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1
Official name
Area
Location
Population
Capital city
Independence
Political system
Language
Literacy rate
Religion

Namibia
824.292 sq. km
South western coast of
Africa
2 million
Windhoek
1990
Multi party democracy
English, German,
Afrikaans, Bantu
80%
Freedom of religion,
about 85% Christian

2
Give a child love, laughter and peace, not AIDS.
Nelson Mandela

The growing

HIV/AIDS

Prevention
&
intervention

epidemic

Main aspects of a problem

Data

Population 2008

2.000,000

People living with HIV/AIDS, 2007

240,000

Women (aged 15+) with HIV/AIDS, 2007

140,000

Children with HIV/AIDS, 2007

45,000

Adult HIV prevalence (%) 2007

5.1

AIDS deaths, 2007

39,000

Orphans due to AIDS aged 0 to 17

90,000

3
Economically Driven /
Economically
Rational Sex

Criminal
Sex (Rape)

Coerced
Sex

Reasons
Emotional,
security,
love,
pleasure,
social
status

Material
comfort,
security
(gifts)

Life
maintenance
(school fees,
shoes,
uniforms

Survival
needs
(food,
housing)

Insecurity,
fear of
physical or
other
harms

Economic Security
4
Project Name: Economic empowerment
as a means to mitigate the effect of HIV/AIDS
Project Organisation: Project HOPE
Target: Young Girls & Women, age 15 - 25

Project Location: Namibia
Approved by
The Government of Namibia
Sponsored by
USAID USA,
HIVOS Netherlands &
Urgent Action Fund Africa

Project Duration: 47 months
Budget: 844.360 €

5
Founded in 1958 in USA, Project HOPE
(Health
Opportunities
for
People
Everywhere)

is dedicated to providing solutions to health
problems with the mission of helping people
to help themselves.
Project HOPE now provides medical training and
health education, as well as conducts
humanitarian assistance programs in more than
35 countries.
http://www.projecthope.org/
6
Strengthening of
knowledge in Health
education
(Health Education on
HIV/AIDS)

Economic Empowerment
as means to mitigate
HIV/AIDS and its impacts
(Cross Generational Sex
Project)

Health Education
to young girls to

Mitigating the incedence
of HIV/AIDS

Micro credit loan to young
girls to begin business

7
These projects provide the enabling environment for the
success of commercial projects.
Why PH Project differs from commercial Project?
•
•
•
•

No business case
Non profitable
No deep analysis of sponsors
Main stakeholders are participants.

Precondition: Sponsors already existed, fund granted
money without pre-selection.
Investment in AIDS will be repaid a thousand-fold in
lives saved and communities held together.
Dr. Peter Piot, Executive Director, UNAIDS

8
9
Never, never, never give up.
Winston Churchill

HIV/AIDS
problem
Economical
problem
Behaviour
problem

Basic economical
education
Health
education
Loans
Assistance
Consultations

Purpose

Scope

Feasibility

Background, scope,
strategy, objectives,
options, solutions,
benefits, risks,
dependencies,
affordability,
analysis of costs,
stakeholders, success
factors, procurement
procedures, additional
information.

Purpose of the project,
structure and
Business
implementation.
Plan
Describes
the project vision,
objectives, scope and
deliverables, Stakeholders,
roles and responsibilities.

10
Project
Team,
Project
Office

Communication with
governmental bodies of
Namibia, charity
organizations,
international funds
(USA, Netherlands),
private sponsors.

Sponsors
Job descriptions,
using of project tools.
Project office in
Windhoek, Namibia,
local offices in every
region.

Phase
review
The completion of the draft
documentation, as well as
guidelines, the approval of the
Business plan, the completion
of the Initiation project status
review, and the approval to
proceed to the next phase,
signify the end of the Initiation
Phase.

