PfD’s work in reproductive health, child survival, local health systems strengthening and malaria prevention and control increases health systems efficiency, improves the health and wellbeing of community members, promotes a healthy lifestyle, and increases people’s access health services. Our community-based programming provides individual households with training and support, while our national health initiatives seek to introduce effective policy change and build responsive institutions.
Current programs that support healthy communities include:
Working with the Nigerian Department of Environment and community Water, Sanitation, and Hygiene (WASH) committees, PfD is strengthening the ability of local leaders to identify community WASH needs, plan, and implement projects.
Capacity Building of Local Institutions on WASH: With funding from UNICEF, PfD is currently implementing the Capacity Building of Local Institutions on WASH project in Delta, Edo and Ekiti States in Nigeria. PfD works with the local government Department of Environment (in charge of water and sanitation) and community WASH committees (WASHCOM), focusing on strengthening the ability of communities to identify needs, plan and implement WASH projects. By engaging local leaders who are committed to their own development, PfD ensures the sustainability of the WASH projects.
PfD's Regional Artemisinin Initiative (RAI) is piloting an early warning system in Kratie province to improve tracking the emergency and spread of drug resistant parasites. This project is aligned with Cambodia's National Strategic Plan for Elimination of Malaria to move towards pre-elimination of malaria across Cambodia, with special efforts to contain drug resistant strains.
PfD is piloting an early warning system in Kratie province to improve tracking the emergence and spread of drug resistant parasites. The approach combines the experience of PfD in implementing interventions towards MMP and at community level, the expertise of LSHTM in conducting operational research in Cambodia on MMPs and on drug resistance and the technical skills and expertise of IPC in molecular epidemiology. The project focuses on the Cambodia-Vietnam border where recent research results have documented the emergence of artemisinin resistant strains in Bin Phuoc province in Vietnam and delayed parasite clearance time in Snuol area in Kratie province (with the potential threat to spread to neighboring Kratie province in Cambodia).
PfDs malaria prevention and control program works in partnership with the Ministry of Health's National Center for Malaria and Dengue to prevent and control malaria. PfD works to encourage behavior change focused on prevention and treatment among rural populations. PfDs current focus is on improving access to early malaria diagnosis and treatment services, with an emphasis on detecting all new malaria cases (including among mobile and migrant populations) and ensuring effective treatment. PfD is also working to combat drug-resistant malaria parasites by improving access to appropriate treatment and educating the public against using sub-standard drugs and therapies.
PfD's malaria prevention and control program, funded by The Global Fund to Fight AIDS, Tuberculosis and Malaria, and in partnership with the Ministry of Healths National Center for Malaria and Dengue, works at a community level to prevent and control malaria. Engaging village volunteers, primary school students, teachers, village authorities, commune councils and local elected officials, PfD works to encourage behavior change focused on prevention and treatment among rural populations. PfD has trained 1,345 teachers, benefitting 57,132 primary school students in health education. In 2014 alone, PfD trained 267 primary school teachers, reached over 57,000 individuals through community based malaria health education, and provided training for 500 new and existing Village Health Volunteers. Over the eight years that PfD has partnered with the Global Fund, PfD has provided over 65,000 people with bed nets. PfDs current focus is on improving access to early malaria diagnosis and treatment services, with an emphasis on detecting all new malaria cases (including among mobile/migrant populations) and ensuring effective treatment and P. falciparum gametocyte clearance. PfD is also working to combat drug-resistant malaria parasites by improving access to appropriate treatment and educating the public against using sub-standard drugs and therapies. This is part of a larger strategy to promote awareness of malaria and change community understandings of how best to treat this endemic parasitic disease. PfD works closely with local governments and health facilities to improve local capacity to fight malaria.
Past programs that support healthy communities include:
For this project, PfD focused on addressing malaria in mobile and migrant populations, who are often most at risk for infection. This project worked with a variety of stakeholders to increase prevention, diagnosis, and treatment for these communities.
Round 9 Single Stream Fund SSF Phase I – 07/01/2010 – 03/31/2013
Round Mal SSF Phase II – 04/01/2013 – 06/30/2015
In Phase 1, PfD conducted community-based interventions focusing on geographical and strategic areas where gaps have been identified and where government or other organizations have difficulty reaching. PfD focused on reaching out to mobile and migrant population (MMPs) by developing a strategy to work with MMPs, private companies, land development companies, owners of plantations and relevant local authorities at all levels including communities. PfD piloted the design and development of a forest package containing prevention, diagnosis and treatment products to be distributed through various channels to mobile and migrant population and local forest goers.
