This is a cooperative agreement with local partner NawaLife Trust and is in its second year of implementation. Annual funding was reduced in COP12 due to delay in award and subsequent pipeline. Future annual COP allocations are estimated to be $2.5M. The awards objective is to strengthen social mobilization for the general population including HIV sero-positive individuals to increase adoption of safer sexual behaviors and demand for biomedical interventions through multi-channel health communications. This includes stigma reduction; utilization of HIV counseling and testing (HCT) and medical male circumcision; hazardous drinking; and multiple concurrent partnerships. Past investments of a successful predecessor mechanism of the same design. Community-based efforts will complement existing PEPFAR investments.

The monitoring and evaluation plan will measure: Improved coverage of social and behavioral change interventions focused on drivers of the HIV epidemic and access to core biomedical HIV prevention interventions; improved demand by and retention of Namibians engaged in evidence-based public health interventions; Improved quality of evidence-based public health interventions and improved enabling environment for evidence-based public health interventions

Each media campaign will be conducted over three and a half years. A legacy plan will be incorporated into design to ensure sustainability and transition to the Government of Namibia. This is in line with the GHI strategic focus on transition. Media organizations will contribute substantial non-federal cost share. Implementation will focus on selected regions to saturate community-level coverage.

Motor vehicles remain the title of USG and were transferred from the predecessor project.

The Prevention Alliance Namibia project will continue activities under this budget code to work extensively with local organizations, people living with HIV, and the Government of Namibia (GRN) to employ a results-based mixed-model approach to target populations in seven diverse Namibian regions with an evidence-based focus on the drivers of the epidemic to achieve the following results: 1) Improved coverage and dosage of high quality and evidenced based social and behavioral change interventions focused on drivers of the HIV epidemic and access to core biomedical HIV prevention interventions; 2) Improve the demand by and retention of Namibians engaged in evidence-based public health interventions; 3) Improved quality of evidence-based public health interventions; and 4) Improved enabling environment for evidence-based public health interventions.The program will implement multi-level programming that supports national level health communications used by USG and non-USG funded civil society partners. In addition the activity will implement sustained community-level activities in the seven regions.

This activity represents a minimal HVSI funding allocation for project M&E supporting the implementation of combination HIV prevention program. This activity allocates funds for an M&E Advisor to support operations and provide limited technical assistance support to local organizations and GRN. Any additional technical assistance will support community and regional-level M&E implementation including planning, operationalizing standard M&E systems (with emphasis on HIV prevention) and increase the use of data analysis for HIV prevention program performance improvement and decision making in regions of operation and by the program.

M&E activities will build upon existing GRN and international standards and systems.

Sustainability components will include capacity building of local civil society and regional administrations to better coordinate and implement evidence-based HIV prevention strategies.

This activity is linked to activities funded in CIRC and HVOP.

The Prevention Alliance Namibia project will continue activities under this budget code to working extensively with local organizations, people living with HIV, and the Government of Namibia (GRN) to employ a results-based mixed-model approach to target populations in seven diverse Namibian regions with an evidence-based focus on the drivers of the epidemic to achieve the following results: 1) Improved coverage and dosage of high quality and evidenced-based social and behavioral change interventions focused on drivers of the HIV epidemic and access to core biomedical HIV prevention interventions; 2) Improve the demand by and retention of Namibians engaged in evidence-based public health interventions; 3)Improved quality of evidence-based public health interventions; and 4) Improved enabling environment for evidence-based public health interventions.The program will implement multi-level programming that supports national level health communications used by USG and non-USG funded civil society partners. In addition the activity will implement sustained community-level activities in seven regions.

Demand creation for MC and implementation of National MC Communication Strategy: This activity will build upon an existing MC communication strategy, which includes demand creation strategies, informational campaigns for males and females to better understand the procedure, as well as positioning MC within the larger context of HIV prevention strategies to discourage inhibition.

Expanding on existing materials supported by PEPFAR/Namibia, the recipient will partner with other national and regional stakeholders to implement campaigns utilizing mass media. Local partners conducting media and community outreach activities supported under CIRC will participate in the National Male Circumcision Task Force. The task force ensures a coordinated effort to develop and adapt non-clinical training, message development, and outreach models related to the promotion and demand creation of adult male circumcision.

