AIDS media campaign to
promote behavior change. Take Control campaign messages integrate different prevention approaches,
including all elements of the ABC approach. For this reason, Take Control activities are reflected in both
HVAB and HVOP. It is estimated that 25% of resources will be used for OP mass media and interpersonal
messaging within Take Control "Be There to Care"/MCP campaigns (see full narrative under HVAB).
NLT will also continue to support the Coalition on Responsible Drinking (CORD) in running campaigns on
responsible drinking and HIV. The campaign will target persons of reproductive age (15-49 years). NLT
aims to reach a minimum of 250,000 individuals (there are approximately 1 million people between 15-49
years in Namibia. Of these individuals, an estimated one-half (500,000) of them are social drinkers as
estimated by the 2002 Nationwide KAP Baseline Survey on Alcohol and Drug use and Abuse in Namibia.
NLT will reach 50% of these individuals) through print and broadcast mass media messages in this
campaign. Outreach facilitation guides developed in COP 07/08 will be updated and distributed to 250 CAF
members.
In order to encourage participation of more youth and maximize community mobilization outputs, NLT will
pilot the NawaDance program in three different CAF sites (Otjiwarongo, Rehoboth and Katutura), focusing
on audiences between the ages of 15-25. This activity will be incorporated into larger events and programs
NawaDance (based on Dance4Life).
Continuing Activity: 16141
16141 5690.08 U.S. Agency for Nawa Life Trust 7648 7648.08 Nawa Life Trust $922,096
7457 5690.07 U.S. Agency for Johns Hopkins 4422 1146.07 Health $856,445
5690 5690.06 U.S. Agency for Johns Hopkins 3061 1146.06 Health $25,000
NEW/REPLACEMENT NARRATIVE
NawaLife Trust will serve on the national circumcision task force with such stakeholders as the Ministry of
Health and Social Services and Catholic Health Services, and will work with partners and stakeholders in
establishing communication initiatives as identified and needed. A rollout of MC services is anticipated for
COP FY 2009. Accordingly, provisions have been made to accommodate the return of the communication
consultant hired in COP FY 2008 to develop a communication strategy for a period of up to three months in
order to lead the implementation of an informational campaign coupled. In line with USG and international
guidance on the promotion of MC, this will include demand creation activities as well as efforts to firmly
place MC in the larger context of HIV-prevention strategies to discourage disinhibition. Expanding on basic
IEC materials developed during COP FY 2008, NLT is earmarking funds for the development of campaign
concepts, production of a basic set of TV and radio materials (3 languages) and initial placement. NLT will
reach an estimated 192,857 uncircumcised men with mass media broadcast messages relating to MC.
In the event of a national rollout of MC services, additional resources will have to be sourced to make the
kind of high impact campaign possible which will be necessary to entrench correct knowledge within the
target population on MC benefits and limitations.
Table 3.3.07:
In COP FY 2009, NLT will scale back its involvement in HBHC-related activities in order to finalize a long
planned consolidation of NLT programming around prevention activities. However, it is anticipated that the
growth of indigenous organizations specializing in HIV related care and support such as Positive Vibes and
Tusano, in communications/messaging during COP FY 2008 will enable these stakeholders to build
sufficient capacity by COP FY 2009 to fill the needs of this program area.
After completing an updated PwP/Treatment Literacy package, equipping all referral hospitals with
informational points and the development of a related brand in COP FY 2008, NLT will no longer remain
active in further materials production in this program area.
NLT will continue to support the PLWHA-produced "Wings of Life" radio program. If the results of the initial
evaluation, available by end of FY 08, are positive, NLT will expand this program to Southern Namibia in
COP FY 2009 due to the capacity that has been raised in Keetmanshoop (trained support groups through
Positive Vibes and a local Community Radio Station) to broadcast these shows. The Wings of Life program
will reach an estimated 141,750 individuals 15 years and above with palliative care mass media messages.
60 people will be trained in the Wings of Life program in COP FY 2009.
