This activity relates specifically to activities funded under Other Prevention (8416) and Counseling and Testing (8417). Regional mapping and HIV prevalence statistics support the need to more effectively target most-at-risk populations (MARPs), especially along high-prevalence transport corridors.

The overall goal of the multi-sectoral Transport Corridor Initiative, branded SafeTStop, is to stem HIV transmission and mitigate impact in vulnerable communities along transport routes in East and Central Africa. In addition to high HIV prevalence, many of these communities, particularly in outlying areas, are severely underserved by HIV services. To date the Regional Outreach Addressing AIDS through Development Strategies (ROADS) Project has launched SafeTStop in Uganda, Kenya, Rwanda and Djibouti. With FY 2007 funds, ROADS will extend and strengthen ongoing activities in Busia and Malaba (Uganda-Kenya border) while expanding to Katuna (Uganda-Rwanda border). The ROADS strategy is to develop comprehensive, integrated programming that is designed and implemented by communities themselves, harnessing and strengthening their own resources to enhance long-term sustainability.

At the end of 2003, approximately 5.7 percent of Ugandans (15-49) in the Eastern Region were infected with HIV, with prevalence rates among women significantly higher than those among men. In Busia, Malaba and Katuna?major hubs for goods transported from the Port of Mombasa to the Great Lakes Region?HIV prevalence exceeds the national estimate, with alarming levels of unprotected sex and untreated sexually transmitted infections. In Busia District, adult HIV prevalence is estimated to be 5.0 percent. Service statistics indicate that prevalence spikes to more than 20 percent in Busia Town. In Tororo District, location of the Malaba border crossing, adult HIV prevalence is estimated to be 6.3 percent, with prevalence increasing to approximately 15 percent in Malaba. Estimated HIV prevalence in Western Region, location of the Katuna border crossing, is 6.9 percent, with prevalence reportedly much higher in Katuna Town. These communities, ranging from 10,000-30,000 people??not including the mobile populations that spend time there?? are sizable. In the three sites, truck drivers can spend up to a week waiting to clear customs. The combination of poverty, high concentration of transient workers, high HIV prevalence, hazardous sexual networking, lack of alcohol-free recreational facilities, and lack of HIV services have created an environment in which HIV spreads rapidly. Busia, Malaba and Katuna are important targets for HIV programming in their own right; they are also bridges of infection to the rest of the country. HIV services in Malaba and Katuna and, to a lesser extent, Busia remain underdeveloped. While abstinence/being faithful programming has reached some primary and secondary school students, it has not reached enough and has been less effective in reaching truck drivers, community men and women, and out-of-school youth. Programming has not addressed critical drivers of the HIV epidemic in these communities, including idleness and the absence of recreation beyond drinking. The result has been a high level of hazardous alcohol consumption in the community and alarming levels of gender-based exploitation and violence against women, young girls and boys.

Since launching SafeTStop in Busia and Malaba in mid-2006, ROADS has reached more than 10,000 people with abstinence/being faithful messages, including 5,000 youth with abstinence-focused messages. This has been accomplished in partnership with more than 50 community- and faith-based organizations, which were organized into "clusters" for joint program planning, training/capacity building and implementation. With FY 2007 funding, ROADS will strengthen work initiated with FY 2006 funds to reach 90,000 primary and secondary school students, out-of-school youth, truck drivers, other men and women, and PLWHA with AB messages. Recognizing from Uganda data that abstinence is an effective but temporary strategy, the project will not only promote abstinence-focused messages, but will also prepare youth for a safe and healthy future. This means that even with younger youth, ROADS will build norms around fidelity, communication and relationships and build the skills young people need to delay sexual debut and to make health choices when they become sexually active. The project will incorporate these message through faith-based, sports-based and school-based educational efforts. To accomplish AB goals for youth and adults, the project intends to train 400 people from approximately 100 community- and faith-based groups. ROADS will integrate with existing services, where possible, as a priority. This will include linking AB activities with such services as C&T (this service is particularly weak in Malaba and Katuna), antiretroviral therapy and prevention of mother-to-child transmission. ROADS will link and, where

feasible, strengthen these services through SafeTStop community branding, which mobilizes the community around HIV prevention, care, treatment and mitigation services. ROADS will continue to utilize the SafeTStop resource centers it established with FY 2006 funds as an alcohol-free environment for community outreach, including spiritual services, skills building in household management, and men's discussion groups on norms relating to faithfulness, hazardous drinking and gender-based violence. The project will also build on work initiated with FY 2006 funds to promote delay of sexual debut and address issues related to transgenerational sex. The project will continue strengthening linkages with local health facilities, including pharmacy/drug shop providers to promote expanded C&T and other services. ROADS will establish a similar community outreach model in Katuna, mobilizing local CBOs and FBOs to expand AB programming. As in Busia and Malaba, ROADS will establish a SafeTStop resource center in a strategic location to serve as a community outreach hub for AB as a complement to OP programming. The Katuna resource center will also provide an alcohol-free alternative recreational site for transient populations and the host community. The facility will offer adult education on life and job skills and link patrons with psychosocial and spiritual services. Working with Katuna community and religious leaders, ROADS will support community action to address alcohol use and gender-based violence against women and youth, as well as reduction of stigma, denial and discrimination, as key HIV prevention strategies. YEAH/B a Man and the Saf T Stop regional transport corridor project will ensure strong linkages with each other and will coordinate activities and share materials.

OGAC Review: #9169 (SafeTStop) What are the plans for collection of behavioral change data from this important intervention. This data would be very helpful for other countries focused on the same high risk corridor interventions

We will leverage FHI core funds in FY07 and plan to expand in FY08 with PEPFAR resources.

This activity relates specifically to activities funded under Abstinence/Being Faithful (9169), Counseling and Testing (8417) and Orphans and Vulnerable Children (9176). Regional mapping and HIV prevalence statistics support the need to more effectively target most-at-risk populations (MARPs), especially along high-prevalence transport corridors. The overall goal of the multi-sectoral Transport Corridor Initiative, branded SafeTStop, is to stem HIV transmission and mitigate impact in vulnerable communities along transport routes in East and Central Africa. In addition to high HIV prevalence, many of these communities, particularly in outlying areas, are severely underserved by HIV services. To date the Regional Outreach Addressing AIDS through Development Strategies (ROADS) Project has launched SafeTStop in Uganda, Kenya, Rwanda and Djibouti. With FY 2007 funds, ROADS will extend and strengthen ongoing activities in Busia and Malaba (Uganda-Kenya border) while expanding to Katuna (Uganda-Rwanda border). The ROADS strategy is to develop comprehensive, integrated programming that is designed and implemented by communities themselves, harnessing and strengthening their own resources to enhance long-term sustainability.

At the end of 2003, approximately 5.7 percent of Ugandans (15-49) in the Eastern Region were infected with HIV, with prevalence rates among women significantly higher than those among men. In Busia, Malaba and Katuna?major hubs for goods transported from the Port of Mombasa to the Great Lakes Region?HIV prevalence exceeds the national estimate, with alarming levels of unprotected sex and untreated sexually transmitted infections. In Busia District, adult HIV prevalence is estimated to be 5.0 percent. Service statistics indicate that prevalence spikes to more than 20 percent in Busia Town. In Tororo District, location of the Malaba border crossing, adult HIV prevalence is estimated to be 6.3 percent, with prevalence increasing to approximately 15 percent in Malaba town. Estimated HIV prevalence in Western Region, location of the Katuna border crossing, is 6.9 percent. These communities, ranging from 10,000-30,000 people??not including the mobile populations that spend time there??are sizable. In the three sites, truck drivers can spend up to a week waiting to clear customs. The combination of poverty, high concentration of transient workers, high HIV prevalence, sexual networking, lack of alcohol-free recreational facilities, and lack of HIV services have created an environment in which HIV spreads rapidly. Busia, Malaba and Katuna are also bridges of infection to the rest of the country. HIV services in Malaba and Katuna remain significantly underdeveloped. Historically, other prevention programming has been ad hoc and generally has not reached the most critical populations: commercial sex workers and truck drivers, who are typically low users of available government health services. Programming has not addressed critical drivers of the HIV epidemic in these communities, including poverty, underemployment, idleness and the absence of recreation beyond drinking. The result has been a high level of hazardous alcohol consumption in the community and alarming levels of gender-based exploitation and violence against women, young girls and boys. Pharmacists/drug shop providers, who play an important role in providing health services to these populations, have had little training in HIV and AIDS beyond what the ROADS Project provided with FY 2005 USAID/East Africa funds.

Since launching SafeTStop in Busia and Malaba in mid-2006, ROADS has reached more than 10,000 people with other prevention, though much work remains to be done. This has been accomplished in partnership with more than 70 community-based organizations, which were organized into "clusters" for joint program planning, training/capacity building and implementation. With FY 2007 funding, ROADS will strengthen work initiated 2006 to reach more than 120,000 MARPs in Busia, Malaba and Katuna. This will include special emphasis on youth over age 14. Programs will promote: dignity and self worth; abstinence in reducing HIV transmission; delaying sexual debut; skills for practicing abstinence and, where appropriate, secondary abstinence; elimination of casual sexual partnerships; mutual faithfulness; C&T; and full and accurate information about correct and consistent condom use. To accomplish OP goals for adults and youth, the project intends to train 400 people from more than 150 community- and faith-based groups. AB activities will be linked with C&T, care, antiretroviral therapy and prevention of mother-to-child transmission. In Busia and Malaba, ROADS will mobilize the private sector, especially brothel/bar/guest house owners, and promote joint action to reduce risk for bargirls and patrons. This will include work with the AFFORD Project and other PEPFAR partners to provide condoms through 300 outlets. To enhance the community education effort, local pharmacists/drug shop providers will receive refresher training in managing sexually transmitted infections (STI), condom promotion and referral for C&T. SafeTStop resource centers will continue

to serve as a central focus for community outreach, including peer education, magnet theatre, condom promotion/distribution and potentially as sites for C&T. ROADS will strengthen its community-outreach model in Busia and Malaba, building on the emerging community networks to address key issues of alcohol use and gender-based violence. ROADS will establish a similar model in Katuna, mobilizing the private sector (bar and guest house owners, pharmacy/drug shop providers) and local CBOs to expand programming, including condom promotion and distribution, for MARPs. ROADS will establish a SafeTStop resource center in a strategic location near the bars to serve as a community outreach point for truck drivers and sex workers, providing HIV and AIDS education, counseling and support services. It will provide an alcohol-free alternative recreational site for transient populations and the host community. As in Busia and Malaba, the facility will offer adult education on life and job skills and link patrons with psychosocial and spiritual services. In coordination with Kabale District health officials, the resource center will provide on-site C&T services as well as referral to pharmacies/drug shops for STI management and other health needs. In the three SafeTStop resource centers, the project will provide a platform for men's discussion groups on male social norms and their impact on HIV. Working with community and religious leaders, health providers and local law enforcement, ROADS will support community action to address stigma, denial and discrimination, alcohol use and gender-based violence against women and youth as a key HIV prevention strategy.

plus ups: Recent national survey data indicate that high risk sex, particularly having multiple sexual partners and engaging in casual sex without a condom, is on the increase. Much of this activity takes place in bars and lodges, along trading centers, in fishing villages, where cash, women and leisure time are plentiful. Child prostitutes along the transport corridor may also be on the increase. The Safe T Stop project will reach out to these vulnerable populations and establish social safety nets to protect them.

This activity relates specifically to activities funded under Abstinence/Being Faithful (9169), Other Prevention (8416), Counseling and Testing (8417) and Orphans and Vulnerable Children (9176). Regional mapping and HIV prevalence statistics support the need to more effectively target most-at-risk populations (MARPs), especially along high-prevalence transport corridors. The overall goal of the multi-sectoral Transport Corridor Initiative, branded SafeTStop, is to stem HIV transmission and mitigate impact in vulnerable communities along transport routes in East and Central Africa. In addition to high HIV prevalence, many of these communities, particularly in outlying areas, are severely underserved by HIV services. To date the Regional Outreach Addressing AIDS through Development Strategies (ROADS) Project has launched SafeTStop in Uganda, Kenya, Rwanda and Djibouti. With FY 2007 funds, ROADS will extend and strengthen ongoing activities in Busia and Malaba (Uganda-Kenya border) while expanding to Katuna (Uganda-Rwanda border). The ROADS strategy is to develop comprehensive, integrated programming that is designed and implemented by communities themselves, harnessing and strengthening their own resources to enhance long-term sustainability.

At the end of 2003, approximately 5.7 percent of Ugandans (15-49) in the Eastern Region were infected with HIV, with prevalence rates among women significantly higher than those among men. In Busia, Malaba and Katuna?major hubs for goods transported from the Port of Mombasa to the Great Lakes Region?HIV prevalence exceeds the national estimate, with alarming levels of unprotected sex and untreated sexually transmitted infections. In Busia District, adult HIV prevalence is estimated to be 5.0 percent. Service statistics indicate that prevalence spikes to more than 20 percent in Busia Town. In Tororo District, location of the Malaba border crossing, adult HIV prevalence is estimated to be 6.3 percent, with prevalence increasing to approximately 15 percent in Malaba. Estimated HIV prevalence in Western Region, location of the Katuna border crossing, is 6.9 percent. In the three sites, truck drivers can spend up to a week waiting to clear customs. The combination of poverty, high concentration of transient workers, high HIV prevalence, sexual networking, lack of alcohol-free recreational facilities, and lack of HIV services have created an environment in which HIV spreads rapidly. Busia, Malaba and Katuna are also bridges of infection to the rest of the country. Palliative care services in Malaba, and Katuna remain significantly underdeveloped. Community care has largely been provided by small and underfunded community groups with limited reach. For example, in Malaba, before ROADS initiated activities in the community, there was little palliative care for people living with HIV and AIDS (PLWHA) beyond psychosocial support through a small post-test club meeting weekly at Malaba Health Centre 3. In Busia, PLWHA have organized numerous groups to advocate for services, though there are glaring gaps in care and support services, particularly among faith-based organizations and the private sector. This is among the factors leading them to cross into Kenya for basic palliative care. Similarly, PLWHA in Katuna must travel significant distances for basic services.

Since launching SafeTStop in Busia and Malaba in mid-2006, ROADS has reached more than 2,000 PLWHA with palliative care services, focusing on nutrition, counseling on positive living, prevention for positives in HIV/AIDS-affected families, referral to clinical services, and provision of such non-clinical services as psychosocial and spiritual support. ROADS trained 285 individuals in Busia and Malaba to provide palliative care, in addition to 83 pharmacy/drug shop providers to offer counseling and referral on palliative care, opportunistic infections and antiretroviral therapy. With FY 2007 funds, the project will strengthen its work with the Friends of Christ - Revival Ministries (FOCREV) and Tororo Network of AIDS Service Organizations (TONASO), the two umbrella associations enlisted by ROADS to enhance home-based palliative care in Busia and Malaba. With these organizations and new partners in Katuna, the project will offer palliative care through 90 sites. ROADS will introduce the basic care commodities and will be linked with the malaria prevention program being implemented jointly by ROADS and the World Health Organization/Africa Regional Office. As part of the micronutrient component, ROADS will provide nutritious food to PLWHA and their dependents through the community farming model established in Malaba, Kenya. Food will be transported from a demonstration farm in Malaba to distribution points in Malaba and Busia towns. Nutrition and agricultural skills-building, along with HIV education, will be integrated into food growing and distribution. The project will also harness the reach and convenience provided by neighborhood pharmacies/drug shops, the first line of care for many community residents but particularly truck drivers and their immediate networks. Through Howard University/PACE Center, the project will continue upgrading pharmacy/drug shop

providers' skills in palliative care, including counseling on OIs and ART. The pharmacies/drug shops will also pilot pharmacy-based C&T for members of HIV/AIDS-affected families and transport workers, and provide outreach for care through the SafeTStop resource centers. Strengthening care for truck drivers will be a particular area of emphasis through the Amalgamated Transport and General Workers Union. With FY 2007 funds, ROADS will provide training and seed grants to address the lack of palliative care provided through FBOs. With the World Conference of Religions for Peace, the project will enlist FBOs to address stigma, denial and discrimination, which are persistent barriers to care- and treatment-seeking.

This activity relates specifically to activities funded under Abstinence/Being Faithful (9169), Counseling and Testing (8417) and Palliative Care:Basic (8418). Regional mapping and HIV prevalence statistics support the need to more effectively target most-at-risk populations (MARPs), especially along high-prevalence transport corridors. The overall goal of the multi-sectoral Transport Corridor Initiative, branded SafeTStop, is to stem HIV transmission and mitigate impact in vulnerable communities along transport routes in East and Central Africa. In addition to high HIV prevalence, many of these communities, particularly in outlying areas, are severely underserved by HIV services. To date the Regional Outreach Addressing AIDS through Development Strategies (ROADS) Project has launched SafeTStop in Uganda, Kenya, Rwanda and Djibouti. With FY 2007 funds, ROADS will extend and strengthen ongoing activities in Busia and Malaba (Uganda-Kenya border) while expanding to Katuna (Uganda-Rwanda border). The ROADS strategy is to develop comprehensive, integrated programming that is designed and implemented by communities themselves, harnessing and strengthening their own resources to enhance long-term sustainability.

