Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12132
Country/Region: Rwanda
Year: 2010
Main Partner: Rutgers New Jersey Medical School
Main Partner Program: Françcois Xavier Bagnoud Center
Organizational Type: University
Funding Agency: USAID
Total Funding: $0

FXB implements 12 community-based programs that aim to improve the well-being of 3,451 OVC affected by HIV/AIDS by strengthening the capacities of 960 destitute households in the districts of Muhanga, Nyamagabe and Rubavu. In order to achieve this goal, FXB will provide OVC with a comprehensive set of services: • FXB will support 1,917 primary and 631 secondary school-aged children as well as 120 out of school youth in vocational training centers, by providing them with school/training materials, uniforms and by covering parental contributions. FXB will also monitor school attendance and school performance by carrying out monthly school visits as well as by establishing close partnerships with school personnel. • FXB will facilitate beneficiaries' access to health care services, notably by enrolling them in the Mutuelle de Santé. • Health education sessions focusing on prevention, early diagnosis and adherence to treatment will be organized monthly to reduce the incidence of prevalent diseases and ensure that beneficiaries take responsibility for their own health. To further ensure that hygienic principles are well integrated and respected, identify any problems, and help resolve any outstanding health issues, weekly home-visits will be carried out. • FXB will also assist with larger development projects to safeguard children's health and well-being: as a result, 14 water sources - each serving 210 households - will be created. • Targeted nutritional support - including support for infant feeding - will be provided. During weekly beneficiary meetings, nurse counselors educate all enrolled families on proper nutritional needs and diets. In parallel, through home-visits, they ensure that food is used and consumed properly as well as that all household members are well nourished. • 960 households will receive raw materials to start small kitchen gardens, as a source of sustainable and balanced nourishment. • Confidential individual counseling sessions will be organized daily at the community drop-in centre or weekly during home-visits for adults, children and youth. • FXB will finalize 70 memory books to help OVC cope with loss of a parent, reduce psychosocial ill- feelings attached to it and help children regain a sense of belonging. • FXB staff will host monthly awareness-building sessions for all caregivers in the program, as well as quarterly sessions targeting local members of government, educators, and faith-based leaders, to discuss child abuse, exploitation, and domestic violence. These sessions will also participate in further training caregivers in caring for OVC. • FXB will provide legal advice and guidance as well as legal referral services to beneficiaries. • The FXB-Village will also ensure the sustained health and well-being of OVC through the formation of

community-based associations tasked with protecting OVC. These associations will participate in identifying families in need of assistance, making health and counseling referrals, providing guidance to caregivers, and informally monitoring children's safety and well-being. • FXB will assist each household to expand a small business by providing in-kind resources, training, and on-going support and supervision. To further ensure that economic principles are well integrated and respected at household level and assess each household's progress, identify problems, and help resolve any outstanding issues, weekly home-visits will be carried out. • A collective IGA will be provided to groups of 10 households to strengthen the economic capacities of caregivers and create an additional safety net. • Additional livelihood trainings will be organized by FXB to provide skills specific to collective IGA, as well as banking and savings, responsible credit, and basic financial literacy and management. • T o reduce sexual transmission of HIV and AIDS and increase recognition of factors increasing vulnerability to HIV and AIDS, FXB will organize workshops composed of 2 to 3 sessions - each lasting a day - for children aged 10 to 14, youth aged 15 to 25, caregivers, parents, teachers and local authorities as well as PLWHA. • FXB will also provide material support and education to youth anti-AIDS clubs, focusing on HIV prevention and other life-skills to motivate their peers to learn about HIV and to delay sexual activity. • FXB will work continually to encourage all program participants, adults and children alike, to be tested for HIV. FXB nurse counselors - in collaboration with local health services - will accompany beneficiaries throughout the process, providing them with counseling before and after testing. • FXB staff will regularly visit beneficiaries to supervise and guide them through the program. The team will ensure that the objectives of the program are met and will trouble-shoot any challenge. In May 2010, an internal evaluation focusing on quantitative and qualitative data that measure the outcome of the program will be conducted

From mid 2010, as per FXB processes, caregivers will be asked to contribute to school and medical costs at a rate of 25%. Indeed, with regular generation of income, savings and internal credit systems, heads of households are typically capable of covering 25% in all school-related costs.