In Phase 2 PfD expanded these community-based interventions within Kratie and Koh Kong provinces.
Working in Stung Treng and Kratie provinces, USDA-funded the Agricultural Development Program involved four key components: improving agricultural productivity, enhancing household nutrition, supporting the Provincial Agricultural Extension Service, and improving access to markets.
PfDs work on the Allen Foundation Community Development Program focused on facilitating community development and quality of life in eight communities by working with local Village Development Committees (VDCs) to support community-initiated activities in economic development, public health and sanitation, public education and local capacity building, and community infrastructure and communications. Additionally, this project improved food security by completing rice banks in villages across the provinces, which were stocked with rice by the World Food Programme.
The four focal areas of PfD’s community development work for the Allen Foundation in Stung Treng and subsequently Kratie province were: 1) economic development, particularly supporting rural livelihoods; 2) public health and sanitation; 3) public education and local capacity building, particularly improving community knowledge of health, nutrition, and agricultural practices; and 4) assessing and addressing problems in community infrastructure. A silk weaving training program was added to the project in 2001 with help from Veterans International. The World Food Program contributed rice to rice banks PfD built in Stueng Treng as part of its agricultural development support activities.
The project goal was to facilitate community development and quality of life within the eight communities. More specifically, through working with local structures such as Village Development Committees (VDCs), the project aimed to support community-initiated activities in: (a) economic development; (b) public health and sanitation; (c) public education and local capacity building; and (d) communuity infrastructure and communications.
The project completed “rice banks” in five villages across Stung Treng and Kratie. The banks have improved food security for poor farming households that are at risk of going in to debt or losing their land during periodic food shortages. Working through PfD, World Food Programme provided the rice stock for the banks to these community-constructed facilities. Members of the bank may then borrow from this stock during seasonal shortages; after harvest, borrowers then repay the bank with rice plus an extra 10% “interest” payment in rice. PfD also convinced local banks to provide credit for fertilizer and other key agricultural inputs.
With additional funding from the Allen Foundation, PfD also completed 100 latrines benefitting 567 community members, and provided sanitation education to families throughout the community.
PfD partnered with John Snow International (JS) to implement the Targeted States High Impact Program (TSHIP) to reduce maternal and infant mortality in northern Nigeria by improving community engagement, the quality of local health care services, and health systems effectiveness. To achieve this, PfD works with community leaders to conduct capacity-building activities with health practitioners and community members, increasing knowledge of health services available to families and education about topics including nutrition, family planning, prenatal care, and malaria prevention and treatment.
Since February 2012, PfD has been proud to partner with John Snow Inc. (JSI) to implement the USAID-funded Targeted States High Impact Program (TSHIP) to reduce maternal and infant mortality in northern Nigeria. Together, PfD & JSI achieve this through capacity building exercises designed to:
- Improve community engagement;
- Improve the quality of local health care services; and
- Improve health systems effectiveness.
JSI implements TSHIP in 43 local government areas across Bauchi and Sokoto States. PfD supervises the implementation of TSHIP across three areas in Bauchi State: Bauchi, Toro, and Tafewa Balewa. Nigeria has among the highest rates of maternal and child mortality in the world, and these predominantly rural states in northern Nigeria are among the most severely affected: in Bauchi State, under 5 child mortality remains at 260 deaths per 1,000 children, and the maternal mortality rate remains at a staggering 1,549 deaths per 100,000 births.
Partners for Development has improved community uptake of modern family planning, reproductive health, and MNCH services through a combination of capacity building exercises designed to improve the overall efficacy of local health systems in Bauchi, Toro, and Tafewa Balewa. These interventions, carried out with the consultation and full cooperation of local community leaders, have included training-of-trainers activities; health education activities for health practitioners and community members on diverse topics such as children’s nutrition, family planning, prenatal care, and malaria prevention and treatment; and connecting community members to services through improving community-based health volunteers’ knowledge of the services available to families.
After 27 months of implementation, PfD has surpassed the majority of its targets, achieving many life-of-project targets after only 12 months of implementation. In particular, PfD has reached:
- 51,207 people through family planning counseling;
- 44,763 pregnant women who are receiving/have received IPT for malaria in prenatal care;
- 31,087 mothers & babies, who were assisted by TSHIP-trained skilled birth attendants.
The success stories PfD has collected from the HALE project illustrate the impact TSHIP’s health education programs have had on community health-seeking behaviors throughout conservative Bauchi and Sokoto States, reducing the number of women who give birth without skilled attendants, and dramatically increasing the number of women who access family planning and antenatal care services. Partners for Development is proud to continue its partnership with John Snow Inc. and its other partners to improve these communities’ ability to support the critical health needs of Nigerian mothers and their children in 2015.
In partnership with the University of North Carolina, PfD performed a 27-month pilot study in Bauchi State the Alive & Thrive program -- aimed at integrating microfinance activities with health initiatives by using microfinance meetings as a platform to teach young and expectant mothers the benefits of exclusive breastfeeding which includes greatly increasing an infants chances of survival. The activities included learning sessions, cell phone messages, and songs and dramas about the key messages. The authors of the study concluded that, over time, women who received the microcredit and behavior change messages were likely to continue breastfeeding, while women in the control group were more likely to switch their babies on to water and solid foods.
In partnership with the University of North Carolina, PfD performed a 27-month pilot study in Bauchi State – the Alive & Thriveprogram -- aimed at integrating microfinance activities with health initiatives. In Nigeria, fewer than 15% of infants under six months old are exclusively breastfed. By using microfinance meetings as a platform to teach young and expectant mothers the benefits of exclusive breastfeeding – whose benefits greatly increase an infant’s chances of survival – these vital lessons began to catch on. Findings from this study were published in the Journal of Nutrition, describing the benefits of pairing communal programming with educational messaging to produce positive results in new and lactating mothers opting to exclusively breastfeed newborns in their first 6 months of life.
PfD has carried out a microcredit and reproductive health program in four states in Nigeria for the last decade. Building on this experience, from May 2011 through August 2013, PfD and UNC conducted a cluster-randomized controlled trial in Bauchi State to test the effectiveness of a multi-component behavior change strategy to improve breastfeeding practices among microcredit borrowers. The intervention consisted of seven breastfeeding learning sessions held during monthly microcredit meetings, 11 cell phone breastfeeding messages (sent weekly as both text and voice), and songs and dramas about the key messages created by the participants themselves and presented at monthly meetings. The leader of the group was asked to share the weekly behavior change messages with group members, and the group had to create one song or drama per month.
The authors of the study concluded that, over time, the gap between the number of women in the experimental group and the number of women in the control group who were exclusively breastfeeding their babies only widened: as the babies got older, more and more women in the control group switched them on to water and solid foods, while women receiving microcredit and behavior change messages were likely to continue breastfeeding. The researchers concluded that “there were significant differences in exclusive breastfeeding to 3 and 6 months by study arm, and that the difference between the arms widened during this period shows that the intervention was successful at keeping more women in the intervention arm on track when Nigerian women typically introduce other fluids and complementary food to their infants (Flax et al 2014).”
Through the Saving Lives at Birth program, PfD provided access to maternal, newborn and child health services to hard-to-reach populations through a community transport system. PfD also started a community revolving loan fund which created access to finance for expecting and new mothers.
In 2011, with a $250,000, 2-year seed grant from USAID, Partners for Development (PfD) worked in implemented its “Providing Rural Communities Equal Care through Commercial Transport” (PROTECT) initiative in Kratie province. PROTECT was funded and implemented as part of USAID’s Saving Lives at Birth partnership to test an innovative approach to overcoming transportation barriers to maternal and newborn services in rural Cambodia.
The PROTECT project aimed to develop a replicable and financially sustainable model to ensure access to ante/postnatal care, and delivery and emergency obstetric care in remote, rural villages of Kratie province, in northeastern Cambodia. With local government guidance and management, PfD tested a model designed to leverage the strong local demand for reliable motor transportation to benefit the area’s pregnant women and new mothers. In addition to ensuring low trip costs, PfD negotiated 24-hour emergency transport service for these women by establishing fixed rates for emergency transport, guaranteeing the availability of transport providers, and creating a revolving village loan fund to provide immediate micro-credit to pay for the emergency travel.
In the 13 month period August 2012 – August 2013, a total of 584 emergency loans were made out of the VLF in the 25 villages. 248 of these (42.5%) were for maternal/newborn care.The remaining 336 loans (57.5%) were for other illnesses or accidents, particularly malaria or diarrheal diseases.
Between September 2011 and September 2013, PfD implemented PROTECT in all villages within two Health Center catchment areas, Prek Prasob and Kanchor, with an estimated combined population of 33,115. The members of each area’s villages are subject to the annual floods that make travel by road arduous and hazardous during monsoon season every year. PfD purchased seven remorque motorbike taxis and two stronger koyun tractor-esque taxis to navigate the steep and muddy hills surrounding Prek Prasob and Kanchor’s villages, and established contracts with the local Commune Councils to ensure their continued functioning in each community.
