ACTIVITY NARRATIVE:

This activity relates to activities in Condom and other Prevention (9783.08), Orphans and Vulnerable

Children (9882.08) and Palliative Care (9841.08). This submission is for COP 08.

AIM in COP08 will continue to strengthen CBO/FBO capacity to facilitate behavior change amongst

Commercial Sex Workers (CSWs) through programs that facilitate reduced dependency on transactional

sex by the provision of income generating activities (IGA) for alternative livelihood. This program will be

carried out in 15 PEPFAR states; Lagos, Oyo, Edo, Anambra, Imo, Cross River, Benue, Nassarawa, FCT,

Niger, Plateau, Bauchi, Kano, Adamawa and Borno. Behavior change activities including messages on

partner and risk reduction will focus primarily on Commercial Sex Workers, their clients and members of the

project communities. In line with current guidance by USG prevention team, in COP08, a minimum package

of interventions will be employed utilizing a minimum of three interventions to reach each individual.

Minimum package interventions will include; interventions addressing vulnerability issues, IGA, peer

education models and community awareness campaigns.

Commercial Sex Workers: This is the primary target audience for behavior change activities. AIM will reach

this group by addressing their vulnerability issues as well as promoting partner and risk reduction. AIM will

address vulnerability issues by providing Income Generating Activities (IGA) to reduce their dependence on

transactional sex and promoting safer sex practices. Under this program, 2000 CSWs will receive business

development, vocational training and in-kind grants (worth $300 -$450) designed to create an alternate

income to transactional sex. AIM Partners will encourage CSWs to adopt the cooperative model with

income- generating activities as a peer support strategy to keep them out of transactional sex. Other

activities, such as training on life skills, stigma reduction and gender issues, will be conducted in order to

build the CSW's self esteem and sustain behavior change.

Secondly AIM will use the Peer Education model to promote the reduction of sexual partners and the

adoption of safer sex practices among CSW and their clients. AIM will identify 75 former CSWs (five per

state) who will be trained as peer educators to encourage and sustain behavior change amongst the CSWs.

These peer educators will be trained on interpersonal communication and empowered as positive peers.

The peer educators will also be provided with supporting materials to provide counseling and mentoring to

their peers and clients on the benefits of alternative livelihood, abstinence, increased fidelity and partner

reduction.

Thirdly, recognizing that during these processes some CSWs may continue with transactional sex until they

have alternate livelihoods established, AIM will conduct awareness campaigns to provide clinically accurate

information on correct and consistent condom use to reduce the risk of HIV infections as described in the

C&OP program area narrative. Community awareness activities will also provide information on the

opportunities for income generating programs, life and vocational skills acquisition for alternative livelihoods.

AIM partners will establish linkages with USG treatment- Implementing Partners who provide HCT services

and will encourage CSWs to access counseling and testing services in the communities. AIM will

collaborate with other PEPFAR partners, GON programs to provide the CSWs access to STI management.

CONTRIBUTIONS TO OVERALL PROGRAM AREA:

The prevention component of AIM will specifically address the 2007 Prevention Technical Assessment's

recommendation to develop activities that are explicitly designed to prevent cross-generational and

transactional sex, a key component of a successful and comprehensive prevention program.

Comprehensive ABC education will be provided. The combination of strategies is expected to increase risk-

perceptions of CSWs and their clients, promote condom use and increase ability to negotiate safer sex by

CSWs and their clients. This activity will contribute to the overall PEPFAR goal of averting new infections

while also contributing to poverty reduction.

LINKS TO OTHER ACTIVITIES:

Winrock AB activities also relates to Condom and other Prevention (9783.08), Orphans and Vulnerable

Children (9882.08) and Palliative Care (9841.08). AIM will link its activities with other PEPFAR partners'

activities to ensure strong referrals, comprehensive prevention, care and treatment services.

POPULATIONS BEING TARGETED:

Commercial sex workers and their clients are the populations being targeted. This activity promotes

alternatives for women already engaged in transactional sex work and wishing to move into another line of

work to reduce their vulnerability.

EMPHASIS AREAS:

Emphasis areas include gender and human capacity development.