Continuing Activity: 16142
16142 7464.08 U.S. Agency for Nawa Life Trust 7648 7648.08 Nawa Life Trust $509,324
7464 7464.07 U.S. Agency for Johns Hopkins 4422 1146.07 Health $301,211
Table 3.3.08:
NLT conducted HBHC activities in COP FY 2008, which included the planning and implementation of the
"Wings of Life" radio program. Through this PLWHA-led program, radio program participants create
messages aimed at individuals 15-49 years. In COP FY 2009, with the guidance of the USG team in
Namibia, NLT will create care and support messages aimed at children 5-14 years of age and/or their
parents/caregivers. This will account for 15% of the radio program's broadcast content. NLT will reach an
estimated 142,765 children between the ages of 5-14 and a similar number of parents/caregivers with
Wings of Life radio messages on pediatric care & support. Four broadcasts across 4 languages are
envisaged. They may address topics such as ART for children, prophylaxis and treatment of OI in children
(including CTX prohylaxis), talking to positive children about HIV/AIDS and rights of and support available to
children with HIV/OVC. It is envisaged to link Wings of Life production groups with Uitani Childline Radio
(broadcasting on National Radio) for this series of productions. All system strengthening and human
capacity development activities have been moved into the AB and OP program areas as per PEPFAR's
guidance.
Health-related Wraparound Programs
* Safe Motherhood
Table 3.3.10:
This activity is a continuation of COP FY 2007 CT activities and links with the support to the national Take
Control campaign and community mobilization and outreach activities.
According to the Report of the 2006 National HIV Sentinel Survey, nearly 20% of Namibians are living with
HIV. According to the 2005 Follow-Up Survey conducted by the Social Marketing Association (SMA) of
Voluntary Counseling and Testing Services, approximately 70% of people infected with HIV do not know
their status (see HBHC). Men are less likely to ever have been tested than women.
The goals of all Counseling and Testing (CT) activities are to use communication interventions to increase
the overall uptake of HIV testing services in Voluntary Counseling and Testing (VCT) Centers as well as
within public health facility settings (including the reduction of clients opting out of recommended HIV testing
in PMTCT/TB programs). The key behavioral objective is to mobilize people that have not been tested
before to go for HIV testing. Based on current research results, this will require increasing a sense of risk
perception and decreasing fear of positive results among the target population as well as helping create
convenient opportunities for testing. Additionally, activities aim at reinforcing HIV prevention behaviors
(ABC) for those who test negative and positive prevention behaviors (dietary changes, prevention of
opportunistic infections, safer sex practices, promotion of partner testing) among those who test positive
(see also HBHC).
NLT will continue its key demand creation activities, which includes the New Start radio (scaled back to six
radio stations with the most reach), related media campaigns and support to community mobilization. As
with all campaigns, there will be no new development of campaign mass media materials in COP FY 2009
beyond materials supporting events or promotions or additional language adaptations. Rather efforts will be
focused on intensifying depth, breadth and dosage as well as on continuing to strengthen local community
mobilization activities.
To this end, additional tools for community mobilizers will be developed. Based on the outcome of pilots in
COP FY 2007/08, NLT will set aside small promotional support budgets for each New Start site that can be
used by the community mobilizer to increase presence and reach in communities. In addition, the
integration of community mobilizers with CAF and other NLT programs will be strengthened. This will also
involve including community mobilizers in CAF trainings as possible.
In addition, NLT will focus its demand creation campaign on the weakest site in COP FY 2009, which is
expected to be Mariental, Rehoboth or Katima Mulilo. This will result in site-specific mini campaigns that will
focus on the area's particular needs but still incorporate the themes of the national campaign to maintain
consistency of messages. In consultation with IntraHealth, NLT will conduct site assessments to determine
the specific barriers and needs of each site. NLT will base the conceptualization and development of
localized demand creation activities on these findings and other existing and available research. Once NLT
determines the barriers at the selected sites towards HIV testing, it will also consider conducting a more
outreach testing activities in COP FY 2009.
