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Saath-Saath Project Saath-Saath Project Saath-Saath Project THIRD ANNUAL REPORT August 2013 – July 2014 September 2014 0 Submitted by Saath-Saath Project Gopal Bhawan, Anamika Galli Baluwatar – 4, Kathmandu Nepal T: +977-1-4437173 F: +977-1-4417475 E: [email protected] FHI 360 Nepal USAID Cooperative Agreement # AID-367-A-11-00005 USAID/Nepal Country Assistance Objective Intermediate Result 1 & 4 1 Table of Contents List of Acronyms .................................................................................................................................................i Executive Summary ............................................................................................................................................ 1 I. Introduction ........................................................................................................................................... 4 II. Program Management ........................................................................................................................... 6 III. Technical Program Elements (Program by Outputs) .............................................................................. 6 Outcome 1: Decreased HIV prevalence among selected MARPs ...................................................................... 6 Outcome 2: Increased use of Family Planning (FP) services among MARPs ................................................... 9 Outcome 3: Increased GON capacity to plan, commission and use SI ............................................................ 14 Outcome 4: Increased quality and use of HIV services .................................................................................... 18 Outcome 5: Strengthened coordination among all HIV/AIDS partners ........................................................... 26 IV. Security Analysis .................................................................................................................................. 29 V. Project Visits......................................................................................................................................... 30 VI. Technical Presentations ........................................................................................................................ 31 VII. M&E Update......................................................................................................................................... 32 VIII. Challenges faced for planned activities and addressed by SSP team ................................................... 35 IX. Anticipated future problems, delays, or conditions or constraints that may adversely impact implementation of the program ............................................................................................................ 36 X. Prospectus for next year perspective .................................................................................................... 37 XI. Lessons Learned and Good Practices ................................................................................................... 38 XII. Financial Status..................................................................................................................................... 39 2 List of Acronyms AATWIN Alliance Against Trafficking of Women in Nepal AB Abstinence and Being Faithful ADT ARV Dispensing Tool AIDS Acquired Immune Deficiency Syndrome AKP Asha Kiran Pratisthan AMDA Association of Medical Doctors of Asia ASRH Adolescent Sexual and Reproductive Health ART Antiretroviral Therapy ARV Antiretroviral BPKIHS BP Koirala Institute of Health Sciences BIJAM Student Awareness Forum (Bidhyarthi Jagaran Manch) CABA Children Affected by HIV/AIDS CAC Community Action Center CB Capacity Building CBO Community Based Organization CDF Community Development Forum CD4 Cluster of Differentiation CHBC Community and Home Based Care CHW Community Health Workers CIP Community Information Point CIRDS Chandra Jyoti Integrated Rural Development Society CM Community Mobilizer CME Continuing Medical Education CMF Conscious Media Forum CMS Chhahari Mahila Samuha CMT Clinical Management Training CRS Nepal CRS Company CROI Conference of Retrovirus and Opportunistic Infections COFP/C Comprehensive Family Planning/Counseling CPR Contraceptive Prevalence Rate CTIP Combating Trafficking in Person CTEVT Council for Technical and Vocational Training CWES Child and Women Empowerment Society CYP Couples Year Protection DACC District AIDS Coordination Committee DBS Dried Blood Spot DDC District Development Committee DIC Drop-in Centre DHIS-2 District Health Information System-2 DHO District Health Office DNA Deoxyribonucleic Acid DOHS Department of Health Services DPHO District Public Health Office D(P)HO District (Public) Health Office DPG Dharan Positive Group Dristi Dristi Nepal DRI Direct Relief International DQA Data Quality Assessment EID Early Infant Diagnosis i EIHS Expanded Integrated Health Services EPC Essential Package of Care ERB Ethical Review Board EQAS External Quality Assurance Scheme EWI Early Warning Indicators FHD Family Health Division FNCCI Federation of Nepalese Chamber of Commerce and Industries FP Family Planning FCHV Female Community Health Volunteer FSW Female Sex Worker FSGMN Federation of Sexual and Gender Minorities in Nepal FY Fiscal Year GaRDeF Gangotri Rural Development Foundation GARP Global AIDS Response Progress GBV Gender based Violence GFATM The Global Fund to Fight AIDS, Tuberculosis and Malaria GGMS Ghar Ghar Maa Swasthya GIS Geographic Information System GoN Government of Nepal GPS Global Positioning System GWP General Welfare Pratisthan HA Health Assistant HCWM Health Care Waste Management HECAF Health Care Foundation Nepal HIV Human Immunodeficiency Virus H4L-L Health for Life-Logistics HMIS Health Management Information System HOPE HIV Online Provider Education HQ Headquarters HTC HIV Testing and Counseling HTSP Healthy Timing and Spacing of Pregnancy IA Implementing Agency IBBS Integrated Bio-Behavioral Surveillance ICH Institute of Community Health ID Identifier IEC Information Education and Communication ILO International Labor Organization INGO International Non-Governmental Organization IOM International Organization for Migration IUCD Intra Uterine Contraceptive Device IRC Institutional Review Committee JMMS Jagriti Mahila Maha Sangh KAPs Key Affected Populations LGBT Lesbian, Gay Bisexual and Transgender LMD Logistic Management Division LMIS Logistics Management Information System LP Lumbini Plus MARPs Most-at-Risk Populations MCH Maternal and Child Health M&E Monitoring and Evaluation MESST Monitoring and Evaluation System Strengthening Tool MIS Management Information System ii MOHP Ministry of Health and Population MOU Memorandum of Understanding MPH Master of Public Health MSM Men having Sex with Men MSW Male Sex Workers MToT Master Training of Trainers NAP+N National Association of PLWHA in Nepal NAMUNA Namuna Integrated Development Council NCASC National Centre for AIDS and STD Control NCS Nari Chetna Samaj (Society for Women's Awareness in Nepal) NFWLHA National Federation of Women Living with HIV & AIDS NHIP Nepal HIV Investment Plan NHSSP Nepal Health Sector Strengthening Program NG Naulo Ghumti NGO Non-Governmental Organization NHTC National Health Training Centre NHRC Nepal Health Research Council NNSWA Nepal National Social Welfare Association NPHL National Public Health Laboratory N’SARC Nepal STD and AIDS Research Center OCP Oral Contraceptive Pills ODC Other Direct Cost OE Outreach Educator OI Opportunistic Infection PCL Proficiency Certificate Level PCR Polymerase Chain Reaction PE Peer Educator PEP Post Exposure Prophylaxis PGD Planned Group Discussion PHCC Primary Health Care Center PLHIV People Living with HIV PMTCT Prevention of Mother to Child Transmission PPP Public Private Partnership PPR Performance Plans and Report PWID People Who Inject Drugs QA Quality Assurance QI Quality Improvement QRM Quarterly Review Meeting QGIS Quantum Geographical Information System RDF Rural Development Foundation RH Reproductive Health RHCC Reproductive Health Coordination Committee RHD Regional Health Directorate RHCT Regional Health Coordination Team RHTC Regional Health Training Center RLG Radio Listeners Groups RN Recovering Nepal R&R Recording and Reporting SAC Social Awareness Center SACTS STD/AIDS Counseling and Training Services S&D Stigma and Discrimination SBC Strategic Behavioral Communication iii SDP Service Delivery Points SHWP Safer and Healthy Workplace SI Strategic Information SITWG Strategic Information Technical Working Group SMS Short Message Service SOP Standard Operating Procedures SRH Sexual and Reproductive Health SSG Syangja Support Group SPARSHA Society for Positive Atmosphere and Related Support to HIV and AIDS SPN Sakriya Plus Nepal SSP Saath-Saath Project STEP Nepal Society for Empowerment-Nepal STI Sexually Transmitted Infection TG Transgender TGSW Transgender Sex Workers TIP Trafficking in Persons TOCAT Technical and Organizational Capacity Assessment Tool TOR Terms of Reference ToT Training of Trainers TSDA Thagil Social Development Association TWG Technical Working Group UNAIDS Joint United Nations Program on HIV and AIDS USAID United States Agency for International Development USG US Government VCT Voluntary Counseling and Testing VDC Village Development Committee WASH Water, Sanitation and Hygiene WHO World Health Organization iv Executive Summary This third Annual Report covers the progress of United States Agency for International Development (USAID)-funded
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