SUMMARY:

EngenderHealth's Men as Partners (MAP) Program works to reduce the spread and impact of HIV and

gender-based violence by challenging unhealthy gender-related beliefs and attitudes, such as equating

masculinity with dominance over women, pursuing multiple sexual partners, and participating in other risk

behaviors. The MAP program utilizes a range of strategies with focus on human and organizational capacity

building through skills-building workshops, community mobilization, health service provider training, media

advocacy, and public policy advocacy. The target population includes men and boys, in- and out-of-school

youth, university students, adults, people living with HIV, caregivers, immigrants/migrants, community and

religious leaders, program managers, public healthcare providers, CBOs, FBOs and NGOs.

BACKGROUND:

Since 1998, EngenderHealth received USG funding to support CBOs, FBOs and the South African

government to implement the MAP program. EngenderHealth conducts skills-building workshops on gender

norm transformation. Through these workshops, MAP develops "transformation agents" (peer educators)

who then spread AB messages and skills to others in their communities. These workshops aim at

motivating men to know their HIV status and take action if they test positive. MAP encourages men to

participate in their communities and to challenge other men who are practicing high-risk behaviors and

gender-based violence. MAP recognizes that this transformation will assist men and women in achieving

low-risk behaviors such as sexual abstinence, being faithful to one partner, and treating women as equals.

MAP works with individual men and boys, their partners, as well as community structures to influence

culture and transform lives. Working through various community-based partners, MAP also mobilizes

communities to take action via community education events and the formation of "community action

teams" (CATs). EngenderHealth MAP also produces information, education and communication (IEC)

materials that motivate men and boys to confront harmful gender norms. Currently, EngenderHealth is

running the "I am a Partner campaign" focusing on defining what men can do to take action and be more

gender equitable to reduce the spread and impact of HIV (www.iamapartner.org). Finally, EngenderHealth

staff coordinates provincial MAP Networks, creating a space for gender activists to share best practices and

formulating a platform to participate in the development and adoption of the HIV and AIDS and STI Strategic

Plan for South Africa, 2007-2011. In response to demand, EngenderHealth developed additional

programming linked to palliative care, and voluntary counseling and testing.

ACTIVITIES AND EXPECTED RESULTS:

ACTIVITY 1: Tertiary Institution Programs

EngenderHealth will continue to build the capacity of tertiary institution's peer education programs to

integrate AB messages into gender norm transformation programming on HIV. EngenderHealth will work

with five institutions in the Western Cape (UCT, CPUT/Bellville, CPUT/Cape Town, UWC, and Stellenbosch

University) and with least three institutions outside of the Western Cape. At least five staff and student

"transformation agents" from each of the institutions will be trained on a quarterly basis. The

communications skills of the "transformation agents" will be developed so that they are able to reach

students on campus and learners in local communities with AB messages. Issues such as gender norms,

multiple partnerships, cross-generational sex, communication issues, and alcohol abuse, as well as

consistent and correct use of condoms and referral to condom service sites will be addressed.

EngenderHealth staff will provide ongoing on-site and telephonic assistance on a range of management and

content issues. EngenderHealth recognizes the power of working with such institutions and the sustainable

benefits of building such capacity.

ACTIVITY 2: School/Community Action for Gender Equality (S-CAGE) based Program

EngenderHealth will continue to capacitate at least four NGOs working in school-based settings by focusing

on the integration of AB messages into MAP programming on gender norm transformation and HIV. This

programming will take place in communities where the drivers of the epidemic have been identified, i.e. in

Gauteng (Diepsloot, Vaal, Hillbrow/Yeoville/Berea and Soweto), North West, and KwaZulu-Natal (KZN).

EngenderHealth will work with another PEPFAR partner, Mpilonhle, in KZN -to build a gender component

to their pre-existing work in schools and communities. EngenderHealth will work directly with school

personnel and student leaders to develop their capacity to link AB-related MAP messaging and

programming into the school curriculum via life orientation programs. Similar trainings will be conducted

each quarter and course content will be tailored to meet the needs of each community-based partner.

