A YPLUS FRAMEWORK OF IMPLEMENTATION · Web viewEven just before 2011, anti-retroviral drugs (ARVs),...

COMMUNITies IN DEVELOPMENT ACTIVITIES

A YPLUS FRAMEWORK OF IMPLEMENTATION

Oct 2017-Sept 2018 (1) Year

COIDA

7/25/2017

Organisational Contacts: Patrick Jonathan Mwale

Communities in Development ActivitiesP.O Box 58LuwereziMzimba

01 342 219/[email protected]

“Tiwale Project”

mailto:[email protected]

Project Name: Tiwale (lets shine): “youths born and Living with HIV in Mzimba”

Name of implementer: Communities in Development Activities (COIDA)

Project: “Tiwale: youths born and Living with HIV in Mzimba”

Contact person: Patrick Jonathan Mwale, Executive DirectorP.O Box 58, Luwerezi, Mzimba,01 342 219/341, 0999 583 265, 0888 583 [email protected], [email protected]

Total Budget requested: USD22,379.26 MK 16,560,650.00

EXECUTIVE SUMMARY

As the number of young people living with HIV increases internationally, new and innovative ways to talk about sex, disclosure, and health need to be developed for HIV-positive adolescents.

“Young people born and living with HIV, face a lot of challenges such as stigma and discrimination, lack of early disclosure by parents and also lack of meaningful involvement in decision making and development.

According to a panel presenting at the Eighteenth International AIDS Conference in Vienna, the needs of adolescents living with HIV are much more sensitive and varied than those of adults, as they must simultaneously deal with 'adult' issues like disclosure, practicing safe sex, and adhering to treatment, while also addressing issues traditionally associated with adolescence, such as body image, first sexual experience, peer pressure and forming personal identity

Although there are organizations working with young people living with HIV, there is no mechanism in place to take care of the challenges that young people living with the virus face in Mzimba.

“Some of the young people born and living with HIV are in the sexually reproductive age group and others are of marriage age so there is need to come up with mechanisms on how to differently and respectively respond to youth needs on testing, treatment care and support”. It has also been noted that some young people are either shy or are not accepted in support groups of people living with HIV and some health facilities were not friendly to the needs of young people.

Since most affected and infected youths have been left unattended to, most youths do not see the importance of going for HIV testing and counselling. This has led to high figures of youth who do not adhere to treatment care and support. The stituation is greatly derailing efforts in achieving the 90-90-90 goal of the WHO and consequently affecting the same for the national responce.

The project will spearhead the test and treat policy among the youths in three TAs of Mzimba. The project will conduct mass awareness campaigns on messages regarding the test and treat and on sport treatment care and support activities in schools, community markets and churches.

It is anticipated that the project will reach out directly to 7,200 with testing and treatment interventions. The target groups are youths between 15 to 35 years in 22 trading areas and

COIDA (Email: [email protected]) - The Ambassador’s PEPFAR Small Grants Program Application of 9





secondary schools in Mzimba, TA Mzikubola, Mzukuzuku and Mabilabo. The project will be implemented in 12 Months (October 2017 to September 2018.

PROBLEM STATEMENT:

According to UNICEF, the leading cause of death in Africa of people aged 15-19 is AIDS. Despite a decline in HIV in the general Malawian population from nearly 12% in 2004 to just over 10.5% in 2010, the prevalence rate among adolescents has actually increased in 15-19-year olds. In 2013, the Malawian Ministry of Health estimated that 4.2% of girls and 1.3% of boys were living with HIV—which translates to approximately 93,000 adolescents living with the disease and nearly 7,000 HIV-related teen deaths that year.

Among this group is the cohort of children who simply missed out on today’s successful and widely promoted “prevention of mother to child transmission” (PMTCT) programs. These programs stop HIV-positive mothers from passing the virus to their babies either in utero, during birth, or while breastfeeding.

However, in the late 1990s and early 2000s, these programs didn’t exist. Even just before 2011, anti-retroviral drugs (ARVs), or anti-HIV medicines, were only given to pregnant women with a low number of CD4 cells—helper cells that fight infection. In 2011, Malawi pioneered Option B+, offering lifelong ARVs to all HIV-positive pregnant women regardless of CD4 count. By 2013, nearly 80% of HIV-positive mothers in Malawi were receiving ARVs—a stark contrast to 2009 when less than 20% received the drugs. Consequently, mother-to-child HIV transmission rates have fallen dramatically.