With a focus on combating multi-drug resistant malaria, PfD has worked to target the most vulnerable and underserved populations. PfD designed a curriculum for educating children on malaria transmission and prevention, training school children to become peer educators to educate their classmates, families, and the wider community. PfDs efforts have also focused on migrant workers, who have particularly high levels of malaria and low levels of treatment. Since this population often travels by taxi, PfD educated and trained local taxi drivers on malaria prevention and treatment; due to its success, this intervention has been adopted by Battambang provincial health department.
From 2007 to 2011, in collaboration with the University Research Corporation and the National Malaria Center, PfD managed the USAID-funded “Malaria Prevention and Control in Cambodia Project” in the northwest provinces of Battambang, Pailin, Banteay Meanchey and Oddar Meanchey, with a focus on combating multi-drug resistant malaria. Program activities included capacity building, information sharing, education and communication, with emphasis on improving access to healthcare to vulnerable and underserved populations.
Working in collaboration with the Provincial Education Offices in Kratie and Koh Kong, PfD designed a curriculum for educating children on malaria transmission and prevention for its School Health Education programs. Based on the Child-to-Child Methodology, this program enables school children to become peer educators and disseminate key messages to siblings, parents and the community through games, songs, activities and community theater productions. To date, 55,702 children have been trained as peer educators in Malaria Health Education.
Migrant workers were another special focus group for the MCC project: when PfD began work in Kratie and Koh Kong, our initial research revealed that mobile and migrant populations had high levels of malaria and particularly low levels of treatment due to the nature of their work. Our research also found that these workers travel primarily by taxi. With this in mind, PfD recruited and trained local taxi drivers on malaria prevention and treatment. Over 20,000 migrant workers received health education and IEC materials. Due to the success of the pilot, the Battambang provincial health department has adopted it as one of its community-based malaria interventions. This activity also led to a joint research study with the Pasteur Institute of Cambodia investigating the prevalence of drug-resistant malaria in mobile and migrant populations. As a result of the study’s findings, PfD has developed a conceptual and operational framework to identify areas at risk of experiencing drug-resistant malaria outbreaks. PfD continues to refine this framework and develop it as an operational tool.
Working with government offices and local health clinics, PfD organized a variety of engaging and interactive community activities to educate young people and their communities on safe sex practices and to promote healthy behavior change. PfD also hosted a youth forum on sexual and reproductive health, which empowered young leaders to educate their peers and to create community education dramas.
In 2007-2008, with support from the UN Family Planning Agency, PfD adapted its youth-focused behavior change curriculum to address issues of sexual and reproductive health in Cambodia. As in the United States, youth sex education is a difficult topic in Cambodia, and many teenagers are unaware of safe sex practices and HIV/AIDS prevention.
Working together with the Provincial AIDS Office, the Department of Women’s Afairs, and local health clinics, PfD organized a variety of community activities to educate young people in Kratie on safe sex practices. Activities included a sports tournament, community theater, parent education sessions, and teacher training workshops, and were designed to reach members of the community at all stages of life to promote a culture of responsible and healthy sexual behavior. PfD also hosted a youth forum on sexual and reproductive health, allowing young leaders the opportunity to educate their peers on safe behaviors and HIV/AIDS prevention. These young leaders were also invited to create community education dramas themselves. At the end of the project, the majority of youths surveyed expressed feeling confident in their awareness of safe sex practices and how to prevent HIV/AIDS, thanks in large part to PfD’s peer education initiatives.
As part of the USAID-funded Northeast Cambodia Community Development Program, PfD took an integrated approach to community health and well-being by implementing initiatives which restored rural water supplies, increased environmental sanitation (particularly human waste management), provided HIV/AIDS education, and worked to improve linkages between community structures and the health system.
As a part of the USAID-funded Northeast Cambodia Community Development Program, PfD took an integrated approach to community health and well-being to improve the quality of life throughout Stung Treng. Specific initiatives targeted local water supplies, community environmental sanitation (particularly human waste management), HIV/AIDS education (particularly for members of the military and sex workers), and improving local government structures.
PfDs Child Survival Program worked to improve the health of children under five by providing immunizations, treating and preventing diarrheal diseases, and improving families knowledge of the basics of good child nutrition. PfD achieved this by working with local health centers (in this capacity PfD also worked to improve the quality of local health systems), by providing educational materials to village health volunteers, and by combining these efforts with the Village Model Gardens program, where local volunteers could demonstrate how to grow highly nutritional fruits and vegetables.
PfD’s USAID-funded Child Survival Program in Cambodia improved the health of children in Chhlong through immunizations, treating and preventing diarrheal diseases, and improving families’ knowledge of the basics of good child nutrition. The overall goal of the Child Survival Program was to improve the health of children less than five years old in Chhlong OD through control of diarrheal disease, immunization, nutrition and micronutrients, and promotion of breastfeeding.
PfD cooperated with local health centers to promote child vaccination throughout Chhlong, focusing primarily on common childhood illnesses that may be fatal without treatment, but which are easily prevented through vaccination. PfD also sought to reduce child mortality by working with individual families in Chhlong to prevent and treat childhood diarrhea, providing them with education and flipchart reference guides on how and when to use oral rehydration salts, and when to seek professional medical help.
As part of PfD’s “Minimum Package for Nutrition” initiative, PfD Cambodia provided informational materials on child nutrition and breastfeeding for training purposes to village health volunteers to help them communicate about these issues to local families. Training materials focused on Vitamin A deficiency and the importance of exclusive breastfeeding from birth until 6 months, as well as on general nutrition and health. This was combined with a Village Model Gardens program, where local volunteers created model gardens to demonstrate the cultivation and intercropping of highly nutritious fruits and vegetables.
In addition to these community-oriented activities, PfD worked closely with local health centers to improve the quality of local health systems. In particular, PfD helped hospital staff review oversight and vaccine management practices, ensuring sufficient stocks of sensitive vaccines be properly refrigerated.
With the Packard Foundation Program-Related Investment, PfD has improved access to and uptake of reproductive health commodities by integrating reproductive health messaging for female borrowers in microfinance networks. With the PRI capital, PfD oversaw the issue of over 77,000 small loans of about $300 average size to mainly women (93%), while using these networks to provide education on critical issues such as family planning, birth spacing, maternity care, newborn care and feeding, and post-partum care. Further, PfD engaged with community leaders and key influential groups on reproductive health and practices, creating a sense of reproductive health as the responsibility of the entire community, not just the women within these communities.
Beginning in 2001, with support from the USDA and the David and Lucile Packard Foundation, PfD leveraged microfinance to deliver a targeted behavior change campaign. This program provided microloans to over 90,000 women, addressing critical issues such as family planning, birth spacing, mater¬nity care, newborn care & feeding, and post-partum care. PfD engages with com¬munity leaders and key influential groups to help perpetuate the program’s core messages on reproductive health and practices, shifting the responsibility to the entire community rather than allowing the responsibility to continue to rest solely on the women residing within these communities.
In April 2009, The David & Lucile Packard Foundation and Partners for Development (PfD) granted PfD a $1.5 million Program-Related Investment. PfD used this loan capital to implement microfinance activities in several Nigerian states through nine Nigerian microfinance institutions (MFI); they, in turn, distributed small loans to local individuals and groups to support agricultural and petty trading initiatives. This approach allowed PfD to remain lean while engaging qualified Nigerian organizations, utilizing their local knowledge and networks and enhancing their skills in loan and organizational management.
Separately in Nigeria and from 2001-2011, PfD had secured from the Foundation five different reproductive health grants. Thus, from the PRI’s inception in 2009 PfD integrated the two programs: it disseminated RH and family planning information to women of reproductive age through borrower groups. With the PRI capital, PfD:
- Oversaw the issue of over 77,000 small loans of about $300 average size, mainly to women (93%).
- Multiplied overall lending to end-borrowers by more than 15 times: total loan volume in the five year period was $23,409,123.
- Integrate microfinance and reproductive health and family planning programming into its other programs, such as Alive & Thrive, TSHIP, and EASE, reaching over 42,000 microloan beneficiaries with important health information.
The Packard Foundation’s support was integral in PfD’s ability to participate in research on breastfeeding promotion with UNC-Chapel Hill. A study completed in 2014 by UNC researchers in partnership with PfD concluded in The Journal of Nutrition that women receiving training in microfinance are nearly 50% more likely to exclusively breast feed at six months (64% of respondents) versus those mothers not involved in microfinance (43% of respondents).
With funding from The Global Fund to Fight AIDS, Tuberculosis, and Malaria, PfD has been working in Cambodia to strengthen and scale up the most successful malaria control and prevention activities, with emphasis on building the capacity of community partners. This work has included education and training of students, health care providers, and community members, and the distribution of educational materials.
The Global Fund to Fight Aids, Tuberculosis, and Malaria (GFATM) began its work in 2002, with funding made competitively available through “rounds” of multiple years. Over the course of these funding rounds, Partners for Development (PFD) has aimed to strengthen and scale up the most successful malaria control and prevention activities throughout five provinces of Cambodia: Kratie, Stung Treng, Koh Kong, Kampot and Mondulkiri.
Over the course of GFATM funding, PFD’s approach has been a community-based one: seeking to build the capacity of community level partners so that those partners can themselves sustainably undertake malaria prevention programs. Over the years, PFD program beneficiaries have included students and teachers receiving School Health Education and villagers and other community members receiving training through Information, Education and Communication (IEC) / Behavior Change Communication (BCC) programs.
The PfD strategy focused on decentralized, community-based, and health system strengthening approaches. The overall approach used is based on partnership and collaboration with the main stakeholders; institutional support for program management and disease surveillance at the provincial and operational district level; and the combination of implementation of proven interventions, pilot of new interventions, and survey/research at community level.
For the Strategic Alliance Project, PfD acted as the World Bank Water and Sanitation Programmes Cambodia liaison, assisting Cambodian communities to gain sustained access to safe water and sanitation services through rural water and sanitation sector reforms.
The three-party agreement known as the “Strategic Alliance” between the Cambodian Ministry of Rural Development, the World Bank Water and Sanitation Programme, and Partners for Development was signed on 13 September, 2001. The purpose of the Strategic Alliance was to assist Cambodian communities to gain sustained access to safe water and sanitation services through reform efforts within the rural water and sanitation sector. Partners for Development acted as the World Bank’s Water and Sanitation Programme’s Cambodia liaison and program manager under the terms of the Strategic Alliance.
The Alliance project, as originally conceived, was intended to be a 14-month project designed to meet the following four specific objectives in Stung Treng and Kampong Cham:
- PDRD and selected rural communities develop the capacity to assess the effectiveness, equity of service, and sustainability of community RWSS services using the MPA tool;
- Selected rural communities become skilled in the selection, financing, implementation, and maintenance of community RWSS services;
- MRD develops the capacity and identifies the resources needed to scale up implementation of the RWSS sector strategy; and
- The Alliance Project is effectively and efficiently managed within agreed budgets and schedules, and liaison between WSP-EAP, MRD, and PfD is maintained.
With support from the United Nationals Childrens Fund (UNICEF), PfD implemented a program to increase access to HIV/AIDS prevention services for pregnant women, to prevent them from passing the virus on to their child in the womb. This project helped reduce mother-to-child transmission of HIV in the Ughelli North area of Nigeria by improving the availability of, access to, and use of quality HIV testing and counseling services, the provision of antiretroviral drugs, and strengthening the states health system response to HIV by building the capacity of health facilities, as well as renovating and upgrading the laboratory of the central hospital.
With support from United Nations Children’s Fund (UNICEF), Partners for Development (PfD) implemented a 13-month program to increase the prevalence of HIV/AIDS prevention services for pregnant women, to prevent them to passing the virus on to their children in the womb. The project helped reduce mother-to-child transmission of HIV in the Ughelli North area of Nigeria by improving the availability of, access to and use of quality of HIV testing and counseling services, the provision of antiretroviral drugs, and strengthening the state’s health system response to HIV by building the capacity of 26 health facilities in area.
Through this support and with leveraged funds from Centers for Disease Control and Prevention (CDC), PfD renovated, upgraded and equipped (with modern automated equipment), the laboratory of Central Hospital Ughelli to be able to perform HIV diagnostic services; trained over 150 health care workers (doctors and nurses) to provide HIV/AIDS management services in these facilities; and worked with its partners to identify key weaknesses, and subsequently improve the way the hospitals acquired and handled sensitive testing equipment and life-saving medications. PfD also established referral linkages between the primary health facilities and the secondary facilities, as well as between skilled/traditional birth attendants and health facilities.
As a result of PfD’s UNICEF-funded interventions:
- 8,475 women received counseling and testing for HIV/AIDS
- 168 HIV+ pregnant women receiving complete course of ARV prophylaxis
- 168 women/HIV+ women received counseling and support to help them feed their infants and retain HIV- status in their children
- 157 children received ARV prophylaxis
PfDs Counseling, Care and Antiretroviral Mentoring Project (CAMP) provided a comprehensive package of care and treatment to people living with HIV/AIDS, including assistance for orphans and vulnerable children, prevention of mother-to-child transmission, sexual prevention, and care and treatment services. CAMP worked with local health centers, laboratories, and community-based organizations in order to improve the quality and accessibility of treatment and information.