Typically, 20 to 30 participants will be trained over a period of four to five days. In addition, capacity-building

assistance, in the the form of individual on-site and telephonic sessions will be offered to all partners.

EngenderHealth will solicit funds from other development partners, and private sector entities to assist with

this program. Potential and existing public-private partnerships include those with the Ford Foundation

(secured for North West province); De Beers Mining Company (secured for KZN); and Anglo American

Mining Company (pending for KZN).

ACTIVITY 3: Community Capacity-building Program

EngenderHealth will continue building the capacity of at least four NGOs, CBOs, FBOs, and private sector

partners on AB messages and gender norms. EngenderHealth will partner with groups based in strategic

communities within Gauteng (Diepsloot, Vaal, Hillbrow, Yeoville, Berea, and Soweto), North West, KwaZulu

-Natal, and Western Cape provinces. In addition, private sector organizations will be approached for cost

sharing options. Trainings will be conducted each quarter and course content will be tailored to meet the

needs of each community-based partner. Typically, 20 to 30 participants will be trained over a period of four

to five days. EngenderHealth will be available to provide individual support to partners via on-site and

telephonic sessions.

ACTIVITY 4: Government/Other Key Stakeholder Program

EngenderHealth will continue building sustainable partnerships with national and provincial government

agencies. In FY 2008, these institutions may include South African Police Services (SAPS), Department of

Correctional Services, Department of Social Development and Department of Health. EngenderHealth plans

Activity Narrative: to work with the SAPS, building capacity of individual precincts youth desks to implement MAP

programming in their communities, maintaining community action teams (CATs) to mobilize men (including

policemen). Cost sharing options will be explored to gain financial support from government institutions.

Training and support, as described above, will be offered on a quarterly basis to partners.

ACTIVITY 5: Clinical/Community Outreach Program

EngenderHealth will continue to reach out to men in various settings, including street outreach and in

clinical settings. Typically, this program will reach over 250 men (and their partners) per month via formal

and informal talks at clinics and on the streets/parks nearby. These talks will focus on helping men

recognize the importance of having only one partner. EngenderHealth will target services in Gauteng,

specifically in Diepsloot, Vaal, Hillbrow, Yeoville, Berea, and Soweto. In the Western Cape, EngenderHealth

will work with its partners at tertiary institutions to conduct talks in clinics. Programs will also reach out to

youth in surrounding communities. This will focus on abstinence messaging for learners aged 10-14 and on

encouraging secondary abstinence for older youth aged 15-24 years old.

ACTIVITY 6: MAP Network:

EngenderHealth will continue to support the MAP Network on information exchange and advocacy.

EngenderHealth will host monthly meetings bringing together prime partners (typically about 20-30

members), to exchange experiences and to enhance programming. On a quarterly basis, additional key

stakeholders representing other NGOs, CBOs, government and general activists will gather to discuss

issues, exchange information and develop an advocacy platform on public policies relating to gender-norm

transformation, HIV and AB messages. EngenderHealth's advocacy program will then take these issues

forward at the national and local levels.

ACTIVITY 7: National Campaigns:

EngenderHealth will continue to promote AB messages through gender norm transformation via national

campaigns. Priorities will be placed on implementing the annual National MAP Week (held in March/April),

which motivate EngenderHealth partners to host community events which raise the profile of MAP's AB

messages. Working through national campaigns, such as annual MAP Week, EngenderHealth engages

private sector, media and government partners to increase the effectiveness of MAP. Activities may include

community marches and rallies, sports days, men's meetings, intergenerational dialogues to address cross-

generational sexual relationships, school debates, and mass media appearances. In addition,

EngenderHealth MAP staff will collaborate with other NGOs and government institutions to assist in

organizing and promoting additional campaigns, including 16 Days of Activism on Violence against Women,

Youth Month, and Men's Health Month. BCC materials (based on EngenderHealth's "I am a Partner

Campaign") will be used to motivate men to rethink gender equality and challenge other men to do so as

well. Finally, throughout the year, EngenderHealth will collaborate with various media partners to spread

MAP-AB messages via mass media channels.

SUMMARY:

EngenderHealth's Men as Partners (MAP) Program works to reduce the spread and impact of HIV and

AIDS and gender-based violence (GBV) by challenging unhealthy gender-related beliefs and attitudes, such

as equating masculinity with dominance over women and pursuing multiple sexual partners. The MAP

program uses various strategies, including skills workshops, community mobilization, health service

provider training, media advocacy and public policy advocacy efforts to achieve its goal of gender norm

transformation to reduce the spread of HIV and AIDS and GBV. This transformation will assist men and

women to achieve behaviors such as abstinence, being faithful to one partner, correct and consistent

condom use (CCC), reducing the numbers of sexual partners, treating women as equals, and circumcision.

MAP targets adults, people living with HIV, religious leaders, refugees, teachers, CBOs, FBOs, and NGOs.

BACKGROUND:

Since 1998, EngenderHealth has received USG funding to support CBOs, FBOs and the South African

Government to implement MAP. EngenderHealth's core strategy is conducting skills-building workshops on

gender norm transformation. Through these workshops, (over 100), MAP develops "transformation

agents" (TAs), peer educators who spread MAP messages and skills from the workshops to others in the

communities. MAP encourages men to take action in their communities, challenging other men who are

practicing behaviors that put them and their partners at risk for HIV and AIDS and GBV. MAP sponsors

community education events and the formation of "community action teams" (CATs). MAP produces

behavior change communication (BCC) materials which motivate males to address these harmful gender

norms. EngenderHealth runs the "I am a Partner" campaign, focusing on defining what men can do be more

gender equitable to reduce the spread and impact of HIV and AIDS. Through national campaigns,

EngenderHealth engages national private sector, media and government partners to increase the

effectiveness of MAP. EngenderHealth coordinates provincial MAP networks, creating a space for lessons

among gender activists to be shared, and formulating a platform for national advocacy efforts, such as

participating in the development of the South African National Strategic Plan in HIV/AIDS.

ACTIVITIES AND EXPECTED RESULTS

ACTIVITY 1: Tertiary Institutions

EngenderHealth will continue to build the capacity of tertiary institution peer education programs (with

partners such as JHU/DrameAidE) to integrate gender norm transformation messages into HIV and AIDS

programs of tertiary institutions peer education programs - specially with five institutions in the Western

Cape, as well as at least three additional institutions in Gauteng province. These trainings will be offered on

a quarterly basis, and at least five staff and TAs will be trained. Emphasis will be placed on skills-building of

TAs to reach students on campus, as well as learners in local communities, with messages about CCC, the

reduction of sexual coercion, reducing the number of sexual partners, and the prevention issues related to

male circumcision. Beyond the training, EngenderHealth will assist in providing ongoing capacity-building

assistance on a one-on-one basis, offering on-site and telephonic assistance on a range of management

and content issues linked to gender norm transformation and HIV and AIDS.

ACTIVITY 2: School Community Action for Gender Equality

EngenderHealth will continue to capacitate at least four NGOs working with teachers and learners in school-

based settings, focusing on the integration of gender norm transformation messages into HIV and AIDS

programs. This program will work in priority communities in Gauteng, and KwaZulu-Natal (KZN) Provinces

(in KZN, working with PEPFAR partner Mpilonhle). As well, EngenderHealth will work with school-personnel

and student leaders to develop their capacity to link MAP messaging into the school curriculum. Similar

trainings will be offered on a quarterly basis to staff and volunteers from about 20 selected NGO partners,

tailoring specific knowledge and skills to the community-based partner. Typically, these trainings will have

20-30 participants and be 4-5 days. Similarly, more tailored capacity-building assistance will be offered to all

the partners in person and telephonically. To help sustain this initiative, major support will also come from

other development partners, including private sector entities. Currently, public-private partnerships

opportunities are being investigated with the Ford Foundation (secured for NW province); De Beers Mining

Company (secured for KZN province); Anglo American Mining Company (pending for KZN province),

among others.

ACTIVITY 3: Capacity-building

EngenderHealth will continue building the capacity of at least four NGOs, CBOs, FBOs and private sector

partners to integrate gender norm transformation activities related to HIV and AIDS. EngenderHealth will

partner with groups based in strategic communities within Gauteng, KZN, and Western Cape Provinces. In

addition, private sector partners will be engaged for such educational activities, with cost sharing options

being examined. These organizations will be selected based on needs identified by public health indicators,

capacity to reach community members, linkages to government funding sources, as well as willingness to

integrate gender norm transformative approaches into their current efforts. Specific focus on

EngenderHealth's efforts in Johannesburg will focus on working with refugees. Tailored capacity-building

assistance will be offered to all the partners via one-on-one, on-site, and telephonic sessions.

ACTIVITY 4: Government/ Key Stakeholders

EngenderHealth will continue building sustainable partnerships with government institutions at the national

and local levels to build capacity related to integrating gender norm transformation and HIV and AIDS

activities. In FY 2008, these institutions may include Department of Education, South African Police

Services (SAPS), Department of Correctional Services, Department of Social Development and Department

of Health. In addition, cost sharing options will be ensured to gain financial support from government

institutions. The partnerships will include capacity building of specific units to carry out community

mobilization activities linked to male gender norm transformation and HIV and AIDS. Similar trainings will be

offered on a quarterly basis from all partners NGOs, tailoring specific knowledge and skills to the content of

the community-based partner.

ACTIVITY 5: Clinical/Community Outreach

EngenderHealth will continue to provide direct prevention services on comprehensive HIV messages to

men in various settings, including street outreach and in clinical settings. Typically, this program will reach

over 250 men and their partners per month via formal and informal talks at clinics and on the streets/parks

nearby. EngenderHealth will target specific services in Gauteng. In the Western Cape, EngenderHealth will

work with its partners at the tertiary institutions to conduct such talks in the clinics, as well as community

outreach programming they are doing in surrounding communities, targeting students in higher education

institutions and unemployed men.

ACTIVITY 6: MAP Network

EngenderHealth continues to support the MAP network for information exchange and advocacy efforts. In

both the Gauteng and Western Cape Provinces, EngenderHealth will host monthly meetings of its prime

partners to exchange experiences and enhance programs. On a quarterly basis, additional key stakeholders

representing other NGOs, CBOs, government agencies and general activists will gather to discuss issues,

Activity Narrative: exchange information and develop an advocacy platform on public policies relating to gender-norm

transformation, HIV and AIDS and comprehensive HIV messages, including male circumcision, for

EngenderHealth's advocacy program to take forward at the national and local levels. EngenderHealth will

disseminate male circumcision messaging at the community level and within the MAP network.

ACTIVITY 7: National Campaigns

EngenderHealth will continue to promote comprehensive HIV messages through gender norm

transformation via national campaigns. Priorities will be placed in implementing the annual National MAP

Week, which motivates EngenderHealth partners to take action and host various community events raising

the profile of MAP's messages. Working through national campaigns, EngenderHealth engages national

private sector, media and government partners to increase the effectiveness of MAP. Example activities

during the week may include community marches and rallies, sports days, men's meetings, school debates

and mass media appearances. EngenderHealth MAP staff will collaborate with other NGOs and

government institutions to organize additional campaigns related to MAP messages, including 16 Days of

Activism on Violence against Women; Youth Month, and Men's Health Month. BCC will be developed to

motivate men to transform themselves for gender equality and challenge others men to do so as well.

EngenderHealth will also collaborate with various media partners to spread MAP messages via mass media

channels.

ACTIVITY 8: M&E

EngenderHealth staff will also continue to conduct monitoring and evaluation activities through process and

impact assessments. Each event is documented, as well as knowledge and attitudinal assessments

conducted of participants. In FY 2008, EngenderHealth will also finish an impact evaluation study being

done in collaboration with Mpilonhle, measuring the effectiveness of MAP strategies in a rural KZN

community.

This program contributes to the 2-7-10 goals by increasing the number of men accessing HIV services;

increasing the number of men using condoms and reducing their number of sexual partners; and reducing

women's vulnerability to HIV by preventing GBV.

SUMMARY:

EngenderHealth's Men as Partners (MAP) Program works to reduce the spread and impact of HIV/AIDS

and gender-based violence by challenging unhealthy gender-related beliefs and attitudes, such as equating

masculinity with dominance over women, pursuing multiple sexual partners and participating in other HIV

and AIDS related risk behaviors. The MAP program utilizes a range of strategies, including skills-building

workshops, community mobilization, health service provider training, direct service provision related to living

counseling and testing and palliative care, media advocacy and public policy advocacy efforts to achieve its

major goal of gender norm transformation to reduce the spread and impact of HIV and AIDS and gender-

based violence. MAP recognizes that this transformation will assist men and women in achieving such

behaviors as sexual abstinence, being faithful to one partner, using condoms consistently and correctly,

reducing the numbers of sexual partners, treating women as equals, living positively with HIV and AIDS,

among other behaviors. MAP works with individual men and boys, their romantic partners, as well as

community structures to influence culture and transform lives. Specially, MAP targets men and boys, in and

out-of-school youth, university students, adults, people living with HIV/AIDS (PLHIV), caregivers, community

and religious leaders, program managers, public health care providers, CBOs, FBOs and NGOs.

BACKGROUND:

Since 1998, EngenderHealth has received USG funding to support CBOs, FBOs and the South African

government to implement MAP programming. EngenderHealth's core strategy is conducting skills-building

workshops on gender norm transformation. Through these workshops, MAP develops "transformation

agents" (e.g. peer educators) who then spread MAP messages and skills from the workshops to others in

their communities. These workshops are tailor made for various communities, integrating abstinence/be

faithful messages and/or condoms and other prevention messages, motivating men to know their HIV status

and take action if they test positive for HIV, as well as providing support to those men (and women) living

with HIV. MAP encourages men to take action in their communities, challenging other men who are

practicing behaviors that put them (and their partners) at risk for and living with HIV/AIDS and gender-based

violence. Working through various community-based partners, MAP also mobilizes communities to take

action via community education events and the formation of "community action teams" (CATs). In addition,

MAP works with support groups to make their services for PLHIV to be more "male-friendly", and

encouraging of men to seek such services. EngenderHealth MAP also produces behavior change

communication materials which motivate men and boys to address these harmful gender norms and

transform themselves. Currently, EngenderHealth is running the "I am a Partner" campaign; focusing on

defining what men can do to take action and be more gender equitable to reduce the spread and impact of

HIV/AIDS (see www.iamapartner.org). Working through national campaigns, such as annual Men as

Partners (MAP) Week, EngenderHealth engages national private sector, media and government partners to

increase the effectiveness of MAP. Finally, EngenderHealth staff members coordinate provincial MAP

Networks, creating a space for lessons among gender activists to be shared, and formulating a platform for

national advocacy efforts - such as actively participating in the development and adoption of the South

African National Strategic Plan in HIV/AIDS. Recently, EngenderHealth developed additional programming

linked to voluntary counseling and testing palliative care. Based on direct results of challenging men to

move beyond harmful gender norms, the MAP Palliative care program has become a necessity, as

numerous men are coming forward in need of assistance in living with HIV. They are often accompanied or

encouraged by their partners who are also living with HIV. The MAP Palliative care program works to

ensure that needs specifically associated with men are met, and work to motivate other men to come

forward and seek assistance, at the same time working with their partners for healthy relationships.

EngenderHealth will contribute to the overall PEPFAR goals of 2-7-10 by increasing the number of men

accessing HIV services including treatment; increasing the number of young and adult men choosing to

abstain or be faithful/reduce their number of sexual partners; reducing women's vulnerability to HIV and

AIDS by preventing gender-based violence; and increasing the number of men caring for the ill.

EngenderHealth will contribute substantially towards meeting the vision outlined in the USG Five-Year

Strategy for South Africa by increasing the effectiveness of NGO activities.

ACTIVITY 1: Training/Capacity-building on Male-friendly Palliative Care

EngenderHealth will continue to use its Men's HIV Palliative Care curriculum with various target audiences

in South Africa, including community-based organizations providing home-based care, community centers

offering HIV support services, PLHIV organizations, treatment access sites, university-based PLHIV support

programs, among other EngenderHealth partners. EngenderHealth will offer these 4-5 day trainings six

times a year, reaching 20-25 participants. The trainings will focus building knowledge and skills on male

gender norms and their linkages to unhealthy behavior associated with PLHIV - such as not seeking

treatment early because men are perceived to be strong. These trainings will assist in building knowledge

and skills related to effective palliative care programming specifically for male clients (but not limited to).

Issues such as acceptance and understating of HIV status, nutrition, stigma reduction, adherence issues,

psychosocial support, disclosure issues, among others will be covered. Emphasis will also be placed on

treatment access, ensuring that those in need of treatment receive it. EngenderHealth is also in the process

of gaining SAG-approval for this training.

ACTIVITY 2: Provide support to PLHIV

EngenderHealth will provide direct support for PLHIV, specially catering to the unique needs of men,

however, not limited only to men. Thus, EngenderHealth will continue its counseling programs, providing

both individual and group support, as well as linking PLHIV to existing ARV treatment services. These

support activities via groups and one-on-one counseling will cover such issues such as acceptance of one's

HIV status, nutrition, adherence, psychosocial support, disclosure issues, among others. In addition,

through its MAP methodology, EngenderHealth will motivate male PLHIV to be more active in their

communities, promoting male gender norm transformation to reduce the spread and impact of HIV/AIDS, as

well as reducing gender-based violence. Efforts will be targeted to work within selected communities in

Gauteng, KZN and Western Cape provinces, working via partner NGOs and public sector institutions.

These efforts will also empower PLHIV to assist in reducing HIV-related stigma in these specific

communities. EngenderHealth expertise will assist in creating more access to palliative care programs

specifically targeted the needs of men.

Activity Narrative: ACTIVITY 3: Mobilize Communities to be supportive of PLHIV

Through its existing MAP network, EngenderHealth will continue to engage men to address male gender

norms, with a specific focus on HIV/AIDS stigma reduction. Through bi-monthly workshops (reaching 20-25

individuals per training) and community awareness sessions, EngenderHealth's Palliative Care program will

focus on dispelling myths associated with HIV/AIDS, and work to reduce the fear and stigma associated

with HIV/AIDS - perceived to be a fatal disease that is often spread through sexual activity. When

appropriate, PLHIV who are clients on the MAP Palliative Care program will serve as "transformation

agents" assisting in conducting these trainings.

ACTIVITY 4: Advocating for more male-friendly Palliative Care Programs

Through its MAP Network, EngenderHealth will add "male friendly" palliative care issues to its advocacy

agenda - working with various sectors of government to ensure this issue is address, as stipulated in the

South African National Strategic Plan on HIV/AIDS and STIs. Meeting on a monthly basis for MAP prime

partners (approximately 20 individuals) and on a quarterly basis for the prime MAP partners and other key

stakeholder (approximately 50-75 individuals), EngenderHealth will coordinate such efforts. In addition,

other development partners will cost share on the hosting and benefits of the MAP network

ACTIVITY 5: Monitoring and Evaluation

EngenderHealth staff will also continue to conduct monitoring and evaluation activities of the efforts through

various process and impact assessments. Specific monitoring plans have been developed to assess the

Palliative Care programs. As well each training session and community event is documented, examining

knowledge and attitudinal shifts among participants.