Sustainability components will include capacity building of local civil society and regional administrations to better coordinate and implement evidence-based HIV prevention strategies.

This activity is linked to activities funded in HVCT.

The Prevention Alliance Namibia project will continue activities under this budget code to working extensively with local organizations, people living with HIV, and the Government of Namibia (GRN) to employ a results-based mixed-model approach to target populations in seven diverse Namibian regions with an evidence-based focus on the drivers of the epidemic to achieve the following results: 1) Improved coverage and dosage of high quality and evidenced-based social and behavioral change interventions focused on drivers of the HIV epidemic; and access to core biomedical HIV prevention interventions; 2) Improve the demand by and retention of Namibians engaged in evidence-based public health interventions; 3) Improved quality of evidence-based public health interventions; and 4) Improved enabling environment for evidence-based public health interventions.The program will implement multi-level programming that supports national-level health communications used by USG and non-USG funded civil society partners. In addition the activity will implement sustained community-level activities in seven regions.

The activity will 1) mainstream health communication messages on the utilization of HIV counseling and testing, either voluntary or provider-initiated, with the intent of promoting greater acceptability among males and couples in addition to the adoption of safer sexual behaviors; and 2) provide technical assistance to the Ministry of Health and Social Services, Regional AIDS Coordination Committees and District Health Teams to plan, implement and review communication activities.

Media efforts will leverage domestic and GFATM resources used by the Ministry of Health and Social Services and the Ministry of Information and Communication Technology for multi-level communications to support implementation of partners. Efforts will focus on refining existing interpersonal materials, supporting events and promotions and additional language adaptations, and focusing on intensifying depth, breadth and dosage of HIV prevention activities and strengthening linkages to biomedical interventions.

Sustainability components will include capacity building of local civil society and regional administrations to better coordinate and implement evidence-based HIV prevention strategies.

This activity is linked to activities funded in CIRC and HVOP.

The Prevention Alliance Namibia project will continue activities under this budget code to working extensively with local organizations, people living with HIV, and the Government of Namibia (GRN) to employ a results-based mixed-model approach to target populations in seven diverse Namibian regions with an evidence-based focus on the drivers of the epidemic to achieve the following results: 1) Improved coverage and dosage of high quality and evidenced based social and behavioral change interventions focused on drivers of the HIV epidemic and access to core biomedical HIV prevention interventions; 2) Improve the demand by and retention of Namibians engaged in evidence-based public health interventions; 3) Improved quality of evidence-based public health interventions; and 4) Improved enabling environment for evidence-based public health interventions.The program will implement multi-level programming that supports national-level health communications used by USG and non-USG funded civil society partners. In addition, the activity will implement sustained community-level activities in the seven regions.

Media and community outreach activities: Media activities will be on a national scale and will build capacity of the GRN to plan and manage an effective media program, while also providing implementation support for specific media campaigns and activities. Community outreach will be implemented within regional and local-level GRN structures for program coordination and monitoring, while providing implementation support for a comprehensive, robust program of social and behavior change. Local partners conducting community outreach activities will utilize outreach materials and training guidelines previously developed under PEPFAR, strengthen community groups implementation of structured prevention activities and implement a strengthened M&E system to support program management.

The behavioral change objectives include building skills for safe behaviors, increasing perceptions of risk regarding multiple concurrent partnerships, increasing correct and consistent condom use, increasing risk perceptions of hazardous drinking, cross generational and transactional sex, and increasing positive attitudes for gender empowerment and male engagement. An integration of Positive Health, Dignity and Prevention (PHDP), formerly the PWP initiative, will offer comprehensive HIV prevention programming to sero-positive individuals.

Support to local organizations and GRN community health initiatives: Regular supportive supervision, distribution of standardized materials and monitoring visits will be undertaken by prime recipients to ensure that media and community outreach activities are being conducted to standards established by the GRN and USG, that linkages are strengthened to biomedical interventions available and that data reporting is accurately reflecting progress against PEPFAR indicators. Activities shall support GRN community health initiatives.

Sustainability components will include capacity building of local civil society and regional administrations to better coordinate and implement evidence-based HIV prevention strategies.

This activity is linked to activities funded in CIRC and HVCT.