Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 10577
Country/Region: Ghana
Year: 2012
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $6,232,500

SHARPER focuses on MARP and PLHIV populations in Ghana, appropriate given Ghanas relatively concentrated epidemic. The objectives of SHARPER are to increase knowledge, attitudes and practices of key health behaviors as well as increase utilization of quality HIV/AIDS related health services. Further, SHARPER strives to strengthen human and institutional capacity of MARP and PLHIV program implementers and coordination bodies. SHARPER is implemented in approximately 30 districts, which have been identified as areas with a concentration of MARP populations. The interventions are implemented through some 35 sub-grantees throughout the 30 districts mentioned above.The HIV/AIDS prevention interventions for MARP and PLHIV focus primarily on the following key health behaviors: use condoms consistently and correctly; use non-oil based lubricants properly; get tested and know your result; disclose your HIV status to regular partners; promptly seek appropriate and effective treatment (including for STI); adhere to treatment (including ART, OIs and STIs); reduce your number of multiple and concurrent sexual partners; actively participate in program design and implementation; eat healthfully; protect yourself against infectious diseases such as TB, malaria and diarrhea. SHARPER, and her partners, focus their efforts on peer and small group education through which they reach community members with condom promotions, bar activations and cell-phone-based interventions.Government partners and coordination bodies will be supported to strengthen their role in the national MARP program

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHVSI FHI 360 800000 FHI 360 is carrying out a CSW size estimation and surveillance study.

Funding for Care: Adult Care and Support (HBHC): $500,000

PLHIV wellness centers and satellite clinics will be expanded in a systematic fashion, involving national and local coordinating authorities to cater for PLHIV. Wellness centers are similar to drop-in centers for key populations, which function as a first point of access to care. These centers form linkages through referrals with TC/STI services and other relevant health services such as PMTCT, OI and ART treatment and FP. Quality assurance of clinical and prevention activities are a continuous process, just as strengthening the linkages in a constant concern for improvement. In addition to strengthening this continuum of care, access to services will be improved through PLHIV groups or networks that will be trained and supported to institutionalize systematic AIDS case finding and subsequent enrollment into care services.

Funding for Testing: HIV Testing and Counseling (HVCT): $400,000

Through peer education, outreach, Helpline programs and provision of TC services, MSM, FSW, MSW, NPPs and PLHIV will be encouraged to disclose their HIV status to their regular partners. Close linkages have been between NGOs and clinical services through district based referral systems, with drop-in centers as a point of access to TC. A key activity is focusing on health care providers through stigma-reduction programs to ensure MARP-friendly" programming. Provider-initiated TC was introduced and will increasingly be provided for STI clients. Partner notification and couple TC is promoted in the Positive Health, Dignity and Prevention programs for people living with HIV.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $5,332,500

Funding will be used to promote HIV/AIDS prevention and healthier behavior among MARP and PLHIV, through peer education programs, community events and telecommunication programs. Appropriate and consistent condom and lubricant use of will be promoted among male and female sex workers (MSW and FSW), their clients, their NPPs, MSM and their female partners and PLHIV, including distribution of condoms and lubricant, through peer educators. Dedicated Help Lines with specially trained telephone counselors for MSM and for FSWs that were started in 2008 will be scaled up, and a helpline for PLHIV will be piloted. An experiment with condom vending machines will be expended if the recently started pilot proves to be successful. Now that brothel-type sex work is becoming increasingly available, more emphasis will be put on introducing and institutionalizing 100% condom policies in those establishments.

Funding will be used for partner reduction activities among NPPs of CSWs and among the MSM population, using peer education and DJs at MSM trust parties. Substance abuse and most particular liquor use among MSM will become an additional focus of the program to reduce risky behaviors. There are no abstinence-only activities planned.

Subpartners Total: $0
4H Ghana: NA
Centre For Popular Education and Human Rights Ghana: NA
Conservation Foundation: NA
Future Generation International: NA
Ghana HIV Network Ghana HIV/AIDS Network: NA
Ghana HIV Network Ghana HIV/AIDS Network: NA
International Federation of Red Cross and Red Crescent Societies: NA
Hope for All Foundation: NA
Hope for Future Generation: NA
Inter Faith Family Network: NA
International Federation of Women Lawyers: NA
Life Relief Foundation: NA
Maritime Life Precious Foundation: NA
Micdak Charity Foundation: NA
Mission of Hope for Society Foundation: NA
Pathfinder Outreach Ministry: NA
Philip Foundation Programme: NA
Programme For Rural Integrated Development: NA
Prolink: NA
Redemption Care International: NA
Rural Aid Alliance Foundation: NA
Rural Watch Ghana: NA
Social Impact: NA
Support for Community Mobilization Projects and Programs: NA
Salvation Army: NA
TRAX Program Support: NA
Ghana-West Africa Program to Combat AIDS and STIs: NA
International Youth Foundation: NA
Youngsters Peer Education Project: NA
Pathfinder International: NA
Cross Cutting Budget Categories and Known Amounts Total: $1,600,000
Food and Nutrition: Policy, Tools, and Service Delivery $300,000
Gender: Reducing Violence and Coercion $1,000,000
Human Resources for Health $300,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection