Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7758
Country/Region: Botswana
Year: 2009
Main Partner: RTI International
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $1,300,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $1,300,000

09.P.OP13: RTI - Most At-Risk Populations (MARP)


From COP08:

This activity focuses on HIV prevention interventions for Most at Risk Populations (MARP) in Botswana

through local civil society organizations. The target groups will likely include sex workers, clients of sex

worker, and women and girls in cross-generational and/or transactional sex. This activity has not been

awarded as of writing, thus its specifics, including target groups, are still to be determined. The objectives

are to increase access to quality HIV/AIDS/STI prevention services for MARP in Botswana and strengthen

the linkages between these services and other critical HIV/AIDS related care and treatment services, such

as PMTCT, ART, VCT, etc. Correct and consistent condom use, effective use of available health care and

other support services, sexual partner reduction, and alcohol abuse reduction/prevention are likely to be

critical HIV prevention themes in these interventions.

In coming months, the prime partner will select 2-3 civil society groups that target MARP in Botswana and

provide both grants for implementation and assistance in organizational and programmatic development. It

will identify and adapt appropriate intervention models for application in Botswana and with the selected

local implementing partner and target population(s). Such models may include peer education programs,

the development of informal support networks among individuals who are Most at Risk of HIV transmission

and infection, and approaches based on popular opinion leader theories of change. It is likely that most

activities will be interpersonal and small group in focus, given the target populations.

PEPFAR will support implementation and expansion of such interventions by the local implementing

partners, by providing training, technical assistance , provision of supportive materials, and operational sub-

grants to those local partners. The local partners may require fairly intensive technical assistance to ensure

high quality service delivery, including periodic on-the-job supervision and support, process evaluation, and

other means. The prime will provide support for organizational capacity in such areas as facilitation skills,

training, peer outreach, curriculum adaptation and implementation, service referrals, IEC material

development, integration of alcohol abuse into HIV prevention, and basic project monitoring and quality

assurance to its grantees.

PEPFAR will offer technical assistance and training to strengthen and formalize referral systems between

those organizations serving MARP and other related community and clinical services to support more

comprehensive service. Clinical services in Botswana are fairly strong and available, and every effort

should be made to strengthen linkages among those and organizations serving MARP.

PEPFAR will promote collaboration with other relevant local coordinating structures to foster increased

coordination of community HIV outreach efforts that target MARP and related groups. In this regard, the

prime shall link with important coordinating bodies such as the DMSACs, national-level coordinating and

technical committees, and District Health Teams, to ensure that the organizations and activities are known,

acceptable, and leveraged to the extent possible. Involvement in relevant advocacy or policy-making

efforts, as they occur, should also be included in this component of the project.

In 2008, the USG will support full scale implementation of programs and focus on technical strengthening of

those programs. Activities may include adaptation or development of additional tools and materials for use

within the interventions. Organizational development will also continue through this funding year and may

focus on program monitoring systems, Board development and maintenance, and personnel manuals,

training, and retention. The prime partner will support incorporation of counseling and testing in the

interventions that the local implementer provide, by, creating formal linkages between them and existing

counseling and testing services that can provide mobile outreach in nontraditional sites (e.g. bus ranks).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17649

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17649 10115.08 U.S. Agency for Research Triangle 7758 7758.08 TASC3 $1,300,000

International Institute


10115 10115.07 U.S. Agency for To Be Determined 5340 5340.07



Table 3.3.03: