The HIPS (Health Initiatives for the Private Sector) Project is the culmination of 10 years of USAID/Uganda's work in private sector approaches in health. HIPS works with medium and large Ugandan companies to leverage private sector funding to extend HIV prevention, care and treatment services to employees, their dependants and the surrounding community, including orphan and vulnerable children. HIPS serves as an 'advisor' to the Ugandan Business Community, facilitating partnerships and providing technical assistance to design and implement comprehensive workplace health programs that maximize the accessibility of VCT, HIV/AIDS, TB & Malaria prevention and treatment services and impart Reproductive Health and Family Planning knowledge. The Project collaborates with companies to encourage incorporation of OVC support within their Corporate Social Responsibility (CSR) strategies. To foster sustainability, the project is building the capacity of private sector employer organizations such as the Federation of Uganda Employers (FUE) and the Uganda Manufacturers Association (UMA) to assume the support and partnership role that HIPS is currently serving with Ugandan companies. The project is working in 45 districts in the country with over 50 companies and 90 private clinics.

The overall objectives of the project include: 1. Expand access to and utilization of health services in the private sector; 2. Establish Global Development Alliance (GDA) partnerships to leverage company-sponsored health services; 3. Strenghen private sector employer organizations to support health initiatives; and 4. Implement innovative approaches to support orphans and vulnerable children through the private sector.

Under the adult care and support program area, the HIPS Project implements Care and Support services in conjunction with partner companies and clinics. HIPS interventions in the past 2 years have focused on both the clinical and community care perspectives reaching over 8,500 clients with home-based care and clinical services. Services received range from Cotrimoxazole prophylaxis, communication materials, psychosocial support, safe water and ITNs among others. To date, 326 community-based care givers and 127 health workers have received training and kits to provide palliative care to their community members. These trained community members are linked to 66 facilities that provide integrated HIV/AIDS services, and to the existing community resource persons within the catchment area and ensuring continuity of care.

In 2010, HIPS will focus on instituting quality-of-care mechanisms, integrating services and ensuring sustainability within the clinic and at the community level using locally available resources. The project will extend services to the community through training of community-based caregivers and health workers and the provision of logistical support to partner facilities. Selected community-based care-givers will be trained on quality monitoring indicators for palliative care services at the community and clinic level. Using pre-designed data collection tools, the trained CBVs will interact with the Persons Living with AIDS (PHAs) at the community level, gathering information about their views on the services provided, suggested areas for improvement and additional desired services. The trained CBVs will also conduct client exit interviews with clients who have received palliative care services to collect information on the quality and nature of services received from the clinic. These reports will be submitted to the health units. Support to health workers in partner facilities will be given to conduct regular support supervision to the trained community-based caregivers.

Quarterly review meetings will be organized at the health facilities. These quarterly review meetings are intended to appraise the quality of services provided, challenges faced, provide accurate information and share lessons learnt. The project will support selected Post Test clubs to integrate care and support services into their HIV programs. This will be done through training and logistical support.

Key activities for FY 2010 :

1. Train 230 community-based caregivers in selected companies' catchment areas in home-based care and psycho-social support. The trained caregivers will partner with the post test clubs and other trained caregivers in the community to identify and support people in their communities who need clinical care, provide psychosocial support and also facilitate timely referrals

2. Conduct home-based care support supervision visits for the community based care givers who have been trained

3. Train up to 70 private practitioners in care and support with the Mildmay Center.

4. Strengthen referral networks between companies and local CBOs and NGOs providing care and support services to facilitate linkages and referral. Linkage and referral to other CBOs and NGOs is intended to ensure that care and support services are integrated with other services (FP, HIV prevention, PMTCT, IPT2, ART).

5. Organize quarterly review meetings for community caregivers at partner sites

6. Support selected facilities and community caregivers with kits and basic supplies for care and support.

7. Train selected Post Test Club members in Care and support and provide support to their monitoring activities.

8. Develop systems to track progress in health initiatives with the private sector, while building capacity of the private sector to effectively measure progress.

C1.1.D 10,000 eligible adults and children provided with a minimum of one care service

Number of eligible adults and children provided with a minimum of one care service disaggregated by age and sex

<5 years: 2500 (1250 Male, 1250 female)

5-17 years: 2500 (1250 Male, 1250 female)

18+ years: 5000 (2500 Male, 2500 female)

HIPS has established a small matching grants mechanism, intended to leverage companies' CSR investment to OVC care and support programs in their communities. Based on research, HIPS designed four corporate engagement models: 1) The Corporate Sponsorship Model in which private sector partners provide cash and in-kind support to OVC implementing organizations often as part of their CSR program; 2.) The Market Access Model, which helps OVC households develop the capability to produce for markets and are linked to markets; 3) Training / Jobs Creation Model, which provides relevant training and job placement for OVC who have dropped out of school and their caretakers; and 4) The Supply Chain Model, which leverages company supply chains to identify OVC households and implement OVC care and support programs. The last model places special emphasis on smallholder farmers who sell raw products to the company. These models are used to leverage a company's resources, skills and networks towards best practice OVC programs, using a family-centered approach, focusing on the OVC household with special emphasis on the socio-economic activities. Central to ensuring comprehensive care and support services is the increased involvement of the district-level Community Development Office, with special emphasis on support supervision, ensuring collaboration, partnership building with existing community based organizations, wrapping around of services, and referral to ensure totality of care. OVC monitoring, follow up and referral tools have been developed to ensure follow up at school and at home. Currently, HIPS has 9 OVC grants with companies, with a minimum of a 1:1 match of resources for a total of $300,000 (grants are on average $30,000), providing a minimum of 4 services to 2,540 OVC (1,236 male and 1,304 female).

Key HIPS OVC activities for FY 2010 :

1. Identify 6 new companies and renew 9 current OVC matching grants care using the corporate engagement models.

2. Train over 700 OVC caregivers in the catchment area of selected companies in psychosocial support, economic strengthening, child protection, food and nutrition.

3. 1500 new OVC and 2500 existing OVC will receive, at a minimum, 4 services

4. HIPS will continue to support programs to identify OVC that are HIV-positive and refer them for palliative care and treatment services.

5. Integrate child participation and child protection initiatives in OVC care and support.

6. Scale up teacher involvement in OVC care and support and child protection.

7. Implement cognitive and life planning age specific interventions for OVC.

8. Partnership with the probation office, CDOs, and other NGOs/CBOs, to promote quality service delivery.

TARGETS COVERING THE PERIOD "OCTOBER 1 2009-30 SEPTEMBER 2010"

C5.0.D: 4000 eligible children (OVC) provided services in 3 or more OVC core program areas beyond Psychosocial/spiritual support during the reporting period. Primary Direct: 4000 (1500 new, 2500 existing), Male = 2000, Female = 2000

Supplemental Direct = 0

700 OVC care givers trained in comprehensive HIV management

HIPS is currently working with 88 private clinics that have been accredited by the MOH and receive free ARVs. Under this program area, HIPS: provides training in ART management to clinical staff of partner facilities; supports accreditation of workplace and other private clinics to offer free MOH ARVs; provides technical assistance in setting up workplace AIDS treatment programs; and supports the procurement of equipment. Over the last 2 years, the project has developed many partnerships with key stakeholders at the national and district level to enhance technical exchange and harness local resources for private sector partners. HIPS has sponsored 352 staff from partner clinics to participate in AIDS treatment training programs at the Mildmay training center. These staffs are now providing HIV/AIDS Care and Treatment to over 4,000 clients. The HIPS Project provided technical assistance and guidance to companies in setting up AIDS treatment programs, including clinical protocols, MOH clinic accreditation, procurement of basic diagnostic equipment and training of appropriate staff. In partnership with the Ministry of Health, the HIPS Project accredited 88 private facilities for free ARVs from the MOH. The project developed a support supervision tool and conducted comprehensive support supervision visits to all the partner sites in conjunction with district health teams. The emphasis in FY2010 will be to expand to 100 private clinics and to ensure the functionality and delivery of quality programs in all these partner sites.

