1. HIV/AIDS Comprehensive Model CORE Group Fall Meeting 2011

2. HIV/AIDS Comprehensive Model Contents: History HARP strategy HIV Treatment Centers Other HARP Applications Possible HARP Applications Future Plans

3. Food for The Hungry Christian relief and development organization founded in 1971 Present in 26 countries with a focus on health and nutrition, child education, livelihoods and disaster risk reduction In FY09 funding was approximately $204m, half was USG funds (In FY10 received 2 NEFAPS totaling $185m including food- huge increase!) Focus on developing programs concentrating on quality improvement and behavior change. Known for developing/using: care groups, barrier analysis, etc.-

5. FH HIV Strategy and Policy HARP Strategy Highly Active Retrovirus Prevention: A synergistic approach to HIV. A combination between Behavioral approaches, Biomedical approaches and Social, Justice and Human Rights approaches Strategy: Prevent HIV and AIDS using a combination of biomedical, behavioral, structural, and care approaches. Objective: to provide quality, family-oriented support to people infected and affected by HIV and AIDS.

7. FH HIV Strategy and Policy HARP Strategy For HARP to occur and be scaled-up the community and the support of strong leaders is essential. It requires access, linkages, or information to be provided so that clients receive a complete mix of biomedical, behavioral, structure and care approaches.

8. FH HIV Strategy and Policy Strategic Approaches to HARP Comprehensive Approach: Provide a full package for each HIV intervention. Integrated Approach: Ensures every HIV intervention clientreceives services from various HIV interventions.

9. FH HIV Strategy and Policy Strategic Approaches to HARP Tailor projects and messages to the local context Each country and regions within countries will adapt their projects according to the latest scientific information, best and promising practices, local conditions Building the Capacity of Others Such as governmental facilities, churches, CBOs, FBOs, NGOs and others to help them to provide high quality HIV services.

10. FH HIV Strategy and Policy Strategic Approaches to HARP Emphasizing sustainable approaches and handover to local entities Sustainable approaches involve local and national stakeholders at every level of program design, implementation and management Integrating HIV with other health programs and services Which ensure that participants in FH’s programs will have access to a full range of services.

11. FH HIV Strategy and Policy Strategic Approaches to HARP Partnering with a variety of organizations Like public, private, government, donor, research, community and local organizations Experiential learning for FH’s staff FH encourages and arranges visits between fields, participation in conferences, workshops and other learning opportunities.

12. FH HIV Strategy and Policy Strategic Approaches to HARP Working through both health facilities and communities Combine the efforts between the health facility and community to ensure quality services can reach all targeted communities. High Quality Monitoring and Evaluation FH has a vast array of monitoring and evaluation tools that can be used to increase the measurability of results.

13. FH HIV Strategy and Policy Strategic Approaches to HARP Evidenced-based, innovative and research focused programming Aspect of programming that enables FH to contribute to the body of knowledge, as well as to partner with research facilities such as universities. Gender issues are considered in the design, implementation and measurement Ensuring that the differing impacts on men and women, boys and girls are considered.

14. FH HIV Strategy and Policy Strategic Outcomes to HARP Impact: Physical, mental, spiritual and social health will improve, meeting 70% of their indicator targets. Scale: 70% of FH fields use the HARP approach. Influence: On the cross-cutting issues like poverty, stigma and gender-based violence.

15. FH HIV Strategy and Policy HARP Application HIV Treatment Center Tumaini in Marsabit, Kenya and New Life Medical Center in Kitgum, Uganda Providing a comprehensive treatment package Partnership between many organizations Integrating HIV services with other medical services such as MCH, FP and TB

16. FH HIV Strategy and Policy HARP Application HIV Treatment Center Integrating community and facility Will be handed over to FBO after building their capacity Exchange field visits between the two clinics Research is approved to be done in the Tumaini

17. FH HIV Strategy and Policy HARP Application TB Integration in FH treatment centers Identified by symptoms Tested for TB Chest X-ray could also be requested Treat TB and test for HIV in case status is unknown Treat TB and consider HAART if positive

18. Kenya

19. Uganda

20. FH HIV Strategy and Policy HARP Application- Global Fund, Kenya GF R7 PR: Care Kenya Activities: youth outreach, testing and counseling, ARV’s meetings and youth teams GF R10 PR: Red Cross Activities: support ARV’s, Increase coverage of PMTCT, HTC, PEP, reach MARPS with services and build the capacity of other CBO’s

21. FH HIV Strategy and Policy HARP Application- AphiaPlus, Kenya Led by Pathfinder, include FH, MSH, IRC, and Intra-health Covering Zone 5 Provide expanded HIV/AIDS services, Maternal/Child health, Population services Provide linkages to other USAID projects Provide services through health facility and community

22. FH HIV Strategy and Policy HARP Application- PrevSida, Haiti USAID’s national general population HIV prevention program (led by WV) IGA, SRH, educational support, legal support, etc.- through a variety of partners Training FBO partners Local CBOs, FBOs, MOE, MOH Building in discussions on gender roles, violence, substance abuse in order to reduce vulnerabilities for girls

23. FH HIV Strategy and Policy Possible HARP Applications PMTCT projects that include prenatal and postnatal follow up, community mobilization and providing needed ARV’s Testing and counseling services connected to referral centers and community groups using mobile, moonlight and stand alone services Linkages to wrap-around services such as nutrition programs, food security, income-generation and education services.

24. FH HIV Strategy and Policy Possible HARP Application Home based care projects connected to health facilities, T&C and prevention messages OVC projects connected to different service providers in order for a more holistic service to the OVC and their household Behavior Change projects that include elimination and minimization of risk

25. FuturePlanModelReplication Sudan Burundi Rwanda DRC Tumaini Kenya NLC Uganda Ethiopia MOZ. Center 3 Kenya Center 2 Uganda Center 2 Kenya

26. Comprehensive Treatment ApproachFuturePlan Treatment Prevention IGA OVC/HBC Capacity building CDP WASH Health

27. HIV/AIDS Comprehensive Model