NLT will support IntraHealth in the expansion of outreach HIV testing, especially to those sectors that would
not traditionally focus on the provision of testing services such as schools NLT will be instrumental in
promoting this initiative through print and broadcast media based on technical guidance from IntraHealth.
This initiative will be conducted in consultation with the MoHSS. Outreach testing will provide community
members with convenient opportunities to access such services, and also help assuage clients' concerns of
confidentiality because counselors will be from areas outside of the selected testing sites. Qualitative data
from NLT's 2007 KAP surveys indicate that people view confidentiality as one of the greatest barriers to
accessing HIV testing services, citing familiarity of counselors to clients as one of the seminal reasons for
this perceived challenge.
NLT will also play a supportive role in National Testing Day 2010 and will cater for support of community
mobilization activities and limited support of mass media placements.
Continuing Activity: 16108
16108 12334.08 U.S. Agency for Nawa Life Trust 7648 7648.08 Nawa Life Trust $546,278
12334 12334.07 U.S. Agency for Nawa Life Trust 8367 8367.07 NLT $462,000
International
Development
Table 3.3.14:
NawaLife Trust (NLT) conducts qualitative evaluations to assist in program planning and implementation
efforts and to guide message design and implementation of mass media campaigns.
The local Namibian PHE Committee concluded that the following SI activities proposed by NLT will be
considered as basic program evaluations. With COP FY 2009 funds, NLT will do the following evaluations:
(1) Qualitative process evaluation of NawaCinema. This evaluation will answer these questions: (a) What
are the perceived challenges for NawaCinema facilitators in conducting program sessions? (b) What are the
perceived successes by facilitators of the NawaCinema program? (c) Do audience members consider the
NawaCinema content and methodology helpful and effective in raising HIV prevention knowledge and
efficacy? (d) What can NawaLife Trust and Community Action Forums do to improve the attendance and
participation levels and the quality of videos and facilitation for the NawaCinema program? (e) How are
messages gleaned from the NawaCinema program being applied and shared within the implementing
communities? (f) What is the perceived level of support by community members and stakeholders for the
NawaCinema program? NLT will use in-depth interviews to gauge the perceptions of NawaCinema
facilitators. This will be complemented with focus group interviews conducted with previous NawaCinema
audience members.
(2) Formative evaluation of Take Control campaign messages. NLT will conduct 6 focus group discussions
(FGDs) to understand: (a) what difficulties target audience members (25-49 yrs with an emphasis on men in
steady relationships and on 15-35 year old social drinkers) have in understanding, accepting and applying
knowledge from mass media messages relating to conducting safer relationships and drinking responsibly;
and (b) what can be done to improve mass media messages on these issues? These FGDs may or may
not be connected to a panel-based research sustained by Take Control partners.
(3) Formative evaluation of NawaSport mass media materials. NLT will conduct 6 FGDs that explore: (a)
what difficulties target audience members (15-35 yrs with an emphasis on men) have in understanding,
accepting and applying knowledge from messages relating to reducing partners, encourage men to go for
HIV testing and reduce alcohol consumption; and (b) what can be done to improve mass media messages
on these issues?
(4) Formative evaluation of IEC materials that focus on VCT, secondary prevention, and multiple concurrent
partners. NLT will conduct 6 FGDs that assess: (a) what difficulties target audience members (16-49 yrs
with an emphasis on men in steady relationships) have in understanding, accepting and applying
knowledge from IEC messages relating to VCT, secondary prevention and multiple concurrent partnerships;
and (b) what can be done to improve mass media messages on these issues?
For all evaluations, NLT will create study protocols and submit them for approval from their USAID SI
advisor and then from a local IRB.
Continuing Activity: 16143
16143 3768.08 U.S. Agency for Nawa Life Trust 7648 7648.08 Nawa Life Trust $126,470
7454 3768.07 U.S. Agency for Johns Hopkins 4422 1146.07 Health $465,692
3768 3768.06 U.S. Agency for Johns Hopkins 3061 1146.06 Health $975,515
Table 3.3.17:
