Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 5376
Country/Region: Cambodia
Year: 2010
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,259,782

This implementing mechanism is unchanged from last year.

Overall Goals and HIV Specific Objectives In Cambodia, Population Services International's overall goal is to improve the health of low income and vulnerable Cambodians through social marketing (SM) models. PSI implements programs that support the Government of Cambodia's national policies and strategies to increase sustainable access to health products, services and healthy behaviors related to HIV/AIDS, reproductive health (RH), child survival (CS) and malaria. PSI implements a highly targeted approach to HIV prevention programming with implementing partners to reach MARPs with evidence based behavior change messaging, improved access to products and services and increased national capacity to implement sustainable programming. PSI aims to reduce the number of new HIV infections by:

delivering an essential package of prevention and services supporting a structural approach to HIV prevention messaging; addressing the specific needs of MARPs; improving knowledge & awareness through evidence-based behavior change interventions (BCI) to reduce high risk behaviors;

increasing access to affordable, quality condoms (and lubricant) through targeted distribution to hot spots and high risk venues such as beer gardens, guesthouses, karaoke bars, and massage parlors;

increasing Cambodian national capacity to manage and sustain results over the long term with reduced dependence on donors; and

fostering an increased knowledge and evidence-base among partners for effective and efficient HIV programming, SM and BCI targeting MARPs.

Target Populations

Interventions will target MARPs including sex workers (SW), entertainment workers (EW -beer girls, karaoke women, massage girls); clients of SW and/or EW; males who have sex with males (MSM), persons living with HIV/AIDS (PLHA) and their sexual partners; and drug users/injecting drug users (DU/IDU).

PSI will reach 162,036 MARPs through its HIV prevention programming.

Geographic coverage

Social marketing of condoms and lubricant occurs nationwide. Targeted condom SM and BCI for prevention take place in high risk/hot spots in urban and peri-urban areas, focusing on areas with high rates of HIV and a high concentration of MARPs including Phnom Penh, Sihanoukville, Kampong Chnang, Battambang, Kampot, Banteay Meanchey, Kampong Cham, Kandal, Srey Reing, Kampong Thom, Pursat, Prey Veng, Takeo, Kampong Speu & Siem Reap.

Making the Most of HIV Resources

PSI uses funding from the Global Fund to increase the reach of its HIV behavior change interventions targeting MSM & clients, and support for social marketing of condoms and lubricant for MSM and SW. GF also supports PSI malaria prevention & treatment SM interventions in the private sector. KFW and other foundations support SM of short and long term family planning contraceptives, while USG and complementary funding also supports health systems strengthening. PSI supports private sector providers, improve their knowledge, ability, and willingness to deliver high quality and affordable referral services and products supporting multiple health areas, including RH/FP, child survival (CS), malaria, and HIV, including improved FP knowledge & skills for midwives at PMTCT sites. A unique DFID/USAID partnership supports SM for HIV and RH interventions.

Cross-cutting areas

PSI supports gender equity in HIV programming through the involvement of men & women in the development of BCI. PSI uses evidence-based messaging to improve male subjective norms, while complimentary messaging reaches EW to improve condom negotiation skills. PSI works with organizations that work with PLWA to include USAID-funded safe water treatment in comprehensive home based care packages. Diversified funding described above enables PSI to better support its CS, FP, malaria and HIV programs.

Enhancing Sustainability

PSI project objectives are achieved through fostering sustainable markets using a Total Market Approach (TMA). The principles of TMA guide all programmatic decisionsfrom targeted BCI to drive demand for all products and services to better consumer segmentation for donor subsidized commodities. Improved targeting of subsidies through the public and social marketing sectors ensures access to those who cannot afford to pay commercial prices, while programs create opportunity in the commercial sector for affordable products for wealthier populations. Carefully managed pricing strategies emphasize cost recovery for SM condom brands, while maintaining affordability among target populations, and thus towards reduced reliance on donor subsidies.

Sustainability of activities is also enhanced through the transition of PSI to a locally governed social marketing entity led by Cambodians. Capacity building programs have been developing staff's technical and leadership skills to prepare for localization. PSI's program also relies on a partnership model, building the capacity of the United Health Network (UHN) of local NGOs who work directly with MARPs to implement program activities. PSI provides training and technical assistance in BCI and condom social marketing to 22 UHN members, with the aim of creating sustainable program operations through a strong network of local NGOs.


PSI monitors programs through a robust MIS, M&E and operational research plan. This includes output tracking surveys, surveys among MARPs to measure changes in behavior determinants and behaviors over time. These studies are linked to intervention exposure and measurement of product access.

Funding for Strategic Information (HVSI): $76,425

This implementing mechanism is unchanged from last year.

Funding for Health Systems Strengthening (OHSS): $22,400

This implementing mechanism is unchanged from last year.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,160,957

This implementing mechanism is unchanged from last year.

Subpartners Total: $0
Association for Development: NA
Buddhist Development Association and Supporting Environment: NA
Cambodian Children Against Starvation and Violence Association: NA
Cooperation for Social Services and Development: NA
Khemara: NA
Khmer Development of Freedom Organization: NA
Khmer Women's Cooperation for Development: NA
Men's Health Cambodia: NA
Men's Health Social Services: NA
National Prosperity Association: NA
Partner in Compassion: NA
Phnom Srey Association for Development: NA
Rural Economic Development Association: NA
Cross Cutting Budget Categories and Known Amounts Total: $1,170,630
Gender: Gender Based Violence (GBV) $136,000
Human Resources for Health $784,630
Water $250,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Child Survival Activities
Safe Motherhood
Family Planning