Impact PSIPopulation Services International

July 2009 Volume 11, Number 6 An internal monthly newsletter for staff and boards of PSI and its affiliates It’s Not Just an HIV Test; It’s a LoveTest By VCT team, PSI/Swaziland tested separately, which increases the A couple MBABANE, Swaziland — PSI and burden of disclosure and reduces the infected by love partners across Swaziland tested opportunity for them to support each takes the Love record numbers of clients in April other. Test together. and May with their bold new cam- “We would love to see them test paign — “The Love Test: It’s Not Just together without being ashamed. an HIV Test; It’s a Love Test” — to Our research tells us that there is promote HIV testing among males fear within the community, so much and couples. The Love Test, readily so that people are afraid to take the identified by the heart shaped logo, is test. We acknowledge that testing is a a welcome attempt to reposition HIV serious step in life, but we want them testing in the minds of the public. to appreciate that the HIV test is a In a recent interview, Victoria simple act of love, and if we had it our Masuku, director of HIV testing, way, love would be contagious. If love said countries that have intensified is the foundation of the test, partners their efforts to reach out to couples will be able to appreciate and support have seen significant decreases in HIV each other,” Victoria said. prevalence. Traditionally, couples have Love Test continues on page 4 PSI Attends World Economic Forum on Africa. Read more PSI Cuts Through Barriers on page 6. Initiates Male Circumcision in Zimbabwe By Karin Hatzold, Kumbirai Chatora HARARE, Zimbabwe — Starting a male circumcision program (MC) in an environment with the highest in- flation in the world, cholera outbreaks and a weakened health delivery system is by no means an easy feat. So when PSI/Zimbabwe opened its first MC site in April, the team demonstrated that anything is possible with strong collaboration and teamwork among stakeholders. PSI/Zimbabwe’s first MC client was an 18-year-old named Hopemore, who said his aunt encouraged him to get circumcised. After the procedure, he said he was going to motivate other young men in his community to get circumcised, in part because he didn’t feel any pain during the procedure. Demand for MC services in Zimbabwe appears high. As part of MC training courses, PSI recruited clients through four Harare-based New Start HIV counseling and testing centers. Within three weeks, 625 male volunteers had been identified to undergo MC. Hopemore, PSI/Zimbabwe’s first MC client, prepares to undergo the procedure. Male circumcision continues on page 4 Research and Metrics Insight

PSI/Tanzania Investigates Intrauterine Device Use Among Women DAR ES SALAAM, Tanzania — In IUD after discussing family plan- will promote the IUD as a useful 2009, PSI/Tanzania conducted a ning with her husband and seeking and appropriate family planning FoQus for Qualitative Segmenta- information from a local clinic. She method. tion study to identify opportunities, found the staff friendly, helpful and abilities and motivations for women knowledgeable about family planning • Source: PSI/Tanzania: Frame- to use the intrauterine device (IUD) methods. work for Qualitative Research for family planning. In-depth inter- Nuru uses traditional methods for in Social Marketing (FoQus) for views were conducted with current family planning. She is married with Qualitative Segmentation. Wom- IUD users and other modern family two children about three years apart. en’s Health Project. January 2009. planning users. Also, photo narratives Like Asha, Nuru believes that having • Edited by Nadja Vielot. For were created from photographs taken too many children within a short span more information or to contrib- by participants to document their of time can cause illness and exhaus- ute to the Insights series, contact daily lives. Two participants — Asha, tion. She uses the calendar method [email protected]. ˛ an IUD user, and Nuru, a traditional- to space her pregnancies because she methods user — describe the benefits dreams of owning her own business of family planning and the reasons one day and fears being unable to pro- behind their preferred methods. vide for many children. Nuru is ready Asha is married with one child. to start using a long-term method, but She works as a security guard during she is conflicted by negative percep- the day and cares for her family in the tions held by others in her communi- PSIImpact evening. Asha admires women who ty. She would like to use the IUD for work and support themselves, and she family planning, but she needs more An internal monthly newsletter for staff believes that family planning benefits information first. and boards of PSI and its affiliates these women by allowing them op- PSI’s FoQus project will help Executive Editor: Marshall Stowell portunities for self-improvement and researchers understand barriers to Managing Editor: Leif Redmond independence. Having many children IUD use, such as Nuru’s lack of ac- Editor: Mandy McAnally hinders these opportunities and causes curate information, and inform future Copywriter: Jyoti Kulangara a woman to feel and appear tired and interventions. Interpersonal commu- Layout/Design: creativeservicesmd.com unhealthy. Asha decided to use the nications and mass media campaigns PSImpact welcomes stories, story ideas, In her photo photos and contributions of all kinds narrative, Nuru from all members of the PSI family (staff uses this photo and boards of PSI and its affiliates). of a happy Please limit stories to 400 to 750 words. father to show The contributions can be in English, the benefit of a French, Spanish, Portuguese or Russian well-planned but if the language is not English we family. would appreciate an English translation. Articles will be printed in both lan- guages. For more detailed guidelines on submitting a story, please check out the External Affairs KIX page. Deadline for submissions is the 5th of every month. Please send material to Mandy McAnally ([email protected]).

