Ready, Resourceful, Risk Aware (Insika Ya Kusasa)
Pact, in partnership with the Elizabeth Glaser Pediatric AIDS Foundation and Johns Hopkins Center for Communication Programs, is supporting the government in accelerating Swaziland’s progress toward the 95-95-95 targets and sustainable HIV epidemic control by preventing new infections and reducing the vulnerability of two key groups, orphans and vulnerable children and adolescent girls and young women. During the five-year project, the Pact consortium, which includes civil society organizations in Swaziland, is building socio-economic resilience to the impact of HIV among key groups and increasing uptake of high-impact services for HIV, sexual and reproductive health, family planning and gender-based violence.
Coordinating Comprehensive Care for Children (4Children)
This global project is improving health and wellbeing outcomes of orphans and vulnerable children affected by HIV and AIDS and other adversities. 4Children draws on evidence that these children do best when their families have access to high quality health and social welfare services. 4Children is strengthening Malawian health systems and uses a comprehensive community OVC platform to deliver targeted and integrated HIV care and support. The project is being implemented by a consortium led by Catholic Relief Services in partnership with Pact, Plan International and Catholic Health Commission.
FISH PEPFAR and DREAMS
In Malawi, The United States President’s Emergency Plan for AIDS Relief and USAID’s DREAMS project (Determine Resilient Empowered AIDS-free Mentored Safe) is integrated into our FISH project. PEPFRAR and DREAMS activities are a targeted response in Mangochi, Machinga, and Zomba among the high-risk fishermen population. In areas where the fisheries sector is a primary source of livelihoods, adolescent girls and young women (AGYW) are at high risk for HIV infection, and our activities target their male sexual partners. Additionally, men and mobile populations, like fishermen, continue to be the populations that don’t know their status and are not on treatment if they are HIV positive. We are working to increase understanding of barriers to uptake of and adherence to ART among high risk men in fishing communities, to introduce HIV Test and Start service delivery in fishing communities, and to enhance HIV service platforms for reaching high-risk men in fishing communities.
Kizazi Kipya: New Generation
The Kizazi Kipya project, or New Generation, is working to transform the lives of vulnerable Tanzanian children and young people, particularly those affected by HIV. This five-year project builds on years of collaboration between Pact and USAID in Tanzania that already has made a significant, measurable difference for the country’s youth. Kizazi Kipya's planned outcomes include better financial resources for parents and caregivers of orphans and vulnerable children (OVC), as well as improved access to health and HIV services for children and adolescents, including those who are hard to reach. The project is working across all regions of Tanzania. Partners include the Elizabeth Glaser Pediatric AIDS Foundation, the Aga Khan Foundation, Restless Development, Railway Children Africa and the Ifakara Health Institute.
This project is helping to build a sustained reduction in HIV infections in Tanzania. It is launching new services as well as strengthening existing programs for HIV testing, counseling and prevention and family planning. With partners including Jhpiego, EngenderHealth and the National Institute for Medical Research Mwanza, Pact is focusing on key and vulnerable populations, aiming to engage them in a core package of high-quality, client- and community-centered combination (biomedical, behavioral and structural) services. Sauti has launched nine community-based HIV testing and counseling teams in Dar Es Salaam, Iringa, Mbeya, Shinyanga and Njombe that have reached more than 10,000 people. The project is expanding to six additional regions this year.
Community HIV Prevention Program
This project is working to reduce new HIV infections in Zambia. Focusing on high-risk groups, Pact is using radio, television and other kinds of outreach and education to boost HIV awareness, change risky behavior and increase the use of HIV services. The project works closely with local Zambian organizations and institutions, building their capacity to plan, implement and monitor their own quality programs to stop the spread of HIV.
Government Capacity Development Support
Pact is helping to build the capacity of South Africa's Department of Social Development to better support orphans and vulnerable children, including those affected by abuse, neglect or exploitation. Specifically, the project is strengthening the department's response to tuberculosis, HIV and other diseases among vulnerable children.
Voluntary Medical Male Circumcision
The project is increasing circumcision rates among men and boys in Swaziland. Male circumcision is currently uncommon in the country and reduces the risk of HIV infection and certain reproductive cancers in both sexes. The program educates communities about the advantages of circumcision, allaying fears that are based on misconceptions. In schools, Pact educates teachers, boys and parents and refers those who are interested to a clinical partner that performs the procedure. Pact also hosts educational public events with games and entertainment to spread the word about circumcision’s benefits, and it trains volunteer community recruiters who go door to door to follow up with consent forms for families who’ve attended information sessions.
Reach III continues Pact's HIV prevention and response efforts in Swaziland. Besides providing capacity building services, technical support and funding to local organizations to improve their anti-HIV efforts, the project is strengthening HIV prevention and services for vulnerable adolescents, targeting three main groups: adolescent girls between 10 and 19, orphaned and vulnerable girls and boys between 10 and 17, and adolescent girls and boys with HIV. HIV/AIDS has had an especially devastating impact on Swaziland’s young people, nearly half of whom are orphans or considered vulnerable.