Subproject Final Narrative Report Format by KC5mgBBc

VIEWS: 34 PAGES: 11

									                            Subproject Final Narrative Report Format
          Project for Strategic HIV and AIDS Technical Assistance (PRASIT)
                                        Agreement #: 3
                       Award Number GHS-I-00-07-00007-00, Order No. 1

Name of Implementing Agency: Homeland (MPK) Battambang province Cambodia Country.

Final Report for the period of            1 October 2007      to     31 August 2010
                                             (Date)                       (Date)

Subproject FCO Number 503061 Title of project as stated in agreement.




 We Can: Care and Support for PLHIV, OVC and families infected and affected by HIV and AIDS.




    I.      EXECUTIVE SUMMARY
            Meahto Pum Ko’mah (Homeland) is a locally registered Cambodian NGO,which has been operational
    since 1997.

Our Vision
Cambodian children living with hope in a happy, loving, understanding and non discriminatory environment which
supports the full and harmonious development of children and in which families and care givers hav e access to the
support and resources they need to nurture and care for children.

Our Mission
To work sustainable and in partnership with the community to improve the standard of living and well being of
vulnerable children, their families and people living with HIV/AIDS in Cambodia, and to facilitate family reunification
wherever possible whilst at all times upholding the best interest of the child.

Homeland is working: Street children, Trafficked children, Abused Children, Children with minor disability, Children in
conflict with the law,Children infected/affected by HIV/AIDS and children orphaned by HIV/AIDS, and target areas
Battambang, Pailin Province and throughout Cambodia (Reintegration Program).

Funding Partners
        Homeland currently receives funding from the following partners: Cambodia Acts USD 28,282, Secondhand
USD 14,500,Manos Unidas-Spain USD 168,851,Terre des homes Netherlands USD 51,816, COSECAM USD
75,450,and Every Child USD 707,610. Total amount received USD 1,177,009.
The project has been funded under PRASIT 3 years, since October 2007 to August 2010 and the project received
money USD 278215. The project is working in 5 Administrative and 3 Operational Districts, 12 Communes, 11 health
Centers, 83 Villages within Battambang Province. The people have benefitted from project intervention since NGO
received PRASIT resources were 58 people.

Our project has worked closely with Community Assistants (CAs) we always focus on the        Health issue and
cooperated smoothly with the government as: HDP, DOSAVY, MOH, and other society civil partners.
     II.       DESCRIPTION OF SUBPROJECT/SUBGRANT
Background of Target Populations and Areas
Community and home-based care (CHBC) services have been an integral part of Cambodia’s Continuum of Care
framework since its inception in 2003. However, CHBC services pre-date the COC, and were launched by the
MOH/NCHADS in partnership with WHO and World Vision in 1997, before more comprehensive care including ART
was available. The role of CHBC services has shifted significantly over time, from being mostly focused on positive
living, palliative care including management of symptoms, psychosocial support and end-of-life care; nutrition support
                                                         Æ
                                                         Æ
                                                         P
                                                         P

                                                        úE
                                                        l
                                                       kþtahn             ú
                                                                        Gøn
                                                                         n ru
                                                                          GK
                                                                          gUI
                                                                           rta           Ekl Y
                                                                                          R g
                                                                                          B
                                   éK
                                                                               Æ
                                                                               P

                Rg
                ta                taR                                                      Æ
                                                                                           P
                                                                                                         Æ Æ
                                                                                                         P P
                                                                                                            Æ
                                                                                                            P


                                                                            éC
                                                                                                          Æ

                                                                                       n ;l ta:
                                                                                      Gøi rkab  u
                                                                                                n
                                       Æ                                                                  P
                Æ
                P                      P
                                                                             R           gv            ÆPÆ
                                                                                                       P Æ
                                                                                                         P               Æ
                                                                                                                         P

                                                                            Ta ;É
                                                                                               Æ
                                                                                               P       Æ

                      kM
                       ro
                       eg                                                    l :ta
                                                                             Y k                       P
                                                                                                       Æ             Æ
                                                                                                                     P

                                                                       a U
                                                                    taKm G lrm                         P    Æ
                                                                     R                 Ug
                                                                                       rd
                                                                                      G M1
                                                                                         b         Æ
                                                                                                   P
                                                                                                       ÆÆ
                                                                                                            P