Key Activities for FY 2010:

1. Regular monitoring and support supervision of accredited sites to ensure the provision of quality services.

2. Supporting the integration of services with HIV, TB, Malaria, FP/RH and promoting sustainability through creating linkages with districts and other key stakeholders to ensure continuity of quality services.

3. Train up to 250 providers in ART including pediatric ART, ART logistics, and management of opportunistic infections. The emphasis will be on onsite practical training and support.

4. Strengthen referral networks between smaller companies with no onsite treatment clinics and clinics that have been accredited to offer these services.

5. Distribute ART registers, treatment cards and monthly report forms to partner clinics.

6. Enhanced support to partner clinics to enable them offer treatment, care and support services. Basic equipment and IEC will be provided to partners.

7. Link HIPS' partner laboratory technicians, dispensers and record-keeping personnel to training in ART logistics and HMIS.

8. Conduct review of ART services at selected partner clinics to assess the extent to which community members access quality affordable services.

9. The Project will continue to guide companies and private clinics through the process for becoming accredited by the MOH. Emphasis will be placed on indentifying clinics located in the remote, underserved areas in the country.

Key indicators and targets for 2010:

T1.5.D 100 health facilities that offer ART

T1.1.D 1500 adults and children with advanced HIV infection newly enrolled on ART disaggregated by age and sex

<15 year: female 15, male 15

1-4 years: female 45, male 45

5-14 years female 90, male 90

15+ years: female 700, male 500

Number of pregnant women with advanced HIV infection newly enrolled on ART

T1.2.D 4500 of adults and children with advanced HIV infection receiving antiretroviral therapy (ART (CURRENT) disaggregated by age and sex

T1.4.D 6000 of naïve adults and children with advanced HIV infection who ever started on ART disaggregated by age and sex

HIPS will continue providing HIV Voluntary Counseling and Testing (VCT) services to companies by partnering with them to carry out facility-based VCT, conduct regular community outreach and participate in special health fair events that promote VCT. Special attention will be paid to mobilizing couples for counseling and testing. In FY 2008/2009, 3500 peer educators were trained from amongst company staff, out-growers and community members to communicate to their peers the importance of knowing one's HIV/AIDS status. HIPS also works closely with the AIDS Information Center (AIC) and Mulago Mbarara Teaching Hospitals' Joint AIDS Program (MJAP) to provide the counseling and testing services to private facilities and during the health fair/VCT days.

HIPS works with 88 private clinics accredited through the MOH and has trained over 103 counselors in VCT, provided 25,000 people with VCT services through outreach and on-site clinics. Moreover, HIPS has developed a national referral guide for ART services. and has further reproduced and distributed informational material on VCT. Over 200,000 persons have been sensitized through these IEC messages and health fair events on the benefits of knowing their HIV/AIDS status.

Key activities for 2010:

1. The HIPS Project has supported all partner sites with VCT forms and client cards from the MOH and the AIDS Information Centre. The HIPS Project will print additional forms, registers and cards for partner sites to ensure proper recording, analysis and reporting. VCT is part of HIPS' regular support supervision and during these visits health workers will be supported on how to complete the forms, analyze the data, the various levels of reporting and the integration of services at VCT sites to allow for proper referral for FP or maternal, child health and other services.

2. In conjunction with the MOH and the new SURE Project, HIPS will conduct training for laboratory technicians to equip them with basic skills for HIV testing. Following this training, HIPS will support the accreditation of new partner facilities to access free testing kits from the MOH. Subsequently, HIPS will link partner facilities to the MOH and Joint Medical Stores to access free test kits.

3. HIPS will partner with both AIC and MJAP to support private clinics in HCT. 50 health workers from new partner sites will be trained in HCT. On return to their clinics, these trainees will take on the responsibility of providing HCT services for their clients and conduct HCT outreaches.

