Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 7215
Country/Region: Cambodia
Year: 2010
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $5,250,000

This implementing mechanism is unchanged from last year. Implementing Mechanism Name: TASC III Prasit (FHI)

Overall Goals and HIV-Specific Objectives

FHI will continue to support the Cambodian response to HIV and AIDS and to strengthen and make more cost-efficient the RCG health care system as a whole by implementing the following broad sets of activities:

Target prevention and treatment activities to persons engaged in high risk behaviors.

Strengthen the quality of HIV and AIDS treatment and positive health and dignity programs; and further the integration of VCCT, STI treatment and family planning into sites that address the health needs of most-at-risk populations (MARPs).

Provide advanced surveillance and monitoring support to identify current and future modes of high transmission in addition to providing support to see what models of integration work.

Provide health system strengthening support by the following: incorporating incentive and performance-based efforts into HIV/AIDS prevention and treatment programs; identify areas where cost-efficiency can be improved; and provide support to IA partners so they can be more financially and managerially sustainable.

Target Populations

FHI will reach 18,650 entertainment workers (EWs), men who have sex with men (MSM) and injecting drug users (IDUs). FHI will also plan to reach 70,000 at-risk men and 1,000 drug users (DUs). Furthermore, 33,000 will receive testing and counseling services and receive their test results and 8,000 will be provided with at least one care services.

Geographic Coverage

FHI activities will take place predominantly in Phnom Penh, Banteay Meanchey, Pailin, Kompong Cham and Battambang Provinces because these are the provinces where there is the greatest population of MARPs and highest HIV seroprevalence.

Making the Most of HIV Resources

FHI currently receives over 1.5 million dollars per year in funding from GFATM for an expansion of HIV and TB prevention and treatment activities targeting MARPs in areas where FHI already works with USG funding. FHI receives $500,000 per year in funding from the Asian Development Bank for HIV activities targeting MARPs along certain transport corridors where FHI already has a minor presence secondary to USG funding. FHI also currently receives $100,000 in funding from AUSAID for expanding USG-funded efforts for DU/IDUs. All of these funding sources are expected to increase in value by FY 2010.

FHI will expand its current health system strengthening activities by the following:

Better collaborate with the URC-managed Better Health Services (BHS) Project so that financial and performance-based incentives can be incorporated into HIV/AIDS prevention and treatment programs.

Provide technical assistance support to the RCG especially in areas of making the HIV/AIDS treatment system more cost efficient and higher quality.

FHI will work with health centers targeting MARPs and Family Health Clinics so that family planning (FP), voluntary counseling and testing (VCT), and sexually transmitted infections (STI) services can be fully integrated into locations where MARPs receive their health care.

Cross-cutting Areas

FHI uses the "platform" concept with branded initiatives such as the SmartGirl program (targeting EWs) and its websites, SMS messaging, and traditional outreach and peer education models. It expands upon these to include family planning, safe motherhood, increasing women's legal rights and protection, and increasing women's access to income to enable them to mollify the harmful aspects of the entertainment industry. The expansion of the SmartGirl platform will include working with the anti-trafficking partners so that anti-trafficking efforts are supplemented by those who are closest to it. The "You're The Man!" "platform" (an existing initiative to address male norms and behaviors) will also be expanded to include more gender- based activities, such as increasing women's legal rights and protection and women's access to income and productive resources. It is estimated that approximately $400,000 will be spent on gender activities and $100,000 on economic strengthening.

Enhancing Sustainability

FHI strategies for creating a sustainable program, rooted in host country ownership are as follows:

FHI will provide technical leadership in the support of RCG strategic HIV plans by its ongoing work on numerous technical committees (EW, MSM, DU/IDU, HIV costing, etc). In addition, FHI will continue to assist the RCG and its partners in accessing GFATM and other resources so that funding sources can be diversified.

FHI will continue to work with its approximately 30 sub-grantees to enhance their capability to find additional funding sources and properly monitor and manage existing resources. FHI will continue its work of "nationalizing" its sub-grantee efforts whereupon local organizations will provide more and more sub-grantee supervision and monitoring


FHI will ensure proper M&E of PEPFAR old and next generation indicators. FHI will continue its work of providing data so that information gaps on where high risk behaviors (or series of high risk behaviors) can be linked to recent HIV acquisition. FHI will work to evaluate where efforts described in the "enhancing sustainability" section have worked. As importantly, FHI will continue its existing efforts to improve partner organization's abilities to collect, monitor and use data for programming. The use of data from other programs will be put into the context of setting benchmarks so that an incentive and performance based system can eventually be rolled out.

Funding for Care: Adult Care and Support (HBHC): $200,000

This implementing mechanism is unchanged from last year.

Funding for Care: Orphans and Vulnerable Children (HKID): $240,000

This implementing mechanism is unchanged from last year.

Funding for Treatment: Adult Treatment (HTXS): $595,000

This implementing mechanism is unchanged from last year.

Funding for Testing: HIV Testing and Counseling (HVCT): $340,000

This implementing mechanism is unchanged from last year.

Funding for Care: Pediatric Care and Support (PDCS): $62,500

This implementing mechanism is unchanged from last year.

Funding for Treatment: Pediatric Treatment (PDTX): $230,000

This implementing mechanism is unchanged from last year.

Funding for Strategic Information (HVSI): $590,000

This implementing mechanism is unchanged from last year.

Funding for Health Systems Strengthening (OHSS): $142,500

This implementing mechanism is unchanged from last year.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,400,000

This implementing mechanism is unchanged from last year.

Funding for Prevention: Injecting and Non-Injecting Drug Use (IDUP): $250,000

This implementing mechanism is unchanged from last year.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $200,000

This implementing mechanism is unchanged from last year.

Subpartners Total: $0
Association of ARV Users: NA
Ban Danh Chaktomuk: NA
International Federation of Red Cross and Red Crescent Societies: NA
Cambodian Save Children Network: NA
Cambodian Women for Peace and Development: NA
Chhouk Sar: NA
Homeland: NA
Kanhnha: NA
Khemara: NA
Khmer Development of Freedom Organization: NA
Khmer Rural Development Association: NA
Khmer Youth Association: NA
Men's Health Cambodia: NA
Men's Health Social Services: NA
Ministry of Interior - Cambodia: NA
Ministry of National Defense: NA
NYEMO Counseling Center for Vulnerable Women and Children: NA
Pharmaciens Sans Frontieres: NA
Phnom Srey Association for Development: NA
Poor Family Development: NA
Battambang Provincial Health Department: NA
Kampong Provincial Health Department: NA
Pailin Provincial Health Department: NA
Cross Cutting Budget Categories and Known Amounts Total: $640,000
Construction/Renovation $50,000
Economic Strengthening $100,000
Education $20,000
Gender: Gender Based Violence (GBV) $400,000
Human Resources for Health $70,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services