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Greater Mekong Delta Region HIV/AIDS Program
Name: Community REACH Greater Mekong Region Program
Duration: 2007-2012
Donor: United States Agency for International Development
Pact partners in Thailand for men who have sex with men (MSM) include the following:
HIV Prevention, Care & Support Services for MSM in Thailand
- Mplus (Chiang Mai)
- PSI/Sisters (Pattaya)
- TUC Partners (Phuket, Udon Thani, Khon Kaen)
- Rainbow Sky Association of Thailand
- Service Workers in Group (SWING) (Bangkok, Pattaya)
- Violet Home (Chiang Mai)
- The Poz Home Center (Bangkok)Health and Opportunity Network (HON) (Bangkok)
Initiated in October 2007, USAID/RDM/A's cooperative agreement with Pact for "Rapid and Effective Action Combating HIV/AIDS (REACH) Greater Mekong Regional Program" is a five-year associate award for work in Burma, China, Laos, Thailand, and regionally.
Pact's Community REACH program funds HIV prevention, care and support by facilitating efficient flow of grant funds and providing capacity development assistance to organizations playing a valuable role in the fight against HIV/AIDS.
The program combines grants management, capacity development and livelihoods initiatives in support of a coordinated and effective US Government response to HIV/AIDS in the region. A priority for the GMR program is the documentation and scale up of effective and replicable models and methodologies with additional resources such as Global Fund programs. Through direct work and strategic partnerships the GMR Community REACH program supports HIV prevention for MARPs and various PLHIV livelihoods initiatives. Through the programs implemented in FY10, Pact and its partners reached 14,361 MSM/MSW/TG with HIV prevention activities, 531 MSM/MSW/TG with positive health care & support and 4,788 PLHIV and family members with livelihoods activities.
Pact works with partners in three key areas to strengthen program implementation.
- Grants management. Pact provides a grants management mechanism that allows USAID to channel funding to organizations working on HIV/AIDS.
- Capacity development. Pact builds the organizational and management capacity of its partners, focusing on interventions that improve program quality, coverage, access, and sustainability.
- Monitoring and evaluation. Pact conducts systematic monitoring and evaluation of program activities, and helps its partners to do the same, to ensure high-quality data on program results as well as continuous learning and improvement.
Mplus
As Pact’s partner based in Chiang Mai, Mplus advances HIV/AIDS prevention tailored to the needs and lifestyles of sexually diverse populations, consistent with national and regional developments. This approach facilitates work with MSM for multiple community actors, and helps increase coverage of the intended beneficiaries. Mplus promotes HIV prevention among MSM in Chiang Mai through condom and lubricant distribution and HIV prevention education in bars, beer bars, massage parlors, parks, saunas, colleges and universities, and at its own drop-in centers, as well as through the telephone hotline, public awareness campaigns, special public events, street-based outreach, and the Mplus website.
Mplus maintains and regularly updates its website. Given the critical need of the MSM community to access information and the increased information regarding the use of web resources, Mplus includes project description, activities, tips of being healthy, relevant news, academic resources on its website along with a web-board. This is in addition to the various animations that it houses in the website specific to MSM, transgender and migrant male sex workers (MSW). In addition to benefitting their peer education programs, the animations are central resources that provide MSM and MSW with scenarios, context specific to their location in Chiang Mai, help answer questions about condoms, help learn tips on negotiating condom use, and provide access to information and services for managing STIs.
The website address is http://www.mplusthailand.com/
PSI/Sisters
In Pattaya, Pact partners with The Sisters project managed by PSI Thailand, in promoting HIV prevention and overall sexual health for transgendered people. The project uses a behavior change communication strategy to build knowledge on HIV prevention through hot zone outreach, home outreach, events such as World AIDS Day and Valentine’s Day; promotion of condom and lubricant, and a drop-in center that provides individual counseling, HIV and STI prevention information, VCT, skills building, and referrals to sexual health services. In addition, the drop-in center acts as a safe social and recreational space for transgenders. PSI/Sisters also collaborates with the government and other stakeholders to prevent HIV and promote positive images of transgenders in order to reduce stigma and discrimination.
TUC Partners
Pact works with the Thailand - U.S. Government Collaboration (TUC) and covers three provinces. So far, capacity development assessment has been carried out with respective MSM community groups in Khon Kaen, Udon Thani, and Phuket. Following the results of the assessment, Pact has begun conducting interventions that aim to strengthen group cohesion as well as basic project management systems, skills and knowledge such as grant compliance and financial management, so that the groups can ultimately work towards forming their own organizations. In the meantime, Pact interventions are aiding their implementation of the round 8 of the Global Fund project.
Rainbow Sky Association of Thailand (RSAT)
Pact partners with RSAT to help promote HIV prevention and overall health and wellbeing among MSM through behavior change communication, counseling services, public awareness raising campaigns and condom/information distribution in Thailand. RSAT’s intervention locations include public parks, saunas and entertainment venues. It also maintains a learning center, a telephone hotline, a bimonthly magazine, and a website, all of which provide information on preventing HIV/AIDS and other STIs, as well as a wide variety of other topics of interest to the MSM community. RSAT is the GFATM Round 8 Sub-Recipient (SR) in Thailand for the MSM community, and Pact has continued to support its role through technical assistance, specifically in strengthening its coordination and project management role for Global Fund for MSM. A key planned intervention is to place an on-site mentor and coach who will work towards addressing some of the project implementation bottlenecks in the short term, thereby addressing the strategic objective of helping RSAT in its role as a GFATM Sub-recipient.
RSAT maintains its website which includes program information along with a discussion board. The address is: http://www.rsat.info/home.html
Service Workers in Group (SWING)
SWING operates drop-in centers which provide HIV and STI prevention information, counseling and referrals for STI and VCT services, English and Japanese language classes, computer classes, and other non-formal education. The drop-in centers also serve as a safe space for sex workers to gather and discuss issues that affect them. The organization collaborates closely with public and private STI and VCT clinics, local NGOs, and government authorities, in an effort to ensure that its clients have access to comprehensive support.
In the partnership period, SWING has started working as a Sub-sub Recipient (SSR) for the GFATM project. SWING is also one of the Thailand-based partners to take part in Pact’s Global Capacity Building Summit, held in Washington, DC in November 2009. Pact has been providing support to SWING in strategic planning, updating its action plans linked to the strategic plan, and coaching staff in the strategic thinking and implementation skills needed to better integrate SWING strategic initiatives with routine operations. Pact also works with SWING closely in monitoring and evaluation, including the development of SWING’s program logic model and data use for program improvement.
Watch a video about SWING's outreach work with at-risk populations here: www.youtube.com/watch
SWING Care and Support
Recently, Pact also worked with SWING in establishing and strengthening its care and support programs for MSW in Bangkok and Pattaya. SWING received TA from Pact on developing the care and support logic model and assessing the needs of MSW living with HIV. This TA was geared to help the process of establishing SWING’s care and support program on a stronger technical foundation.
SWING has its own website (www.swingthailand.org). The website has a chat interface and is being regularly updated with information and education data.
Violet Home
Violet Home is based in Chiang Mai and carried out activities in Chiang Mai as well as the nearby provinces of Lamphun, Lampang, Payao and Chiang Rai. They aim to improve the quality of life of MSM and transgenders living with HIV by helping them take better take care of themselves, prevent further spread and/or getting re-infected, and by providing counseling and psychological support. The staff delivers support to positive MSM and TG through home visits, group activities, counseling, and training in the adaptation of the Real Life curriculum.
Violet Home collaborates with health care providers to provide referrals, care and support for positive MSM and TG in ten districts of Chiang Mai including Doi Saket, Hang Dong, Mae Rim, Mae Wang, Muang, Prao, San Kampaeng, Sanpatong, San Sai, and Sarapee. Violet Home is also expanding its links with the Office of National Health Security Office through the MSM network.