With a population of approximately 174.5 million people, Nigeria’s HIV prevalence rate is only 3.7%. Nevertheless, this percentage still yields the world’s sec¬ond highest number of HIV positive adults and children. Due to a lack of education on disease prevention, HIV continues to spread in Nigeria. In 2008, PfD won an award from the United States President’s Emergency Plan for AIDS Relief (PEPFAR) to implement a 5-year project entitled “Counseling, Care and Antiretroviral Mentoring Project” (CAMP) initially in two states – Akwa Ibom and Delta – in Nigeria. This award, a Cooperative Agreement, was administered through the Centers for Disease Control and Prevention (CDC) that provided technical and administrative oversight. The primary goal of CAMP was to provide a comprehensive package of care for People Living with HIV/AIDS (PLWHA), including adult and pediatric care and treatment, antiretroviral treatment (ART), care for Orphans and Vulnerable Children (OVC), Prevention of Mother-to-Child Transmission (PMTCT), and HIV Counseling and Testing (HCT) in Akwa Ibom and Delta states. In 2009, CDC approved the expansion of some components of CAMP--Prevention, PMTCT, HTC and OVC--to Benue and Bauchi states to meet pressing need in those areas. Also following the program’s initial success, a 2012 grant from UNICEF allowed PfD to further expand CAMP into Ughelli state.
CAMP provided a compre¬hensive package of care and treatment to people living with HIV/AIDS, including assis¬tance for orphans and vulnerable children, prevention of mother-to-child transmission, sexual prevention, and adult and pediatric care and treatment services. CAMP com¬bined facility- and community-based sup¬port for HIV-infected people to support their ability to access quality treatment. CAMP also supported the improvement of laboratory testing centers to help meet the demand for quick, accurate test results.
During the five years of implementation, PfD/CAMP worked with 7 local community-based organizations, 40 secondary health facilities and 67 primary health centers (public and private) to deliver services to people in need. PfD worked closely with staff and volunteers at local community based-organizations to build their capacity to deliver important information on HIV/AIDS. With this training, community-based organizations have been able to conduct numerous sensitization campaigns, prevention messaging, testing and counseling, home‐based care and facilitated activities for OVC within target populations. Ultimately, CAMP reached over 105,000 members of its key target groups with important information about preventing and treating HIV/AIDS, and helped 51,000 pregnant women learn their HIV status for the first time.
As part of its work with the Family Health Care Initiative (FAHCI) in Nasarawa State, Nigeria, PfD worked to offer livelihoods opportunities for people living with HIV/AIDS (PLWHA). Many of these people are stigmatized due to their HIV/AIDS positive status and cannot gain employment as manual labor may jeopardize their health and they may not have skills to seek other forms of employment. For this project, PfD launched a vocational skills training center for PLWHA with trainings on fashion design and interior decorating, and the creation of microfinance opportunities to support PLWHA in their business endeavors.
As a part of PfD’s work with the Family Health Care Initiative (FAHCI) in Nasarawa State, Nigeria in 2004-2005, it became evident that almost 100 individuals supported by FAHCI were struggling with the social impacts of their HIV/AIDS-positive status: manual labor could severely jeopardize their health, but they lacked the skills to support themselves in jobs that didn’t require it. In 2006, with support from the Embassy of the Netherlands, PfD launched a vocational skills training program for people living with HIV/AIDS (PLWHA).
The goal of the project was to empower PLWHA with income generating skills to make them economically self-reliant, as well as to increase their self-esteem. The main mechanisms for creating this change were:
- the establishment of a vocational skills training center for PLWHA;
- training PLWHA on fashion design and interior decorating (the skills most requested in consultation);
- the creation of a sustainable source of credit to support PLWHA in their business endeavors.
The project was an overwhelming success, creating the following outcomes:
- Local expertise in design: Two PLWHA were sent for training of trainers’ course on fashion designing/interior decorations at Mashiah Foundation in Jos. They have been employed to manage the skills acquisition center and have provided same training to 46 PLWHA (far more than the 15 that were proposed).
- Stronger local microfinance institutions: PfD helped FAHCI learn to manage a revolving loan fund to provide credit to 15 PLWHA targeted in the project proposal. Technical assistance was provided in the areas of pre-loan training to intended loan beneficiaries and management of the micro credit program (including loan recovery; supervision of loan officers; credit program reporting; delinquency; and default management).
- Sustainable micro-credit: FAHCI conducted pre-loan training to 46 PLWHA during the project period and provided loans to establish various business ventures in their communities. This component of program has a loan portfolio of 150,000 Niara provided loans to 46 PLWHA, each receiving an average of 5,000 Naira.
