Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4442
Country/Region: Namibia
Year: 2007
Main Partner: EngenderHealth
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $582,269

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $120,000

plement to the global OGAC Men and HIV/AIDS Initiative, the goal of which is to integrate evidence-based program models and practices into HIV/AIDS prevention, care, and treatment programs to achieve large-scale, positive change in male norms, roles, and behaviors. The Initiative will be implemented in Namibia, Tanzania and Ethiopia. The Initiative has three components: 1) technical assistance and training to ensure integration and application of evidence-based approaches and to support program innovation; 2) strategic planning assistance for the development of a "national response" in order to achieve a more comprehensive and coordinated approach to changing male norms and behaviors; and 3) assessment of program scale-up and changes in norms and individual behavior

COP FY07 Plus Up Funding to the Initiative: ACQUIRE/Men as Partners will expand and accelerate priority male norms/behavior programs for USG FY07 implementing partners. Specific activities will be identified through development of a national male norms/behavior strategy (which will be developed through the Initiative with expected completion by June 2007) and will be based on program performance in the initial stages of the Initiative. Initiative Background. Harmful male norms and behaviors and the lack of positive, societal and family roles for boys and men were identified by PEPFAR implementing partners during development of the FY2007 COP as some of the leading challenges in the fight against HIV/AIDS in Namibia. Specific issues include: • Widespread prevalence of intimate partner violence, sexual assault, and child abuse throughout the country and especially in the North, • Widespread abuse of alcohol, which fuels violence and sexual coercion, • Norms of masculinity that support and perpetuate male infidelity, • Cross-generational and transactional sex between older men and younger girls including male teachers and school girls, and • Lower rates of male participation in HIV/AIDS care and services, especially in PLWA support activities, and in men's support of their partners through PMTCT programs and couples counseling.

The Namibia National Medium Term Plan, 2004-2009, acknowledges these challenges and includes interventions to address vulnerability based on gender inequality, violence and alcohol abuse (component 2.5.1). Likewise, PEPFAR Namibia identified these challenges in its Five-Year Strategy and has included an array of activities in FY04-FY06, implemented by various partners. There is consensus among a broad range of implementing partners, however, that current efforts are insufficient and must be accelerated if program goals are to be met. The MOHSS Directorate of Special Services has requested PEPFAR support to launch a national dialogue on Men and HIV/AIDS that will spawn a network of complementary and coordinated programs, built upon unifying messages and evidence-based approaches. Other government institutions (including the Ministry of Education (HAMU), and the Ministry of Gender Equality and Child Welfare (MGECW), other development partners such as UNICEF, and USG implementing partners have all expressed interest in actively participating in and supporting this effort.

Initiative Objectives. The primary objectives of this Namibian national effort are to: 1. Establish a national program campaign and network to change male norms and behaviors in support of HIV/AIDS prevention, care, and treatment goals—led by a national Steering Committee and spearheaded by the MOHSS; 2. Develop a national strategy for the campaign and network that outlines measurable program objectives and priorities, and defines roles and activities of a broad array of implementing partners including government institutions, NGOs, faith-based organizations, community groups, and the private sector; 3. Promote innovation and the application of evidence-based practices by providing technical assistance, training, and tools to implementing partners; 4. Document and evaluate the program scale-up in conjunction with other country programs that are part of the PEPFAR Gender Initiative.

Initiative Partners and Activities. Primary partners include: (1) EngenderHealth's Men As Partners program ($300,000 to the ACQUIRE Project through USAID OGHA); (2) Directorate of Special Services, Namibia

MOHSS ($50,000 through the CDC Namibia cooperative agreement); (3) Gender Mainstreaming Unit, Ministry of Gender Equality and Child Welfare ($45,000 through an ACQUIRE subagreement); (4) Ministry of Safety and Security ($45,000 through an ACQUIRE subagreement); (5) Ministry of Defense ($45,000 through a DoD subagreement); (6) Ministry of Information and Broadcasting ($90,000 through the Nawa Life Trust Cooperative Agreement); and (7) PATH ($75,000 through the Infant and Young Child Feeding Program (IYCF)).

The Gender Mainstreaming Unit, MGECW, on behalf of the Steering Committee and Program Network partners, is conduct necessary formative research via non-USG funding to document specific gender norms, practices, and roles to inform a national communications campaign and other programming. Such research is necessary to develop specific and targeted messages and programs as norms vary greatly in Namibia across tribes and communities. DOD's implementing partner will conduct similar formative research on norms and practices within the military.

Targets

Target Target Value Not Applicable People reached through radio programming  Number of individuals reached through community outreach that  promotes HIV/AIDS prevention through abstinence (a subset of total reached with AB) Number of individuals reached through community outreach that  promotes HIV/AIDS prevention through abstinence and/or being faithful Number of individuals trained to promote HIV/AIDS prevention  programs through abstinence and/or being faithful

Indirect Targets Number of organizations and/or government ministries trained to promote HIV/AIDS prevention through abstinence and/or being faithful. 14

This activity will provide direct technical assistance, training, and support to over 20 USG implementing partners to mainstream gender into their Other Prevention Programming.

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $315,582

Gender: EngenderHealth TA & subs to MOSS and MGECW This activity is a supplement to the global OGAC Men and HIV/AIDS Initiative, the goal of which is to integrate evidence-based program models and practices into HIV/AIDS prevention, care, and treatment programs to achieve large-scale, positive change in male norms, roles, and behaviors. The Initiative will be implemented in Namibia, Tanzania and Ethiopia. The Initiative has three components: 1) technical assistance and training to ensure integration and application of evidence-based approaches and to support program innovation; 2) strategic planning assistance for the development of a "national response" in order to achieve a more comprehensive and coordinated approach to changing male norms and behaviors; and 3) assessment of program scale-up and changes in norms and individual behavior

COP FY07 Plus Up Funding to the Initiative: ACQUIRE/Men as Partners will expand and accelerate priority male norms/behavior programs for USG FY07 implementing partners. Specific activities will be identified through development of a national male norms/behavior strategy (which will be developed through the Initiative with expected completion by June 2007) and will be based on program performance in the initial stages of the Initiative.

With the additional field support funds, The ACQUIRE Project and Instituto Promundo will provide technical assistance on male engagement in HIV and AIDS to at least an additional eight PEPFAR partners in addition to the ones who will be supported through the global gender initiative. The technical assistance will include staff time and travel to work with staff from the selected eight PEPFAR partners to integrate male involvement approaches and strategies into their current programmatic activities. The type of technical assistance that will be provided to each partner will vary depending on staff skills and each organization's needs and interests related to male engagement. Technical assistance may include: assisting in developing appropriate programmatic activities to engage men; increasing staff capacity to design, implement and monitor male involvement interventions; training and mentoring support; assisting in developing or strengthening curricula and IEC materials, monitoring and assessment etc.

The ACQUIRE Project and Instituto Promundo will also use the funds to create and support a network of incountry PEFPAR partners working to engage boys and men in HIV and AIDS. This network will allow partners to share successes, lessons learned and best practices and identify ways to create linkages between partners. Additionally, the network will allow partners to create a movement to advocate for constructive male involvement in HIV and AIDS efforts in Namibia.

PATH, in consultation with the Steering Committee, ACQUIRE, and participating teams from other countries in the Gender Initiative, will develop an assessment plan. The plan will specify assessment questions, assessment stakeholders, data collection and analysis methods, assessment study activities, staffing (and partner roles), timeline, and budget.

This activity is linked to ACQUIRE OHPS #8031 which allocates funding to support capacity building of Ministry counterparts and targeted technical assistance at a national level.

An overview of the larger, proposed Initiative is given below.

Initiative Background. Harmful male norms and behaviors and the lack of positive, societal and family roles for boys and men were identified by PEPFAR implementing partners during development of the FY2007 COP as some of the leading challenges in the fight against HIV/AIDS in Namibia. Specific issues include: • Widespread prevalence of intimate partner violence, sexual assault, and child abuse throughout the country and especially in the North, • Widespread abuse of alcohol, which fuels violence and sexual coercion, • Norms of masculinity that support and perpetuate male infidelity, • Cross-generational and transactional sex between older men and younger girls including male teachers and school girls, and • Lower rates of male participation in HIV/AIDS care and services, especially in PLWA support activities, and in men's support of their partners through PMTCT programs and

couples counseling.

The Namibia National Medium Term Plan, 2004-2009, acknowledges these challenges and includes interventions to address vulnerability based on gender inequality, violence and alcohol abuse (component 2.5.1). Likewise, PEPFAR Namibia identified these challenges in its Five-Year Strategy and has included an array of activities in FY04-FY06, implemented by various partners. There is consensus among a broad range of implementing partners, however, that current efforts are insufficient and must be accelerated if program goals are to be met. The MOHSS Directorate of Special Services has requested PEPFAR support to launch a national dialogue on Men and HIV/AIDS that will spawn a network of complementary and coordinated programs, built upon unifying messages and evidence-based approaches. Other government institutions (including the Ministry of Education (HAMU), and the Ministry of Gender Equality and Child Welfare (MGECW), other development partners such as UNICEF, and USG implementing partners have all expressed interest in actively participating in and supporting this effort.

Initiative Objectives. The primary objectives of this Namibian national effort are to: 1. Establish a national program campaign and network to change male norms and behaviors in support of HIV/AIDS prevention, care, and treatment goals—led by a national Steering Committee and spearheaded by the MOHSS; 2. Develop a national strategy for the campaign and network that outlines measurable program objectives and priorities, and defines roles and activities of a broad array of implementing partners including government institutions, NGOs, faith-based organizations, community groups, and the private sector; 3. Promote innovation and the application of evidence-based practices by providing technical assistance, training, and tools to implementing partners; 4. Document and evaluate the program scale-up in conjunction with other country programs that are part of the PEPFAR Gender Initiative.

Initiative Partners and Activities. Primary partners include: (1) EngenderHealth's Men As Partners program ($300,000 to the ACQUIRE Project through USAID OGHA); (2) Directorate of Special Services, Namibia MOHSS ($50,000 through the CDC Namibia cooperative agreement); (3) Gender Mainstreaming Unit, Ministry of Gender Equality and Child Welfare ($45,000 through an ACQUIRE subagreement); (4) Ministry of Safety and Security ($45,000 through an ACQUIRE subagreement); (5) Ministry of Defense ($45,000 through an DoD subagreement); (6) Ministry of Information and Broadcasting ($90,000 through the Nawa Life Trust Cooperative Agreement); and (7) PATH ($75,000 through the Infant and Young Child Feeding Program (IYCF)).

The Gender Mainstreaming Unit, MGECW, on behalf of the Steering Committee and Program Network partners, is conduct necessary formative research via non-USG funding to document specific gender norms, practices, and roles to inform a national communications campaign and other programming. Such research is necessary to develop specific and targeted messages and programs as norms vary greatly in Namibia across tribes and communities. DOD's implementing partner will conduct similar formative research on norms and practices within the military.

Funding for Health Systems Strengthening (OHSS): $146,687

This activity is a supplement to the proposed PEPFAR centrally-funded gender initiative, titled National Dialogue and Program Network to Achieve Large-Scale, Positive Change in Male Norms, Roles, and Behaviors in Namibia, which PEPFAR Namibia submitted to OGAC in September 2006.

COP FY07 Supplemental Funding to the Initiative: ACQUIRE/Men as Partners will expand and accelerate priority male norms/behavior programs by providing additional support at the national level to achieve large-scale, positive changes in male norms, roles, and behaviors. Support will be provided to the Ministries of Health, and Gender Equality and Child Welfare to roll-out activities in support of the national male norms/behavior strategy (which will be developed through the Initiative with expected completion by June 2007). Illustrative programs for this support include national workshops with key Ministry and parliamentary leaders to address gender issues in prevention, care, and treatment programs; human capacity strengthening plans to address gender inequities; programs to strengthen donor coordination to address gender based violence, male norms/behaviors, and nationwide media campaigns on topics such as responsible fatherhood, intimate partner violence, alcohol abuse, and men's health; and strengthening national steering committee to promote dialogue around and challenge existing gender norms.

This activity is linked to ACQUIRE HVOP #8030 (which allocates funding to support HIV prevention through targeted technical assistance, training, and implementation support to USG implementing partners).

An overview of the larger, proposed Initiative is given below.

Initiative Background- Harmful male norms and behaviors and the lack of positive, societal and family roles for boys and men were identified by PEPFAR implementing partners during development of the FY2007 COP as some of the leading challenges in the fight against HIV/AIDS in Namibia. Specific issues include: • Widespread prevalence of intimate partner violence, sexual assault, and child abuse throughout the country and especially in the North, • Widespread abuse of alcohol, which fuels violence and sexual coercion, • Norms of masculinity that support and perpetuate male infidelity, • Cross-generational and transactional sex between older men and younger girls including male teachers and school girls, and • Lower rates of male participation in HIV/AIDS care and services, especially in PLWA support activities, and in men's support of their partners through PMTCT programs and couples counseling.

