Transcript New OVC Programming Guidance Overview Dr. Nicole Behnam PEPFAR/ OGAC AIDS 2012 - Turning the Tide Together.

New OVC Programming
Guidance Overview
Dr. Nicole Behnam
PEPFAR/ OGAC
AIDS 2012 - Turning the Tide Together
Purpose
• Assists PEPFAR country teams and implementing
partners in
– developing country operational plans
– designing programs that incorporate, context, known best
practice and innovation.
– Implementing evidence-based, and cost-effective activities.
• Closes gaps in past programming efforts.
• Places the OVC programming within the HIV/AIDS
continuum of response at the country level.
NOT “how-to” manual for implementation
Key points from Guidance
• There is no “minimum package of services.”
• Primary strategy for child well-being is strengthening parents and
caregivers.
• Country ownership promotion is imperative and must be balanced
with meeting children’s immediate needs.
•
A young person who turns 18 while receiving OVC services should
not automatically be terminated from receiving assistance.
• Programs should build interventions on evidence-based practice.
Guidance includes summaries of evidence for interventions.
• Programs encouraged to allocate 10% of project funding to M&E.
• Experienced and specialized technical expertise is required for
interventions.
Guiding Principles
• Strengthening families as primary caregivers of
children.
• Strengthening systems to support country
ownership, including community ownership.
• Ensuring prioritized, focused interventions that
address children’s most critical care needs.
• Working within the continuum of response to
achieve an AIDS-free generation.
Approach
Governments
have skills & staff
to ensure strong
child welfare &
social protection
services
Civil Society, including
NGOs & communities,
are organized &
resourced to identify
children &families at
risk & to provide
safety nets
Families are empowered
through access to health
care, parenting skills &
economic strengthening to
fulfill role as primary carers
of children
Children are protected
from and resilient to
HIV/AIDS and other risks
to their development and
well-being
How HIV Affects Children
HIV infection of Parents
Possible distancing by parent, disclosure issues
Children may become caregivers
Increasingly serious illness
Psychosocial distress
Economic problems
Deaths of parents
Problems with
inheritance
Children withdraw from
school
Children without adequate adult care
Inadequate food
Discrimination
Problems with shelter &
material needs
Exploitative child labor
Sexual exploitation
Reduced access to health
services
Institutionalization
Increased vulnerability
to HIV infection
Life on the street
Technical Sectors
Addressing issues entails multi-sectoral approach that
assesses complexities of vulnerability
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Education
Psychosocial Care and Support
Household Economic Strengthening
Social Protection
Child Protection
Legal Protection
Health and Nutrition
Capacity-building
Sectors and Approach
Programming for Ages & Stages
Ages
Stages
OVC Programs
Across the Age
Span
Collaboration
Home visitors encourage adherence to PMTCT and
reduce loss to follow-up
Prenatal to three
Safety and
security
PMTCT, MCH
(vaccinations, etc.),
Food and Nutrition
Birth registration
Nutrition and ECD programs boost holistic
development
Preschool
Curiosity
Middle years
Learning
Creation of child friendly, gender sensitive
classrooms
Ensure completion of primary school, esp. for girls
Kids clubs develop social skills
Peer support groups
Early Adolescence
Peer Acceptance
Protection from harmful labor/ trafficking
Referrals to adolescent reproductive and family
health services
Late adolescence to adulthood
Decision-making
If out of school, access to vocational education or
other training opportunities that result in
sustainable livelihoods
Mentorship programs
Money Management
Disclosure and Bereavement Support
Access to education, enrollment into school and
facilitation for retention
Referral for HIV testing and adherence support
Age appropriate entry into a safe, nondiscriminatory early learning program, esp. for girls
Referrals for prevention, diagnosis and management of TB and opportunistic Infections
Training in Parental Skills reduces toxic stress effects
MCH, WASH, Food
and Nutrition
GBV, HIV
prevention,
Education
GBV, HIV
prevention,
Education
GBV, Prevention,
Family Planning,
Reproductive
Health
Priority Interventions
Thank you!
Guidance Discussion and Q&A
Shriver Hall, Peace Corps
th
1111 20 Street, NW
Friday , July 27th, 9:00 – 10:30 am
No need to be registered for conference
Please be aware of security checks at door