- Sustainable skills training opportunities: The established skills acquisition training center now provides skills training not only to PLWHA, but also to other vulnerable community members. Beyond fashion designing and interior decorations, trainings are also provided in other vocations like making of handicrafts (beads, mats, etc.); dying of local fabrics; etc. This has not only helped sustain the skills acquisition center, but also increased income generating skills for community members especially women and youth. FAHCI has also used the opportunity of these trainings to deliver health messages particularly those related to HIV/AIDS to trainees.
This project was funded by the DFID Ministry of Education, Youth and Sport and FHI 360 to be implemented between 8/05 6/07.
The projects target beneficiaries included Sex Workers - infected with HIV/AIDS, as well as focusing on Awareness and Counseling.
PfDs Jatropha Agriculture and Nutrition Initiative (JANI) provided a wide range of agricultural skills trainings and opportunities for rural communities, expanding the cultivation and processing of Jatropha (a plant the seeds of which can be used for bio-diesel, soap making, cooking oil and pellet fuel for cookstoves) in 18 districts across Tanzania. Through collaboration with local partners, JANI improved vulnerable agricultural communities food security by diversifying and increasing household income, strengthening local capacity, and improving food security.
PfD’s USDA-funded JANI (Jatropha Agriculture and Nutrition Initiative) provided a wide range of agricultural skills trainings and opportunities for rural communities during its five-year run, which ended in 2013. Through this $7 million Food For Progress initiative, PfD expanded the cultivation and processing of Jatropha curcus in 18 districts of eight regions in the North, Central and Lake Zones of Tanzania. Jatropha is a renewable energy source that can be processed into cooking oil and into pellet fuel for new, locally manufactured, clean-burning cookstoves, known as Jiko Bomba stoves, which PfD developed and marketed in cooperation with local manufacturers. Improving the availability of clean-burning fuel and stoves not only reduces the need for families to cut wood from Tanzania’s depleted forests: cleaner burning fuels also improve indoor air quality, the leading cause of respiratory illness in women and children in sub-Saharan Africa. Jatropha also serves as a valuable hedgerow for family enclosures, and jatropha-oil can be made into soap.
Through PfD’s signature integrated programming approach—involving agricultural extension, nutrition education, livestock vaccinations, enterprise development, and creating market linkages—JANI improved vulnerable agricultural communities’ food security by achieving the following core objectives in Tanzania:
- Diversifying and increasing household income with jatropha cultivation through training in the cultivation and processing of jatropha and by creating market linkages between farmers and buyers of jatropha seed and oil.
- Strengthening local capacity to promote jatropha by strengthening capacities of local extension agents, implementing entities and local outreach organisations working with PfD to promote cultivation, processing and sale of jatropha oil with smallholder farmers.
- Improving food security and nutrition for jatropha farming households through community nutrition education campaigns and technical assistance in household food production.
Through collaboration with 13 local partners, PfD trained over 42,000 farmers in Jatropha cultivation and processing, distributed over 1 million jatropha seedlings, and sold no less than 59 tons of jatropha seed. Demand for jatropha pellets for improved cookstoves now exceeds supply.
In partnership with the Cambodian Rural Development Team (CDRT), PfD implemented a range of community development activities aimed at improving food security and overall health of four communities within Damrei Phong. Highlights of these activities included installation of a cement biodigester, which captures methane gas from waste and can be used as a household cooking fuel, the creation and rehabilitation of fish-farming ponds, and constructing rain water collectors and household latrines.
With support from the McKnight Foundation, PfD partnered with the Kratie-based Cambodian Rural Development Team (CDRT) to implement a wide range of community development activities to improve food security and the overall health of four communities within Damrei Phong. Highlights from the program include:
- The installation of a cement biodigester, used to capture methane gas from decaying waste for use as a household cooking fuel. This simple, sustainable technology can reduce deforestation, reduce women’s time spent gathering fuel, and substantially reduce the rate of respiratory illnesses in women and children.
- The creation of four new fish aquaculture ponds and the rehabilitation of three existing ponds, enhancing the livelihoods of fish-farming families and improving the availability of affordable sources of protein within Damrei Phong;
- The construction of 42 household rain water collectors and three pagoda rain water collectors. Damrei Phong experiences serious water security issues, and the construction of rainwater collectors allows villagers to easily store water at their homes for household consumption and facilitates agricultural production. The project also distributed 376 water filters to families in the four target communities.
- The Project Team assisted 74 families with the construction of household latrines, effectively increasing latrine access from one in 100 families to approximately one in eight families over the course of a year.