11
Purpose

Feasibility

Project
Team

Scope

Business
Plan

Sponsors

Phase review

Completion of the Initiation phase comprised:
• Establishment of project sponsorship
• Development of the Business Plan
• Identification of the Project Manager
• Formation of the Team
• Identification and initial analysis of the budget

12
Parents
Ministry
of Health

Governors
of all the
4 regions

Minister
of
Gender
Affairs

Young
girls members

Heads of
local and
internatio
nal NGOs

Chiefs
(commun
ity
heads)

Young
girls-non
members

13
№
1

Expense items
Micro loans for the
whole programme

Euro
100.000 €

Sponsors
USAID (USA)

HIVOS (Netherlands)

Urgent Action Fund (Africa)

2

Training

3

Equipment's/Materials

158.000 €

4

Salaries

479.000 €

5

Administrative cost

25.000 €

6

Other Materials

33.360 €

Total cost for
the project

844.360 €

49.000 €

12%
35%

53%

10 N$= 1 EURO

“It's clearly a budget. It's got a lot of
numbers in it.”
George W. Bush

14
15
Meetings , training of officers
Coordinates with donor organization &working with
young women groups
Recruitment of staff

Establish offices ,get equipment for office work
Translate learning materials into local language
Conduct meetings with communities to explain
scope & activities of project
AIDS is an absolutely tragic disease. The argument about
AIDS' being some kind of divine retribution is crap.
Calvin Klein

16
• Developed by Project Managers and Regional Supervisors

Activities

Starting & Personnel
Target Partners
completing needed

Expected
outcome

Material
needed

Person
resp.

Evidence

Examples of possible data represented in the plan
Provide
training,
disbursement
of loans,
coaching,
meetings,
collection of
data

Exact dates

Names,
positions

Young
girls,
women

Catholic
Aid
Action

Expectations to
reach exact
amount of
participants,
identify activists,
train people,
make a report,
organize meetings

Money,
statistical
material,
vehicles,
training
material,
condoms,
etc.

Names

Field reports,
simple report,
training report,
activity report,
health activists
report

17
Duration of the Project – 47 months
Start date – 01.01.2007
End date – 03.12.2010

It has been my observation that most people get ahead during the
time that others waste.
18
Henry Ford
Sponsors
Legal
advisor

Country
Director
Program
manager

Project manager
of Microfinance

Regional
Supervisor
(North West)

Health officer
(4 In the Region)

Community
Health Activist
(10 in Region)

Loan officer
(4 in the Region)

Regional
Supervisor
(North East)

Health officer
(4 in the Region)

Community
Health Activist
(12 in Region)

Project
Management office

Project manager
of Health
education

Regional
Supervisor
(North Center)

Loan officer
(4 In the Region)

Health officer
(4 in the Region)

Community
Health Activist
(15 in Region)

Loan officer
(4 In the Region)

Regional
Supervisor
( Far North)

Health officer
(4 in the Region)

Loan officer
(4 in the Region)

Community
Health Activist
(13 in Region)

19
Trainings provided to the recruited staff in
Windhoek office for a period of 2 weeks.
Trainings will be provided by the Country Director
and Project Manager.
At the end of the training, recruited
staff will show their competency by
doing what they learned during a
supervised visit of the Country
Director and Programme Manager and
Project Manager.

20
Main risks

Possibility
medium

high

%

Participant will not pay the
interest

-

+

5%

Participants disappear with loans
given out

-

+

4%

Participants continue antisocial
behavior

-

+

3%

Participants do not take part in
trainings and meetings

+

-

The extension of social
risk assessment and
management
procedures to financial
part of the project by
means of the Project
Charter.

2%

21
22
Execution
phase

Micro-finance
and
education

Step 1.
Micro credit
(VHH)

Step 2.
Education
session 1

Health
education

Step 4. Loanpayment
session

Preventive
methods

Everyday
management

Step 3.
Education
session 2

Implementation

23
No

1

Topic

Organisational
Management

Results
Stage 1. Election of management Committee. List of
Village Health Fund (VHF) members and copy of ID’s
or Birth certificates
Stage 2. Finalisation of basic internal regulation
document (membership profile and loan application)
and signing of internal rules of Project.

