Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3451
Country/Region: Rwanda
Year: 2008
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,182,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $757,000

This is a continuing activity from FY 2007.

The overall goal of the ROADS Project is to stem HIV transmission and mitigate the consequences of

HIV/AIDS on vulnerable populations along major East African transport corridors. This multisectoral project

targets high-risk populations --drivers and their assistants, sex workers, members of the uniformed services

and stop-over site communities --with regionally coordinated SafeTStop messages.

The SafeTStop model is a branded flexible model that is hosted by the communities around the border sites

and other areas along the transport corridor. SafeTStops provide products, information and support for the

prevention, care and treatment of HIV/AIDS in these communities. This includes ABC messages, access to

condoms, counseling and support for HIV/AIDS, TC services and ARV information, referral and support.

The ROADS project also provides target communities with information on alcohol, GBV, food security and

economic empowerment through the LifeWorks Partnership. This Partnership helps to create jobs for

marginalized populations such as PLHIV, older orphans, and low-income women. This helps to secure the

long-term economic health of individuals, families and communities and thereby reduce their vulnerability to

HIV/AIDS.

Through LifeWorks, ROADS has enlisted the private sector to: 1) identify small business opportunities for

women and older orphans, including design and production of home and fashion accessories; 2) provide

source financing through development banks; and 3) give pro bono business expertise to help these new

businesses grow. A key feature of LifeWorks is that nascent businesses not only provide jobs for the most

vulnerable people in a community, but that the companies themselves fight AIDS through their own

corporate social responsibility platforms. ROADS provides TA in M&E and in community mobilization and

advocacy to an estimated 150 different local associations, women's groups and CBOs.

ROADS activities in Rwanda are currently in three sites (Kigali-ville, Gatuna on the Uganda border and

Cyangugu on the DRC border) with planned expansion in FY 2008 to three additional sites (Rusumo, on the

Rwanda-Tanzania border; Bugarama, on the Rwanda/Burundi/DRC border and Gisenyi, on the

Rwanda/DRC border).

FHI launched the SafeTStop campaign in November 2005 with participation from the three major transport

associations in Rwanda (truck drivers, mini-bus drivers and motorcycle taximen) as well as from the

Association of Truckers' Wives, the CNLS and the Ministry of Labor. In FY 2006, ROADS completed an

assessment on alcohol and HIV as part of a three-country study requested by the ECSA Ministers and has

since initiated programming to improve HIV counseling by including alcohol abuse issues; improving ART

patient enrollment uptake assessments; alcohol treatment options for individuals about to enroll on ART;

and a focused campaign with bar/lodging owners and religious leaders to reduce alcohol abuse among

truckers and other men. The ROADS project works in partnership with PSI and other health facilities to

provide mobile TC services.

In FY 2007, ROADS partners began providing care and support services to vulnerable HIV-affected families

in the three communities. By the end of FY 2007, ROADS will have trained 100 peer educators from the

associations and reached 40,000 individuals with AB messages. In FY 2008, ROADS will continue to

reinforce ongoing peer education and community mobilization activities to reach 85,400 individuals with AB

messages. 305 peer educators will be trained to promote AB. The peer educators will be out-of-school

youth, truck drivers, commercial sex workers, and other community members.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $275,000

This is a continuing activity from FY 2007.

The overall goal of the ROADS Project is to stem HIV transmission and mitigate the consequences of

HIV/AIDS on vulnerable populations along major East African transport corridors. This multisectoral project

targets high-risk populations --drivers and their assistants, sex workers, members of the uniformed services

and stop-over site communities --with regionally coordinated SafeTStop messages.

The SafeTStop model is a branded flexible model that is hosted by the communities around the border sites

and other areas along the transport corridor. SafeTStops provide products, information and support for the

prevention, care and treatment of HIV/AIDS in these communities. This includes ABC messages, access to

condoms, counseling and support for HIV/AIDS, TC services and ARV information, referral and support.

The ROADS project also provides target communities with information on alcohol, GBV, food security and

economic empowerment through the LifeWorks Partnership. This Partnership helps to create jobs for

marginalized populations such as PLHIV, older orphans, and low-income women. This helps to secure the

long-term economic health of individuals, families and communities and thereby reduce their vulnerability to

HIV/AIDS.

Through LifeWorks, ROADS has enlisted the private sector to: 1) identify small business opportunities for

women and older orphans, including design and production of home and fashion accessories; 2) provide

source financing through development banks; and 3) give pro bono business expertise to help these new

businesses grow. A key feature of LifeWorks is that nascent businesses not only provide jobs for the most

vulnerable people in a community, but that the companies themselves fight AIDS through their own

corporate social responsibility platforms. ROADS provides TA in M&E and in community mobilization and

advocacy to an estimated 150 different local associations, women's groups and CBOs.

ROADS activities in Rwanda are currently in three sites (Kigali-ville, Gatuna on the Uganda border and

Cyangugu on the DRC border) with planned expansion in FY 2008 to three additional sites (Rusumo, on the

Rwanda-Tanzania border; Bugarama, on the Rwanda/Burundi/DRC border and Gisenyi, on the

Rwanda/DRC border).

FHI launched the SafeTStop campaign in November 2005 with participation from the three major transport

associations in Rwanda (truck drivers, mini-bus drivers and motorcycle taximen) as well as from the

Association of Truckers' Wives, the CNLS and the Ministry of Labor. In FY 2006, ROADS completed an

assessment on alcohol and HIV as part of a three-country study requested by the ECSA Ministers and has

since initiated programming to improve HIV counseling by including alcohol abuse issues; improving ART

patient enrollment uptake assessments; alcohol treatment options for individuals about to enroll on ART,

and a focused campaign with bar/lodging owners and religious leaders to reduce alcohol abuse among

truckers and other men. The ROADS project works in partnership with PSI and other health facilities to

provide mobile TC services.

In FY 2007, ROADS partners began providing care and support services to vulnerable HIV-affected families

in the three communities. By the end of FY 2007, ROADS will have trained 470 peer educators from the

associations, including 10 sex workers and 25 truckers trained specifically to provide prevention messaging

beyond AB. They will have reached more than 13,019 individuals with ABC messages, information on STIs,

and TC referral and provided over 200,000 condoms. FHI ROADS is also working with PSI to ensure that all

condom outlets around the truck stops are stocked with condoms as well as identifying new outlets to open.

FHI ROADS has fostered a relationship with the Rwandan private sector and in FY 2007, linked over 300

low income women to handicraft production projects. In FY 2008, ROADS will continue these HIV

prevention activities, reaching an estimated 55,000 people with HIV/AIDS information and referral to

services.

Funding for Care: Adult Care and Support (HBHC): $250,000

This is a continuing activity from FY 2007.

The overall goal of the ROADS Project is to stem HIV transmission and mitigate the consequences of

HIV/AIDS on vulnerable populations along major East African transport corridors. This multisectoral project

targets high-risk mobile populations--drivers and their assistants, sex workers, members of the uniformed

services and stop-over site communities--with regionally coordinated SafeTStop messages. The SafeTStop

model is a branded flexible model that is hosted by the communities around the border sites and other

areas along the transport corridor. SafeTStop represents a set of high quality services, geared to provide

products, information and support for the prevention, care and treatment of HIV/AIDS in communities.

Health services include general information on HIV/AIDS- including ABC messages, access to condoms,

counseling and support for HIV/AIDS, TC, ARV information, referrals and support. The ROADS project also

provides target communities with information on alcohol, GBV, food security and economic empowerment

through LifeWorks Partnership. This Partnership helps to create jobs for marginalized populations such as

PLHIV, older orphans and low-income women- this way securing the long-term economic stability of

individuals, families and communities- a key HIV care and prevention strategy. Through LifeWorks, ROADS

has enlisted the private sector to: 1) identify small business opportunities for women and older orphans,

including design and production of home and fashion accessories; 2) provide source financing through

development banks; and 3) give pro bono business expertise to help these new businesses grow. A key

feature of LifeWorks is that nascent businesses not only provide jobs for the most vulnerable people in a

community, but that the companies themselves fight AIDS through their own corporate responsibility

platforms. This partnership will be partially supported by HVAB funding. ROADS will provide TA in M&E and

in community mobilization and advocacy to an estimated 150 different local associations, women's groups

and CBOs.

ROADS activities in Rwanda are currently in three sites (Kigali-ville, Gatuna on the Uganda border and

Cyangugu on the DRC border) with planned expansion in FY 2008 to three additional sites (Rusumo, on the

Rwanda-Tanzania border; Bugarama, on the Rwanda/Burundi/DRC border and Gisenyi, on the

Rwanda/DRC border). FHI launched the SafeTStop campaign in November 2005 with participation from

the three major transport associations in Rwanda (truck drivers, mini-bus drivers and motorcycle taximen)

as well as from the Association of Truckers' Wives, the CNLS and the Ministry of Labor. In FY 2006,

ROADS completed an assessment on alcohol and HIV as part of a three-country study requested by the

ECSA Ministers and has since initiated programming around alcohol to improve the TC counseling protocol

to include alcohol abuse issues; improving ART patient enrollment uptake assessments; alcohol treatment

options for individuals about to enroll on ART and a focused campaign with bar/lodging owners & religious

leaders to reduce alcohol abuse among truckers and other men. The ROADS project works in partnership

with PSI and other health facilities to provide mobile TC services. In FY 2007, ROADS partners began

providing care and support services to vulnerable HIV-affected families in the three communities through

continued links and referrals to existing OVC and PLHIV services in the communities. ROADS partners

began providing care and support services to vulnerable HIV-affected families in the three community sites,

including the training of 23 pharmacists in HIV prevention, positive living, nutrition and referral to clinical and

non clinical services. 1000 OVCs and 1500 PLHIV were reached in FY 2007. Howard University is FHI

ROADS's partner in pharmacy training, and has developed a referral guide for the pharmacists to use to

refer truckers and other clients to HIV clinical and community services around the border communities.

In FY 2008, ROADS will continue strengthening the role of pharmacies and drug shops in providing

palliative care for PLHIVs; strengthening the referral system for ART, opportunistic infections and nutritional

counseling and also continue its alcohol related activities. 100 palliative caregivers will receive refresher

training who will reach 2,000 PLHIV. New in FY 2008, will be the establishment of community farms, to

provide food to PLHIV. In districts where there is overlap, FHI ROADS will partner and link to other EP

community and clinical partners for OVC support, palliative care and treatment. This activity addresses the

key legislative issues of gender, violence, stigma reduction, and wraps around Microfinance/ Microcredit.

This activity also reflects the ideas presented in the Rwanda EP five-year strategy and the National

Prevention Plan by focusing prevention efforts on high-risk, mobile populations.

Funding for Care: Orphans and Vulnerable Children (HKID): $150,000

This is a continuing activity from FY 2007.

The overall goal of the ROADS Project is to stem HIV transmission and mitigate the consequences of

HIV/AIDS on vulnerable populations along major East African transport corridors. This multi-sectoral project

targets high-risk mobile populations- drivers and their assistants, sex workers, members of the uniformed

services and stop-over site communities- with regionally coordinated SafeTStop messages. The SafeTStop

model is a branded flexible model that is hosted by the communities around the border sites and other

areas along transport corridors. SafeTStop represents a set of high quality services, geared to provide

products, information and support for the prevention, care and treatment of HIV/AIDS in communities.

Health services include general information on HIV/AIDS- including ABC messages, access to condoms,

counseling and support for HIV/AIDS, TC services and ARV information, referral and support. The ROADS

project also provides target communities with information on alcohol, GBV, food security and economic

empowerment through LifeWorks Partnership. This Partnership helps to create jobs for marginalized

populations such as PLHIV, older orphans and low-income women to secure the long-term economic health

of individuals, families and communities- a key HIV care and prevention strategy.

Through LifeWorks, ROADS has enlisted the private sector to: 1) identify small business opportunities for

women and older orphans, including design and production of home and fashion accessories; 2) provide

start-up financing through development banks; and 3) give pro bono business expertise to help these new

businesses grow. A key feature of LifeWorks is that nascent businesses not only provide jobs for the most

vulnerable people in a community, but that the companies themselves fight HIV through their own corporate

responsibility platforms. This partnership will be partially supported with HVAB funding. ROADS will provide

TA in M&E, community mobilization, and advocacy to an estimated 150 different local associations,

women's groups and CBOs. ROADS activities in Rwanda are currently in three sites (Kigali-ville, Gatuna on

the Uganda border and Cyangugu on the DRC border) with planned expansion in FY 2008 to three

additional sites (Rusumo, on the Rwanda-Tanzania border; Bugarama, on the Rwanda/Burundi/DRC border

and Gisenyi, on the Rwanda/DRC border). FHI launched the SafeTStop campaign in November 2005 with

participation from the three major transport associations in Rwanda (truck and mini-bus drivers and

motorcycle taximen) as well as from the Association of Truckers' Wives, the CNLS and the Ministry of

Labor. In FY 2006, ROADS completed an assessment on alcohol and HIV as part of a three-country study

requested by the ECSA Ministers and has since initiated programming around alcohol to include improving

TC to include alcohol related issues; improving ART patient enrollment uptake assessments; alcohol

treatment options for individuals about to enroll on ART and a focused campaign with bar/lodging owners &

religious leaders to reduce alcohol abuse among truckers and others. The ROADS project works in

partnership with PSI and other health facilities to provide mobile TC services.

