Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 14662
Country/Region: Botswana
Year: 2013
Main Partner: Botswana Network for People Living with HIV/AIDS
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $460,000

A Network of People Living with HIV/AIDS working as a national umbrella network to improve the well being and quality of life for all PLWHAs and to protect the nation of Botswana will be sought to undertake: facilitating the sharing of information, ideas, experiences and resources between and amongst support groups in Botswana; facilitating the formation of support groups nationwide; promoting and supporting networking and partnership building in HIV/AIDS programs among PLWHA with other organizations locally and internationally; facilitating the coordination of support groups programs on HIV/AIDS in order to reduce duplication, enhance their role and impact; providing leadership and a common forum for concerted advocacy efforts and for appropriate policies, legislation and human rights for PLWHAs; engaging in empowerment and enterprise development activities that will improve the quality of life of PLWHAs; and, strengthening the capacity for participatory monitoring and evaluation of support group community-based interventions.

Support from many donors over the last decade for NGOs working with PLWHA although many have not been able to make direct grants to the networks because of weak management systems and those that have provided funding have done so for projects that covered limited geographic areas, with limited funding. The aim of the Positive Health, Dignity and Prevention program (PHDP) will be to build on the technical expertise provided to local NGO/Network(s) by the MOH with CDC funding and build in the management expertise provided by the USAID Maatla project, which will continue to provide management support to the PHDP program.

Funding for Care: Adult Care and Support (HBHC): $100,000

The Government of Botswana established the Community Home Based Care (CHBC) program, as a way of caring for chronically/terminally ill patients to relieve the burden of large numbers of terminally ill and dying HIV AIDS patients on the hospitals. The civil society joined hands with the government to offer care and support services in the communities.Botswana Network of People Living with HIV/AIDS (BONEPWA+) is one of the organisations that were formed to assist the government in caring for and supporting PLWHAs. BONEPWA+ provides Community based Care and Support services to PLHIV and their affected families. These services include assessment of needs, provision of psychosocial, or spiritual support, nutritional/ food support, shelter, material support, protection, access to health care, treatment adherence support health education, screening for opportunistic infections such as TB, preventative care education/vocational training, and economic strengthening and any other services addressing needs of PLHIV and their families. BONEPWA+ also contributes to the creation of PLHIV supportive environment by conducting some advocacy and stigma reduction activities. In COP 12 BONEPWA+ was supported by FHI 360 through the Maatla project to provide Community based care and support services in hard to reach areas which reached several communities. FHI 360 built BONEPWA+ Organizational and technical capacity to a point that BONEPWA+ can effectively offer quality services, hence in COP 13 BONEPWA+ will receive direct funding to provide services directly. These services will no longer be provided only in hard to reach areas but in several other districts.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $360,000

The NSF II specifically highlights that previous prevention strategies in Botswana have overlooked the prevention aspects of care and support for people living with HIV (PLWHA). The Ministry of Health (MOH) is to support a NGO Network to roll out the Positive Health, Dignity and Prevention (PHDP) programa comprehensive package services that includes: risk reduction, identification of discordant couples and partner disclosure, partner testing, adherence counseling, reproductive health services including STI screening, TB screening, referral for cervical cancer screening for HIV positive women as well as legal and religious referrals. Throughout FY 2012, the MOH will provide technical support and limited funding to a NGO Network to develop the program and establish a Center of Excellence as a model for replication and expansion. At the same time, though the Maatla Civil Society Strengthening Project, FHI 360 will be developing National NGO Networks management capacity which will support and strengthen the administrative capacity of the PHDP and other programs. In early FY 2013, building on the investments made from FHI 360 the MOH and CDC, USAID will provide direct funding to a NGO Network to establish Centers of Excellence and expand the PHDP program to support groups in hard-to-reach areas.

Cross Cutting Budget Categories and Known Amounts Total: $60,000
Gender: Gender Based Violence (GBV) $60,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Tuberculosis