2

Record Keeping

Basic income and expenditure recording capabilities
for businesses and for loan repayment. Individual loan
amount requests for consideration of the committee.
Payment of membership fee and a 2% interest

3

Book keeping and
loan request

Record keeping concepts (how to fill loan passbook,
repayment register and request)
Group sign loan request

24
•

Amont of first loan is N$ 500

•

Future loan amounts may be larger
once the member has shown ability
to repay on the first loan

•

The second loan will have a sealing
of N$1,000

•

The annual interest rate is 2.0%

•

End of first year, we met out target
of 300 participants

Loan repayment

25
Section

Method
Abstinence/Be faithful

1
2

3

Outcome

ABC

Condoms and other Prevention
Other/Policy Analysis and System Strengthening

Community Health Workers staff of PH will compliment PH activities
during the monthly sessions on which young women
will have the opportunity to share their experiences,
concerns and challenges.
Ensure that health fairs are held and organised for both women and men
to listen to positive/motivational speakers, as well as guest speakers,
such as doctors, representative of government/donor
or partner organisation
PH = Project Hope

26
•

Provide comprehensive ABC method & prevention training
sessions to young women & their families utilizing learning
materials

•

Health officers at the regions trained 50 village health workers
participants in the three component above

•

Trained Village Health Workers trained, conduct by weekly health
meetings in their communities

"If candidates do not support testing for HIV or Aids, don't
vote for them. If candidates don't support the use of condoms,
don't vote for them." — Zackie Achmat

27
•

Develop an study design by means of questionnaires, protocols
& others tools to measure statistically significant difference

•

Training interviewers for quantitative & qualitative research

•

Conduct rolling baseline with people participating in the two
different groups (loan and health)

•

Individual interviews with young women/girls participating in
the studying process

28
• Mobility of young girls and drop out.
• Dropping out because of membership fee
(50 N$).
• Inability to repay loan.
• Authorities force members of the Project to
pay taxes to begin a small business.

29
30
Tasks

Responsible Person

Rolling baseline documentation of Regional Supervisors, Loan Officers and
socio-economic status and Health Health Officers
education
Regular Performance monitoring

Country Director, Program Manager, Project
Manager and Regional Supervisors

Follow-up documentation of socio- Regional Supervisors (of all regions)
economical behavioral change
Project reporting

Director, Program Manager, Project
Manager and Regional Supervisors

31
• Membership profile for each participants.
• Promotion and monitoring of self governance and
problem solving.
• Leverage service at community level, including how
and where to access counseling, support against
women and child violence services, etc.
• Follow up documentation on socioeconomic status.

32
33
Data to be collected three times:
Baseline, middle term (24 months) and final
term (47 months).
Young women who received micro-credit
loans and health education are more likely
to report practicing safer sex.
Participants divided in two study sections:
• Full intervention (Micro-Credit +
Health Education)
• Health Education only

34
•
•
•
•
•

•

16 Health and Loan Officers
trained
50 Health Activist trained
300 Participants received loan
150,000 N$ disbursed as micro
credit loan
Women more interested in
micro credit activity than
health education
Modules for health training
developed

35
Small Loan from
Project Hope

After 1 year, she
paid back her loan
+interest. Option to
renew a loan

Village Health
Fund

The pig produced
10 piglets in a year.
She sold few and
kept the rest

She learned to
manage Basic Bookkeeping of family
finance

Woman bought
the small pig

With the help
from Social
Workers, she
learned to raise
husbandry
36
Health Education
Enrolled No. – 300 women
Median Age – 21, Less than half completed secondary education
70% never married, 24% married and 5% cohabiting
94.5% had sex, 6% reported having sex with 15 years older
46% knew their partner less than one week before having sex, 85%
reported having gifts or money received from their partners
70% expect gifts or money to be in relationship
Results:
2010- 60% reported usage of condoms ( in 2007 - 20%)
2010 -5% reported having more than one partner (2007- 60%)

Micro- Finance
70% of participants contributes to the household expenses are increased
from our baseline (20%)
75% participants has realized change in the personal income and other