At the end of 2003, approximately 5.7 percent of Ugandans (15-49) in the Eastern Region were infected with HIV, with prevalence rates among women significantly higher than those among men. In Busia, Malaba and Katuna?major hubs for goods transported from the Port of Mombasa to the Great Lakes Region?HIV prevalence exceeds the national estimate, with alarming levels of unprotected sex and untreated sexually transmitted infections. In Busia District, adult HIV prevalence is estimated to be 5.0 percent. Service statistics indicate that prevalence spikes to more than 20 percent in Busia Town. In Tororo District, location of the Malaba border crossing, adult HIV prevalence is estimated to be 6.3 percent, with prevalence increasing to approximately 15 percent in Malaba. Estimated HIV prevalence in Western Region, location of the Katuna border crossing, is 6.9 percent. These communities, ranging from 10,000-30,000 people??not including the mobile populations that spend time there??are sizable. In the three sites, truck drivers can spend up to a week waiting to clear customs. The combination of poverty, high concentration of transient workers, high HIV prevalence, sexual networking, lack of alcohol-free recreational facilities, and lack of HIV services have created an environment in which HIV spreads rapidly. Busia, Malaba and Katuna are important targets for HIV programming in their own right; they are also bridges of infection to the rest of the country. OVC services in Busia, Malaba and Katuna remain significantly underdeveloped and, where they exist, there is some duplication as well as many gaps. OVC programming has been ad hoc and uncoordinated, leaving many OVC unreached with needed support.

With FY 2007 funding, ROADS will implement OVC activities in five of the six core program areas defined by the President's Emergency Plan for AIDS Relief, focusing on Busia and Malaba. This work will address gaps identified by these communities during ROADS' initial year of implementation. The five areas ? food/nutrition, shelter and care, protection, health care, and psychosocial support ? are embedded within ROADS multi-sectoral, community-focused approach and are consistent with ROADS comparative advantages. Planned activities in Uganda will directly reach 1,500 OVC, while mobilizing communities around OVC issues and enumerating orphan-headed households. ROADS will train 125 individuals, including teachers, youth volunteers, women and faith groups, community social workers and people living with HIV and AIDS. Older orphans, a large and underserved population, will be a key focus, recognizing their unique challenges and needs. Orphans who raise siblings are under severe pressure to earn income, often driving them into transactional sex for survival of the family. This is a particularly serious issue in border sites, where the demand for transactional and transgenerational sex and the potential for trafficking are high. The project will work with existing child-welfare organizations, faith-based organizations, local officials and, importantly, the private sector/business community to meet the daily needs of OVC. One strategy will be to expand the community farming model implemented in Malaba, Kenya, to enhance the food security of orphan-headed households. However, ROADS' efforts will go beyond daily sustenance of OVC, attempting to secure the longer-term viability of orphan-headed households. This will entail job training, job creation and other economic opportunities for OVC breadwinners through the LifeWorks Initiative, which already has Global Development Alliances in place with General Motors and Unilever. To pave the way for greater access to services and OVC involvement in community life, the project will address the intense stigma and discrimination often faced by children who have lost one or both parents to AIDS. Activities will include sensitization of teachers and health providers to help ensure

OVC have full access to services. Recognizing the emotional and physical toll that orphan care can have on caregivers, ROADS will build the capacity of FBOs to provide "care for caregivers." This will be linked with youth involvement in OVC and may include regular, organized activities for orphans to provide respite for family and volunteer caregivers. The project will also develop HIV risk-reduction and care strategies specifically for older OVC, including heads of households, linking them with C&T, sexually transmitted infection (STI) services, psychosocial support, legal counsel, and emergency care in cases of rape and sexual assault. Ensuring HIV-positive parents have access to care and treatment will be a key strategy in forestalling or even preventing orphaning. Effective treatment, coupled with food/nutrition and other support, should enable many HIV-positive parents to raise their children to adulthood.

plus ups: Strengthening the capacity of local partners in improving and expanding care for OVC. FHI/ROADS/SafeTstop will put extra emphasis in increasing access to quality OVC services such as food security and nutrition, education, basic health, pyschosocial support and child protection. FHI will also link OVC program with other HIVAIDS program components like HCT, prevention, palliative care and treatment for OVC.

This activity relates specifically to activities funded under Abstinence/Being Faithful (9169), Other Prevention (8416), Palliative Care: Basic (8418) and Orphans and Vulnerable Children (9176). Regional mapping and HIV prevalence statistics support the need to more effectively target most-at-risk populations (Mars), especially along high-prevalence transport corridors. The overall goal of the multi-sectoral Transport Corridor Initiative, branded SafeTStop, is to stem HIV transmission and mitigate impact in vulnerable communities along transport routes in East and Central Africa. In addition to high HIV prevalence, many of these communities, particularly in outlying areas, are severely underserved by HIV services. To date the Regional Outreach Addressing AIDS through Development Strategies (ROADS) Project has launched SafeTStop in Uganda, Kenya, Rwanda and Djibouti. With FY 2007 funds, ROADS will extend and strengthen ongoing activities in Busia and Malaba (Uganda-Kenya border) while expanding to Katuna (Uganda-Rwanda border). The ROADS strategy is to develop comprehensive, integrated programming that is designed and implemented by communities themselves, harnessing and strengthening their own resources to enhance long-term sustainability.

At the end of 2003, approximately 5.7 percent of Ugandans (15-49) in the Eastern Region were infected with HIV, with prevalence rates among women significantly higher than those among men. In Busia, Malaba and Katuna, major hubs for goods transported from the Port of Mombasa to the Great Lakes Region. HIV prevalence exceeds the national estimate, with alarming levels of unprotected sex and untreated sexually transmitted infections. In Busia District, adult HIV prevalence is estimated to be 5.0 percent. Service statistics indicate that prevalence spikes to more than 20 percent in Busia Town. In Tororo District, location of the Malaba border crossing, adult HIV prevalence is estimated to be 6.3 percent. Estimated HIV prevalence in Western Region, location of the Katuna border crossing, is 6.9 percent, with prevalence reportedly much higher in Katuna Town. These communities, ranging from 10,000-30,000 people not including the mobile populations that spend time there are sizable. In the three sites, truck drivers can spend up to a week waiting to clear customs. The combination of poverty, high concentration of transient workers, high HIV prevalence, sexual networking, lack of alcohol-free recreational facilities, and lack of HIV services have created an environment in which HIV spreads rapidly. Busia, Malaba and Katuna are also bridges of infection to the rest of the country. Counseling and testing (C&T) services in Busia, Malaba and Katuna remain significantly underdeveloped and are inadequate to meet increasing demand. For example, Malaba Health Centre 3 is the only C&T site in Malaba. This site, established with resources contributed by community residents, does not have security, electricity or running water necessary to maintain viable C&T services. With upgraded infrastructure through support to counseling rooms and laboratory, C&T in Malaba will expand satisfactorily, thereby fueling uptake of HIV care, support and treatment services. In Busia, lack of quality C&T leads many people to cross into Kenya for this service. In Katuna, the busier and more populous side of the Uganda-Rwanda border, individuals interested in C&T must travel 20 kilometers to the nearest C&T site. In our interactions with truck drivers, they expressed that one of the greatest barriers to C&T is that these services are often inaccessible due to distance from the truck stops and the designated time that service is availed. Service outlets are often closed for the day when truckers get into the site in the evenings.

Since launching SafeTStop in Busia and Malaba in mid-2006, ROADS has referred more than 1,500 people for C&T, while training 150 community counselors. This has been accomplished in partnership with local health providers and associations of people living with HIV and AIDS. The ROADS "cluster" model, which mobilizes more than 100 community- and faith-based groups, has generated significant interest and demand in C&T, which at present is greatly exceeding the capacity of local C&T services. With FY 2007 funding, the project will continue to build demand for C&T services, expanding C&T sites to ensure services are widely accessible to MARPs in project sites. Recognizing the shortage of trained counselors in all three sites, the project will train 75 individuals in C&T according to national standards and provide 5,000 people with C&T services. Activities will include targeted renovations at Malaba Health Centre 3 (counseling rooms and laboratory), purchase of test kits as needed and limited equipment procurement to bring this facility up to national standards. In Busia, ROADS will work with Friends of Christ - Revival Ministries to expand their nascent C&T outreach service. In conjunction with ROADS partner Howard University/PACE Center, the Pharmaceutical Society and Pharmacy Board of Uganda, and the Uganda Ministry of Health, the project will test an innovative

strategy to provide evening C&T services in pharmacies/drug shops and the SafeTStop resource centers. Importantly, ROADS will organize meetings between C&T staff, health providers and community caregivers to ensure C&T clients are referred to and can access follow-up services. As a wrap-around to C&T, the project will address gender barriers to uptake of C&T and safe disclosure of results. In total, ROADS will expand C&T through 15 sites, based at health facilities, pharmacies and SafeTStop resource centers. Most of the funding under this program will go into increasing access and utilization of counseling and testing services, brokering with counseling and testing providers and linkages to referrals for care and support. Not all funding for this activity will go for direct counseling and testing provision. Most of the resources will go towards community awareness, utilization of counseling and testing services and linkages to referrals for care and support.