                        Æ
                        P

                                                                        ñeA
                                                                        M
                                                                        sB
                                                                       PM         tþ
                                                                                 vKÆ
                                                                                   P
                                                                                    r  Æ
                                                                                       P
                                                                                               g; H
                                                                                              BB
                                                                                             kMR       PP
                                                                                                       Æ
                                                                                                       P         Æ
                                                                                                                 P       Æ                                                      mlNÐ
                                                                          QI a
                                                                          e Tl         m rd
                                                                                    tþm U g b
                                                                                   vt ai G M2      Æ
                                                                                                   P
                                                                                                                         P                                                   Æ
                                                                                                                                                                             P
                                                                                                                                                                                 Ú
                                                                                                                                                                                 ø
                                                                                                                                                                                 v
                                                                                                                                                                                pl M
                                                                                   Æ
                                                                                   P              g; o
                                                                                                 BR
                                                                                                kMeBg           Æ
                                                                                                                P                                                                Út
                                                                                                                                                                                 øa
                                                                                                                                                                                pC
                                                                                                                                                                                 v
                                                                        w
                                                                        g
                                                                       sñ          W gksI éBc
                                                                                   Þ M
                                                                                 kn2 rae
                                                                                               Æ
                                                                                               P
                                                                                                                             Æ
                                                                                                                             P
                                                                                                                                                                                 Ú
                                                                                                                                                                                 ød
                                                                                                                                                                                 v
                                                                                                                                                                                pEk
                                                                 sþ
                                                                 eA                               RtU                                                                            øw
                                                                                                                                                                                 Úk
                                                                                                                                                                                 v
                                                                                                                                                                                pT
                                                                        Æ
                                                                        Pcg a ½
                                                                         E mCny                                                  Æ
                                                                                                                                 P
                                                                                                                                                                         Rb l ;su æ
                                                                                                                                                                          M
                                                                                                                                                                          R
                                                                                                                                                                         B T Rkrda )l
                                                             E
                                                             Rtg                      FtI
                                                                                       i
                                                                                       b
                                                                                       Æ
                                                                                       P
                                                                                                   ke H
                                                                                                    ka           Æ
                                                                                                                 P                                                                t;M
                                                                                                                                                                                )ad  b
and assistance with children affected by HIV, to a much broader role: assisting with ART adherence, mitigating loss- Æ
                                                                   Æ
                                                                   P
                                                                                                                     P
                                                                                                                                             ta a
                                                                                                                                              l s;                                eA
                                                                                                                                                                                sMlB
                                                                 Æ
                                                                 P
                                                                      øa
                                                                      Ús
                                                                      v
                                                                     pm
to-follow-up through transportation support to HIV care services and contact tracing, active TB case-detection,
support for clients enrolled in PMTCT services, prevention with positives, and much more.               a kL
                                                                                                       KsR                        ea éC
                                                                                                                                   m R
                                                                                                                                     g       Æ
                                                                                                                                             P                                   M
                                                                                                                                                                                 eg
                                                                                                                                                                                kro
                                                                                                                                             Æ
                                                                                                                                             P
                                                                                                                                                 Æ
                                                                                                                                                 P                              Pwñk
                                                                                                                                                                                  M
                                                                                                                                                                                  B
                                                                                                                                                                                  R
                                                           c gY
                                                            l y
                                                            MK
                                                                                                                Æ
                                                                                                                P
                                                                                                                                         éB a
                                                                                                                                          sV
                                                                                                                                          Ry                                      K
                                                                                                                                                                                fµa
                                                                                                                                                                                 el
                                                                                                                                  mÁ
                                                                                                                                         Æ
                                                                                                                                         P

                                                                 Æ
                                                                 P                                                             rbs; gl       Æ
                                                                                                                                             P
                                                                                                                                                     Æ
                                                                                                                                                     P                          )aNn
                                                                                                                                                             Æ                  bvel
                                                                                                                                        a ¤ Ika
                                                                                                                                       Kr b S M
                                                                                                                                             s Rg
                                                                                                                                                             P

                                                                                                                                                                                r ³m
                                                       ta j
                                                        sa                                                                    Bk
                                                                                                                             R I
                                                                                                                             EkC                                                 tn
                                                             Æ
                                                             P
                                                                                                                                     Æ
                                                                                                                                     P                                          Éñ
                                                                                                                                                                                 kP M
                                            LÚ
                                           sMt                                                                                                                                   asR
                                                                                                                                                                                K k
                                                                                                                                                                                sEá
                                                Æ
                                                P        g;
                                                         Bl A
                                                        kMe <                                                                            éBtLa
                                                                                                                                         R c
                                                                                                                                           R                                    sM
                                                                                                                                                                                   g
                                                                                                                                                                                  LÚt
                                                             Æ
                                                             P
                                                                                                                                                         Æ
                                                                                                                                                         P
                                                                                                                                                                                 m
                                                                                                                                                                                eabg




                        40                                       0                                              40                                           80 Kilometers




In FY10, the We Can program’s, 12 CHBC teams reached 552 PLHIV and supported to access general healthcare to
access RH/FP and other services. CHBC teams have trained in assessing family need, delivering appropriate
support, making referrals, and monitoring family situations and delivering follow-up support. A further 1006 OVC were
reached by Homeland and all received some form of medical and/or psychosocial support that would decrease their
vulnerability from HIV and improve their general wellbeing.

As well as delivering individual family support via its integrated CHBC teams, CAs were trained to run monthly
community parenting clubs to inform rural parents of the health risks and healthcare needs of their children.
Complimentary weekly youth clubs and monthly playgroups were also run to support the extended physical,
intellectual, emotional, social and spiritual development of OVC.



         In the FY10, HOMELAND has been working with PLHIV and OVC in five districts (Thmor Korl, Sangke,
Battambang, Banan and Ek Phnom), Battambang Province, focusing on 12 communes, 83 villages and 11 health
centers. The target areas include 05 villages in Chamkasomrong commune, 04 villages in Svay Por commune, , 05
villages in Tapon commune, 06 villages in Prek Loung commune, 03 villages in Peam Ek commune, and 03 villages
in Otakey commune, 08 villages in Prek Preah Sdach commune, 03 villages in slaket commune, 07 villages in Kdoul
commune, 08 villages in Rattanak commune, 21 village in Cherteal commune, 10 villages in Phnom Sampov
commune.
As the situation of vulnerable families and children, trafficked children and children orphaned by HIV/AIDS and other
causes is not improving and in some cases will not be resolved in the near future, the need for caring for children
persists. Caring for children requires endless inputs and cannot be viewed in resolute terms.

Year 1: (October 2007 – September 2008)

Activities conducted 1:

Improving the capacity of families and communities to care for, protect and support PLHA and OVC inf ected and/or
affected by HIV/AIDS.

 For each PLHA and OVC, household family folders were developed – allowing all client information have kept
together with in each family folder and community assistants have made efforts to place OVC who have lost their
parents within their extended family, with other families in the community efforts have made to ensure siblings stay
together.CA had visit OVC, PLHA and their family members once or two times a month and Our program staff have
used appropriate forms such as the family needs assessment form to assess the wellbeing and needs of the family.
The Community Assistants have conducted and facilitate monthly parenting club meetings with 495 parents in
selected villages. And member of staff from Homeland has been taking on the role of Child Protection Office within
the Homeland and we have also provided to 70 families with vegetable seeds and agriculture equipments to help
with their food security.

Activities Conducted 2:

  To be better of increasing to access for OVC and PLHA to essential services and support including education,
  healthcare, play, life-skills, in come generation skills and other opportunities.

         Our program had support OVC and their family members to access essential health services. Our program
  had provide basic needs support such as: health check up to 1000 OCV, school supported 750 OVC and food
  providing to 865 OVC, blankets, mosquito nets, mats, repairs to shelter, school materials, clothes and we have
  worked with relevant stakeholders to review the roles and responsibilities of home based care teams, VHSG,
  TBAs, and CBDs to find better ways for collaboration. Furthermore we have conducted a structured playgroup
  session with 742 participants and the activities conducting every month in each village using “Playgroup Resource
  Book”. For the Youth clubs were held on weekly youths in selected village where life skills curriculums such as the
  Taking Care Of Myself were used, by the way our program had provided “You Are Special” training to selected
  OVC in selected villages then OVC had facilitate monthly education sessions with other OVC in 7 villages.

Activities Conducted 3:

        Reduce stigma and discrimination we created a more enabling environment for OVC, PLHA and their
affected families.

Linking with stigma and discrimination in the society the community assistants have facilitated community education
sessions very month on different health topics to community members in selected villages and total 1594 caregivers
were educated in this FY. By the way our program selected youth club members and provided to 59 Youth on
community education sessions by using drama, grams and other creative resources. Moreover the program had
liaise to 768 students in 12 primary schools with local primary schools to gain permission and conducted special
educational sessions to students every quarter on basic HIV/AIDS awareness in order to reduce stigma and
discrimination among OVC in school.



Activities Conducted 4:

             Strengthen the quality of home-based care for PLHA and HIV positive children in targeted areas.

         In this FY our home care teams had carry out home visits to 312 households total 405 of PLHA and HIV
positive children once or more every month and frequencies of visits have varied depending on the condition of the
PLHA and linking with the strength of working quality the home based care team and health center staff have
received training from FHI on reproductive health, family planning, TB, PMTCT, STI, positive prevention and
discordant couples counseling, and furthermore our program had work with health center staff to develop a mapping
and directory of health services for PLHA in supported sites and all the contact lists /directory were used to provide
home base care teams for reference.
In order to find the new case of PLHA, we acted actively exploring for pregnant women in the community and
supported them to access health services such as antenatal care at the health center and VCT testing . On the other
hand home based care teams had inform pregnant HIV positive women about the special “5 day assistance package
“offered by FHI to encourage these women to deliver at referral hospitals with PMTCT services. The HBC teams
supported and refer pregnant HIV positive women to the referral hospitals in the mean time our program played a key
role in following up HIV- exposed children born to HIV positive women to support them with appropriate feeding
practices and to ensure that infants were tested for HIV at 6 weeks of age (Early Infant Diagnosis) by referring and
transporting them to the pediatric OI/ART center and to ensure the children with the safe the program had provide
training on the “ Children ‘s Health Book” which includes information on how to help HIV positive children remain
healthy, were rolled out to caregivers during home visits.

        Moreover, to apply the facility’s technical the program supported the regular transportation costs for up to
200 PLHIV and their family members each month to access essential health services and support in-patient costs
and related with their participation and sharing the experience and communicating advocacy the program supported
up to 24 persons to join MMM monthly regularly activities in the referral hospital.

To be well communicate and understanding the reality of community our program has joined the monthly VHSG
meetings organized by the health center to provide updated information on the health status of PLHA and promote
good collaboration home base care teams had symptomatically screen PLHA for TB at every home visit using a
simplified questionnaire and refer patients with suspected TB to the health center for follow up and VCT testing
furthermore, the program staff and community assistants have worked closely with VHSGs to do active TB case
finding in collaboration with health center staff and the program has also identified and cover transport costs for those
family members of PLHA who wish to seek VCT service then home care teams had promptly contact referral hospital
staff if a PLHA they care for dies at home or the PLHIV become lost to follow up also the program had final
contribute to the funeral costs of PLHA who have died.



Activities Conducted 5:

Build the capacity of staff and community assistants to plan, implement, manage and monitor the program.

During this FY all staff of program who attend FHI – sponsored trainings they have conducted in turn provide an
“echo training” to other community assistants and other staff. Accurately all community assistants were received
training on the updated and revised “community Assistant Training Package” which were included additional modules
on reproductive health, STI, TB, drug use, PMTCT, positive prevention and discordant couples counseling.

By the way the Homeland’s director had conduct regular monitoring and supervision and supervision visits to the field
6 times it mean once in every quarter and other 2 times on the spot check monitoring and in order to improve the
capacity and quality of work our program organized regular monthly meetings with community assistants and
community assistant leaders including the Health center staff and all the meetings provide opportunities for
participants to discuss problem and issues encountered and are also opportunities for staff to provide short skills
training sessions to community assistants.

Activities Conducted 6:

Build and strengthen networks at the national, provincial and programmatic levels to increase access to care,
            support and treatment for children and adults infected and/or affected by HIV/AIDS.

         The program had continue to be an active member and participant of the different networks, as well as foster
relationships with primary and secondary stakeholders to ensure OVC and PLHA's rights are protected and that they
have continual access to quality services it was involved in commune council meetings and other monthly also
meetings with local authorities. These provide opportunities to share information with other stakeholders about issues
faced and promote better collaboration at the commune level and especially the program has worked closely with the
OD Technical Officer and involves him/her to supervise field activities once every quarter and we have been
participating in COC monthly meetings organized by the Referral Hospitals to discuss issues such as following up
pregnant women and HIV-exposed children, and patients who have died, become lost to follow up and /or are
mission.
Year 2: (October 2008 – September 2009) In the second FY of the Program We have same strategies /
stakeholders /activities and what was changed the numbers of beneficiaries and participants.

Activities conducted 1:

Improving the capacity of families and communities to care for, protect and support PLHA and OVC infected and/or
affected by HIV/AIDS.

         For each PLHA and OVC, household family folders were developed – allowing all client information have
kept together with in each family folder and community assistants have made efforts to place OVC who have lost
their parents within their extended family, with other families in the community efforts have ma de to ensure siblings
stay together.CA had visit OVC, PLHA and their family members once or two times a month and Our program staff
have used appropriate forms such as the family needs assessment form to assess the wellbeing and needs of the
family. The Community Assistants have conducted and facilitate monthly parenting club meetings with 559 parents in
selected villages. And member of staff from Homeland has been taking on the role of Child Protection Office within
the Homeland and we have also provided to 150 families with vegetable seeds and agriculture equipments to help
with their food security.

Activities Conducted 2:

       To be better of increasing to access for OVC and PLHA to essential services and support including
  education, healthcare, play, life-skills, in come generation skills and other opportunities.

        Our program had support OVC and their family members to access essential health services. Our program
  had provide basic needs support such as: food providing to 879 OVC, blankets, mosquito nets, mats, repairs to
  shelter, school materials, clothes and we have worked with relevant stakeholders to review the roles and
  responsibilities of home based care teams, VHSG, TBAs, and CBDs to find better ways for collaboration.
  Furthermore we have conducted a structured playgroup session with 538 participants and the activities conducting
  every month in each village using “Playgroup Resource Book”. For the Youth clubs were held on weekly with
  youths in selected village where life skills curriculums such as the Taking Care Of Myself were used, by the way
  our program had provided “You Are Special” training to selected OVC in selected villages then OVC had facilitate
  monthly education sessions with other OVC in their villages.

Activities Conducted 3:

        Reduce stigma and discrimination we created a more enabling environment for OVC, PLHA and their
affected families.

        Linking with stigma and discrimination in the society the community assistants have facilitated community
education sessions very month on different health topics to community members in selected villages and total 1416
caregivers were educated in this FY. By the way our program selected youth club members and provided to76 Youth
on community education sessions by using drama, grams and other creative resources. Moreover the program
reached 668 students in12 primary schools with local primary schools to gain permission and conducted special
educational sessions to students every quarter on basic HIV/AIDS awareness in order to reduce stigma and
discrimination among OVC in school.



Activities Conducted 4:

Strengthen the quality of home-based care for PLHA and HIV positive children in targeted areas.

         In this FY our home care teams had carry out home visits to 359 households total 430 of PLHA and HIV
positive children once or more every month and frequencies of visits have varied depending on the condition of the
PLHA and linking with the strength of working quality the home based care team and health center staff have
received training from FHI on reproductive health, family planning, TB, PMTCT, STI, positive prevention and
discordant couples counseling, and furthermore our program had work with health center staff to develop a mapping
and directory of health services for PLHA in supported sites and all the contact lists /directory were used to provide
home base care teams for reference.

       In order to find the new case of PLHA, we acted actively exploring for pregnant women in the community and
supported them to access health services such as antenatal care at the health center and VCT testing. On the other
hand home based care teams had inform pregnant HIV positive women about the special “5 day assistance package
“offered by FHI to encourage these women to deliver at referral hospitals with PMTCT serv ices. The HBC teams
supported and refer pregnant HIV positive women to the referral hospitals in the mean time our program played a key
role in following up HIV- exposed children born to HIV positive women to support them with appropriate feeding
practices and to ensure that infants were tested for HIV at 6 weeks of age (Early Infant Diagnosis) by referring and
transporting them to the pediatric OI/ART center and to ensure the children with the safe the program had provide
training on the “ Children ‘s Health Book” which includes information on how to help HIV positive children remain
healthy, were rolled out to caregivers during home visits.

Moreover, to apply the facility’s technical the program supported the regular transportation costs and total for up to
421 PLHIV and their family members each month to access essential health services and support in-patient costs
and related with their participation and sharing the experience and communicating advocacy the program supported
up to 24 persons to join MMM monthly regularly activities in the referral hospital.

         To ensure well communicate and understanding the reality of community our program has joined the
monthly VHSG meetings organized by the health center to provide updated information on the health sta tus of PLHA
and promote good collaboration home base care teams had symptomatically screen PLHA for TB at every home visit
using a simplified questionnaire and refer patients with suspected TB to the health center for follow up and VCT
testing furthermore, the program staff and community assistants have worked closely with VHSGs to do active TB
case finding in collaboration with health center staff and the program has also identified and cover transport costs for
those family members of PLHA who wish to seek VCT service then home care teams had promptly contact referral
hospital staff if a PLHA they care for dies at home or the PLHIV become lost to follow up also the program had final
contribute to the funeral costs of PLHA who have died.



Activities Conducted 5:

Build the capacity of staff and community assistants to plan, implement, manage and monitor the program.

         During this FY all staff of program who attend FHI – sponsored trainings they have conducted in turn provide
an “echo training” to other community assistants and other staff. Accurately all community assistants were received
training on the updated and revised “community Assistant Training Package” which were included additional modules
on reproductive health, STI, TB, drug use, PMTCT, positive prevention and discordant couples counseling.

By the way the Homeland’s director had conduct regular monitoring and supervision and supervision visits to the field
4 times it mean once in every quarter and other 2 times on the spot check monitoring and in order to improve the
capacity and quality of work our program organized regular monthly meetings with community assistants and
community assistant leaders including the Health center staff and all the meetings provide opportunities for
participants to discuss problem and issues encountered and are also opportunities for staff to provide short skills
training sessions to community assistants.

Activities Conducted 6:

Build and strengthen networks at the national, provincial and programmatic levels to inc rease access to care,
            support and treatment for children and adults infected and/or affected by HIV/AIDS.

The program had continue to be an active member and participant of the different networks, as well as foster
relationships with primary and secondary stakeholders to ensure OVC and PLHA's rights are protected and that they
have continual access to quality services it was involved in commune council meetings and other monthly also
meetings with local authorities. These provide opportunities to share information with other stakeholders about issues
faced and promote better collaboration at the commune level and especially the program has worked closely with the
OD Technical Officer and involves him/her to supervise field activities once every quarter and we have been
participating in COC monthly meetings organized by the Referral           Hospitals to discuss issues such as following
up pregnant women and HIV-exposed children, and patients who have died, become lost to follow up and /or are
mission.

Year 3: (October 2009 – August 2010)

 Activities Conducted 1:

Improving the capacity of families and communities to care for, protect and support PLHI V and OVC.
        The total of team in this FY 12 HBC staff and 30 community assistants and 14 Health Center staff have
reached 528 PLHIV including the 74 OVC Positive and we reached 1006 OVC (462 households of OVC) and
respond to their health and social support needs the We can program staff has compiled a complete roster of clients
that contains information on the length of time on treatment, current opportunistic infections; palliative care needs,
and other and allowed the HBC team and community assistants to better prioritize support. Homeland had work with
FHI to devise a visit schedule that can be revised as needs and clients change.

Program has been working with FHI to systematize its CHBC team structure, as appropriate the HBC staff and
community assistants are using revised needs assessment forms and other relevant tools to assess the needs of
PLHIV and OVC and providing appropriate and systematic support. Program has maintained family folders
containing critical health and social information about PLHIV/OVC and their family members. These folders were
stored in a secure manner and client confidentiality maintained at all times. Moreover, the Community assistants and
social workers facilitated monthly parenting club meeting in selected villages. Accurately 583 parents are expected to
participate in the parenting club meeting per quarterly.

Activities Conducted 2:

Promoted and increase access to health and social support information, products and services among PLHIV, OVC
          and affected households.

        The program conducted the meeting with VHSG volunteers, TBAs and community-based distributors to
review roles and responsibilities and to link services for PLHIV every month/quarter also the CHBC team had screen
household members for TB every home visit and provide referrals for TB screening if symptoms are present or
suspected and worked with FHI to ensure that each CHBC home visit contact includes comprehensive RH/FP
messages, condom promotion and service referrals.

To ensure that all PLHIV actively followed and provided with the minimum package prevention all 6 of Bomnong
Cards were used during the home visiting and the total of PLHIV 528 including 74 OVC HIV positive.

By the way the program has compiled a new updated directory including the software systems of services that
include government, NGO and private RH/FP, DTI and VCCT services. These services were promoted during home
visit and referral slips provided to PLHIV and collected from referred health service providers.


The program had conduct actively search for pregnant HIV positive and negative women in targeted communities
and promote antenatal service, VCCT and PMTCT and it reference to the new SOP from the HoM. Linkage with
facility the program provided regular transportation assistance cost to 434 PLHIV and HIV infected
children to go for OI/ART every two months and other 24 PLHIV were supported to attend monthly MMM meetings
by the way, for infected children to had checkups to 1006 OVC to access health services.

To apply the community need the program had work closely with facility-based COC staff and volunteers to reduce
loss to follow up, advice on death and encourage newly diagnosed clients to access OI/ART by sharing the
information challenges facing with the home base care and we also find the best solution during the meeting .

The program provided food support total 434 PLHIV and total 882 OVC to ensured that such support is of high
nutritional Value
And is transitional in nature and in the same year we provided school support such as books, school supplies and
tuition fees) to 670 OVC. Furthermore the program has supported 100 families with seeds, farming tools and/or
chickens to help with their food security and income generation.

Activities Conducted 3:

    Build a supportive environment for PLHIV and OVC health and reduce stigma and discrimination by mobilizing
stakeholders such as local authorities, healthcare providers and others.

     We can program had establish collaborative relationships with social services, human rights or legal aid
organizations to better meet the needs of PLHIV and OVC through participating in 12 times of monthly COC
meetings organized by Referral Hospitals to discuss issues such as following up pregnant women and HIV -exposed
children, and patients who have died, become lost to follow up, and/or are missing. Furthermore, and linking with
community advocacy we had participated in two national special events in FY10 to reduce stigma and discrimination
in the target areas and in order to improve the accountability the program has been participating in commune council
meetings and other quarterly meetings with local authorities especially we have worked closely with the Provincial
AIDS Office PAO we had legally files as Letter of agreement LOA with authorities, and involved with operational
district ODs ,AIDS Coordinator and DOSVY in quarterly monitoring of field activities.



Activities Conducted 4:

 Build the capacity of implementing agency staff, partners and stakeholders to plan, implement, manage and monitor
the program.

         The We can program agreed that our staff and volunteers had participate in all FHI-sponsored capacity
building and coordination consultations and share information to others colleagues as appropriate.

The senior management of Homeland conducted regular monitoring and supervision visits to the field once and two a
quarter. Constructive feedback has been given to the relevant staff and community assistants and all monitoring
checklists were used moreover we organized and document staff/volunteer meetings every month to share work
plans, discuss problems or issues, conduct informal capacity building, collect programmatic information and
coordinate CHBC activities.

The main point of the program had complete narrative progress reports every quarter and shared this information
with FHI, either electronically or through hard-copy reports. HOMELAND had contact FHI immediately if it
experiences any difficulties completing monitoring reports or inputting data.

The program participated in formal and informal monitoring visits every month, in collaboration with FHI colleagues.
The formal monitoring trip was taken place during the month of 1-5 March 2010. However for more detail of the
report please find the file attached of the accurate data and Chart for each FY.


2       SUBPROJECT/SUB GRANT IMPLEMENTATION
        A. Results

        A description of key results achieved by NGO over PRASIT implementation period.

It is encouraged for each NGO to prepare additional graphs that show changes in program coverage or track
achievements.

        B. Program Highlights and Constraints
        PLHIV brave to join with parenting club with other caregiver and they know more about health, and other
service related to their health. PLHIV/OVC living condition more better because they have stable job by fingerling,
grow vegetable. Communities people allow their children to come and join play group with OVC. Youth know more
about health and can solve problem by them self after they join with Youth club.OVC were brave to stand in front of
the other children in their commence to lead and share in the You Are Special Program. Students were understand
about HIV/AIDS after they join with School Education Program, PLHIV are courageous to involve in World AIDS Day,
Candlelight Day, and International Children’s Day as before they afraid to come out and join the social activities
.Communities and PLHIV together were involved the community education and they know more about HIV. Youths
have valiant to perform and show drama in commune in order to reduce discrimination in their commune. Most
PLHIV now feel confident to come out and get the OI and ARV in BB .They cooperation with home ba se care team
about health condition, they arrive on time for the appointment, take treatment, PHIV willing to join with MMM
program with other PLHIV in RF to learn more about health and social share to other in their commune .They brave
and send their family member to do blood testing. Staff and CA are able to share about their problem during meeting,

By joined training staff and CA have more skill to share and work in their sitting. Our program has been cooperating
with all related partner, local authorities and other stakeholder in order to help our target group such as: Red Cross,
Word Vision, Battambang Methodist Youth and Khmer Youth Association, Hope center.

        Help three PLHIV/ OVC family in Kdul and Pnom Sampov commune for house repaired which destroyed by
natural disaster, in the present time the family felt comfortable and live in the safe condition. Three PLHIV families
were developed by family fish rising and agricultural. So, they can earn some money for their children to access
school.
         The project face some problem such as: OVC drop out, PLHIV unchanged behavior, OVC international
immigration, PHIV move out, jobless and ARV but the project had solve all of this problem by facilitate and
cooperation with school director, teacher and care giver or parents. Provided counseling to PLHIV and their family
about the effected of treatment, to avoid unsafe sexual and to prevent and protect them self.Provided counseling and
useful information about the safe immigration. Provided the suggestion and continue to fellow up about their health,
change the new service to get treatment, PLHIV provide us information related to their health condition. Provided
counseling, motivation for PLHIV and help them to access health service.

C. Program Management
           Name        sex        Job Title         Length of     % time working 0n project
                                                   employment
  Ms. Moa Lang         F      Executive Director     3 years                25%
  Mr. Chorn Chean      M     Finance/Admin/ HR        1 year                25%
                                  Manager
  Ms. Lang Sokhung     F         Accountant          3 years                25%
  Ms. Choeun           F           Cashier           2 Years                25%
  Chanphoumy
  Ms. Ry SoPharoth     F        Administrative       3 years                25%
  Mr. Kim kusal        M       Security Guard        3 years               100%
  Ms. Lee sothea       F       Project Manger        1 year                100%
  Mr. Sin viroth       M       Project Manager       2 years               100%
  Mr. Ouer khemra      M      Project Assistant      3 years               100%
  Ms. Man Lonn         M        Social Worker        3 years               100%
  Ms. Morn Sokunthea   F        Social Worker        3 years               100%
  Mr. Sen rakmony      M        social worker        3 years               100%
  Ms. Tuy Chamroeun    F        social worker        2 years               100%
  Ms. Chheang Mala     F        social worker        2 years               100%
  Ms.Pech Thorng Ny    F     Community Assistant     3 years                60%
  Ms.Leng Bunthy       F     Community Assistant     3 years                60%
  Ms.Voeurn Sopart     F     Community Assistant     3 years                60%
  Ms.Thean Leakena     F     Community Assistant     3 years                60%
  Ms.Chheang Sao Lin   F     Community Assistant     3 years                60%
  Ms. Huot Sokha       F     Community Assistant     3 years                60%
  Ms.Tuy Sokhom        F     Community Assistant     3 years                60%
  Ms. Rot Savy         F     Community Assistant     2 Years                60%
  Ms. Chhorn chanto    F     Community Assistant    5 Months                60%
  Ms. Buth Kim Mony    F     Community Assistant     3 years                60%
  Ms.Lang Miknea       F     Community Assistant      1 year                60%
  Mr. Rorng Chanroth   F     Community Assistant     3 years                60%
  Ms. Om Sim           F     Community Assistant     3 years                60%
  Ms. Man Salimas      F     Community Assistant     3 years                60%
  Ms. Kim Sitha        F     Community Assistant     3 years                60%
  Mr. Vorn Rith        M     Community Assistant     3 years                60%
  Ms.Um Savith         F     Community Assistant     3 years                60%
  Mr. Do Sambath       M     Community Assistant      1 year                60%
  Ms.Vanny Kimly       F     Community Assistant     3 years                60%
  Ms. Ouch Savoeurt    F     Community Assistant     3 years                60%
  Mr. Pok Thnorb       F     Community Assistant     3 years                60%
  Mr. Phan Sokchea     M     Community Assistant     3 years                60%
  Ms. Pa Phalla           F   Community Assistant   3 years               60%
  Ms. Kean Mom            F   Community Assistant   3 years               60%
  Ms. Phuon Sophath       F   Community Assistant   3 years               60%
  Ms. ChhunSokhoeup       F   Community Assistant   3 years               60%
  Ms. Leam Saroeut        F   Community Assistant   3 years               60%
  Mr. Phay Phon           M   Community Assistant   3 years               60%
  Mr. Chon Chhout         F   Community Assistant   3 Months              60%
  Mr.Sin Hoeurn           M   Community Assistant   3 years               60%
  Mr. Tha So Thorn        M        HC staff          1 year               20%
  Mr. Keo Chan Rith       M        HC staff         3 years               20%
  Mr. Im Buntoeurn        M        HC staff         3 years               20%
  Mr. Daim Song           M        HC staff         3 years               20%
  Ms. York Punnaka        F        HC staff         3 years               20%
  Mr. Prum Mony           M        HC staff         3 years               20%
  Ms. Chuon Som Un        F        HC staff         3 years               20%
  Ms. Tep Kim Vun         F        HC staff         3 years               20%
  Ms. Long Sambo          F        HC staff         3 years               20%
  Ms. Sen Sokhan          F        HC staff         3 years               20%
  Mr. In Ly               M        HC staff         3 years               20%
  Ms. Sao Phalla          F        HC staff         3 years               20%
  Mr. Thai Sakhorn        M        HC staff         3 years               20%
  Ms. Trear sokhom        F        HC staff         2 Years               20%
  Mr. Chheang Kun Vuthy   M        HC staff         3 years               20%
  Mr. Nym Seiha           M        Volunteer        6 Months              50%
  Mr. Tat virak           M        Volunteer        3 Months              50%
  Mr. Kham Chamreon       M        Volunteer        6 Months              50%
  Mr. Seng Pov            M        Volunteer        5 Months              50%
  Ms. Lang Minear         F        Volunteer        3 Months              50%
  Mr. Lugn Sokoeurt       M        Volunteer        3 Months              50%
  Ms. Chhang MaLa         F        Volunteer        5 Months              50%
  Mr. Som Nang            M        Volunteer        3 Months              50%
  Mr. Kakada              M        Volunteer        3 Months              50%
  Mr. Brak kosol          M        Volunteer        3 Months              50%
  Ms. Chap kavei          F        Volunteer        3 Months              100%
  Ms. Kim Vuochhong       F        Volunteer        3 Months              100%
  Ms. Sara                F        Volunteer        3 Months              100%
  Ms. Alisa               F        Volunteer        3 Months              100%
  Mr. Refhi               M        Volunteer        3 Months              50%
  Mr. Cham Nan            M        Volunteer        3 Months              50%
  Mr. Sok Phei            M        Volunteer        3 Months              50%
  Mr. Ok dom              M        Volunteer        3 Months              50%
  Mr. Van da              M        Volunteer        3 Months              50%

IV.      Next Steps                                                                                                  Formatted: Char, Left, Tab stops: Not at
                                                                                                                     0.5" + 5.19"
Homeland had been talking with KHANA, SEAD, SAVE CHILDREN AUSTRALIA, Battambang PAO and NAA at
Phnom Penh and other partners to negotiate the supporting for PLHIV/OVC, but had not been able to find partners to
take over. However, the report writing still has only 1 month to find a solution. Moreover, we will effort the progressing
to look for Donor to support PL HIV/OVC.

 PLHIV/OVC family might feel loneliness and hopeless, therefore, they lack of motivation and support. They might
face serious health issue of PLHIV/OVC because Homeland is impossible conducting home base care team provide
the counseling when they need. Especially, they have worry about the future of their children, loss of information
about health care, loss of relationship between PLHIV and PLHIV.

Another problem is that we worried about the effect of treatment, treatment resistant; the late of appointment to
access health service, the number of OVC drop out the school might be increase causing by family economic issue,
immigration, domestic violence.

Even though, we are trying hard and build good cooperation with other partner and stakeholder in order to find a new
fund to continue our project and support for PLHIV/OVC. We strongly continue to help our entire target group in order
to make them to understand what their Bom Nong. More than that, they might believe that HIV is not the end of their
life it just only the beginning of new life. They need to have their own family planning and to know about AID S
legislation. It is very important for PLHIV and they were very interesting with this program. At last of Bom Nong, we
hope all PLHIV live with happiness and hopeful, by using their family planning and take strong responsible lead the
whole family in a very smooth way to reach their bright life. We strongly commit to the needs of PLHIV and OVC and
will continue to seek a donor partner to either to continue and rebuild this project. We felt very regret because our
staff and community assistant are full of experience and hard working, good communication with partner, authority
and other stakeholder.

Especially, in the present time we were in a good term with target group and communities. More than that, they
enjoying in cooperating with Homeland project.

According to the meeting on July 22, 2010, with community assistant and staff about the August 31, 2010, we had
discussed about what we would do better for PLHIV/OVC. Community Assistant, they are willing to continue working
with Homeland in order to encourage PLHIV/OVC to live with hope, self confident and improving the community
building.

								
To top