Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 169
Country/Region: Rwanda
Year: 2008
Main Partner: CHF International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $12,860,000

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $100,000

This is a continuing activity from FY 2007. A narrative is included because this partner requires an 8% to

any one partner justification waiver.

The Community HIV/AIDS Mobilization Program (CHAMP), through financial support and technical and

institutional capacity building for Rwandan partner organizations, is working to ensure access to high

quality, sustainable HIV and AIDS care services. CHAMP partners support the provision of community

services in all EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final

year of funding for this four-year, $40 million program. The EP will begin work on a follow-on activity in FY

2008 to ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities.

CHAMP partners are training members of various community and faith-based organizations to promote

PMTCT services in their communities by encouraging early ANC attendance, delivery in facilities, use of

appropriate infant feeding practices, use of early infant diagnosis and male involvement in ANC and

PMTCT. CHAMP trains volunteers to promote and support exclusive breastfeeding for HIV-positive lactating

mothers, support mothers during the cessation period, and provide information about appropriate weaning

foods and nutrition counseling. In FY 2008, CHAMP partners will continue to provide training for community

volunteers to promote PMTCT as part of their provision of care to OVC and PLHIV. CHAMP partners will

also work with EP-supported clinical partners to strengthen the referral system to get pregnant women to

PMTCT services and assist the clinic-based case managers to ensure proper treatment adherence.

CHAMP partners will link women in PMTCT and their families to other key community services, including

PLHIV associations, income generating activities, community gardens, malaria prevention and treatment,

child survival and health programs, and food assistance. CHAMP partners will not have any direct targets in

this area, but will contribute to increasing the number of women receiving PMTCT services by EP clinical

partners by training volunteers to promote the use of PMTCT services.

As this is the final year of funding for this program, CHAMP will work closely with current partners and the

follow-on project to ensure a smooth transition of support for these activities. CHAMP will also work to

document best practices and lessons learned to share with partners and other key stakeholders.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $360,000

The Community HIV/AIDS Mobilization Program (CHAMP), through financial support and technical and

institutional capacity building for Rwandan partner organizations, is working to ensure access to high

quality, sustainable HIV and AIDS care services. CHAMP partners support the provision of community

services in all EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final

year of funding for this four-year, $40 million program. The EP will begin work on a follow-on activity in FY

2008 to ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. This

follow-on activity will be informed by an evaluation of the current community services project as well as an

assessment of IGA supported by the EP.

CHAMP will provide technical and financial assistance to Rwandan CBOs and FBOs who will incorporate

prevention messages - focused on abstinence and/or fidelity as appropriate - into their programs for

community and religious leaders, youth, PLHIV and their families, OVC including child-headed households,

and community caregivers. CHAMP-supported partners are reaching over 100,000 individuals with

abstinence and/or faithfulness messages and training over 3,000 community volunteers to provide these

messages in FY 2007. While much of the delivery of prevention messaging is being done by the new

USAID award for BCC and SM, CHAMP will continue to provide technical and financial support to Rwandan

partner organizations to include appropriate and targeted prevention messages in their programs for 52,500

OVC and PLHIV in communities in FY 2008.

Messages will be delivered using a family-centered approach through face-to-face interactions and will

address the entire household. These messages will include the linkages between alcohol use, violence and

HIV; stigma reduction; abstinence; fidelity; partner reduction; the vulnerability of young women; and, the

importance of knowing your HIV status. This program will reinforce the norms of Rwandan society which

have led to a relatively late age of sexual debut (20.3 among women and 20.8 among men). This is

especially important as traditional family and community structures are affected by HIV and AIDS. In

addition, the programs will support and/or link to activities which will enable individuals to practice

abstinence and/or faithfulness, such as life skills and income generating activities, and will address the

societal norms surrounding cross-generational and transactional sex.

As this is the final year of funding for this program, CHAMP will work closely with current partners and the

follow-on project to ensure a smooth transition of support for these activities. CHAMP will also work to

document best practices and lessons learned to share with partners and other key stakeholders.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $350,000

The Community HIV/AIDS Mobilization Program (CHAMP), through financial support and technical and

institutional capacity building for Rwandan partner organizations, is working to ensure access to high

quality, sustainable HIV and AIDS care services. CHAMP partners support the provision of community

services in EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final year

of funding for this 4-year, $40 million program. The EP will begin work on a follow-on activity in FY 2008 to

ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. This follow-on

activity will be informed by an evaluation of the current community services project as well as an

assessment of IGA supported by the EP.

CHAMP partners mobilize and support community-based HIV prevention efforts, including PFP and

discordant couples, by incorporating these messages into their programs for community and religious

leaders, youth, families affected by HIV/AIDS, and OVC including CHH. CHAMP partners are reaching

30,000 individuals with prevention messages that go beyond AB. CHAMP partners are also training 2,000

community volunteers to incorporate prevention messages, especially for high risk populations, into their

community-based activities. While many of the general prevention activities are being implemented by the

USAID RFA, CHAMP continues to provide technical and financial support to Rwandan partner organizations

to include appropriate and targeted prevention messages in their programs for OVC and PLHIV in the

community. These messages include the linkages between alcohol use, violence and HIV; stigma reduction;

abstinence; fidelity; condom awareness and use; partner reduction; shifting social norms; and, the

importance of TC for the entire family. CHAMP partners will continue to educate communities about risky

behaviors and the correct and consistent use of condoms among appropriate target groups.

As this is the final year of funding for this program, CHAMP will work closely with current partners and the

follow-on project to ensure a smooth transition of support for these activities. CHAMP will also work to

document best practices and lessons learned to share with partners and other key stakeholders.

Funding for Care: Adult Care and Support (HBHC): $2,550,000

This is a continuing activity from FY 2007.

CHAMP is working to ensure access to high quality, sustainable HIV and AIDS care services through

financial support and technical and institutional capacity building for Rwandan partner organizations.

CHAMP partners support the provision of community services in all EP-supported districts, especially

around EP-supported health facilities. FY 2008 is the final year of funding for this 4-year, $40 million

program. The EP will begin work on a follow-on activity in FY 2008 to ensure a smooth transition of

services for PLHIV, OVC, their caretakers and communities.

In FY 2007, CHAMP is providing 22,000 PLHIV with HIV-related palliative care services, including income

generating activities, psychosocial and spiritual support, improved nutrition and links to food assistance,

community gardens, HIV prevention, HBC, and legal and human rights support. CHAMP is training 3,000

volunteer caregivers (primarily family members and members of PLHIV associations) in communities to

provide these services.

CHAMP is supporting the finalization and implementation of a community health policy and is providing

technical input to the national palliative care TWG. In FY 2008, CHAMP will continue to provide a menu of

community-based services to PLHIV with a focus on improving quality using the family-centered approach.

CHAMP will work closely with clinic-based case managers to ensure PLHIV and their families receive a

comprehensive services. Case managers and community health workers in the health facilities will support

PLHIV receiving clinical care to ensure follow-up and continuity of clinical services as well as link them to

community services.

CHAMP supported community groups will provide a variety of services for PLHIV and the availability of

these services will be documented and shared so that case managers and other clinic-based staff will be

able to easily refer clients to these activities. Services will include: provision of nutrition support by liaising

with MOH, TRAC and districts to effectively implement community-based nutrition programs; nutrition

counseling and education; nutrition needs assessment and surveillance for malnourished individuals;

support for household production of high-nutrient local staples; HBC for bedridden patients; provision of

business development services for PLHIV families and associations; technical and financial support for

viable and marketable services by PLHIV cooperatives; and linkages to health facilities, especially for

testing and care. CHAMP will ensure that communities are aware of and have access to other EP supported

clinical and community initiatives such as PMI, child survival and health programs, and food assistance.

CHAMP supported partners will reach 22,000 individuals with a comprehensive menu of services in FY

2008. In FY 2008, CHAMP will train or offer refresher training to 3,000 community volunteers and caregivers

and provide support to those caregivers trained previously. CHAMP will strengthen the systems, skills and

attitudes of community health workers, upgrade their psychosocial, pastoral, grief and bereavement

counseling skills (through Association Rwandaise des Conseillers en Trauma), and support for CHW

associations with IGAs and HBC kits.

In order to ensure sustainability of these programs, CHAMP will use a training of trainers approach, building

the knowledge and capacity of the staff of partner organizations and their association members to further

train their members as community volunteers. These community volunteers will take a family-centered

approach during home visits to PLHIV, monitoring and referring the children of HIV-affected households to

OVC community services as necessary and encouraging parents and guardians to test their children. In this

way, volunteers will help identify more HIV-infected children and family members and link them to

appropriate care and treatment.

CHAMP will also work to increase male involvement in providing care as well as support women and girls

as they tend to be the majority of primary care givers. CHAMP will also provide support to the PCAR to build

their capacity to ensure the future of quality palliative care services in Rwanda. PCAR has received limited

technical and financial support from APCA in Uganda to train palliative care service providers and advocate

for a supportive environment for community-based care. CHAMP will support PCAR with technical,

administrative, financial and managerial capacity building. CHAMP will work with its partners and the GOR

to conduct appropriate M&E, data collection and use, and management of resources in order to improve the

quality of HIV care and support services at the community level.

As this is the final year of funding for this program, CHAMP will work closely with current partners and the

follow-on project to ensure a smooth transition of support for beneficiaries. CHAMP will also work to

document best practices and lessons learned to share with partners and other key stakeholders.

This activity supports the EP five-year strategy to integrate HIV prevention, care and treatment, expand

pediatric HIV care, and mobilize community coordinated action.

Funding for Care: Orphans and Vulnerable Children (HKID): $8,850,000

This is a continuing activity from FY 2007.

The Community HIV/AIDS Mobilization Program (CHAMP) is working to ensure access to high quality,

sustainable HIV and AIDS care services through financial support and technical and institutional capacity

building for Rwandan partner organizations. CHAMP partners support the provision of community services

in all EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final year of

funding for this four-year, $40 million program. The EP will begin work on a follow-on activity in FY 2008 to

ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities. This follow-on

activity will be informed by an evaluation of the current community services project as well as an

assessment of IGA supported by the EP.

CHAMP serves as the main coordinating mechanism for EP-supported OVC activities by providing TA,

training and financial support to local partners to support and strengthen their capacity to directly provide

care and by supporting GOR programs and policies for OVC by seconding technical staff at the central

level.

In communities where CHAMP partners work, CHAMP advances the network model by linking HIV/AIDS

clinical and community partners, and by doing wrap arounds with non-HIV/AIDS services that are supported

by other funding streams. To ensure sustainable change, CHAMP supports and strengthens existing natural

social linkages in the community for child protection, care and support. In FY 2007, CHAMP is providing

financial and technical support to 12 Rwandan Partner Organizations in 20 districts to reach over 39,000

OVC with a menu of services and train 5,000 caregivers. CHAMP works closely with the RPOs and the EP

Track 1.0 partners to assess the needs of individual OVC, and offer multiple services and/or refer OVC to

other services in the community, based on their needs. CHAMP works to fill gaps and improve the quality of

services currently being offered and expand services to ensure OVC have access to them, especially in the

catchment areas around EP-supported health facilities, including those areas around military camps.

CHAMP gives special attention to child headed households and takes a family-centered approach to

providing care, linking closely with their community-based care activities for PLHIV. In FY 2006, CHAMP

participated in the development and finalization of a national policy for OVC and the corresponding national

plan of action. CHAMP supports the implementation of the OVC policy through participation on the OVC

TWG, and secondment of a technical advisor in the MIGEPROF, the GOR entity charged with OVC

services.

In FY 2008, CHAMP-supported partners will reach 43,774 OVC with a comprehensive menu of services as

outlined in the national policy on OVC. CHAMP will train 5,600 OVC caregivers in psychosocial support,

protection, HIV prevention and ways to link to other services such as education, healthcare, food and

vocational training. CHAMP will ensure that caregivers trained previously receive follow-up support and

refresher training as needed. CHAMP will continue to wrap around other EP-funded and CHAMP-supported

OVC programs where appropriate. This includes Title II food support, the Ambassador's Girls Scholarship

program, PMI, and other general health services for children supported by USG's child survival and health

program, such as vitamin A distribution and immunization. CHAMP will work with their partners to develop

an exit strategy and transition plan to ensure the smooth transition of beneficiaries to the new community

services award to be made before the end of FY 2008.

This approach reflects the EP five-year strategy to integrate HIV prevention, care and treatment; expand

pediatric HIV care; and mobilize community coordinated action.

Funding for Testing: HIV Testing and Counseling (HVCT): $100,000

This activity is continuing from FY 2007. A narrative is included because this partner requires a justification

waiver for more than 8% to any one partner.

The Community HIV/AIDS Mobilization Program (CHAMP), through financial support and technical and

institutional capacity building for Rwandan partner organizations, is working to ensure access to high

quality, sustainable HIV and AIDS care services. CHAMP partners support the provision of community

services in all EP-supported districts, especially around EP-supported health facilities. FY 2008 is the final

year of funding for this four-year, $40 million program. The EP will begin work on a follow-on activity in FY

2008 to ensure a smooth transition of services for PLHIV, OVC, their caretakers and communities.

CHAMP partners are training volunteers/members from various community and faith-based organizations to

promote CT services among OVC, PLHIV, their families and caregivers through home visits and group

talks. By the end of FY 2007, over 6,000 individuals will have received messages on the importance of

counseling and testing for HIV prevention, care, and treatment. In FY 2008, CHAMP partners will continue

to support the promotion of CT among OVC and PLHIV and their families. This targeted promotion of CT

services will identify those most likely to be infected and ensure they are referred to appropriate sites to

receive care and treatment. CHAMP partners will not have any direct targets in this area, but will contribute

to increasing the number of people served by clinical partners and mobile CT activities.

As this is the final year of funding for this program, CHAMP will work closely with current partners and the

follow-on project to ensure a smooth transition of support for these activities. CHAMP will also work to

document best practices and lessons learned to share with partners and other key stakeholders.

Funding for Health Systems Strengthening (OHSS): $550,000

CHAMP, through financial support and technical and institutional capacity building for Rwandan partner

organizations, is working to ensure access to high quality, sustainable HIV/AIDS care services. CHAMP

partners support the provision of community services in all EP-supported districts, especially around EP-

supported health facilities. FY 2008 is the final year of funding for this 4-year, $40 million program. The EP

will begin work on a follow-on activity in FY 2008 to ensure a smooth transition of services for PLHIV, OVC,

their caretakers and communities.

CHAMP is providing financial and technical support to 12 Rwandan C/FBOs to reach over 39,000 OVC and

22,000 PLHIV with various support services. In addition, these partners are delivering prevention messages

to 13,000 individuals and are training over 2,000 volunteers in the promotion of abstinence, fidelity, condom

use, TC, PMTCT, and a menu of services for OVC and PLHIV. Of these organizations, three are considered

"umbrella" organizations that collectively support over 1,000 community associations representing women,

PLHIV and the religious community. CHAMP works with these local organizations to build their capacity to

manage programs, finances, and human resources with the goal of directly receiving donor funding in the

future. All partners receive a series of required trainings which include organizational governance, strategic

planning, grant management, fundraising, project design, human resources management, and financial

management. In addition, CHAMP conducts a brief assessment of each organization's management

capacities, including financial, human resources, strategic planning, M&E, QA, fundraising, and develops

individual capacity building plans to address issues not already covered in the required trainings.

In addition to organizational capacity building, CHAMP provides TA to these sub-grantees and their

members to provide comprehensive quality services, especially for OVC and PLHIV as well as their families

and caregivers. This TA includes trainings in prevention, BCC, IGA, palliative care, involvement of PLHIV,

and community mobilization.

In FY 2008 CHAMP will develop an exit strategy and plan the smooth transition of these Rwandan partner

organizations to the new community services project, with the goal that some may be eligible to become

prime partners.

Subpartners Total: $0
Caritas Internationalis: NA
Collectif PRO-FEMMES Twese Hamwe: NA
Réseau Rwandais des Personnes vivant avec le VIH / SIDA (RRP+): NA
Society for Women and AIDS: NA
Pamasor: NA
Rwanda's Women Network: NA
Icyuzuzo Womens Group: NA
Urunana Development Communication: NA
Johns Hopkins University: NA
Catholic Relief Services: NA
Social Impact: NA
Cross Cutting Budget Categories and Known Amounts Total: $0
Food and Nutrition: Commodities $0