ACTIVITY DESCRIPTION This activity relates to activities in Condom and Other Prevention 6735, Counseling & Testing 6736, Care & Support 6738, OVC 6737 and Strategic Information 6734.

SFH, HVAB goal is to contribute to a reduction in HIV prevalence among youths aged 15-24 years. This activity is partly implemented at national level (mass media campaign) and in 19 states (community mobilization among target communities at selected sites) in collaboration with the USG team. Communities are defined by target population such as out-of-school youth community while sites are the geographical locations where the communities are found. In COP06, 76 out-of-school youth communities in 19 states in Nigeria were selected for intervention. In COP07 SFH expects to train 2,250 persons who will reach 803,463 persons through community mobilization and outreaches with AB messages. Of this total number 314, 213 will be reached with abstinence messages only.

Society for Family Health (SFH) will implement the Peer Education Plus (PEP) model among the out-of-school youth. The PEP model is evidence based 12 month intervention implemented in three phases. The Community Entry phase (mapping, advocacy visits, open community meeting and baseline study), Intensive phase (holding of peer education sessions, drama, IEC materials distribution etc.) the Exit phase (building of CBO capacity to take over program implementation). Target specific manuals are used to facilitate the peer education sessions. The ‘plus' include non- peer education components such as drama, IEC/audio visual materials, working with the influencers / gatekeepers and referral for HIV testing. The key messages are delay in sexual debut, abstinence, mutual fidelity and testing for HIV.

SFH is currently piloting the Participatory Ethnographic Evaluation Research (PEER) approach to improve female participation and also have in-depth understanding of factors that can influence behavior change among the youth. Lessons are expected to help improve the Pep Model. SFH will also deploy community radio listening groups in partnership with Voice for Humanity in four states in the north of Nigeria to provide AB messages to young girls primarily and other community members. 480 persons will be trained to deploy these devices to reach about 8,000 female youth.

SFH will scale down in-school activities with the National Youth Service Corps (NYSC) scheme in light of complimentary funds obtained by NYSC from the Global Fund. SFH will therefore engage the umbrella bodies of selected Christian and Islamic groups to develop their HIV policy, 5 year strategic plan, implement the strategy including conduct of national sensitization workshops and step down sessions in two states per health zone and development of IEC materials. Religious leaders will also be trained to deliver HIV messages in their sermons. Follow up campaigns will be developed and aired to complement the successful Zip-Up campaign. 950 youth peer educators will be trained to facilitate peer education sessions among their peers from rural communities in addition to 628 PEs from FBO groups. Below-the-line materials including T-Shirts, Face caps, exercise books, board games etc. will be developed. These and the PEP model implementation are expected to reinforce the mass media abstinence campaign. Activities targeting male social norm will be implemented among the general population. 192 persons (among the old peer educators who worked on the PEP model previously) will be trained to deploy customized flip charts to reach men and women in the general population and PLWHAs within the community settings with messages that promote fidelity and positive prevention respectively. SFH is currently piloting an intervention, Priorities for Local AIDS control Efforts (PLACE) to target persons engaging in transactional sex in high risk areas in Lagos. Activities will be scaled up to other regions. Key message is partner reduction for the sexually active male. SFH shall continue to support interventions in tertiary institutions working through existing HIV/AIDS clubs to promote ABC messages. In addition SFH will work with the National Agency for the Control of AIDS (NACA) and the DFID funded Strengthening National Response (SNR) to support the development of of a national curriculum for ABC prevention interventions and the establishment of a national prevention technical working group for HIV/AIDS.

Activities will also include interventions within the university outreach program initiated in COP 06 by the Public Affairs Section (PAS), US Embassy. Ten additional universities in the prevention focus states will be supported in FY 07 to bring the total number to 26 universities spread across 22 PEPFAR states. Through grant programs, the activity will

promote abstinence, delay of sexual debut, mutual fidelity and partner-reduction among university students and staff. This activity will also address gender and social issues that increase vulnerability to HIV transmission in the target populations. A "Condoms and Other Prevention" activity with most at risk students among the target population groups will complement this activity under a separate Activity Narrative.

Evaluation of the program shall be through Participatory Monitoring and Evaluation (PM&E). Focus group discussions and semi-structured interviews will be used for the baseline study and program monitoring. A quantitative survey shall be conducted towards the end of the program to evaluate impact by comparing people with no exposure, low exposure and high exposure. The Nigerbus omnibus survey shall be used to evaluate the mass media campaigns.

CONTRIBUTIONS TO OVERALL PROGRAM AREA Results from this project will contribute to the USG Emergency Plan of treating 350,000 HIV infected Nigerians (through the demand creation for HCT, and referral from the service delivery centers), prevention of 1,145,545 new HIV infections (through behavior change communications among the youth).

LINKS TO OTHER ACTIVITIES HVAB activities will be ultimately linked to HVCT program 6736 being directly implemented by SFH or those implemented by other USG collaborating agencies.

POPULATIONS TARGETED This activity targets youths generally with emphasis on out-of-school youths disaggregated by sex. Religious leaders and parents will also be targeted to empower them to give medically correct and factual information and support to youths to enable them make informed choices. Community based organizations will also have their capacity strengthened to enable them sustain behavior change initiatives.

KEY LEGISLATIVE ISSUES This activity will address gender equity in programming through interventions targeting young girls. Intervention will also address male norms and behaviors that put both men and women at risk.

EMPHASIS AREAS This activity places major emphasis on community mobilization and participation and minor emphasis on local organization capacity development, linkages with other areas, strategic information and workplace programs.

PREVIOUS PAS ACTIVITY: Activities will also include programming within the university outreach programming initiated in COP 06 by the Public Affairs Section (PAS), US Embassy. Ten additional universities in the prevention focus states will be supported in FY 07 to bring the total number to 26 universities spread across 22 PEPFAR states.

Through grant programs, the activity will promote abstinence, delay of sexual debut, mutual fidelity and partner-reduction among university students and staff. This activity will also address gender and social issues that increase vulnerability to HIV transmission in the target populations. A "Condoms and Other Prevention" activity with most at risk students among the target population groups will complement this activity under a separate Activity Narrative.

ACTIVITY DESCRIPTION This activity also relates to activities in Abstinence & Be faithful (#6733), Counseling & Testing (#6736) and OVC (#6737)

SFHs goal for its Condom and Other Prevention activity is to contribute to a reduction in HIV prevalence among sexually active adults. This activity is implemented at the national level (product distribution) and in 19 states (community mobilization) in collaboration with the USG team among communities at selected sites. Communities are defined by target group such as Transport Workers Community. Sites are the geographical locations where the communities are found.

In FY 06, 151 new communities were selected for intervention. They include 25 brothel based Female Sex Workers (FSW), 28 transport workers (TW), and 19 Uniformed Service Men (USM) in 19 state of Nigeria.

Society for Family Health (SFH) will implement the Peer Education Plus (PEP) model among the target groups listed above. The PEP model is an evidence based 12 month intervention implemented in three phases: the Community Entry phase (mapping, advocacy visits, open community meetings and baseline study), the Intensive phase (holding of peer education sessions, drama, IEC materials and product distribution), and the Exit phase (building of CBO capacity to take over program implementation). It involves holding of peer education sessions among each target group using target specific manuals. The ‘plus' component of the program includes non-peer education components such as drama, IEC/audio visual materials, condom and condom lubricant distribution, and referral for HIV testing and STI treatment. The key messages are partner reduction, consistent condom use in all sex acts, prompt and complete treatment of sexually transmitted infections (STI's), and testing for HIV.

The Priorities for Local AIDS Control Efforts, (PLACE) method is a new assessment and monitoring tool to identify potentially high transmission areas and the specific venues within these areas where AIDS prevention programs should be focused. A baseline was conducted in Lagos in FY05 as part of the pilot. Results from the PLACE survey showed 85% of the respondents reported that people visited the site to meet new sexual partners. 56% of the people who socialize at the sites have had sex with a person they met at the site, while 54% had given or received money in exchange for sex. This component of the program will target street based sex workers and their clients with partner reduction, alcohol reduction and condom use messages. Components of the PEP model are adapted and integrated into additional activities such as AIDS songs by local musicians

Activities targeting male social norms will be implemented in places such as barracks or transport parks through community outreaches and inter-personal communication activities which emphasize fidelity as a norm. SFH expects to train 1,990 to reach 260,996 persons with partner reduction and condom use messages.

Prevention activities shall be implemented among support groups who are currently working with SFH. Meeting sessions will be geared towards secondary prevention (i.e. among discordant couples), prevention of re-infection through promotion of condom use and partner reduction. PLWHAs will also be trained as peer educators who will conduct monthly IPC with members of households of PLWHAs.

Activities will also include interventions within the university outreach programs initiated in COP 06 by the Public Affairs Section (PAS), US Embassy. Ten additional universities in the prevention focus states will be supported in FY 07 to bring the total number to 21 universities spread across 22 PEPFAR states. To address the needs of high-risk university youth, the university outreach program supports selected universities in implementing a comprehensive package of prevention activities. Working through existing clubs and student union governments, activities emphasize the provision of full and accurate information about correct and consistent condom use as a means of reducing, but not eliminating, the risk of HIV infection, and distribution of condoms for those most at risk.

In addition to the key messages of fidelity, partner reduction, and correct and consistent condom use, activities promote access to HIV counseling and testing and encourage complete treatment of all sexually transmitted infections (STIs). Mobile HCT services will

be provided through outreach programs. Interactive forum between lecturers and students will be conducted to promote community dialogue and thereby create an enabling environment for students to adopt healthy behaviors. Universities will also be supported to implement activities that address the gender-specific needs of their student populations. Universities will also support advocacy around issues such as transactional and trans-generational sex.

Evaluation of the program shall be through Participatory Monitoring and Evaluation (PM&E). Focus group discussions and semi-structured interviews will be used for the baseline study and program monitoring. Quantitative surveys will be conducted towards the end of the program to evaluate impact by comparing people with no exposure, low exposure and high exposure.

Linkages will be established with existing USG counseling sites and those of the Government of Nigeria where available. People willing to go for HCT based on SFH's demand creation activities through the PEP program will be referred to SFH's, GHAIN's and Government's HCT sites. Those testing positive will be referred to the USG's, Global Fund's and Government's treatment centers as well as support groups for psycho-social support.

CONTRIBUTIONS TO OVERALL PROGRAM AREA Results from this project will contribute to the USG Emergency Plan of treating 350,000 HIV infected Nigerians (through the demand creation for VCT and referrals), and prevention of 1,145,545 new HIV infections through behavior change communications among core transmitters.

TARGET POPULATIONS This activity targets both street-based and brothel-based FSWs and their clients, transport workers, uniformed servicemen, male out-of-school youth, female out-of-school youth and PLWHAs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in Abstinence & Be faithful (#6733), Counseling & Testing (#6736), OVC (#6737). SFH will continue to reinforce partner reduction messages and promote HIV counseling and testing.

KEY LEGISLATIVE ISSUES This activity will address gender equity in programming and stigma and discrimination against PLWHA.

EMPHASIS AREAS This activity places major emphasis on community mobilization and participation and minor emphasis on capacity building for community based organizations.

ACTIVITY DESCRIPTION: The Society for Family Health is currently implementing the Comprehensive Integrated Approach to HIV/AIDS Prevention and Care (CIHPAC) Project in Nigeria. The main goals are to contribute to a reduction in HIV prevalence among youths aged 15-24 years; to create an enabling environment for behavior change and program sustainability in collaboration with other partners. Tuberculosis remains a serious public health problem in Nigeria. HIV is known to increase the burden of tuberculosis. The prevalence of HIV among TB patients is 19.1% (Nigeria National Sentinel Survey 2001) and it is estimated that TB is the leading cause of deaths among PLWHAs and responsible for 14-54% of HIV/AIDS deaths globally. As part of the social mobilization for TB control activities in Nigeria, SFH will develop and air national a four language TV campaigns to create awareness on TB management and prevention among HIV persons and the general population. This will support the National Tuberculosis/Leprosy Control program which has funding through the Global Fund to air 13 TV slots per quarter on Network Television. Mass media activities will be completed with interpersonal communication activities using mid-mass media such as mobile drama shows (road shows). Additional drama scripts will be developed to create awareness on the links between TB and HIV while opportunities for questions and interactions are created at the en of ach drama show. One hundred TB/HIV focused road shows will be staged at SFH high risk communities reaching 8000 persons. SFH will train IP partner provider staffs (5 persons per IP) using specially designed flip charts to conduct outreaches on TB prevention and management. These activities will create an enabling environment for TB-HIV management targeted at community, religious leaders and political/local government officials.

Links to other activities The activities will be ultimately linked to treatment, care and support services that are being directly implemented by USG implementing partners and the GoN. This activity will support advocacy and social mobilizations programs that will be conducted at the community level.

ACTIVITY DESCRIPTION This activity will be linked to ART (3.3.10), C&S (3.3.06) and PMTCT (3.3.01) services provided by PEPFAR partners.

The impact of HIV/AIDS on children, families, and communities varies from one region to another and concepts of orphans and vulnerable children are social constructs that varies from one culture to another. In Nigeria, it is estimated that 1.8 million children are either single or double orphans as a result of AIDS while 67,000 children were infected primarily from parent-child transmission. Most children infected with HIV/AIDS die of common childhood illnesses rather than of HIV/AIDS before 2 years of age and most deaths occur in the home. The primary objective of this component is to reduce the disease burden of children affected and infected by HIV/AIDS through the provision of commodities that will reduce malaria (and by proxy anemia), and diarrheal episodes. The Nigerian environment is one in which malaria thrives, responsible for more deaths in the country than any other disease. Orphanhood is likely to be reduced when the primary caregivers are assisted to live healthier lives and children who are infected from childhood are supported to grow without the effect of these debilitating illnesses.

Society for Family Health (SFH) OVC activities (6737) will support all PEPFAR partners to provide palliative care and support to OVC's and their families/caregivers in the PEPFAR focus states. SFH will procure 100,000 Basic Care Kits (BCK) that will be delivered to the implementing partners that will distribute them to the vulnerable children identified in their programs. Each BCK will be designed to promote healthy behaviour practices among HIV positive/affected children and their families with respect to these major areas: malaria prevention and management, diarrhoeal disease prevention, and improved basic sanitation and hygiene practices. As such, the BCK components include: one safe water storage vessel with spigot (std. 25 litre bucket with lid); one bottle of WaterGuard point-of-use water treatment product; one long-lasting insecticide treated net (LLIN) and relevant IEC materials. The WaterGuard commodity will be replenished as needed throughout the year.

SFH will train 100 implementing partner staff members on each of the kit components and their appropriate usage techniques. SFH will also utilize its expertise in behaviour change communications to develop a variety of culturally/regionally appropriate IEC materials and job aids emphasizing positive behavioural decisions and healthcare products pertinent to families caring for OVC's.

SFH OVC activities (6737) will assist implementing partners to build the capacity of collaborating OVC care and support organizations to enable them lead the monitoring and evaluation of activities and also ensure that effective chlorine concentrations is achieved by end users.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In support of PEPFAR partners, the SFH will provide the Basic Care Kit for distribution to OVC's and their families and care-givers. The kit utilizes cross-cutting health programming and products which are combined with IEC materials so the health needs of vulnerable children are addressed as part of a more comprehensive care initiative.

LINKS TO OTHER ACTIVITIES This component will also be linked to ART (3.3.10). and RH programs of the USG. This activity will consequently improve access to ART and PMTCT (3.3.01) services and referrals, and introduce a preventive strategy to reduce incidence of malaria and diarrhea related morbidity and mortality in orphans and vulnerable children in Nigeria.

POPULATIONS BEING TARGETED This activity targets OVC and their families/caretakers primarily too promote an overall increase in positive health behaviours; reduce incidence of opportunistic infections and improve quality of life.

KEY LEGISLATIVE ISSUES ADDRESSED Key legislative issues addressed include promoting gender equity in access to services and programs.

EMPHASIS AREAS

The major emphasis areas are logistics and commodity procurement while minor emphasis area is quality assurance.

ACTIVITY DESCRIPTION This activity is linked to Abstinence and be faithful (#6733), Condom and other prevention (#6735), Policy and system strengthening (#6732) and Care and support (#6738). HIV Counseling and Testing (HCT) is an important entry point for prevention, care and treatment services. It also serves as an important entry point to behaviour change for risk reduction. Knowing and accepting one's HIV status enables more informed planning for the future, including for one's dependents. Society for Family Health (SFH) will create demand for HCT through its community mobilization activities among the most at risk populations (MARPs), as well as through a campaign promoting the new National VCT "brand". Program experiences have also shown that HCT is one of the factors that help to reduce stigma and secrecy surrounding HIV/AIDS. Using the national, non cold chain dependent testing algorithm, SFH will conduct HCT services among our MARPs through the use of mobile/outreach HCT services and training of HCT counselors from community based organisations. Mapping of referral services for confirmatory testing, anti- retroviral treatment (ART) and support services for People Living with HIV/AIDS (PLWHA) will be conducted prior to onset of HCT at the communities. SFH will collaborate with community based organizations (CBOs) in and around her sites to train HCT counselors using the national HCT curriculum to address human resource constraints and promote sustainability. It is hoped that training CBOs staff will ensure continuity of service provision even on days when mobile/outreach services are not available. With support from USAID, SFH trained its first batch of counselors who will conduct HCT in select camps in October 2006 as part of a pilot program. Using lessons learned from this pilot, SFH will develop six mobile HCT units which will rotate through the six health zones and conduct mobile HCT outreaches in the high risk sites where we expect to reach 17,500 persons per year. Each unit will visit sixteen sites per year. The cost per direct target is a bit higher than the average of $10.00 for static centers primarily because mobile services are more expensive and require more manpower and logistics. HCT services will still be provided in the National Youth Service Corp (NYSC) camps particularly in states where there are currently no USAID partners working. Innovative models of HCT may be explored as SFH will try the provision of "moonlight" HCT services whereby services are provided in the evening around truck stops or where high risk activities are likely to occur. This is also expected to provide a higher yield of positive persons for recruitment into ART and C&S services. Persons, who test negative will be counseled, assisted to develop risk reduction plans and if sexually active, they will be encouraged to use condoms consistently and correctly for all sex acts. Condom use demonstration will be conducted in all sites while sample condoms will be provided for anyone who wishes to use condoms. Emphasis will be placed on condom use for discordant couples. Test Kits will be procured by the Supply Chain Management System (SCMS) through USAID. Test kits will be stored centrally in a secured place within SFH headquarters premises in Abuja and distributed along SFH existing supply chains to the regional offices. Adequate storage and transport conditions will be ensured to maintain test kits' quality and integrity. SFH has implemented a system to track essential data for adequate test kits management. SFH will continue to support and participate in the harmonization process led by the Government of Nigeria (GON) with regard to Logistics Management Information System (LMIS) and Inventory Control System. Quality assurance (QA) measures for testing will involve submitting dried blood samples from every tenth HCT client to a designated reference laboratory for retesting and confirmation. QA for counselors will involve supervisory visits to prevent counselor burn-out and provide refresher trainings. All mobile units will use national HCT data collection tools to assist in monitoring and evaluation of these activities. SFH's expertise in community mobilization, demand creation, and social marketing will be tapped by the USG/Nigeria team to initiate a VCT promotion campaign that will increase the visibility and acceptance of the National Heart-to-Heart (H2H) logo as a brand that assures quality, confidentiality, and client-centered care. The H2H logo was launched on World AIDS Day by President Obasanjo and over the past year has gained recognition in Emergency Plan supported communities. This campaign will attempt to expand the reach and recognition to make this truly a National brand and to increase demand for these services throughout Nigeria. CONTRIBUTIONS TO OTHER PROGRAM AREAS Planned mobile HCT services will improve equity in access to prevention among high risk groups and in the possibility of identifying those eligible for care and support and ART which is proportionally higher among these target groups. The identification of HIV negative clients will create entry points for appropriate counseling about prevention and staying negative. LINKS TO OTHER PROGRAM AREAS This program area has links with HVAB (3.3.02); HVOP (3.3.05); OHPS (3.3.14); HBHC (3.3.6) and HTXS (3.3.11). Prevention efforts will generate demand for

HCT and SFH will work to ensure that there are adequate networks and linkages between the HCT service units and ART, care and support centers. In addition, SFH will support the GON in promoting the "Heart to Heart" brand for counseling and testing through targeted nationwide campaigns. TARGET POPULATIONS This activity targets most at risk populations of young men and women, FSWs, transport workers and their support persons, as well as uniformed service personnel. The National H2H promotion campaign will target the general population. KEY LEGISLATIVE AREAS This activity will increase gender equity in programming through interventions and messages targeted at vulnerable young girls. Analysis of HCT uptake showed marked zonal variations with only 4% of respondents having undergone HIV testing in the North West compared with 21% in the South East health zones. The NW zone has been where access to young girls has been most challenging. Efforts therefore are being made to reach them through listening groups with appropriate behaviour change messages. EMPHASIS AREAS The major emphasis area is human resource development while the minor emphasis areas are community mobilization and participation, development of referral and linkages and logistics.