Option B+ is a huge success that has now been adopted by most countries in sub-Saharan Africa. In the shadows, however, are the children who were born to HIV-positive mothers before services were available. These children are now coming of age, learning not only that they are HIV-positive for the first time, but that they have been deceived by the adults they trusted.

Recently, a new National HIV and AIDS strategic plan 2015-2020 was released which has the ambitious goal of 90-90-90. One of the key strategies in the strategic plan is improved targeting of critical interventions to key and vulnerable populations. COIDA realizes that youths living or affected by HIV and AIDS between 15 to 35 years are one of the key groups that needs interventions the most and where high yield can be obtained. According to MACRO more testing data, HIV positive is yielded above average between the age group 15 to 24 years. COIDA therefore envisages that targeting such age group will maximize the benefits of interventions and lead to efficiency in HIV interventions.

PROPOSED SOLUTION:

The goal/key objective of the project is “to increase uptake of HIV testing and strengthening linkages for treatment services amongst youth born and living positively of 15 to 35 years in Mzimba district, Traditional Authorities Mabilabo, Mzikubola and Mzukuzuku by August 2017”.

STRATEGY ONE: Innovation: The project will employ social media such as Facebook and various applications like WhatsApp where adolescents will learn more about benefits of HIV testing and early Anti-Retroviral treatment to enable them make informed choices. This is in realisation that most youths are tech savvy and tend to learn and share information through entertainment, various social platforms and applications.




Additionally, open days and social weekends will be organized with the aim of attracting adolescents to get tested and enrol on treatment if found positive.

STRATEGY TWO: Behavior change and Communication: Youths tend to learn a lot from their peers. As such they will be involved in disseminating behavior change and communication messages to their fellow youth. HIV testing clubs will be established in schools and existing ones will be strengthened where adolescents will be encouraged to discuss issues of HIV testing and treatment. Behavior change and communication ambassadors will be identified from HIV testing and treatment clubs that will be established.

STRATEGY THREE: Use of Role Models and HIV positive youths: Role models such as celebrities and youths living positively will be used to encourage youth and adolescents go for HIV testing and disseminate positive living messages and link them for treatment care and support.

STRATEGY FOUR: Gender: As already alluded to, statistics show that youths, particularly girls, are more vulnerable than their male counterparts. A gender approach will be used where more adolescent girls will be encouraged to take lead in implementing the activities of the project.

PARTNERS:

COIDA believes that in networking and collaboration. It is paramount to project sustainability and ownership. Additionally, it assists in maximization of resources by avoiding duplication of efforts thereby, ultimately preventing unnecessary expenditures. COIDA will work to ensure success of this project by working with the following partners:

Mzimba South District health office-Youth Department, HIV and AIDS Office, HTS Department and Communications Department.

Mzimba District Council-District Youth office, District AIDS Coordinating Office, District Education Management Office

Embangweni Mission Hospital Katete Mission Hospital Nkhamenya Mission Hospital Tovwirane HIV and AIDs Organisation MACRO BLM Zodiak TV and Radio Mzimba Community Radio Radio Tigabane

PROJECT FINANCING:

COIDA will contribute human resource, vehicles, office space and technical expertise towards the success of the project.




PROJECT GOALS AND OBJECTIVES

Key/Main objective: “to increase uptake of HIV testing and strengthening linkages for treatment services amongst youth born and living positively of 15 to 35 years in Mzimba district, Traditional Authorities Mabilabo, Mzikubola and Mzukuzuku by August 2017”.

Specific objectives;

1. To provide HIV testing to 15,000 youths aged 15 to 35 years at selected trading areas and secondary schools in Mzimba District

2. To link and treat 90% of adolescents found HIV positive at selected trading areas and secondary schools in Mzimba District

Key activities

Objective 1: To provide HIV testing to 15,000 youths aged 15 to 35 years at selected trading areas and secondary schools in Mzimba District

Activities;

1 day provision of HIV testing services by HTS counselors at the selected secondary and tertiary schools

Conduct demand creation activities such as open days, Cinema on treatment care and support (Postive living), reproduction of HIV IEC materials, printing of HIV testing clubs T-shirts, show casing of HIV testing movies

Establish/Revamp HIV and AIDS clubs

Objective 2: To link and treat 90% of adolescents found HIV positive at selected trading areas and secondary schools in Mzimba District

Activities: The project team will visit ART registers in respective health facilities to establish

defaulters. A project based register will then be developed. Link and treat adolescents found HIV positive through BLM, Tovwirane Organisation

and nearby health centres and clinics Engage HIV positive youths and celebrities living positively to provide positive living

messages Establish social platforms (i.e Tiwale Club) for sharing information and one on one

consultations for adolescents aged 15 to 24 years. The clubs will also be doing VSLs.

Linking, learning and lobbying activities:

Monthly data collection HIV testing registers and ART registers using predsigned forms

Project review meetings to assess progress of project Orientation meetings to brief stakeholders about the project. Procure and distribute 15 cellphones to project team members and lead peers in 6 target

trading areas.

Impact area/target group: the project is targeting youths between 15 to 35 years in 22 trading areas and secondary schools in Mzimba district, Traditional Authorities Mabilabo, Mzikubola and Mzukuzuku by August 2017 as follows;




1. Mzukuzuku (6 sites): Embangweni Trading area, Embangweni CDSS, Robbert Laws Secondary, Mbawa CDSS, Mabiri CDSS and Vibangalala trading area.

2. Mzikubola (6 sites): Kazomba CDSS, Ehehleni CDSS, Luviri CDSS, Luviri Trading area, Hoho CDSS, Emchakachakeni CDSS.

3. Mabilabo (10 sites): Champhira CDSS, Jenda trading area, Jenda CDSS, Phazi CDSS, Luwerezi Trading area, Luwerezi CDSS, Njewe CDSS, Enfeni Trading area, Enfeni CDSS, Chibandawuka CDSS

Targeting/Outcomes indicators

ATTACHED AS AN ANNEX

Project Monitoring and Evaluation:

Monitoring and evaluation helps to ensure that project activities are being implemented within expected timelines and as per project design. COIDA has a project Assistant on health who will be responsible for monitoring and evaluation. Predesigned data collection forms will be used to collect data every month from HIV testing registers and ART registers. In addition activity reports will also be used to collect data, project review meetings to assess progress of project and orientation meeting to brief stakeholders about the project. Furthermore, project beneficiary interviews and success stories will also be the source of data. An excel/access database will be used for inputting and analysis of the data.

PROJECT KEY PAYING STAFF

The project will require the services of both employed (full-time) and voluntary persons. The organ-gram below indicates the staff reporting channel.

Executive Director (ED): Patrick Jonathan Mwale holds a postgraduate certificate in Sustainable Development from StaffordShire University, UK. He was with COIDA since inception in 2001. Left for private businesses in 2014 and back to COIDA in January 2017. The overall responsibility of the Executive Director will be to ensure adherence to contractual agreement and program direction.

Accountant: Gerlard Nthakomwa has a Diploma in Financial Accounting. He worked for Foundation for Children’s Rights for 2 years, FMB Bank for 5 years and joined COIDA in May 2017. Projects Assistant (Health): Thoko Luhanga has a BSc in food sciences from Chancellor College of the University of Malawi. Thoko has worked for 2 years as an intern with ACTIONAID Mzimba Office.

Project Assistant (Monitoring and Evaluation and Local Governance): Albert Chidembo Moyo has over 17 years’ experience working in CSOs. He holds a Diploma in Education from Domasi College of Education. Taught at Montfort TTC, worked for AfriCare Malawi, National Road Safety Council of Malawi, and Tovwirane HIV and AIDs Organisation as Programme Manager for a total of 13 years. Albert Moyo joined COIDA from Catholic Commission for Justice and Piece of Mzuzu Diocese where he worked for 2 years.




The project will further be supported by 22 Community Volunteers working as “Tiwale clubs” coordinators and peer educators.