All these activities contribute to the PEPFAR goal of providing care to 10 million HIV-affected individuals

through an increased number of people being tested and knowing their status, resulting in fewer infections;

higher gender equality through counseling (individuals/couples); increased lifespan due to timely treatment

of opportunistic infections, and strengthened linkages between services offered by government and other

organizations.

SUMMARY:

EngenderHealth's Men as Partners (MAP) program works to reduce the spread and impact of HIV and

gender-based violence by challenging unhealthy gender-related beliefs and attitudes, such as equating

masculinity with dominance over women, pursuing multiple sexual partners, and participating in other HIV

risk behaviors. The MAP program utilizes a range of strategies including skills-building workshops,

community mobilization, health service provider training, media advocacy and public policy advocacy efforts

to achieve its major goal of gender norm transformation to reduce the spread and impact of HIV and gender

-based violence. MAP recognizes that this transformation will assist men and women in achieving low-risk

behavior such as sexual abstinence, being faithful to one partner, using condoms consistently and correctly,

reducing the numbers of sexual partners, and treating women as equals. MAP works with individual men

and boys, their romantic partners, as well as community structures to influence culture and transform lives.

In addition, MAP targets in and out-of-school youth, university students, adults, people living with HIV,

caregivers, community and religious leaders, program managers, public healthcare providers, and

community-based, faith-based and non-governmental organizations (CBOs, FBOs, NGOs).

BACKGROUND:

Since 1998, EngenderHealth has received USG funding to support CBOs, FBOs and the South African

government to implement MAP programming. EngenderHealth's core strategy is conducting skills-building

workshops on gender norm transformation. Through these workshops, MAP develops "transformation

agents" (peer educators) who then spread MAP messages and skills from the workshops to others in their

communities. These workshops are tailor-made for various communities, integrating abstinence/be faithful

messages and/or condoms and other prevention messages, as well motivating men to know their HIV

status and to take action if they test positive for HIV. MAP encourages men to take action in their

communities, challenging other men who are practicing high-risk behaviors and gender-based violence.

Working through various community-based partners, MAP also mobilizes communities to take action via

community education events and the formation of "community action teams" (CATs). EngenderHealth/MAP

also produces behavior change communication materials that are used to motivate men and boys to

address these harmful gender norms and transform themselves. Currently, EngenderHealth is running the "I

am a Partner" campaign; focusing on defining what men can do to take action and be more gender

equitable to reduce the spread and impact of HIV. (See www.iamapartner.org). Working through national

campaigns, such as the annual Men as Partners (MAP) Week, EngenderHealth engages national, private

sector, media, and government partners to increase the effectiveness of MAP. Finally, EngenderHealth staff

coordinate provincial MAP Networks, creating a space for gender activists to share lessons learned, and

formulating a platform for national advocacy efforts, such as participating in the development and adoption

of the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011.

Recently, EngenderHealth developed additional programming linked to voluntary counseling and testing

and palliative care. In 2006, EngenderHealth carried out research to investigate why men were not testing

for HIV. In response to the findings of this research, EngenderHealth created a counseling and testing (CT)

program consisting of a mobile vehicle that focuses on getting men to test. In addition, it has become

apparent that more men need palliative care. Thus, EngenderHealth has recently launched a program to

meet the specific needs of men dealing with the stigma and stress of living with HIV, as well as other issues

related to gender norm transformation.

ACTIVITY 1: University Based Counseling and Testing

EngenderHealth will continue to support CT that has been provided on five government-supported

university campuses to increase access to young men and women. Using PEPFAR funds, EngenderHealth

will expand these services to three additional universities outside the Western Cape. Transformation Agents

(peer educators) will be trained, according to South African Government (SAG) guidelines, to promote CT

through workshops and community mobilization on campuses. It is estimated that EngenderHealth will

reach more than 100 students per month per campus with these activities. EngenderHealth will also use a

mobile CT unit, staffed with professional nurses and counselors as per SAG guidelines, to provide CT

services on campuses. Education materials, which will also comply with SAG policies, will be designed,

developed, and tested to spread the message. A monitoring and evaluation system will be developed and

utilized to track the effectiveness of the activities on campuses.