ACTIVITY DESCRIPTION This component is linked to Abstinence and Be Faithful (3.3.02), Voluntary Counseling and Testing (3.3.09), Condoms and Other Prevention (3.3.05), and Orphans and Vulnerable Children (3.3.08) activities.

In FY06 SFH supported two major Islamic groups the Jama'atul Nasril Islam (JNI) and Ansar ud Deen Society of Nigeria (ADSN) to introduce leaders to HIV prevention and stigma reduction programming as well as to conduct training of trainers for their implementing committee members (ICM). SFH also began engagement with the Redeemed Christian Church of God (RCCG), at the national level, by facilitating the development of their HIV strategic plan in preparation for the implementation of youth focused prevention programs. Work plans were developed for the implementation of HIV sub-program areas including abstinence, be-faithful, HIV counseling and testing, and care and support.

This component supports national level civil society networks enabling them to conduct state level step-down training and to implement HIV prevention and basic care and support activities. SFH will support the formulation of national faith-based policies specific to each FBO for implementation at all levels, provide refresher training for existing partners, and training of new leaders on stigma reduction. Support for HIV prevention and counseling and testing activities through the umbrella bodies of Living Faith Foundation, RCCG, ADSN, and JNI will be provided. Specific outputs for 2007 are HIV policies and strategic plans developed and implemented by each organization.

Activities will be scaled up in FY07 to engage a northern based Christian group with the goal of building their capacity to implement youth focused prevention programs. SFH will work with four FBOs and train a minimum of 40 leaders per organization. Technical support will be provided as required by SFH regional field teams to enable them to develop tailored messages that provide factual risk reduction information during the step down sessions at the state level. FBO leaders will be trained as master trainers and each leader is expected to train at least 10 persons within their constituencies at state level. SFH will facilitate the inclusion of FBOs into the State Action Committee on AIDS (SACAs) so that they may contribute to the state response to HIV prevention. It is anticipated that the program will lead to increased engagement of FBOs in HIV prevention, care, and support including stigma reduction.

At the community level, SFH will provide participatory organizational capacity development for 32 Community Based Organizations (CBO) in high risk sites and train at least three persons per organization in community mobilization for stigma reduction and other HIV prevention programs.

SFH will assist the Government of Nigeria in developing a nationwide campaign to position the Heart to Heart brand (H2H) as the national HIV counseling and testing logo. We will develop evidence based television and radio campaigns which will be supported by target specific below the line materials. Airing of these campaigns will be done using local networks and Voice of America services. SFH will leverage existing relationships with the National Action Committee on AIDS to seek additional airtime to ensure saturation of the airwaves and optimal coverage for the campaigns.

Custom indicators for this activity will include: - Proportion of Nigerians male and female between 15 and 45 years reporting awareness about the H2H counseling and testing logo / campaigns. - Proportion of Nigerians male and female between 15 an 45 years who can recall main messages of H2H campaigns. - Proportion of Nigerians reporting awareness about H2H service delivery points (SDPs). - Proportion of Nigerians 15 years and above reporting visiting a H2H SDP for purposes of counseling, HIV test and obtaining the result.

CONTRIBUTIONS TO OVERALL PROGRAM AREA SFH will also disseminate and operationalize the National Behaviour Change Communication Strategy developed by NACA at the state level. SFH will also pay for a NACA director's salary. SFH will conduct participatory organizational capacity development workshops for FBO groups to ensure empowering leadership development and program

sustainability.

LINKS TO OTHER ACTIVITIES Activities in this program area provide the enabling environment and strategic direction for other interventions especially among the FBOs. This component is linked to HVAB (3.3.02), HVCT (3.3.09), HVOP (3.3.05), and HKID (3.3.08) program areas.

TARGET POPULATIONS Targets include religious and community leaders, civil society organisations, and faith based organizations.

KEY LEGISLATIVE AREAS This activity will increase gender equity in programming through advocacy with other FBO leaders and will address issue of stigma and discrimination against PLWHA. SFH will engage with women"s groups within the FBO leadership and ensure that women groups are equitably represented in all training and leadership activities conducted among the FBO groups.

EMPHASIS AREAS This activity places major emphasis on local organization capacity development while the minor emphasis areas are community mobilization and participation, training, development of network/ linkages and referral systems.