Project budget

Attached

Introduction to the Organization applying

Communities in Development Activities (COIDA) is a registered non-profit making organization established in 2002 in the northern region of Malawi. The organization was registered under the Trustees Incorporation Act of Malawi and Council for Non-Governmental Organizations in Malawi in 2004. Currently the organization works in Mzimba, parts of Kasungu, and Nkhatabay districts. COIDA’s vision for change is to see a self-reliant community with improved livelihoods; while our mission statement is to facilitate empowerment of local communities in realization of improved living standards and achievement of socio-economic development in Malawi.

COIDA is governed by Board members who set policy, exercise oversight, and strategically guide the organization. On the other hand, day to day management of the organization is done by senior management team led by an Executive Director. Below are 2 tables showing members of the board and senior management team and their qualifications:

Table 1: Board Members and their QualificationsName of person Gender Qualification Their role in

COIDAFrancina Nyirenda Female EMBA Chairperson of the

BoardBob Frank Nhlema Male Diploma in Education Deputy Chairperson

of the BoardPeter Chisi Male PHD, MA. Political Science Board member

responsible for legal issues

Qabaniso Banda Male F.C.C.A, C.P.A (MW) Board member responsible for financial management

Mathews Kumwenda Male B.Soc.Science Board member

Table 2: Key Members of Project Management team and their qualificationsName of Person Gender Qualification Their role in

COIDAPatrick Jonathan Mwale

Male PgC in Sustainable Development

Executive Director

Gerald Nthakomwa Male Diploma in Accounting Technician (PAEC)

Accountant

Salome Kunene Female Certificate in Teaching (PT4)

Adminstration Assistant

Loveness Chiliko Phiri

Female Student-BA. Educ Humanities

Project Assistant




Thokozani Luhanga Male BSc Food and Nutritional Science

Project Assistant: Health and SRHR

Albert Chidembo Moyo.

Male Has over 17 years’ experience working in CSOs. He holds a Diploma in Education from Domasi College of Education.

Project Assistant: M&E and Local Governance

Alfred Bonongwe Male HTC Counselling Certificate HTS Councellor Evelyn Mwenebanda Female Diploma in Comm. Dev. Comm. Coord.

Luwerezi/Jenda

Since its inception in 2002, COIDA has implemented many projects targeting youths, people with disabilities and HIV. With grants from partners such as National Aids Commission (NAC), Methodist Relief Development Fund (MRDF) and Plan International Malawi; COIDA has managed to support establishment of 45 Youth Clubs in Mzimba for information sharing in HIV and AIDS. We have also built the capacity of the said groups as change agents in demanding for quality health services, and the fight against stigma, discrimination and negative cultural beliefs that fuel spread of HIV and AIDS. Most importantly, we have supported Luwerezi Health Centre to provide youth friendly health services, and to provide outreach HIV counselling and testing.

Under PEPFAR Small grants program, COIDA has since December 2015 been implementing an Economic empowerment of people with disabilities project that seeks to improve HIV and AIDS knowledge on prevention and care of infected people with disabilities in the TA Mabilabo. This is being done through supporting establishment and empowerment of 5 groups of PWDs with Village savings and Loans and technical vocational skills that will transform their lives to be independent economically. Through this project, 40 Rehabilitation Volunteers, 20 Health Workers, 20 PWDS living with HIV and AIDS and HTC Counselors are being used as trainers at community level. The project is also conducting outreach health services that include HIV voluntary counseling and testing as a way of easing people’s transportation problems while offering opportunity to community and PWDs to be tested and know their status within reach. We expect that by the end of the project, at least 800 PWDs and people living with HIV and AIDS will have had improved access to health services. COIDA has been on the forefront advocating for the abolition of death penalty and LGBTI rights in Mzimba. In all our programming, the organization promotes messages of unity and love for LGBTI and suspected criminals.

Table 3: Summary of Projects that are being implemented by COIDA

Project Name and Donor Impact Area Total Amount for project

Economic empowerment of people with disabilities project (PEPFAR)

TA Mabilabo US$10,000.00

Tikoleraneko (Tilitonse Fund) TAs: M’mbelwa, Mzukuzuku, Mzikubola, Mtwalo, Chindi, Kampingo Sibande, Khosolo and Mabilabo

US$68,056.00

Promoting Access to SRH Information among the Youth and People Living with Disability (Progressio)

TAs: M’mbelwa and Mzikubola

US$ 6,945.00



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