Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 7321
Country/Region: Botswana
Year: 2013
Main Partner: RTI International
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $0

The Botswana HIV Prevention for Most-at-Risk Populations (MARP) Project provides funding and technical support to eight local civil society organizations (CSO) to build their organizational capacity, provide quality services to targeted MARPs, and promote a sustainable continuum of prevention to care through national and local collaboration.

The project team developed and is implementing locally appropriate behavior change communication strategies that move beyond abstinence and fidelity to motivate sustained behavior changes among the target populations. They engage and mobilize communities, including formal and informal opinion leaders, in changing behavioral norms. They bring services, such as voluntary counseling and testing (VCT), closer to the target populations with outreach activities. They reduce barriers to access to care, including changing provider attitudes towards the target MARP, making services more user-friendly, creating strong referral networks, and engaging both clients and providers in defining and monitoring service quality. Project efforts are coordinated with the broader national response, including the planned multiple concurrent partnerships (MCP) campaign, the ongoing voluntary male medical circumcision (VMMC) campaign, and related projects, to promote message consistency.

The target populations include: young women 15-29 years old in cross-generational and/or transactional relationships; female sex workers (FSW) and their clients; and, migrant male populations whose work separates them from their primary partners and families. Eight local implementing partners (sub-partners) receive funding to roll-out HIV prevention services to MARP in five districts--Tlokweng, Gaborone, Selebi-Phikwe, Francistown and Kasane.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

In FY2012, the Botswana HIV Prevention for MARP Project will continue to implement activities that adhere to PEPFAR guiding principles that are aligned to Botswanas national HIV/AIDS priorities. Activities will strengthen the quality of HIV prevention services for MARP and provide technical assistance and key resources to build the capacity of implementing partner CSOs to provide high-quality HIV/AIDS-related services. The project will incorporate Global Health Initiative (GHI) principles including a focus on women, girls, and gender equality by ensuring that FSWs and other vulnerable women have access to HIV services. It will provide STI screening and treatment, as well as other social services in respective communities. Through the provision of technical assistance and financial resources to eight local CSOs that will eventually be able to manage and monitor their programs and mobilize alternative program resources, the project will promote country ownership and investment in country-led plans. Working in close collaboration with District Multi-sectoral AIDS Committees ( DMSAC) in the five districts where activities are being implemented, will ensure that HIV prevention efforts for MARP are integrated into HIV care and treatment services, STI screening and treatment, family planning and reproductive health, and other clinical services through referrals and client follow-up. By focusing on strengthening data collection and reporting for all sub-partners and providing technical assistance in the use of data for program decision making, the project will promote learning and accountability through monitoring and evaluation.

In FY2012, the project will develop a risk reduction tool for young women engaged in cross-generational/transactional sexual relationships and train peer educators in risk reduction assessment. RTI staff will continue to participate in National Technical Working Groups for HIV prevention, multiple-concurrent partners (MCP), and voluntary male medical circumcision (VMMC). Newly developed MARP education and communication materials with targeted messages incorporating the benefits of condom use, VMMC, early STI screening, and treatment will be printed and disseminated. MARP HIV prevention guides that incorporate young womens vulnerability to HIV/AIDS will be developed. Positive Health Dignity and Prevention (PHDP) activities for MARP will be implemented and a continuous assessment of the impact of BCC and peer education training will be carried out.

Subpartners Total: $0
Botswana Council of Churches: NA
Botswana Family Welfare Association: NA
Matshelo Community Development Association: NA
Nkaikela Youth Group: NA
Silence Kills Support Group: NA
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
Mobile Populations
Family Planning