Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 6146
Country/Region: Rwanda
Year: 2008
Main Partner: Catholic Relief Services
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: USAID
Total Funding: $3,749,940

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,700,000

EP Rwanda, through Title II and WFP, supports several partners to provide food assistance and address

food insecurity, especially for PLHIV. In order to better link this food assistance with ongoing HIV and AIDS

care, treatment and prevention services, the EP will (beginning in FY 2007) issue an RFA to support and

incorporate care and prevention services for PLHIV and OVC into ongoing food distribution. A requirement

of the awardees will be a significant in-kind contribution of food to distribute to PLHIV. Current

organizations with food for this purpose include the recipients of Title II food aid and the WFP. The EP

anticipates making awards to one to three partners that are able to leverage significant amounts of non-EP

funded food assistance.

In addition to providing care and prevention services for communities, partners will be expected to link

closely with clinical sites to identify PLHIV in need of food support and to ensure adequate follow-up. Given

the expertise of these partners in the provision and distribution of food, EP will use this mechanism to

procure food for PMTCT programs. One partner will be selected to procure and distribute nutritional

supplements to all EP PMTCT partners. This will be coordinated with ongoing food assistance for PMTCT

programs currently being provided by the WFP. This activity will benefit 5,000 pregnant and breastfeeding

women. EP clinical partners will build capacity of providers in high quality nutrition assessment and

counseling, and will develop the IEC materials and nutritional assessment tools for providers. Nurses will

be trained to measure height and weight, and charts will be provided for determination of BMI. Mid-upper

arm circumference will also be measured for pregnant and breastfeeding women. Nurses and, where active,

lay counselors, will be trained in providing counseling and education on nutritional care practices and on

preparation and consumption of the foods provided.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $153,000

The USG, through Title II and WFP, support a number of partners to provide food assistance and address

food insecurity, especially for PLHIV, in Rwanda. In order to better link this food assistance with ongoing

HIV and AIDS care, treatment and prevention services, the EP will (beginning with FY 2007 funding) issue

an RFA to support and incorporate care for PLHIV and OVC into ongoing food distribution. In FY 2008, this

will be expanded to include prevention services. The EP anticipates making awards to one to three partners

that are able to leverage significant amounts of non-EP funded food assistance to support prevention and

care activities.

These awards will include HIV prevention activities to youth and PLHIV associations as part of food

distribution. HIV prevention activities will focus on increasing community support for young people to choose

abstinence until marriage; for people in unions to remain faithful to their partner; for addressing gender

related issues in the community; and, to increase community support for healthy sexual behavior, including

correct and consistent condom use. Funding will also increase the demand and uptake for TC services

through links to other USG clinical partners. The EP expects to reach approximately 35,450 people with

AB.

These partners will primarily be working in food insecure areas and will coordinate closely with other

community and clinical based partners in those areas to ensure there is no overlap in services being

provided.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $180,000

The USG, through Title II and WFP, support a number of partners to provide food assistance and address

food insecurity, especially for PLHIV, in Rwanda. In order to better link this food assistance with ongoing

HIV and AIDS care, treatment and prevention services, the EP will (beginning with FY 2007 funding) issue

an RFA to support and incorporate care for PLHIV and OVC into ongoing food distribution. In FY 2008, this

will be expanded to include prevention services. The EP anticipates making awards to one to three partners

that are able to leverage significant amounts of non-EP funded food assistance to support prevention and

care activities.

These awards will include HIV prevention activities to youth and PLHIV associations as part of food

distribution. HIV prevention activities will focus on increasing community support for young people to choose

abstinence until marriage; for people in unions to remain faithful to their partner; for addressing gender

related issues in the community; and, to increase community support for healthy sexual behavior, including

correct and consistent condom use. Funding will also increase the demand and uptake for TC services

through links to other USG clinical partners. The EP expects to reach approximately 38,838 people with

prevention messages beyond AB.

These partners will primarily be working in food insecure areas and will coordinate closely with other

community and clinical based partners in those areas to ensure there is no overlap in services being

provided.

Funding for Care: Adult Care and Support (HBHC): $966,940

The USG, through Title II and WFP, support a number of partners to provide food assistance and address

food insecurity, especially for PLHIV, in Rwanda. In order to enhance linkages between food assistance

and ongoing HIV and AIDS care, treatment, and prevention services, the EP will (beginning in FY 2007)

issue an RFA to support and incorporate care and prevention services for PLHIV and OVC into ongoing

food distribution. A requirement of the awardees will be a significant in-kind contribution of food to distribute

to PLHIVs. Current organizations distributing food include the recipients of Title II funding and the WFP.

The EP anticipates making awards to one to three partners that are able to leverage significant amounts of

non-EP funded food assistance.