ACTIVITY NARRATIVE:

This activity relates to activities in abstinence and be-faithful (9766.08) and palliative care (9841.08). The

Winrock AIM project will continue to strengthen CBO/FBO capacity to facilitate behavior change amongst

Commercial Sex Workers and their clients and members of the project communities in the 15

PEPFAR/Nigeria states Lagos, Oyo, Edo, Anambra, Imo, Cross River, Benue, Nassarawa, FCT, Niger,

Plateau, Bauchi, Kano, Adamawa and Borno. Behavior change activities will focus primarily on Commercial

Sex Workers and their clients through the following three prevention strategies:

Commercial Sex Workers (CSWs): This is the primary target audience for behavior change activities under

this activity for the AIM Project. AIM will reach this group with a minimum intervention package of 1) peer

education, 2) community outreach and 3) addressing vulnerability issues. First AIM will use the Peer

Education Model by identifying 75 former CSWs (five per state) who will be trained as peer educators to

encourage and sustain behavior change amongst the CSWs. CSWs will be trained on interpersonal

communication and empowered as positive peers. The CSWs will be trained to have the knowledge and

skills to promote accurate information on ways of preventing HIV transmission, benefits of partner reduction,

correct and consistent condom usage and alternative sources of income to their peers.

Secondly, as part of community outreach AIM partners will establish linkages with USG treatment-

implementing partners who provide HCT services and encourage CSWs to access counseling and testing

services in the communities. The AIM project will receive condoms from USAID. These condoms will be

distributed through 45 condom outlets and, by focal persons and peer educators in brothels and other

appropriate service outlets. Peer educators will work with brothel owners to facilitate condom

demonstrations to CSWs and their clients. Three hundred (300) CSWs and their clients will be reached per

state for a total of 10,000 individuals in 15 states.

Thirdly, to address vulnerability issues the AIM project will support income generating activities to promote

alternatives to transactional sex for 375 CSWs (25 per state). Under this program, CSWs will receive

business development and vocational training. In addition, the CSWs will receive small in-kind grants (worth

$200 -$250) designed to create an alternate income to transactional sex. AIM partners will encourage

CSWs to adopt the cooperative model with income- generating activities as a peer support strategy to keep

them out of transactional sex. Other activities, such as life skills training and gender issues, will be

conducted in order to build the CSWs self esteem and sustain behavior change.

AIM will collaborate with other PEPFAR partners, GON programs to provide the CSWs access to STI

management.

CONTRIBUTIONS TO OVERALL PROGRAM AREA:

The prevention component of AIM will specifically address the 2007 Prevention Technical Assessment's

recommendation to develop activities that are explicitly designed to prevent cross-generational and

transactional sex, a key component of a successful and comprehensive prevention portfolio. Well-rounded

ABC education will be provided. The combination of strategies is expected to increase risk- perceptions of

CSWs and their clients, promote condom use and increase ability to negotiate safer sex by CSWs and their

clients. Increased condom use will contribute to the overall PEPFAR goal of reducing new infections.

LINKS TO OTHER ACTIVITIES:

AIM will link its activities with other PEPFAR partners' activities to ensure strong referrals, comprehensive

prevention, care and treatment services. In addition, AIM will utilize condoms provided by USAID for

effective distribution to communities where projects are located.

POPULATIONS BEING TARGETED:

Commercial sex workers and their clients are the populations being targeted. The activity promotes

alternatives for women already engaged in transactional sex work.

EMPHASIS AREAS:

Emphasis areas include human capacity development. Other emphasis areas include increasing women's

access to income and productive resources.

ACTIVITY DESCRIPTION:

Winrock International's Capacity Building for AIDS Impact Mitigation Project under the USAID APS Civil

Society Organizations/Faith Based Organizations (CSOs/FBOs) Network to Provide HIV/AIDS Prevention,

Care and Support Services has begun second year of activities under COP 07 funding. This is a submission

for COP 08.

In COP 08 AIM will work with existing USG supportive clients to strengthen and improve the quality of life of

500 People Living With HIV/AIDS (PLWHA) and 1,000 People Affected by AIDS (PABA). AIM is currently

working in seven states (Lagos, Oyo, Edo, Anambra, FCT, Kano, and Bauchi). AIM will work in 8 new states

(Imo, Cross River, Benue, Nassarawa, Niger, Plateau, Adamawa and Borno) to cover the 15 PEPFAR

states. AIM will work with existing USG partners and identify sites as the need arises.