In FY 2007, ROADS partners began providing care and support services to vulnerable HIV-affected families

in the three communities through continued links and referrals to existing OVC and PLHIV services. ROADS

partners began providing care and support services to vulnerable HIV-affected families, including the

training of 23 pharmacists in HIV prevention, positive living, nutrition and referral to clinical and non clinical

services. 1,000 OVCs and 1,500 PLHIV were reached in FY 2007. Each of these beneficiaries also received

age & circumstance appropriate AB and/or C information for HIV/AIDS prevention. The project trained about

20 volunteers (teachers, community and religious leaders and health workers) to work with truck drivers, low

-income women and out-of-school youth. In FY 2008, ROADS will conduct a baseline assessment of OVCs

in the three new proposed project sites. The project will provide 500 OVC with a menu of services including

school fees and scholastic materials, health insurance, nutritional support, psychosocial support, economic

strengthening opportunities, shelter and protection. HIV risk reduction, alcohol abuse and GBV activities will

be introduced to older OVC. ROADS will train at least 50 caregivers in OVC care including nutrition,

psychosocial support, protection and IGAs.

This activity addresses the key legislative issues of gender, violence, stigma reduction, and wraps around

Microfinance/Micro credit. This activity also reflects the ideas presented in the Rwanda EP five-year

strategy and the National Prevention Plan by focusing prevention efforts on high-risk, mobile populations.

Funding for Testing: HIV Testing and Counseling (HVCT): $300,000

This activity is continuning from FY 2007. No new narrative is required.

Funding for Health Systems Strengthening (OHSS): $450,000

This is a continuing activity from FY 2007.

The overall goal of the FHI/ROADS Project is to stem HIV transmission and mitigate the consequences of

HIV/AIDS on vulnerable populations along major East African transport corridors. This multisectoral project

targets high-risk mobile populations: drivers and their assistants, sex workers, members of the uniformed

services and stop-over site communities with regionally coordinated SafeTStop messages. ROADS

activities in Rwanda are currently in three sites (Kigali-ville, Gatuna on the Uganda border and Cyangugu on

the DRC border) with planned expansion in FY 2008 to three additional sites (Rusumo on the Tanzania

border, Bugarama on the Rwanda/Burundi/DRC border, and Gisenyi on the DRC border).

SafeTStop health services include HIV prevention messages, TC services, counseling and support for

PLHIV, and treatment referral and support. The ROADS project also provides target communities with

information on alcohol, GBV, food security and economic empowerment through the LifeWorks Partnership.

This Partnership helps to create jobs for marginalized populations such as PLHIV, older orphans and low-

income women. Through LifeWorks, ROADS has enlisted the private sector to: 1) identify small business

opportunities for women and older orphans; 2) provide source financing through development banks; and 3)

provide free expertise to help these new businesses grow. A key feature of LifeWorks is that nascent

businesses not only create jobs for the most vulnerable people in a community, but the companies

themselves fight HIV/AIDS through their own corporate responsibility platforms. Funding for this partnership

is also included in the HVAB, HVOP, and HVCT sections of the COP.

In FY 2007, ROADS continued to provide technical support to a variety of cluster models (low income

women, fishermen, truckers, youth), building their capacity to institute and manage HIV prevention and care

activities in their communities. This includes capacity development administration of sub-agreements and

community mobilization and advocacy. The ROADS project is instrumental in providing technical guidance

around HIV in the transport sector, and has worked with TRAC and other GOR institutions to incorporate

alcohol and GBV issues into the national TC policy. ROADS worked with community leaders to strengthen

their role in the communities, as well as provided technical support to CBOs and FBOs to improve their

reporting and M&E systems.

As ROADS expands in FY 2008, the project will continue to increase the capacity of cluster groups to

implement HIV prevention and care activities as well as to strengthen their ability to function as an

organization. FHI/ROADS will conduct a program evaluation to measure the impact of the ROADS project to

date. This evaluation will help determine three key issues: 1) the impact of the cluster model on target

coverage and CBO capacity building; 2) the impact of Lifeworks on HIV prevention and care; and 3) the

change in psychosocial factors and behaviors among the target populations.

This activity addresses the key legislative issues of gender, violence, stigma reduction, and wraparound

with microfinance/microcredit activities. The ROADS project reflects the ideas presented in the Rwanda EP

five-year strategy and the National Prevention Plan by focusing prevention, care and treatment efforts on

high-risk, mobile populations.