4. HIPS will update and distribute the HIPS national referral guide for peer educators which provides relevant information about, when to refer, existing referral centers and ART services provided, to facilitate timely and accurate referral to companies' employees and community members. This guide is particularly useful for casual and migrant workers, in addition to out growers (farming communities).

5. HIPS will pilot home based VCT services for employees and communities with three companies. HIPS will work with AIC and MJAP to train clinical teams at the company clinic in home-based VCT. Companies are willing to share the costs of the program at a minimum of 1:1. This program presents further opportunities for a) increasing the number of people, in particular couples testing for HIV, b) integration of services and c) referral of cases.

6. HIPS Project, in partnership with John Hopkins University (JHU)/Couples Counseling Project, will support the training of 25 trained counselors in couple counseling and testing. These will mainly be selected from partners conducting home based counseling and testing. This will boost partner efforts in mobilizing and recruiting couples for HCT.

P11.O.D: 100 service outlets providing Testing and Counseling (C &T) services

P11.1.D: 35,000 individuals who received Testing and Counseling services for HIV and received their results.

Number of individuals who received Testing and Counseling services for HIV and received their test results disaggregated by age and sex

< 5 years: 2000 (1000 male, 1000 female)

5-17 years: 8000 (4000 male, 4000 female)

18+ years: 25,000 (13000 male, 12000 female)

HIPS support to partner institutions has focused on in-service training for partner staff. The training targets multidisciplinary health care professionals who are active in HIV/AIDS, TB, FP and RH Programs at partner companies and health facilities. In partnership with member companies, the project has conducted peer education training and developed communication materials. The Mildmay Centre has supported the training of health workers in short courses tailored to their workplace programs. The AIC has been instrumental in supporting partner VCT programs through training and support supervision. In addition, the STF, JHCU/CCP and MOH have provide guidance in the design, printing and distribution of IEC materials including job aids, brochures, flow charts, adherence calendars, report forms and registers.

In addition, the project provides on-the-job training and support supervision. The project has developed a comprehensive support supervision tool based on the national supervision guidelines for use while reviewing partner programs. During these visits, the Project in partnership with the local districts, MOH and other partners conducts an in-depth assessment and discussion of partner programs and recommends adjustments. This supervision checks the quality of programs delivered, assesses reporting to the districts and identifies other collaboration opportunities. HIPS also uses our quarterly contacts with these companies to check on progress in implementation and gather service statistics.

In 2010, HIPS will visit all our partners twice a year for comprehensive support supervision. We will form multidisciplinary quality-of-care teams comprising of staff from HIPS, UMA, FUE, the districts and the Health Care Improvement Project. HIPS will collaborate with local government authorities by encouraging sub-district health teams to conduct regular reviews of AIDS programs at HIPS partner sites and recommend needed adjustments. The Project will also work with local AIDS organizations to strengthen the referral systems. As critical to our sustainability strategy, HIPS has established strong working relationships with the Federation of Ugandan Employers (FUE) and Uganda Manufacturing Association (UMA). The project has made great strides in strengthening the institutional, programmatic and financial capacity of FUE and UMA to increasingly take responsibility for project-initiated activities. Key activities in FY 2010: 1. Training and refresher training for peer educators- In Year 1 and 2, a total of 3,500 peer educators have been trained in over 22 companies. In Year 2010, HIPS will train 2,500 peer educators. This will include training of trainers (TOTs) and new training for the companies expected to come on board during the year.

2. Medical male circumcision-

In Year 2, the project supported the training of 13 health care workers from 5 partner facilities at the Rakai Health Services Program. In 2010, the project will support the training of 30 health care workers. 3. Identify and train community caregivers in selected companies' catchment areas in home-based care and psycho-social support-

With support from trained peer educators, HIPS has identified and trained 326 caregivers in basic HIV care and referral in ten companies. These trained home caregivers are linked to 66 facilities that provide integrated HIV/AIDS services, adding to the existing community resource persons within the catchment area and ensuring continuity of care. In 2010, HIPS will continue to use peer educators to identify 230 caregivers to be trained in community based care and psychosocial support.

4. Provide training to private practitioners in Palliative care

HIPS will continue to sponsor partner clinicians' participation in palliative care training at Mildmay. In 2010, 70 doctors, nurses and nurse aids will be trained on basic skills and information to provide palliative care services to their clients. This will increase the pool of trained clinicians in the private sector with the necessary tools to provide palliative care services to clients.

5. Provide training to private practitioners in AIDS treatment In year 1 and 2, HIPS has sponsored 352 staff from partner clinics to participate in AIDS treatment training programs at the Mildmay training center in the last two years. These staffs are now providing HIV/AIDS care and treatment to over 4,000 clients. In 2010, we will train a total of 250 health workers in AIDS related courses.

6. Provide training to private practitioners in pediatric AIDS treatment and follow up and support of HIV positive children

In 2010, pediatric AIDS training will be provided to 30 health workers from new companies. A new topic 'communicating with children' has been added to this course in response to the demand from health workers. In addition, the project will support partners to conduct home-based visits for these children to ensure that they receive adequate support and are not neglected by their care-takers.

7. Provide training to laboratory technicians in HIV testing

In 2010, with support from the MOH and the new SURE Project, we will conduct training for 30 laboratory technicians to equip them with basic skills for HIV testing. Following this training, we will support the accreditation of new partner facilities to access free testing kits from the MOH.

8. Provide training of private practitioners in HIV testing and counseling-

HIPS, in partnership with AIC, has sponsored the training of 103 counselors from companies in HIV counseling and testing in the past two years. In 2010, HIPS will partner with both AIC and MJAP to support private clinics in HCT. Fifty health workers from new partner sites are expected to be trained in HCT.

9. Train counselors from partner companies in couple counseling and testing-

The Project has received support from JHU to support the training of counselors in couple counseling and testing. In 2010, the Project in partnership with JHU/Couples Counseling Project will support training of 25 trained counselors in couple counseling and testing. These will mainly be selected from partners conducting home based counseling and testing.

2010 Targets H2.3.D: Number of health care workers who successfully completed in service training during the reporting period Pediatric care and treatment; 30 Adult care and treatment; 550 (care and support 300; adult treatment 250) Biomedical Prevention; Male circumcision; 30 Sexual prevention-AB; 2,500 Sexual prevention-OP; 2,500 HIV counseling and Testing; 50

In 2009, HIPS included Medical Male Circumcision in the HIV prevention communication package implemented by supported companies. This is due to the available evidence that MMC greatly reduces the risk of acquiring HIV among men especially if accessed as part of a bigger prevention package. Given the fact that there is no government policy as yet and public awareness is limited, activities were focused on advocacy to the companies, increasing awareness among employees and neighboring communities and training of health workers regarding the provision of services.

In 2010, HIPS will continue to integrate MMC in the communication interventions that include; workplace and community videos, community radio discussions and peer educators' trainings among others.

Additionally, HIPS has utilized an innovative approach of interactive mobile SMS messages to increase MMC awareness among employees, their families and neighboring communities. Part of the messaging program will provide baseline data on knowledge, attitudes and practice regarding MMC and provide data which will inform the design for further communication and delivery of services. If the implementation of the program is found to be cost effective and providing increased access, it will be expanded to more companies through a 1:1 cost sharing arrangement. A total of 75,000 people will be reached through the various HIPS communication approaches.

In 2009, HIPS trained five partner clinics in MMC through Rakai Health Services Program. The MMC demand has been high with the majority of those receiving services being adults. In 2010, the Project will support an additional 5 clinics for training in MMC, for a total of 10 partner clinics providing MCC, with an estimated 1000 men receiving services (circumcised). HIPS will work closely with these 10 clinics, providing support supervision and regular updates to ensure quality services.

