PSI will support the following objectives in line with PF objectives: create an enabling policy and political environment through which leadership for HIV prevention efforts will ensure successful programmatic activities; support the expansion and coordination of evidence-based behavioral interventions which reduce the risk of HIV infection and enhance protective behaviors in the general population; and support the sustainable integration of adult and neonatal medical MC services throughout the national health system and provide mobile and outreach services to increase the prevalence of MC across the country. All PSI programs are national. Target populations include infants, youth, adults, MARPs and men. Male Circumcision targets 15-49 year males, parents, from birth to 8 weeks for EIC; Behavioral interventions target youth, men, MARPs. Cost sharing will be done with other partners where possible. Private sector partnerships will be utilized to match resources for HIV prevention interventions. The community HTC Award will be used as an opportunity to harmonize activities and cost share. PSI will continue engaging the public sector despite the economic challenges to make sure that a clear handover strategy is discussed and agreed upon for long term ownership and sustainability. PSI will build capacity for local NGOs to increase ownership of interventions beyond this funding period. PSI will continue to work with its sub-awards in ensuring quality data reporting and the formalization of data quality improvement processes. Program monitoring will use the national monitoring and evaluation framework. Further, PSI will adopt an RDQA process in line with the national SI objectives of quality and clean data, supporting the MOH in RDQA on HTC, MC and Condoms.

There are two components: voluntary medical male circumcision (VMMC) for adult males and early infant male circumcision (EIMC). PSI will capitalize on the systems put in place by the accelerated saturation initiative (ASI) to help capacitate the hospitals and health centers to offer adult MC services as an integrated health service. PSI will work with RFM, Hlatiklulu, Piggs Peak, Nhlangano Health Center and Good Shepherd hospitals to strengthen the integration of VMMC services and start work with Mbabane Government Hospital, Mkhuzweni Health Center, Dvokolwako Health Center, Sithobela Health Center and Matsanjeni Health Center. PSI will conduct outreach and mobile services at clinics and community sites. PSI will leverage the M&E, supply chain and human resource systems that have put into place. PSI will work with SCMS for logistics, procurement and commodities support. PSI will work with JSI to transition the M&E function. For EIMC, PSI will focus on strengthening service delivery systems at Nhlangano Health Center, Mankayane Hospital and Hlatiklulu Hospital by coordinating with the MoH on the M&E systems and putting the task shifting framework into action. PSI will work with several new facilities on EIMC. Jhpiego will provide EIMC trainings using the WHO curriculum and work with the MoH on supportive supervision and mentorship. Jhpiego and PSI sit on the National QA Committee and will ensure that all sites undergo internal and external QA assessments. Jhpiego will ocus on integrating VMMC training into pre-service education for nursing students. PSI will work closely with Futures Group to ensure a smooth transition. PSI will continue interpersonal EIMC communication activities at both the facility and community level and expand EIMC testimonials. EGPAF will integrate EIMC messages into PMTCT activities. VMMC services will be provided along with HTC, STI diagnosis and treatment and the provision of condoms. EIMC messages will be integrated at PMTCT, ANC, waiting huts and in the communities. PSI will support facility-based and community-based expert clients to help facilitate post-test support for those who test HIV-positive and ensure linkages to care and treatment.

PSI will continue to work closely with Khulisa Umntfwana and train a network of peer educators who will be responsible for spreading the message amongst their peers. Targets for Umhlanga are young girls, aged from 10 to 18 and for Lusekwane, young men aged from 10 to 18. In order to renew its approach, after several years of successful interventions, PSI will develop new education and promotional material, based on target audience insights. These materials will be developed jointly with behavioral intervention partners and will leverage the cultural component of both events. Messages during these two events will include broader prevention messages, including faithfulness messages. Beyond these youth targeted events, PSI will increase its messaging around faithfulness by expanding its Choose One campaign. This campaign has been a great success, as it is based on a simple and catchy phrase, on the channels it exploits (clubs, street theatre, guerrilla marketing) and the tone is adopts (light, positive, non judgmental). Four main actions surrounding Choose One will be deployed: development of a full M&E plan, using PSIs TRAC 2010 as a baseline; consolidation of partnership to turn Choose One into a franchise that prominent people and place in Swaziland will own: a club, a soccer team, a media house; development of an ambassador program based on prominent people disclosing that they chose one, who it is, and why; and renewal of the Above the Line visibility by extension of murals, stencils to engrave the slogan. PSI will focus on specific activities to increase adoption of a safer culture among youth: development of a single national standard Life Skills curriculum to be taught in the schools and used by community-based organizations, NGOs and faith-based organizations; development of targeted IEC material and educational activities for 10-14 yrs and 15-18 yrs. Monitoring and evaluation of SBCC activities will performed through routine monitoring reporting to the national M&E system. A behavioral TRAC survey will be conducted in 2013.

PSI will increase its pilot female condom project Angel by extending it to more regions, targeting more hair salons and increasing its uptake in workplaces and tertiary institutions. The target audience for Angel is women between 18 and 30. The support mechanism will include branding material to be displayed in hair salons, and IEC material to educate the target audience on product use. Messaging towards men will also be increased. PSI will work with the Condom TWG to implement the national condom strategy and develop a national condom brand for free issues, following the DELTA process which includes identification of issues in demand creation, advocacy, and definition of a target audience, definition of a positioning statement and writing of a creative brief. PSI will continue to work with MSM, CSW and Transport Operators. Activities include the provision of product and services mobile outreaches, public sector condom distribution and other HIV prevention products as well as promotional materials. Through its Corporate Aids Program, PSI will continue providing prevention messages and services to companies. PSI will partner with Lusweti on the following: identify HIV champions; develop a coordinated Behavioral Research Agenda; support national SBCC systems to ensure implementation of the national SBCC strategy; build capacity for government spokesperson on media relations for HIV prevention; and advocate for the development of the national prevention with positives strategy to emphasize the role of PLHA in HIV prevention. To create an enabling environment for the scale up of biomedical and non biomedical HIV prevention interventions PSI will support the following: develop the national coordination framework; support implementation of the national HIV and AIDS action plan; strength the national HIV Prevention TWG; disseminate the HIV prevention mapping report; disseminate and ensure implementation of National HIV prevention policy; lobby for policy improvements; and develop a National HIV Prevention minimum package. Targets will be NERCHA, MOH and HIV prevention implementing partners and the national and regional level.