Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 7951
Country/Region: Cambodia
Year: 2008
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,352,800

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $1,352,800

In FY 08, FHI will target entertainment workers (FSWs brothel and non brothel based) and their clients.

Risk reduction and risk elimination messages around sex and drug-taking behaviors, peer, outreach and

community-based education approaches will be utilized. FHI will identify new client groups and approaches

that reach commercial sex clients in targeted workplaces and entertainment venues. Tools and strategies to

target clients will emphasize and promote ‘B' messages and partner reduction. At the national level, through

involvement in the 100% Condom Use Program working group, FHI, and its consortium partners (Cambodia

Women for Peace and Development/CWPD and Medecin de l'Espoir du Cambodge/MEC) will advocate for

changes in guidelines and new strategic approaches. FHI, MEC and CWPD will assist National Center for

HIV/AIDS, STD and Dermatology (NCHADS) and local NGOs to implement HIV prevention and care

interventions with sex workers and clients and will support the development and utilization of approaches

which segment direct and indirect sex workers. Innovative approaches will also be piloted to involve

gatekeepers, such as establishment owners, in the delivery of messages, commodities and interventions.

Military and police are another risk group due to their mobility and frequent travel away from home. In FY

08, FHI will use targeted interventions with military and police in schools and recruitment sites, in addition,

greater support will be provided to the Ministry of National Defense (MOND) and Ministry of Interior (MOI)

for greater leveraging of resources.

In FY 08, at the national level, FHI will provide technical input to the National MSM Secretariat to implement

the national MSM strategic framework and operational plan. Insitutional capacity building training through

mentoring and formal workshops will be conducted for the national MSM network- Bandah Chaktomuk.

Peer and outreach activities through six implementing agencies will continue in ‘hot spots' in Phnom Penh,

Kandal and Banteay Meanchey provinces reaching over 2500 MSM. In addition, modern technology based

approaches such as websites, and text messaging (SMS) will be used to address risk behaviors of different

subgroups of MSM. FHI will provide training and be involved in the support of seven provincial MSM-

friendly government clinics- Battambang, Banteay Meanchey (2), Pursat, Siem Reap, Kampong Cham, and

Pailin. Training on drug use education and counseling will also be provided in these selected government

STI sites. In Phnom Penh, Chhouk Sar, an opportunistic infection/anti-retroviral therapy (OI/ART) clinic for

sex workers (SWs) will provide management of OI and ART services to MARPs, and counselors in these

sites will be trained on working with these groups, especially drug users.

Drug use programming and messages will be integrated into all components targeting MARPs. FHI will also

work closely with the MOI in targeted prisons to implement strategic activities with 3000 prisoners, including

HIV testing and HIV prevention activities. FHI will continue to work closely with the National Authority

Combating Drugs (NACD), WHO, United Nations Office for Drug and Crime (UNODC) to operationalize

minimum standards for military and police drug treatment centers and provide appropriate training to staff.

FHI will also provide technical assistance to FHI implementing agencies working with drug using PEHRBs

as well as provide training on reducing use of amphetamine type substances (ATS). MEC will provide

mobile voluntary counseling and testing (VCT)/STI services to KORSANG (a local NGO working with drug

users) and Chhouk Sar will provide OI/ART services for drug users who are HIV positive.

In these seven targeted provinces, FHI will work with NCHADS and its local NGO partner, MEC, to

strengthen VCT/STI case management capacity and service delivery for MARPs. FHI and its partners will

provide quality assurance training, monitoring and support among government/NGO STI clinics and health

centers serving MARPs, particularly sex workers and their clients, and MSM.

Positive prevention in care and treatment settings will be emphasized in all programs. Through Cambodian

People Living with HIV/AIDS Network (CPN+) , Village Health Support Groups (VHSG), and home-based

family care teams, prevention messaging will be incorporated into community education and through

support groups.

In FY 08, 52,000 most at-risk individuals will be reached by targeted behavior change interventions that

move beyond an AB focus. Another 1,200 individuals will be trained to promote HIV/AIDS prevention efforts

across the country.