Population Services International 1120 19th Street, NW Suite 600 Washington, DC 20036 Phone: (202) 785-0072 Fax: (202) 785-0120 Web site: www.psi.org 2 PSI/India Reaches Youth on World No Tobacco Day

By Lekha Sapra In Delhi, youth DELHI, India — PSI/India is ramp- participate in ing up its efforts to reinforce the a signature dangers of tobacco use with a new campaign on campaign, titled “Show the Truth and World No Save the Youth.” On May 31, PSI/In- Tabacco Day. dia, and its local partner HRIDAY, with technical support from the World Health Organization, coordi- nated events in three metropolitan cities to mark World No Tobacco Day. V. S. Chandrashekhar, senior program advisor at PSI/India, said about 5,500 youth in India take up tobacco use every day and 900,000 Indians die every year from tobacco- related causes. Most Indians know that tobacco is unhealthy, but they don’t know about the variety of dis- eases and increased likelihood of dis- ability and death caused by long-term tobacco use. In an effort to prompt tobacco users to take action to quit, PSI/India and its partners launched key signa- ture campaign events in Banaglore, least 40% of the principal display area awareness on the issue. Delhi and Mumbai. The goal was of the front panel of the pack for all In Mumbai, noted Bollywood to gain youth support for the Gov- tobacco products. actor Vivek Oberoi opened the event. ernment of India’s progressive new In Delhi, Ashok Parmar, director Branded human chains led visitors to policy requiring pictorial warnings on of Public Health at the Ministry of the event’s venue, where people were tobacco products. The policy, which Health and Family Welfare, inaugu- regaled with a street play, called “Jago took effect on May 31, 2009, requires rated the event, and trained artists Yuva Jago” (Awakening Call), and mim- pictorial health warnings to occupy at conducted street plays to spread icry sessions. Human banners distrib- uted flyers and pinned badges cham- pioning the cause of the anti-tobacco campaign. Interactive sessions by PSI staff on the harms of tobacco use and audience participation in games and song competitions were well-received. Branded tee-shirts and hats provided the needed visibility for the cause. In Bangalore, street plays were performed by college students to capture the varied ill-effects of smok- ing, and a performance by Indi Pop group “AURKO” drew huge crowds of youth. During the event, staff drove around the venue distributing leaflets and inviting passerbys to check out the street play. ˛

Lekha Sapra ([email protected]) is director of New Business Development In Bangalore, college students perform street plays to encourage people to choose life for PSI/India. instead of tobacco. 3 Male circumcision from page 1 MC services and communication. started MC service delivery at the end By the beginning of June, a total of In October 2008, a national stake- of June. 116 young men, recruited through holder workshop was convened to In addition, brochures and posters the New Start centers in Harare, had disseminate the findings from the MC in three languages targeting men and benefitted from MC services during situational analysis, which was techni- women have been developed to help three training courses. cally supported by PSI. drive demand for MC, inform clients Once service delivery has been At the workshop, the MC steering about the post-operative care and expanded to the three other pilot committee and three technical work- explain the importance of maintaining sites, PSI/Zimbabwe expects that the ing groups (TWGs) were established safe sexual practices. A flip chart has number of males who get circumcised to facilitate the roll out of MC in been created to guide MC counseling will increase exponentially, reaching Zimbabwe. PSI is chairing two TWGs sessions. on MC service delivery and training, While funding is available for and communications and advocacy. the six-month pilot phase, additional The working groups started funds are urgently needed for the na- immediately and, in less than six tional MC scale up. PSI has been very months, the national MC training active in advocating for additional program was established. National funding through major donors. At training guidelines based on the the end of his recent visit to the MC existing WHO/Jhpiego manuals were training site, US Ambassador James developed, and monitoring and evalu- McGee promised his personal support ation tools, MC operating guidelines, for the Zimbabwe MC program. and a procurement and supply system If there were any doubts about the for MC commodities were put in feasibility of MC service delivery in place. Zimbabwe, the success achieved in the PSI/Zimbabwe the national target and PSI’s target of An MC training center has been first six months has demonstrated that staff gather for 2,000 MC procedures by the end of established in Harare, and 18 national overcoming such complex challenges a photo at the 2009. trainers, including nurses and sur- is certainly possible. ˛ Bulawayo MC PSI/Zimbabwe began working geons, received Training of Trainers site. closely with the Ministry of Health from TWG members. Three more Dr. Karin Hatzold (khatzold@ and Child Welfare and other stake- MC pilot sites have been refurbished, psi-zim.co.zw) is director of HIV holders to introduce an MC program staffed with trained health providers, Services and Kumbirai Chatora after receiving discretionary funds to and equipped with the necessary com- ([email protected]) is deputy support the national efforts to initiate modities and instruments. These sites director of PSI/Zimbabwe.

LoveTest from page 1 During April and May, PSI/Swa- ziland, the United Nations and HIV counseling and testing partners, working with the Ministry of Health, organized counseling and testing events nationwide under the Love Test concept. The events featured entertain- ment from famous gospel artists and provided HIV counseling and testing services to more than 6,000 people. The Love Test campaign was featured in print and online media, including CNN, and was broadcast on radio and talk shows in an effort to drive dialogue across the nation. Door-to-door HIV counseling People stand near a Love Test poster at a counseling and testing event. and testing was piloted in one region under the same Love Test concept, several sites. begun work on a second phase of the gaining popularity in the community The success of this first initia- Love Test message, targeting men and and leading more people to call for tive has prompted the Ministry of youth. So if you want to be infected the service. In recognition of working Health to review policies and guide- with love, go ahead and take the test. couples, accessibility was extended lines to emphasize the importance of Check out the Love Test campaign after hours and on weekends dur- couples counseling and testing. Now, video on psi.org. ˛ 4 ing April, with free testing offered at PSI/Swaziland and its partners have Rural Women Make Long Walk to Health

By Julius Lukwago, Evelyn Apio Women line KITGUM, Uganda — Yulana Acan, up to register now 35, had her first child at the age for a long-term of 15. Eleven more followed; two of method at a whom have since died. When asked health services why she had so many children, Yulana camp in Padibe, said her desire was to have only four Uganda. children. But she had no way of con- trolling pregnancy and only recently learned of modern family planning (FP) options, which were not previ- ously available in her community. “I would even sell my chicken to pay for these services,” she said. PSI/Uganda does not charge for long- the intrauterine device (IUD) — a had organized in Padibe, in the Kitgum term methods during mobile events; long-term method of FP that prevents district, she considered it a chance of a however, Yulana’s comment demon- pregnancy for a period between five lifetime. She arrived at the camp with strates the strength of her desire for and 12 years. PACE is finding that the her seven-month-old baby — her third access to a reliable FP method. Yulana IUD is an attractive option to women and only living one. “I have never tried is not alone. It is estimated that 41% for many reasons: it is non-hormonal, family planning before, but since I lost of women in Uganda have an un- has limited side effects, is easily revers- my first two children, I want to rest from met need for family planning (2006 ible and when removed, the return to childbirth for at least three years so that UDHS). fertility is immediate. I can look after this baby very well,” she To help meet the demand for Dr. Moses Olwenyi, 29, has said. FP services, PACE, PSI’s affiliate inserted the most IUDs of any doctor She also thought taking a rest from in Uganda, organizes health service participating in the project. In one childbirth would improve her own camps at public and private facili- day alone he inserted 30 IUDs. By the health. Luckily, her husband supports ties. These efforts bring FP services to end of the day it was getting dark and family planning, a rare phenomenon in women who live in places like Kitgum. he was using a headlamp. “We had Uganda. He has five children from his Kitgum is located near the Sudanese planned to finish by 5 p.m., but even first wife and says it is already challeng- border, about a seven-hour drive from at 8 p.m., we still had a long line of ing for him to provide for their basic Kampala. Some sections of the road to women who insisted they would not needs like health care, food and educa- Kitgum are impassable. In fact, while go back home unless we gave them the tion. trying to reach a health camp, a team service. We extended the health camp Lillian wants a better future for her of PACE doctors became stuck in a for another day,” he said. children. She believes that family plan- maze of muddy rural roads for days, His colleague, Dr. Milly Kaggwa, ning will enable her to space them for at while women waited patiently for FP the director of Health Services, added, least three years and to have the number services. “We can see the women’s challenges she can ably look after. At the Kitgum At times during these events, more first hand, so we have to put in an camp, she started on that journey when than ten physicians attend to patients extra effort to serve them. Our team Dr. Olwenyi gave her an IUD. ˛ while a line of more than 100 women is highly motivated because we realize forms. These women come seeking that we are making a big difference in Julius Lukwago ([email protected]. a rare service — long-term family these women’s lives.” ug) is director of marketing and com- planning methods. In the past three At age 20, Lillian Osoru has munication, PSI/Uganda. Evelyn Apio months, PACE’s Women’s Health already had three children and is the ([email protected] ) is community Project (WHP) has provided family second of two wives. When Lillian mobilization coordinator, Northern planning services to 2,614 women like heard of the health services camp Uganda. Yulana. Of these, 61% chose to use that PACE’s northern Uganda team

5 PSI Attends World Economic Forum on Africa Calls for Innovation, Global Health Diplomacy CAPE TOWN, South Africa — PSI joined more than 800 global leaders at the World Economic Forum (WEF) on Africa, held June 10-12 in Cape Town, South Africa, to advance an integrated approach to solving global health issues. Through a week-long series of events at WEF, PSI engaged top CEOs and WEF’s Young Global Leaders to highlight key successes in behavior change communications, investments in adolescent female development and male circumcision (MC) as a means of HIV prevention. The events included a press briefing to introduce a new project to scale up voluntary MC services in Swaziland and Zambia. PSI President Karl Hofmann also joined a panel discussion on “Innovative Health Care Delivery.” And Kate Roberts, VP of Communications and Corporate Marketing and founder of YouthAIDS, led a learning journey for WEF’s Young Global Leaders through one of the poorest townships in South Africa to meet with those most affected by HIV/AIDS.

PSI, Partners Announce Male The MC Partnership is supported Circumcision Partnership by a five-year, $50 million grant from On June 11, PSI hosted a press the Bill & Melinda Gates Foundation briefing on the topic, “From Evidence to PSI, and it builds on the PEPFAR- to Implementation: Promoting Male sup-ported medical MC activities in Circumcision in Africa.” At the brief- each country. PSI will be working ing, PSI and its partners announced with Marie Stopes International, the launch of the Male Circumcision Jhpiego, Population Council, and Partnership, a project to increase the govern-ments of Swaziland and voluntary MC services in Swaziland Zambia. and Zambia. The collaboration is evidence The briefing’s panel included of a strong and growing coordina- Elizabeth Mataka, United Nations tion among the Gates Foundation, A surgeon at PSI’s MC service center in special envoy for AIDS in Africa; Dr. PEPFAR and these partners under the Lusaka prepares for a procedure. Dirk Taaljard, coauthor of the Orange leadership of host country govern- Farm Randomized Control Trial; ments to support MC for the purpose Christopher Samkange, surgeon of of HIV prevention. Urology and lecturer at the University We estimate that the project will of Zimbabwe; Dr. Mthobeli Guma, provide voluntary MC services to South African academic and tradi- nearly 650,000 men. To ensure qual- tional circumciser; and Steve Gesuale, ity scale-up and to meet the current project director of the Male Circumci- demand for voluntary MC, the Part- sion Partnership. nership is establishing a network of Panelists stressed the need for nearly 250 providers across the public, urgent scale up of MC service de- private and NGO sectors. livery and highlighted the innovative The Partnership will also launch solutions of PSI and our partners to a series of innovative BCC campaigns expand access in the complex cultural focused on post-circumcision issues, and political environments in Zambia such as the need for ongoing safe sex and Swaziland. practices and continued condom use.

(L-R) Richard Eliott, Elizabeth Mataka, Dirk Taaljard, Steve Gesuale, Christopher Samkange and Mthobeli Guma at PSI press briefing. Copyright World Economic 6 Forum/Matthew Jordaan. PSI Attends World Economic Forum on Africa Calls for Innovation, Global Health Diplomacy

PSI Leads WEF’s Young Global young age. Then, a young HIV-posi- Leaders on Learning Journey tive student shared her remarkable KHAYELITSHA TOWNSHIP, South story with the group. Africa — Some of the world’s most The group also visited the local exceptional young champions for community hall where an organiza- social and economic change gathered tion called dance4life, co-founded by at WEF on Africa to take part in YGL Dennis Karpes, was holding an the Forum of Young Global Leaders event in partnership with YouthAIDS. (YGL). The Forum is a unique, multi- Dance4life works throughout South stakeholder community committed Africa and in 20 other countries to shaping the global future, with a worldwide, uniting youth, through focus on collective action and tangible music and dance, to fight HIV/AIDS. results. This tour gave YGLs a glimpse at As part of the week’s events, PSI’s the “edutainment” events that both Kate Roberts, a Young Global Leader dance4life and YouthAIDS use to were faced with the question of how A YouthAIDS since 2007, led a learning journey reach youth. to build and apply creative solutions peer educator for about 30 of her contemporaries The session featured condom and effective partnerships to main- leads a role- through one of the poorest townships demonstrations, role-play exercises tain sustainable progress in the fight play session in South Africa to meet with those and competitions that showed the against the disease. The outcomes at a school in most affected by HIV/AIDS. need for proper and consistent were building blocks for more com- Khayelitsha The group first visited a local high condom use, abstinence and stigma prehensive collective action, based on township. school in Khayelitsha township, about reduction. PSI had also set up mobile a combined public and private sector 18 miles from central Cape Town. HIV counseling and testing tents approach. ˛ There the YGLs participated in an where community members and the interactive session with students from YGLs could be tested. WEF Media Coverage the high school. A YouthAIDS peer The day ended with a panel dis- A variety of media outlets attended WEF on Africa. educator led a role-play session to cussion focused on creating solutions Some top press coverage of PSI-coordinated events highlight dangers such as cross-gen- and meaningful action to reduce the is below: erational sex or sexual encounters at a spread of HIV. Panelists and guests • New Scientist, “Bill Gates Helps Fund Mass Cir- cumcision Programme”: The article featured details on the launch of the new MC Partnership.

• Lusaka Times, “Zambia Posts Significant Gains in the Fight Against HIV/AIDS”: The piece also highlighted the MC scale up and quoted Elizabeth Mataka, UN Special Envoy for HIV/AIDS in Af- rica, who joined PSI’s panel for the press briefing.

• The Times South Africa, “Branding for Social Change”: The Times highlighted PSI’s learning Kate Roberts moderates journey for YGLs and the panel discussion that a panel discussion with examined benefits of private sector partnerships. leading entrepreneurs and YGLs. 7 New Minimum Standards v1.1 for PSI Platforms Launched

By Peter Clancy, Steven Chapman 1.0, and after collecting feedback from the What has changed? PSI has launched a new version of the Mini- field and others, it was clear that we needed The new version resembles the first mum Standards for platforms to support to remove subjectivity from the means version greatly, but has been simplified, the mission of increasing health impact for of verification for some standards and to shortened and made SMART by includ- the poor and vulnerable. PSI believes that if remove, consolidate and generally simplify ing an objective means of verification. our organizations are stronger and have ac- and streamline others. quired the foundational capacity to operate What is PSI’s role and what is my role? more efficiently and effectively that we will How did the revision process take place? PSI commits to improving the quality all be able to better contribute to our mis- Who was involved? of our organizations and organizational sion. This sets the stage for the PSI family Beginning in January 2009, Operations, processes with the intention that stronger of organizations to ‘invest more in getting the Field Council, the Business Services platforms will be better positioned to more better’ as outlined in the corporate strategic Partnership and Innovations worked rapidly, efficiently and effectively achieve plan. Towards that end, an updated version together to review past experience and to health impact. PSI commits to assisting of the standards called Minimum Standards propose a new version of the standards. platforms in achieving the new Minimum v1.1 was launched in May 2009. The final version, Minimum Standards Standards v1.1. It is the role of all of us to v1.1, was approved by Operations and the support platforms in adhering to, meeting Why a new version? Field Council on May 19, 2009. and eventually exceeding these program- After nearly 18 months of using version matic and organizational standards.˛

Platform Minimum Standards v1.1 — May 2009 PSI’s goal in setting these new minimum standards is to improve performance in terms of health impact, organizational and staff capacity, program quality, behavior change, evidence-based decision making, cost-effectiveness, equity, sustainability and stakeholder satisfaction. The purpose of the minimum standards initiative is to motivate platforms to achieve organizational and programmatic standards that are associated with this goal. PSI will set and revise these standards from time to time to encourage continuous improvement of our orga- nizations. PSI commits to assisting our platforms in meeting and eventually exceeding these organizational development standards, using its own resources when donor funds are unavailable. Platforms are encouraged to seek organizational development excellence insofar as it improves PSI’s bottomline performance. Additional performance-enhancing organizational innova-tion is welcome when it is found to be associated with improved performance and stakeholder satisfaction.

Programmatic Standards Organizational Standards 1. All interventions (any combination of behavior and target 7. All platforms will conduct a platform assessment every two years that group) will be planned and implemented using logical produces a prioritized action plan that informs the CR’s MBOs. frameworks with SMART objectives that follow PERForM. Verification: PAT action plan and CR MBOs Verification: Logframes, proposals and marketing plans 8. All platforms will have a strategic plan that is linked to the PSI strate- 2. All major multi-year interventions (any combination of gic plan. behavior and target group) will be monitored at a minimum Verification: Platform strategic plan by a baseline and endline TRaC. 9. All platforms will operate in accordance with all local laws and regula- Verification: Executive summary and tables tions including: organizational registration, employment and tax laws. 3. All platforms delivering products will conduct a MAP sur- Verification: OFOG report and external audit report vey at least every two years. 10. All platforms will follow the procedures and policies listed in the PSI Verification: MAP dashboard/report Field Financial Manual. 4. All platforms conducting research will follow steps set Verification: OFOG report forth in the PSI Research & Metrics Toolkits. 11. All platforms will have a minimum of one OFOG visit per year that Verification: Study designs on file in the Research & Metrics produces an action plan. MIS. Verification: OFOG action plan 5. All platforms will supply risk profile data for the DALY 12. All platforms will have a published employee manual incorporating calculator at least once every three years. all workplace policies governing all employees. Verification: Targeting information submitted to Research & Verification: Platform employee manual Metrics 13. All platforms will have a formal performance management system, in- 6. Marketing plans will be updated annually. cluding job descriptions for all positions, annual appraisals and SMART Verification: Marketing plan document work objectives. Verification: Annual employee MBOs Peter Clancy ([email protected]) is chief operating officer and Steven Chapman ([email protected]) is chief technical officer. 8 USG Meets PSI Congress Examines Budget, Policy Options for Global Health

By Jennie Quick integrated approach to all health areas, is expected to confirm him quickly. WASHINGTON, DC — The past but planning on this is in the early In his opening statement, Dr. month has featured a flurry of con- stages. He added that PEPFAR needs Goosby singled out women and gressional hearings related to global to strengthen the links between HIV girls, men who have sex with men, health, in anticipation of upcoming programs and maternal and child and drug users as key target popula- decisions on the Fiscal Year 2010 health, family planning and neglected tions for PEPFAR interventions. He (FY10) budget and personnel ap- tropical diseases programs. indicated that an intensifed focus on pointments. Following are some During a hearing about USAID’s HIV prevention would be a guiding highlights from the hearings. budget, Rep. Jesse Jackson Jr. (D-IL) principle for his tenure as the Global In a hearing on the HIV/AIDS asked witness Alonzo Fulgham, acting AIDS coordinator. budget, Rep. Nita Lowey (D-NY) ex- USAID administrator, about USAID’s pressed concern about PEPFAR’s fo- strategy for safe drinking water and PSIers Makes Case for Increased cus on antiretroviral treatment rather sanitation. Mr. Fulgham replied that Family Planning Funding than HIV prevention, although she water will be one of USAID’s big- Dr. Heng Kheng, director of said incidence is rising in places like gest issues in the next 10 years. This Health Services at PSI/Cambodia, and Uganda and Botswana. She said that is a “mega issue” for USAID, he said, Aleen Saunders, technical advisor in on a trip she took to Uganda, clinic and USAID is ramping up its water PSI’s Reproductive Health Depart- directors were open and honest in programs. ment, met with staff representing saying that “prevention is fine but we Rep. Barbara Lee (D-CA) voiced three members of Congress on May must take care of the dying people” concern during a hearing about the 28. Their descriptions of PSI’s suc- with treatment. State Department that the Obama cessful programs in Cambodia and Dr. Tom Walsh, acting deputy US Administration had not requested in- around the world illustrated the need Global AIDS coordinator, responded creased FY10 funding for the Global for and value of donor funding for that “prevention has to be first; it has Fund. She said that increased re- family planning. Congress takes evi- to be the highest priority.” He said sources are vital to building on success dence of need and programmatic suc- PEPFAR encounters resistance from that has been made against malaria, cess into consideration when deciding governments that would rather focus TB and AIDS. Lee was likewise dis- how much money to appropriate for on treatment, but the best way to ad- satisfied that the amount of funding international family planning pro- dress the problem of sustainability is requested for PEPFAR would fall grams. Congressional appropriators through prevention. short of that authorized ($39 billion will soon determine funding alloca- Rep. Betty McCollum (D-MN) over five years). tions for this and other global health asked Dr. Walsh whether PEPFAR President Obama’s nominee for priorities. ˛ will change in the future to better ad- US Global AIDS Coordinator Dr. dress problems she saw in its first five Eric Goosby had a confirmation hear- For questions about US policy or in- years (she cited a lack of progress in ing before the Senate Foreign Rela- country advocacy, please send Jennie prevention and cost-effectiveness). Dr. tions Committee on June 9. The hear- an email at [email protected]. Walsh noted that PEPFAR needs an ing was not controversial. The Senate

PSI in the Press

BBC Highlights PSI Advisor Rob Gray took BBC reporter classes and a social program alongside Transgender Program in Laos Jill McGivering on a tour of one of education about safe sex and condom Vientiane, Laos — A new drive to PSI’s New Friends drop-in centers, use, and a doctor’s clinic, which spe- contain the spread of HIV/AIDS in one of three new men’s health and cializes in treating STIs. The story was Laos is forcing officials to recognize a social centers targeting transgender covered by BBC News online on June long-marginalized group – transgen- men and their male partners. The cen- 17 and featured on the BBC’s Global der men. In June, PSI/Asia Regional ter offers free internet access, dance News podcast on June 19. ˛ 9 BCC Monthly Message

BCC Blog Boasts Fresh Ideas Unveiling your campaign to employ- ees should be a priority. If employees hear about the campaign secondhand, they are From Inside and Outside PSI likely to feel slighted. Giving employees a By Beth Skorochod sneak peek recognizes their efforts in sup- It’s no secret that PSI’s HIV Department our own internal audience — our staff. porting the work of the organization and hosts a blog on behavior change com- Successful companies take invertising helps them feel like a part of the team. If munication. Have you had the chance seriously because employees are critical to employees feel included, they will likely to check it out? The blog highlights the success of a new campaign. Behavior work hard to help make sure the cam- innovative BCC programming from change campaigns are no different. Ask paign is successful. the field and focuses on design, imple- yourself a few questions to see if you You can create this internal buzz by mentation and inventive BCC strate- agree. hanging banners and posters in the office, gies found in unlikely places. Below is a • If you want to seize every opportuni- printing up snazzy t-shirts and caps for sampling of what the blog has to offer. ty to get your message out, doesn’t it make staff, or simply calling a meeting to reveal sense to have your own staff stand behind your new messages. However you do The Art of Internal Buzz that message? it, it’s important that all employees feel Ever hear of “invertising?” Me neither, • Won’t staff help you reach your vested in the campaign. All levels of staff until I stumbled across it when reading target audience? Yes. Most staffers fit the are equally important here and deserve about how the big boys of advertising profile of your target audience. Even if to be a priority. Visit the blog at www. (Pepsi, Coke, Nike and the like) make it they don’t, they most likely know people psibccblog.com. ˛ a priority. Invertising is just a fancy name who do. for something we should all be doing • If employees believe in your cam- Beth Skorochod is a consultant for the anyway — marketing our campaigns to paign, won’t they help spread the word? HIV Department. Flying High at PSI The High Flyers nomination review committee has chosen winners for the first quarter of 2009.

Natalya Burlako­ Meghan Bohren, GF requested that va, financial analyst Ethics Board/Con­ budgets be trimmed for the Asia/Eastern tracts assitant, has without reducing Europe region, has been nominated for deliverables. Over the made outstanding establishing the first course of two months contributions to her ever Research Ethics of budget negotia- region and to PSI Board (REB) for PSI. tions, Jamie success- globally. Natasha led the efforts to Meghan, with very little assistance, fully worked with identify and solve issues associated was able to establish the REB, re- several key partners. The reduced bud- with the transition to Lawson and cruit volunteer board members, train get sent to the technical review panel its impacts on financial reporting. board members and PSI staff, develop was $339 million. Jamie’s diligence, In doing so, she volunteered to complex documentation and register patience and hard work paid off and draft documents for CRs and FAs with the Federal Office of Human the substantially revised budget passed to explain the issues and propose Resources Protection. This was all done the technical review panel. solutions. Natasha coordinated with in time for the first scheduled meeting her FA colleagues in other regions in March 2009 and within her first six Congratulations to all the High Flyers and with staff on the Contracts months of employment with PSI. and job well done! Special recogni- and Billing teams to get the needed tion goes to Steven Honeyman and information. This written guidance Jamie Ciesla, technical advisor for Megan Wilson, who were also nomi- was very well received by the field. Congo, has made key contributions to nated this round. ˛ Natasha’s contributions within her a successful bid for principle recipi­ region and to PSI globally deserve entship of Global Fund money for Please send nominations for Q2 PSI’s recognition. PSI/DRC. The stakes for this proposal 2009 to [email protected] including were high: the five-year country budget “High Flyer Nomination” in the was originally $393 million. The subject line. 10 New Faces, New Places

New Faces Wendy Prosser is PSI/Angola’s new techni- Package. Before PSI, Megan was chief Chad Bender joins PSI as a senior accoun- cal advisor for Child Survival of party in Uganda for the International tant in the Finance Depart- projects for malaria control Union Against Tuberculosis and Lung ment. Chad has a bachelor’s and diarrhea prevention. For Disease, building from scratch a Kampala degree in Finance from the past nine years, Wendy office with a $2.5 million budget. Penn State University and a worked in HIV program- master’s degree in Account- ming for counseling and Colleen Gregerson is the new deputy ing from West Virginia testing, communications, director for NBD. Since University. Chad comes to clinical care, and community-based inter- joining PSI in 2007, Col- us from Grant Thornton, ventions. She has worked in several different leen led a process to secure LLP, where he worked as a senior auditor. countries, starting as a Peace Corps volun- $50,000,000 in new funds teer in Cape Verde. Wendy has an MPA from the Gates Founda- Patty Galvez joins PSI as finance and with a specialization in international devel- tion for male circumci- contracts advisor for SFH opment from the University of Washington. sion. Colleen has also Nigeria. Patty has worked proven her NBD skills through successful for ten years as PSI consul- Delphine Sherwood joins PSI as PM for work on many other proposals, including tant under the Overseas Fi- Rwanda, Burundi, Haiti the Dutch Regional proposal, GF pro- nancial Operations Group and Cote d’Ivoire. Prior to posal in Papua New Guinea and too many (OFOG). She has traveled working for PSI, Dephine DOD proposals to name. to about 45 country offices was an emergency advisor doing internal control systems reviews, as- for CRS in Gonaives, Haiti. Monique Weiss is the new senior PM for sessments, and training and technical assis- Before that she worked as a Southern Africa, support- tance. Patty is a Certified Public Accountant PM for CRS in Sri Lanka, ing Madagascar, Zam- and previously worked in the private sector DRC and Morocco, as well bia, Zimbabwe, and the in the Philippines holding positions from as with the Jane Goodall Institute in DRC. regional MC projects and internal auditor to controller. She has a BA from Vassar College and an WHP. Monique started at MPA from Indiana University Blooming- PSI as a contract analyst Veronique Keng joins PSI as a financial ton. Prior to graduate school, Delphine was for francophone Africa analyst for the West and in the Peace Corps in Mali. before becoming HIV technical advisor in Central Africa Region. She Haiti and East Africa PM. She has spent has a BS in International Claudio Silva joins PSI as a senior accoun- six months in Cote d’Ivoire and Ghana Business from Wheeling tant in the Finance Depart- closing the WCA Regional Family Health Jesuit University, and ment. Claudio brings more & AIDS project and administrating the an MBA with a Finance than five years of experience USAID Ambassadors’ Fund Program for concentration from Duquesne University. working with government HIV/ AIDS prevention, working with Veronique has worked for the World Bank contractors in public ac- CBOs in Sierra Leone and Mauritania. and, most recently, for Bayer Material counting. Claudio holds Science in Pittsburgh, where she worked for a BS in Accounting from Kelly Young is the new senior associate the Controlling Center of Expertise as an George Mason Univer- PM for Angola, Mozam- FA. sity and is a Certified Public Accountant bique and Malaria. Kelly licensed to practice in Washington. Before started with PSI in 2007 Marion McGowan joins PSI as a PM PSI, Claudio worked as a financial state- as a financial analyst for for East Africa. Marion ment auditor at Grant Thornton, LLP, and East Africa. She transi- has an MBA from the Aronson & Company. tioned to APM and has University of Virginia. backstopped almost all of She was most recently New Places the region’s countries at one point or an- leading country operations Megan Elliot is a new PM for East Africa. other. Kelly attended the Malaria Associate with CHF and GOAL in She has worked at head- training in October 2008. She is currently Southern Sudan where she quarters as the champion the department’s focal point for all malaria became acquainted with PSI programs. for TB programming and in activities and provides backstopping sup- She was previously posted to Indonesia, NBD in support of many port to Angola and Mozambique. ˛ doing Tsunami recovery work. Marion proposals, especially those was also a Captain in the US Army and with the Global Fund. served in Germany and South Korea as a Megan’s prior lives include defense artillery officer and public relations a stint with PSI/Uganda to specialist. support the development of the Basic Care

11 PSImages!

A Sudanese girl and child walk home after attending a PUR demonstration PSImages! is a monthly feature of in April. In addition to PUR, PSI markets WaterGuard in Sudan. PSI/ PSImpact. We invite you to submit Sudan conducts trainings in remote villages and with health care workers, thoughtful and engaging entries that churches, schools, women’s associations and vendors on the correct use of portray PSI’s work. Send photos and a these products, safe water handling and storage, and proper hand washing short description to Mandy McAnally techniques. Photo by Jenn Warren. at [email protected] by the 5th of every month.