Students will be referred for TB screening and for CD4 count and ARV services when necessary. This

activity consists of three components: (a) provide support to CT sites at eight tertiary institutions through

sub-agreements; (b) develop referral systems to CT sites; and promote CT among students. Activities will

also include training of counselors, with a focus on gender counseling, couple counseling, and stigma

reduction. Additionally, CT outreach days will be organized to introduce CT to the wider campus population,

reaching those who do not use the who do not use the university health clinic. During these outreach days,

testing booths and the mobile CT unit will be will be placed at strategic points throughout the campuses and

CT services offered to all. These booths will be designed to ensure confidentiality. Posters, posters, campus

radio, and other media will be used to attract students. Referral systems for HIV-infected students to

existing support groups and media services will be established, and those students testing negative will

receive reinforced prevention messages. EngenderHealth will collaborate with the universities' health

services to help build sustainable programming.

ACTIVITY 2: Community-Based Counseling and Testing

EngenderHealth will expand their reach of CT services through additional mobile testing drives. Special

community CT drives promote CT services to men in the community. EngenderHealth will team up with its

MAP partners in Gauteng, Limpopo, KwaZulu-Natal, North West, and Western Cape to sponsor community

CT drives. EngenderHealth's mobile clinic is designed to ensure confidentiality. Experience has shown that

mobile testing will attract a large number of people who would not usually visit clinics. This activity will

improve and expand on the work already conducted in the inner-city area of Johannesburg. In addition to

the nurses, male Transformation Agents (peer educators) have been trained on gender-specific counseling,

couple counseling, and stigma reduction. All training has been approved by the South African government.

Referral systems for HIV-infected people to existing support and medical groups will be established, and

those testing negative will receive reinforced prevention messages. A follow up system will be established

Activity Narrative: to ensure that those referred to get the necessary services. EngenderHealth will also sub-contract the

Township AIDS Project to provide additional confidential male-friendly mobile CT testing throughout

Gauteng.

ACTIVITY 3: Health Service Provider Training

EngenderHealth will train public sector healthcare providers in Gauteng and Western Cape. Training will

adhere to South African government policies, and will aim to improve CT services, taking into account male-

specific needs. By linking with the public sector, EngenderHealth intends to build more sustainable

programs. The improvement of services will, in turn, increase men's utilization of HIV services, CT, TB

screening, antiretroviral treatment uptake and adherence, and their support for their partners' participation in

these services, especially prevention of mother-to-child transmission (PMTCT). EngenderHealth's programs

will also improve the quality and availability of male-friendly HIV services. Staff will focus on key target

areas, linking its prevention and palliative care programs to these CT efforts. Staff expect to conduct

quarterly training, reaching at least 30-40 providers per training.

ACTIVITY 4: National and Local Government Key Stakeholder Program

Using the CT mobile unit, EngenderHealth will provide CT services to outlets at public sector institutions,

such as the South African Police Services. Working through these government offices and linkages with

communities, CT services will be provided to encourage more men to know their status. The CT mobile unit

will be available at community events, government workplace HIV and AIDS awareness days, and other

important events. Employees and community members will be encouraged to test. EngenderHealth

recognizes the importance of public sector partnerships on the sustainability of such programming. On a

monthly basis, CT drives will be take place in various parts of Gauteng, Limpopo, Northwest and KZN

provinces.

ACTIVITY 5: Monitoring and Evaluation

EngenderHealth staff will continue to monitor and evaluate the project through various process and impact

assessments. Specific monitoring plans have been developed to assess CT programs. Each training

session and community event is documented, and knowledge and attitudinal shifts among participants is

examined.