Key Activities to promote and support MMC in 2010:

1. Peer educator training; in FY 2009/2010. A component on Medical Male Circumcision is being added to the peer educators training manual. The 2,000 peer educators who will be given refresher trainings will also be trained in mobilization and promotion of the practice. The 500 peer educators from new partners will also receive training on the same.

2. Continue to support companies to utilize the interactive SMS health messaging program to increase awareness and motivation for MMC

3. Adapt and disseminate MMC communication materials to companies

4. Continue to utilize community videos and radio discussions to promote MMC

5. Support the training of health workers in MMC at 5 company clinics

6. Conduct regular support supervision visits to clinics with district health teams to ensure quality services

P5.3.D 10 locations providing MC surgery as part of the minimum package of MC for HIV prevention services within the reporting period

P5.1.D 1000 males circumcised as part of the minimum package of MC for HIV prevention services disaggregated by age

<5 years: 200

5-17 years: 300

18+ years: 500

WHO/UNAIDS recommended MC as part of a comprehensive HIV prevention package in 2007.Uganda endorsed this recommendation and started MMC policy development in 2009. the policy has recently been approved and USG through the Health Communication Partnership, will work with MOH to have a national and dissemination workshops. MMC is however being done in some Public and private health facilities and the demand is increasing. PEPFAR supported pilot MMC projects namely: SPH-Rakai, Walter Reed Kayunga, UPDF and HIPs.

With additional resources, PEPFAR is going to scale up provision of Safe Male Circumcision (SMC). This will be contributing to the NSP goal of reducing HIV incidence rate by 40% by 2012.

The key target groups for Safe Male Circumcision are: HIV negative males including older adolescents and sexually active men; older men at particularly high risk (truck drivers, uniformed services, STI patients, and uninfected men in HIV discordant couples and in the long term, Neonatal male circumcision.

With the additional funding, both HIPS will undertake HU assessments to determine the human resource and infrastructure needs. The needed personnel will be trained by either Rakai or Walter reed training centers. Both projects will, working hand in hand with HCP, will undertake IEC and BCC activities with the aim of creating demand but also increasing correct and appropriate knowledge about SMC in particular and HIV prevention in general. HIPS will extend to 10 new health units while at both level IV and III .

The Key activities will include :

Developing a plan to provide Voluntary Safe Male Circumcision services as a minimum package alongside other known HIV prevention interventions

Supporting the rapid scale up of facility based VMMC services in Government, Private, FBO and community based health facilities

Supporting the provision of outreach (temporary or mobile) Voluntary Safe Male Circumcision services to increase access, particularly in remote areas.

Undertaking advocacy, community sensitization/mobilization, and education to create informed demand for VMMC services,

Undertaking in-service training of service providers in public, Private, Faith based and community health facilities. At least 3 training centers will be supported

Long-term sustainable and integrated VMMC capacity in health facilities including capacity for provision of neo-natal and pediatric MC services

Facilitate referrals and linkages of VMMC services to other HIV/AIDS prevention, care and treatment services

HIPS has a mandate to help Ugandan companies find cost-effective ways to extend health services to employees, dependants and communities. HIPS will support communication interventions to reach young people attending schools of partner companies and OVC within companies and communities with HIV risk-prevention messages. Activities to be supported will include the dissemination of abstinence print materials and supporting school-based HIV/AIDS or related clubs and programs with communication materials, video and drams shows among others. Club leaders will be oriented to impart life planning and other communication skills. The life skills communication materials developed by the Ministry of Education with USAID will be reproduced and distributed to the clubs to enhance HIV prevention skills among school-going young people. The 2004/2005 Behavioral Survey of the Ministry of Health indicated multiple concurrent sexual partnerships as a key driver of the HIV epidemic. In FY2010, HIPS will support companies to integrate messages promoting mutual sexual faithfulness in peer education activities that include inter-personal discussions, community video and radio discussions, among others. Faithfulness will also be promoted among special groups that include teachers and staff of the schools supported by the partner companies. Behaviors and practices that influence being faithful to one sexual partner like alcohol abuse and gender based violence will also be addressed during the discussions.

