new ovc programming guidance overview dr. nicole behnam pepfar/ ogac aids 2012 - turning the tide...
Post on 18-Jan-2016
214 Views
Preview:
TRANSCRIPT
PEPFAR
New OVC Programming Guidance Overview
Dr. Nicole BehnamPEPFAR/ OGAC
AIDS 2012 - Turning the Tide Together
Purpose
• Assists PEPFAR country teams and implementing partners in – developing country operational plans– designing programs that incorporate, context, known best
practice and innovation. – Implementing evidence-based, and cost-effective activities.
• Closes gaps in past programming efforts.
• Places the OVC programming within the HIV/AIDS continuum of response at the country level.
NOT “how-to” manual for implementation
Key points from Guidance• There is no “minimum package of services.”• Primary strategy for child well-being is strengthening parents and
caregivers.• Country ownership promotion is imperative and must be
balanced with meeting children’s immediate needs.• A young person who turns 18 while receiving OVC services
should not automatically be terminated from receiving assistance.
• Programs should build interventions on evidence-based practice. Guidance includes summaries of evidence for interventions.
• Programs encouraged to allocate 10% of project funding to M&E. • Experienced and specialized technical expertise is required for
interventions.
Guiding Principles
• Strengthening families as primary caregivers of children.
• Strengthening systems to support country ownership, including community ownership.
• Ensuring prioritized, focused interventions that address children’s most critical care needs.
• Working within the continuum of response to achieve an AIDS-free generation.
Governments have skills & staff to ensure strong child welfare &
social protection services
Civil Society, including NGOs & communities,
are organized & resourced to identify children &families at
risk & to provide safety nets
Families are empowered through access to health care, parenting skills &
economic strengthening to fulfill role as primary carers
of children
Children are protected from and resilient to
HIV/AIDS and other risks to their development and
well-being
Approach
HIV infection of ParentsHIV infection of Parents
Possible distancing by parent, disclosure issuesPossible distancing by parent, disclosure issues
Children may become caregivers
Psychosocial distressPsychosocial distress
Deaths of parents
Increasingly serious illnessIncreasingly serious illness
Children withdraw from school
Children withdraw from school
Inadequate foodInadequate food
Problems with shelter & material needs
Problems with shelter & material needs
Economic problemsEconomic problems
Problems with inheritance
Problems with inheritance
Reduced access to health services
Reduced access to health services
Children without adequate adult care
DiscriminationDiscrimination
Increased vulnerability to HIV infection
Increased vulnerability to HIV infection
Life on the streetLife on the street
InstitutionalizationInstitutionalization
Sexual exploitationSexual exploitation
Exploitative child laborExploitative child labor
How HIV Affects Children
Technical SectorsAddressing issues entails multi-sectoral approach that assesses complexities of vulnerability
• Education• Psychosocial Care and Support• Household Economic Strengthening• Social Protection• Child Protection• Legal Protection• Health and Nutrition• Capacity-building
Sectors and Approach
Ages Stages OVC Programs Across the Age Span
Collaboration
Prenatal to three Safety and security
Home visitors encourage adherence to PMTCT and reduce loss to follow-up
Referral for
HIV testing
and
adherence support
Disclosure
and
Bereavement
Support
Referrals for prevention, diagnosis and management of TB and opportunistic Infections
PMTCT, MCH (vaccinations, etc.), Food and NutritionBirth registration
Training in Parental Skills reduces toxic stress effects
Preschool Curiosity
Nutrition and ECD programs boost holistic development
MCH, WASH, Food and Nutrition
Age appropriate entry into a safe, non-discriminatory early learning program, esp. for girls
Middle years Learning
Access to education, enrollment into school and facilitation for retention
GBV, HIV prevention, Education
Creation of child friendly, gender sensitive classrooms
Ensure completion of primary school, esp. for girls
Kids clubs develop social skills
Early Adolescence Peer Acceptance
Peer support groupsGBV, HIV
prevention, Education
Protection from harmful labor/ trafficking
Late adolescence to adulthood Decision-making
Referrals to adolescent reproductive and family health services
GBV, Prevention, Family Planning,
Reproductive Health
If out of school, access to vocational education or other training opportunities that result in sustainable livelihoods
Mentorship programs
Money Management
Programming for Ages & Stages
Priority Interventions
Thank you!
Guidance Discussion and Q&A
Shriver Hall, Peace Corps1111 20th Street, NW
Friday , July 27th, 9:00 – 10:30 am
No need to be registered for conferencePlease be aware of security checks at door
top related