Under care, current food partners work with clinical sites and community-based organizations and

associations to deliver food assistance to over 8,000 PLHIV and their families in food insecure areas.

Under this RFA, these partners will be able to strengthen and expand the support they are providing to

include nutritional counseling, home gardening techniques, income generating and microfinance activities,

training for home-based care, psychosocial support, prevention messages, promotion of TC and PMTCT,

adherence counseling, legal support, and spiritual support. The EP expects to reach 8,283 PLHIV with a

comprehensive menu of services and train 401 caregivers under these new agreements.

Under OVC, current food partners have access to over 23,000 children through the PLHIV associations they

are working with to provide food assistance. Many of these children are considered OVC and have needs

the food partners are not currently able to address. This additional funding will support the provision of

services to OVC, based on their needs. Partners will work through associations to monitor the children

within the communities where they work to identify needs and address those needs or refer to other

services in the community as necessary. The EP expects to reach 5,800 with a comprehensive menu of

services and train 580 caregivers under these new agreements.

Under prevention, these new agreements will support HIV prevention activities to youth and PLHIV

associations as part of food distribution. HIV prevention activities will focus on increasing community

support for young people to choose abstinence until marriage; for people in unions to remain faithful to their

partner; for addressing gender related issues in the community; and, to increase community support for

healthy sexual behavior, including correct and consistent condom use. Funding will also increase the

demand and uptake for TC services through links to other EP clinical partners. The EP expects to reach

approximately 38,838 people with appropriate prevention messages under these new awards.

In addition to providing care and prevention services for communities, partners will be expected to link

closely with clinical sites to identify PLHIV in need of food support and to ensure adequate follow-up.

Given the expertise of these partners in the provision and distribution of food, EP will use this mechanism to

procure food for PMTCT and OVC programs.

Finally, these partners will primarily be working in food insecure areas and will need to coordinate closely

with other community and clinical based partners in those areas to ensure there is no overlap in services

being provided.

Funding for Care: Orphans and Vulnerable Children (HKID): $750,000

The USG, through Title II and WFP, support a number of partners to provide food assistance and address

food insecurity, especially for PLHIV, in Rwanda. In order to enhance linkages between food assistance

and ongoing HIV and AIDS care, treatment, and prevention services, the EP will (beginning in FY 2007)

issue an RFA to support and incorporate care and prevention services for PLHIV and OVC into ongoing

food distribution. A requirement of the awardees will be a significant in-kind contribution of food to distribute

to PLHIVs. Current organizations distributing food include the recipients of Title II funding and the WFP.

The EP anticipates making awards to one to three partners that are able to leverage significant amounts of

non-EP funded food assistance.

Under care, current food partners work with clinical sites and community-based organizations and

associations to deliver food assistance to over 8,000 PLHIV and their families in food insecure areas.

Under this RFA, these partners will be able to strengthen and expand the support they are providing to

include nutritional counseling, home gardening techniques, income generating and microfinance activities,

training for home-based care, psychosocial support, prevention messages, promotion of TC and PMTCT,

adherence counseling, legal support, and spiritual support. The EP expects to reach 8,283 PLHIV with a

comprehensive menu of services and train 401 caregivers under these new agreements.

Under OVC, current food partners have access to over 23,000 children through the PLHIV associations they

are working with to provide food assistance. Many of these children are considered OVC and have needs

the food partners are not currently able to address. This additional funding will support the provision of

services to OVC, based on their needs. Partners will work through associations to monitor the children

within the communities where they work to identify needs and address those needs or refer to other

services in the community as necessary. The EP expects to reach 5,800 with a comprehensive menu of

services and train 580 caregivers under these new agreements.

Under prevention, these new agreements will support HIV prevention activities to youth and PLHIV

associations as part of food distribution. HIV prevention activities will focus on increasing community

support for young people to choose abstinence until marriage; for people in unions to remain faithful to their

partner; for addressing gender issues in the community; and to increase community support for healthy

sexual behavior, including correct and consistent condom use. Funding will also increase the demand and

uptake for TC services through links to other EP clinical partners. The EP expects to reach approximately

38,838 people with appropriate prevention messages under these new awards.

In addition to providing care and prevention services for communities, partners will be expected to link

closely with clinical sites to identify PLHIV in need of food support and to ensure adequate follow-up.

Given the expertise of these partners in the provision and distribution of food, EP will use this mechanism to

procure food for PMTCT and OVC programs.

Finally, these partners will primarily be working in food insecure areas and will need to coordinate closely

with other community and clinical based partners in those areas to ensure there is no overlap in services

being provided.

Cross Cutting Budget Categories and Known Amounts Total: $1,700,000
Food and Nutrition: Commodities $1,700,000
Food and Nutrition: Commodities $0
Food and Nutrition: Commodities $0