Violet Home has a website which includes a section on questions and answers related to health care and maintenance. http://www.violethome.org/
The Poz Home Center
One of Pact Thailand’s newest partners, the Poz Home Center is a care and support community-based organization which provides care and support services for MSM, transgender individuals and MSM and TG sex workers who are living with HIV in Bangkok. The organization has been established since 2005. Its care and support grant funded by USAID/Pact Thailand, started in 2010 following the Poz Home’s previous experience, as well as a care and support needs assessment of the targeted populations and key stakeholders in February 2010. The organization has demonstrated its capacity to implement programs with funding from previous institutional donors such as the Ministry of Public Health, APN+ and TUC and demonstrated an ability to provide required financial and narrative reports to the institutional donors.
The Poz Home has received extensive TA and support from Pact in grant compliance, financial reporting and monitoring, evaluation, reporting and learning (MERL). The MERL participation resulted in the development of a project logic model and stakeholder analysis. Staff and management of the Poz also better understand their project data flow diagram and ensure quality data. An orientation was organized to facilitate the development of staff roles and responsibilities, in accordance to the program’s work plan.
The Poz Home Center maintains its own website. http://www.thepoz.org/
Health and Opportunity Network (HON)
Health and Opportunity Network (HON) is a community-based organization that provides holistic health and well-being care and support services for transgender individuals living with HIVin Pattaya, Thailand. The organization has been working since 2008 on HIV treatment and care literacy and HIV prevention among male-to-female transgender individuals. Its care and support program, supported by Pact Thailand, started in 2010 following the February, 2010 needs assessment of the target populations and key stakeholders.
HON’s programs have resulted in increased numbers of HIV-positive TGs who are accessing ART, increased numbers getting screened for opportunistic infections (OIs) as well as receiving peer and professional counseling on self-care and acceptance of HIV status. Pact continues to support HON management and staff through the various training, TA, and on-site support services. For example, HON received training from Pact in grant compliance, financial and program reporting. A series of MERL workshops and follow up site visits were conducted to support the design and implementation of participatory MERL.
HON was able to convene an important meeting to develop a provincial referral system for HIV positive TG in Pattaya with participation by 12 Government agencies (including the Provincial Office of the Ministry of Public Health) and governmental hospitals and 15 NGOs.
SWING promotes HIV and STI prevention and overall health and well-being among male and female sex workers in ten hotspot areas of Bangkok and Pattaya. During FY10, the SWING team reached a total of 5,693 MSWs with HIV/STI prevention intervention activities and HIV/STI prevention education sessions. The SWING team distributed 312,863 free male condoms, 82,240 lubricant sachets and 1,368 free female condoms to MSW in its catchment areas. SWING continues to refine and bring newer approaches to make HIV prevention, care and support more effective. For example they have begun using the “health passport,” a new tool for MSWs to self-monitor their risks of HIV and STI infections and diagnose their sexual health with the objective to motivate MSWs to regularly record their personal information e.g. sex partners, condom use, unsafe sexual practice, etc. and to motivate MSWs to frequently attend HIV/STI prevention education activities.
Service Workers in Group (SWING)
Pact partners in the program in Thailand for men who have sex with men (MSM) include Mplus (Chiang Mai), Sisters/PSI (Pattaya), TUC Partners (Andaman Power in Phuket, M-Friends in Udon Thani and M-Reach in Khon Kaen), Health Opportunities Network (HON) (Pattaya), Rainbow Sky Association of Thailand (RSAT), Service Workers in Group (SWING), The Poz Home (Bangkok), and Violet Home (Chiang Mai).
For further information please contact:
David Dobrowolski
Country Director, Pact Thailand and Coordinator for the GMR Program (Bangkok)
ddobrowolski@pactworld.org
Siddhi Aryal
Deputy Chief of Party, Pact GMR/Thailand (Bangkok)
saryal@pactworld.org
Kipp Efinger
Program Officer, (Washington, D.C.)
kefinger@pactworld.org
Pact Thailand
Silom Complex, 21st Floor, Room A2 191
Silom Road, Silom, Bangrak
Bangkok 10500
Thailand
Tel: (66-2) 231 3402
Fax: (66-2) 231 3406
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