The AIM Project will provide services through the following strategies:

Economic strengthening - To mitigate the impact of HIV and AIDS on PLWHA and PABAs AIM will

contribute to their economic empowerment. Experience has shown that the families that will benefit most

from our economic strengthening usually have low literacy levels and this has a negative impact on

business management. AIM will train 800 selected PLWHAs and PABAs in basic business management

skills. To identify viable trades, market assessments will be conducted within communities where project

sites are located. AIM will award in-kind grants ranging from $50-$150 to 500 PLWHA as start up capital for

IGAs. Project beneficiaries, in particular young men above 17 years of age, will be linked to existing

business owners for mentoring. Experience from previous programming indicates that the preferred model

for IGA varies in Nigeria by geopolitical zones. AIM will promote appropriate business models for the varied

interests of beneficiaries across the country. AIM is aware of the inadequacy of the start up capital and

therefore has an ongoing undertaking with Oceanic Bank for PLWHAs and PABAs to compliment the AIM

principal investment. PLWHAs and PABAs who have attained and sustained an increased income over

time and exhibited entrepreneurial abilities will be identified and linked to the Bank's micro-credit program.

Psychosocial and spiritual support -Experience has shown the need for basic counseling skills for all

service providers to address the psychosocial and spiritual needs of PLWHAs and PABAs. To be able to

provide stopgap measures to handle the psychosocial and spiritual needs of our beneficiaries, AIM will train

sixty master trainers. Staff and partner staff will be trained on areas focused on key aspects of psychosocial

and spiritual. The training will focus on HIV transmission and prevention, counseling (self-esteem, crisis

prevention, adherence), and other aspects of living positively (good nutrition, exercise, and treatment

adherence) will also be addressed. AIM will also promote reduction of stigma and discrimination and

encourage greater involvement of PLWHA in the community and workplace.

Comprehensive prevention package - AIM's integrated services will refer all PLWHAs and PABAs to

existing PEPFAR or GON programs to access the Basic Prevention and Care Package comprising of an

insecticide treated mosquito net, water guard and a water vessel. AIM will ensure all beneficiaries are linked

to other USG agencies, GON for treatment, psychosocial support and other social services. The AIM HBC

component will actively leverage interventions to supplement the meager resources available.

CONTRIBUTIONS TO OVERALL PROGRAM AREA:

This program activity will contribute to the PEPFAR goal of mitigating the impact through provision of care

and support to people living with HIV/AIDS. It will also contribute to the reduction of women's vulnerability

and reduction of stigma. This activity will also contribute to the alleviation of poverty in the country.

LINKS TO OTHER ACTIVITIES:

AIM will develop a system networking PLWHA and PABA to other USG supported activities such as HCT,

HBC, treatment, OVC, AB, condoms and other prevention, TB-HIV, PMTCT. AIM will collaborate with the

Nigerian government via the National Directorate of Employment and the Small and Medium Enterprises

Development Agency to provide expertise and skills to project beneficiaries.

TARGET POPULATIONS:

PLWHAs, PABAs, their families and communities will benefit from this comprehensive and integrated

intervention.

EMPHASIS AREAS:

The socio-economic strengthening and capacity building through CBO/FBO capacity and grant awards is

the major emphasis area of the HBHC. As a stopgap measure basic psychosocial and spiritual support will

be offered to our beneficiaries.

Program activities will help to address issues related to stigma, discrimination, socioeconomic status and

gender, especially increasing women's access to income and productive resources.

This activity also relates to HIV/AIDS abstinence and be faithful (9766.08), condom and other prevention

(9783.08) and care and support programs supported by the AIM project and counseling and testing

services (9841.08) provided by other PEPFAR partners.

ACTIVITY DESCRIPTION:

This activity provided educational support for 700 OVC (ages 10 -14) through 35 classes in 22Acada

Learning Centers (community-based education centers) in seven states (Anambra, Bauchi, Edo, Kano,

Lagos, Oyo, and the FCT) and nutritional support for an additional 2,000 OVC (<5 years), all in COP 07.

This submission is for COP 08.

The AIM project will provide 4250 OVC with direct primary support (educational, psychosocial and food and

nutrition services) and 2750 OVC with supplemental (education, vocational training or psychosocial

support).