The Namibia National Medium Term Plan, 2004-2009, acknowledges these challenges and includes interventions to address vulnerability based on gender inequality, violence and alcohol abuse (component 2.5.1). Likewise, PEPFAR Namibia identified these challenges in its Five-Year Strategy and has included an array of activities in FY2004-FY2006, implemented by various partners. There is consensus among a broad range of implementing partners, however, that current efforts are insufficient and must be accelerated if program goals are to be met. The MOHSS Directorate of Special Services has requested PEPFAR support to launch a national dialogue on Men and HIV/AIDS that will spawn a network of complementary and coordinated programs, built upon unifying messages and evidence-based approaches. Other government institutions (including the Ministry of Education (HAMU), and the Ministry of Gender Equality and Child Welfare (MGECW), other development partners such as UNICEF, and USG implementing partners have all expressed interest in actively participating in and supporting this effort.

Initiative Objectives- The primary objectives of this Namibian national effort are to: 1. Establish a national program campaign and network to change male norms and behaviors in support of HIV/AIDS prevention, care, and treatment goals—led by a national Steering Committee and spearheaded by the MOHSS; 2. Develop a national strategy for the campaign and network that outlines measurable program objectives and priorities, and defines roles and activities of a broad array of implementing partners including government institutions, NGOs, faith-based organizations,

community groups, and the private sector; 3. Promote innovation and the application of evidence-based practices by providing technical assistance, training, and tools to implementing partners; 4. Document and evaluate the program scale-up in conjunction with other country programs that are part of the PEPFAR Gender Initiative.

Initiative Partners and Activities. Primary partners include: (1) IntraHealth's Men As Partners program ($300,000 to the ACQUIRE Project through USAID OGHA); (2) Directorate of Special Services, Namibia MOHSS ($65,000 through the CDC Namibia cooperative agreement); (3) Gender Mainstreaming Unit, Ministry of Gender Equality and Child Welfare ($65,000 through the USAID Namibia cooperative agreement); (4) To-Be-Awarded cooperative agreement ($50,000 through DOD Namibia); and (5) To-Be-Named partner ($500,000 through USAID OGHA for the 3-country evaluation).

The Directorate of Special Services, MoHSS (in consultation with the ACQUIRE Project) will take the lead in developing a framework for the national Steering Committee, its membership, and terms of reference. The Steering Committee in collaboration with ACQUIRE will develop a proposal for the establishment and functioning of the program network, including implementing partner membership and how it will operate; and convene a meeting of proposed members to vet and finalize the proposal. The Steering Committee will then design and facilitate a participatory process with Program Network partners to develop a strategic plan for the national campaign for achieving large-scale, positive change in male norms, roles, and behaviors. This plan will include strengths and weaknesses of current activities; threats and opportunities in the current and future program environment; time-delimited objectives and targets; strategic approaches; mapping of Network partners to objectives and strategies; and a monitoring plan.

The Gender Mainstreaming Unit, MGECW, on behalf of the Steering Committee and Program Network partners, will conduct necessary formative research to document specific gender norms, practices, and roles to inform a national communications campaign and other programming. Such research is necessary to develop specific and targeted messages and programs as norms vary greatly in Namibia across tribes and communities. DOD's implementing partner will conduct similar formative research on norms and practices within the military.

In consultation with the Steering Committee and Program Network partners, ACQUIRE will prepare a technical assistance plan for strengthening the capacity of the Program Network to implement and scale up evidence-based approaches and develop innovations for the national campaign. As part of this TA plan development, ACQUIRE will conduct an inventory and rapid assessment of current male norms/behaviors activities in Namibia. Upon approval of the plan, ACQUIRE will begin delivery of technical assistance (including training workshops, transfer of tools and other resource materials, and technical consultations).

The Evaluation Partner for the Gender Initiative (in consultation with the Steering Committee, ACQUIRE, and participating teams from other countries in the Gender Initiative) will develop an evaluation plan. The plan will specify evaluation questions, evaluation stakeholders, data collection and analysis methods, evaluation study activities, staffing (and partner roles), timeline, and budget.

Subpartners Total: $21,000
Instituto Promundo: $21,000