Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5781
Country/Region: India
Year: 2008
Main Partner: Avert
Main Partner Program: India
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $135,000

Funding for Care: Orphans and Vulnerable Children (HKID): $135,000


The Orphans and Vulnerable Children (OVC) intervention is primarily community-based and ensures that

children have access to the six core intervention components, namely food/nutrition, shelter and care,

protection, health care, psychosocial support, and education. The activities include building the capacity of

immediate, extended and foster families to protect and care for their children, ensuring access to essential

medical, immunization and nutrition services, providing support for legal and social entitlements and

mobilizing community support and government participation. The primary targets are children orphaned

and/or affected by HIV and AIDS, family members, and caregivers.


The Avert Society project is a bilateral program implementing prevention, care, and treatment activities in

high burden districts of Maharashtra State. The population of Maharashtra is over 96.8 million and the HIV

prevalence is 0.75% (sentinel surveillance, State of Maharashtra, 2006). Avert currently supports over 70

NGOs to implement prevention, care, and treatment programs in selected high burden districts of

Maharashtra State. Under the umbrella of the Avert project, the Health Communication Partnership/Johns

Hopkins University (HCP/JSU) and the Hindustan Latex Family Planning Promotion Trust (HLFPPT) have

been awarded cooperative grants to support the state in scaling up the efforts on communication

(HCP/JHU) and condom social marketing (HLFPPT).

The National AIDS Control Organization (NACO) has asked the Avert project to assume responsibility for

the Technical Support Unit (TSU) to support the State AIDS Control Societies (SACS) in Maharashtra and

Goa to scale up HIV/AIDS prevention, care, and treatment programs in accordance with the third National

AIDS Control Program INACP-3). It is envisioned that Avert will also provide direct implementation support

to fill critical gaps in prevention services and/or demonstrate best practice models for specific populations.

The OVC activity is a continuation of initiatives under PEPFAR funds that began in 2006. These activities

are financially and technically supported through the Avert project. Avert will leverage support from other

resources, including UNICEF, CDC, and the Clinton Foundation, for strategic inputs for planning, additional

technical support and quality improvement.


Avert will provide direct support to demonstrate best practices in OVC interventions and will provide

technical support to the SACS in scaling up OVC interventions according to the needs in the states. Avert

will design strategies to address the vulnerabilities of orphaned and vulnerable girls by ensuring adequate

coverage of services for girls, particularly school enrollment and community support for shelter and care for

orphaned girls.

ACTIVITY 1: Improving Access to Quality Services for OVC

With FY08 funds, Avert will continue to support two existing projects and identify two new OVC programs in

Sangli and Nagpur districts, reaching approximately 1450 OVC. One program is located in a large brothel

site and primarily reaches children of sex workers with OVC services. The program also aims to prevent

children of sex workers from entering into sex trade.

Avert will train the program staff in all the OVC projects to provide a minimum quality and standard of care

for children infected, affected ,and vulnerable to HIV/AIDS in the six PEPFAR core areas. Under this

program, children will receive shelter and care, nutrition, school education and life skills

education/vocational training, protection, health care and psychosocial support. Avert will develop one of the

three OVC sites into a demonstration program to serve as a learning site for new OVC programs supported

by Avert and MSACS. Linkages will be established with educational institutions, child survival programs,

orphanages, and other social support programs to leverage resources and maximize the effectiveness of

the programs.

ACTIVITY 2: Technical Assistance to MSACS and GSACS on OVC Programs

Currently, the SACS are not implementing OVC programs. Recently, the USG-funded Samarth program,

implemented by Family Health International (FHI), provided technical assistanceto develop national

operational guidelines for OVC programs that can be used by the States to implement OVC programs, in

line with the new policy under the National AIDS AIDS Control Plan Phase 3. With FY08 funds, Avert, in

collaboration with FHI, will provide technical support to MSACS and GSACS in planning, implementing, and

monitoring OVC programs in the state.

This will including assisting the SACS to monitor the quality of interventions through reviewing monthly

activity reports, site visits, and reviewing facility-based and community-based services.

ACTIVITY 3: Improving the Quality of OVC Services

The Avert project will carry out a range of trainings to address the different skills required by the range of

personnel who are needed to deliver a holistic OVC program. Avert will train medical officers and

counselors on providing quality treatment for pediatric opportunistic infections (OI), ARV management, and

adherence counseling. The training will cover ethical guidelines for counseling children and child consent,

and declaring HIV status to children. OVC project staff will also be trained in standards for OVC

interventions, following national and international guidelines. Training for caregivers of infected and affected

children will cover the provision of home-based care, including nutrition, health, and hygiene. Life-skills

teachers and house mothers of residential OVC services and shelter accommodation will be trained in

identifying behavioral problems in children, nutritional guidance and follow-up, health, and hygiene.

Subpartners Total: $152,516
Not Identified: $28,628
Not Identified: $24,966
Not Identified: $24,966
Vanchit Vikas: $36,978
Committed Communities Development Trust: $36,978