Key Activities for FY2010:

1. Training of peer educators: 2000 peer educators will attend refresher trainings to include orientation on abstinence and faithfulness promotion. The 500 new peer educators will also go through the orientation.

2. Adapt, reproduce and disseminate communication materials on abstinence and being faithful.

3. Support the integration of abstinence content in drama scripts of supported schools.

4. Conduct school-based and community/work place video shows that promote abstinence and faithfulness.

5. Continue to use interactive SMS/text messaging to relay interactive health messaging to promote being faithful.

6. Support companies to conduct community radio discussions that promote faithfulness and address issues that limit capacity to practice mutual sexual faithfulness.

7. Facilitate company and community videos on abstinence and being faithful

P8.2.D: 75,000 reached with individual and/or small group level preventive interventions that are primarily focused on abstinence and/or being faithful, and are based on evidence and/or meet the minimum standards required [675,000]

15-24 years- 37,500

25+ years - 37,50

In partnership with the private sector, HIPS implements activities to improve accessibility to information and messages on abstinence, being faithful and correct and consistent condom use among other prevention practices. HIPS adopted the Uganda Health Marketing Group 'Good Life' communication platform and adjusted it to the 'Good Life at Work'. Under this communication strategy HIPS, has conducted health fairs, training of peer educators to ensure dissemination of accurate information, procurement and distribution of condoms and other health products. Health fairs are an initiative designed to communicate health messages to workplace and community members in an entertaining manner. These activities are aimed at preventing HIV transmission through the promotion of correct and consistent condom use, reduction of concurrent multiple sexual partners and early treatment of sexually transmitted infections at work place settings and in surrounding communities. These messages are also targeted at other company workers such as migrant workers and company out-growers (part of a company's supply chain). To date, HIPS has reached company employees, employee dependants, out-growers, migrant workers and the surrounding communities with messages on sexual prevention. This communication drive has laid a special emphasis on bringing men on board in community sexual and reproductive health programs where over half of those reached are men. At least 3,500 male and female peer educators have so far been trained; over 20 health fairs have been held. Through these and other mechanisms, over 170,000 persons have been reached with sexual prevention messages. Condoms have also been sold to partner companies who distribute these to the company workers, out-growers and surrounding communities.

During FY2009, HIPS integrated communication on multiple sexual partners in existing activities that include community health fairs, community radio discussions and video shows. In addition to these, relevant communication materials will be adapted, produced and disseminated to employees, their families and communities through the supported companies. HIPS support to companies in FY2010 will pay special attention to quality improvement, integration and sustainability.

Key activities in FY2010:

1. Peer educator training; HIPS will conduct refresher trainings of 2,000 peer educators, trainings of 500 peer educators from new partners and Training of Trainers workshops for 60 peer educators. Emphasis will be put on strengthening partner capacity to implement and sustain quality peer education activities including data collection and reporting mechanisms. The trained peer educators will continue to disseminate health messages and information aimed at reducing risk behavior and preventing HIV transmission among company workers, out growers, migrant workers and surrounding communities. In addition to condom distribution, the peer educators will be supported to conduct low cost health fairs and workplace and community video among others.

2. Promote correct and consistent condom use and reduction of multiple concurrent sexual partners through community and work place communication approaches that include; low cost health fairs, drama shows, radio discussions, men only seminars among others.

3. Support companies to distribute communication materials through the peer educators at work place and neighboring communities.

4. Develop and disseminate quality assurance guidelines to peer educators.

5. Scale up the use of interactive SMS messaging to promote correct and consistent condom use and reduction of multiple concurrent sexual partnerships.

Sexual prevention Targets for 2010:

P8.1.DNumber of targeted population reached with individual and/or small group level HIV prevention interventions that are based on evidence and/or meet the minimum standards required [120,000].

15-24 years- 60,000

25+ years - 60,000