AIM will continue to provide on-going technical assistance to its FBO/CBO implementing agencies to

strengthen ongoing activities and expand both geographic and programmatic coverage to 8 new states

(Nassarawa, Plateau, Kaduna, Niger, Borno, Imo, Adamawa and Cross River) to cover the 15 PEPFAR

states in Nigeria. The AIM Project will provide services through four strategies to OVC in the following age

groups: < 5, 10 - 14, and 15 - 17 year- olds.

Educational Support and Integrated Services - AIM partners have demonstrated success in providing basic

numeracy and literacy to the enrolled OVC in the current Acada Learning Centers. AIM partners have also

constantly requested further assistance to meet the great need to enroll additional numbers of OVC for the

ongoing educational program. Therefore, AIM will continue to maintain the educational support activities in

seven states and expand to the additional eight PEPFAR states to address the identified need. New Acada

Learning centers will be established to provide educational opportunities for 1,500 OVC in the 15 PEPFAR

states. The teachers in these Acada Learning centers will be trained to provide comprehensive care and

support to the OVC that will include psychosocial, food and nutrition, life skills training and spiritual support

to the OVC.

Our current assessment has highlighted the need to reintegrate the kids from our centers into formal

education. Therefore, the AIM project will provide intensive coaching to 2000 OVC almost ready to return to

formal education. These coaching sessions will be for a period of about three months. Kids will be tested

and placed in the appropriate entry level classes.

The Kids' Clubs will function as support groups for children from the neighborhood and the Acada centers.

The Kids' clubs would help the children interact with each other, build life skills and self esteem. Other

special activities such as age-appropriate prevention messages, nutrition education, drama, debate and

musical events and other community events will be hosted through these established kids' clubs

Food and Nutrition Support - AIM will increase nutritional support activities for 2,750 children aged 5 years

and below to cover nutritional assessment, growth and development monitoring, nutrition education, food

demonstrations and appropriate food and micronutrient supplementation. AIM will encourage community

gardening by care givers and adopt the Positive Deviant model on nutrition education.

Economic Strengthening - 500 mothers with kids under 5 years will be trained and empowered with income

generating activities including agro-based activities, to enable them support their family and provide income

for the household. AIM has initiated discussions with COMPASS to collaborate on this intervention.

Vocational Training - as a new intervention, AIM will extend services to reach 750 older OVC (ages 15-17)

that are out of school, especially those from child-headed households. For this group, AIM will provide

vocational training, life skills education and psychosocial support. The OVC trainees will be linked to older

adults with existing programs for mentorship and trained as Peer Educators to mentor their peers on life

skills and HIV/AIDS Prevention. The OVC will be provided in-kind grants to start up income generation

activities.

To ensure that the children receive comprehensive care services, AIM will refer the OVC to other USG

programs to provide them with basic prevention package comprising insecticide treated nets, water purifier

and water vessel.

CONTRIBUTION TO OVERALL PROGRAM AREA:

The total number of OVC targeted is 7000. This will contribute to PEPFAR/Nigeria targets of providing

comprehensive quality care to 400,000 Nigerian children infected and affected by HIV and AIDS. It will also

contribute to the implementation of the National Plan of Action (NPA) on OVC. The NPA recommends that

programs should focus on capacity building in psychosocial support interventions by training all actors

responsible for responding to the needs of OVC at all levels. To this end, AIM will train 65 service providers,

as well as collaborate with existing health care institutions to strengthen systems to meet the needs of OVC

at community level. This will enhance sustainability by adding to the knowledge base of OVC program

implementers in Nigeria.

LINK TO OTHER ACTIVITIES:

Community outreaches under this area will be linked to AB activities targeting other community members as

appropriate. AIM will work with GHAIN Heart-to-Heart center to set up a referral system for HCT services

during community outreaches; and link beneficiaries requiring Home Based Care to CEDPA for follow up.

POPULATIONS TARGETED:

People affected by HIV/AIDS

Women with children <5 years

Orphans < 5 years

Orphans and vulnerable children (10 -14 years)

Orphans and vulnerable children (15 - 17 years)

Caregivers (of OVC and PLWHAs)

KEY ADVOCACY ISSUES ADDRESSED:

Activity Narrative: Promote community awareness on the plight of OVC; increase and coordinate community response in

providing comprehensive care and support to OVC.

EMPHASIS AREA:

The major emphasis area is to strengthen the capacity of local CBO/FBO and caregivers to provide

comprehensive care and support for OVC.