37
This project was targeted to the woman of age
group 15-25 to mitigate the HIV/AIDS. Some extent this
project really helped the girls of the Namibia to enhance
the knowledge of HIV/AIDS and manage one’s life that is
being affected from HIV/AIDS epidemic.
Since 2007 increased the number of condom users.
There was a huge reduction in the having multiple
relations. Economical growth in 4 Regions. The findings
suggest that properly administered, microcredit coupled
with health education has the potential to reduce risk
behavior among vulnerable young girls.
38
Contact
ujjwaljoshi1990@gmail.com

39

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Namibia- Project Hope

  • 1. 1
  • 2. Official name Area Location Population Capital city Independence Political system Language Literacy rate Religion Namibia 824.292 sq. km South western coast of Africa 2 million Windhoek 1990 Multi party democracy English, German, Afrikaans, Bantu 80% Freedom of religion, about 85% Christian 2
  • 3. Give a child love, laughter and peace, not AIDS. Nelson Mandela The growing HIV/AIDS Prevention & intervention epidemic Main aspects of a problem Data Population 2008 2.000,000 People living with HIV/AIDS, 2007 240,000 Women (aged 15+) with HIV/AIDS, 2007 140,000 Children with HIV/AIDS, 2007 45,000 Adult HIV prevalence (%) 2007 5.1 AIDS deaths, 2007 39,000 Orphans due to AIDS aged 0 to 17 90,000 3
  • 4. Economically Driven / Economically Rational Sex Criminal Sex (Rape) Coerced Sex Reasons Emotional, security, love, pleasure, social status Material comfort, security (gifts) Life maintenance (school fees, shoes, uniforms Survival needs (food, housing) Insecurity, fear of physical or other harms Economic Security 4
  • 5. Project Name: Economic empowerment as a means to mitigate the effect of HIV/AIDS Project Organisation: Project HOPE Target: Young Girls & Women, age 15 - 25 Project Location: Namibia Approved by The Government of Namibia Sponsored by USAID USA, HIVOS Netherlands & Urgent Action Fund Africa Project Duration: 47 months Budget: 844.360 € 5
  • 6. Founded in 1958 in USA, Project HOPE (Health Opportunities for People Everywhere) is dedicated to providing solutions to health problems with the mission of helping people to help themselves. Project HOPE now provides medical training and health education, as well as conducts humanitarian assistance programs in more than 35 countries. http://www.projecthope.org/ 6
  • 7. Strengthening of knowledge in Health education (Health Education on HIV/AIDS) Economic Empowerment as means to mitigate HIV/AIDS and its impacts (Cross Generational Sex Project) Health Education to young girls to Mitigating the incedence of HIV/AIDS Micro credit loan to young girls to begin business 7
  • 8. These projects provide the enabling environment for the success of commercial projects. Why PH Project differs from commercial Project? • • • • No business case Non profitable No deep analysis of sponsors Main stakeholders are participants. Precondition: Sponsors already existed, fund granted money without pre-selection. Investment in AIDS will be repaid a thousand-fold in lives saved and communities held together. Dr. Peter Piot, Executive Director, UNAIDS 8
  • 9. 9
  • 10. Never, never, never give up. Winston Churchill HIV/AIDS problem Economical problem Behaviour problem Basic economical education Health education Loans Assistance Consultations Purpose Scope Feasibility Background, scope, strategy, objectives, options, solutions, benefits, risks, dependencies, affordability, analysis of costs, stakeholders, success factors, procurement procedures, additional information. Purpose of the project, structure and Business implementation. Plan Describes the project vision, objectives, scope and deliverables, Stakeholders, roles and responsibilities. 10
  • 11. Project Team, Project Office Communication with governmental bodies of Namibia, charity organizations, international funds (USA, Netherlands), private sponsors. Sponsors Job descriptions, using of project tools. Project office in Windhoek, Namibia, local offices in every region. Phase review The completion of the draft documentation, as well as guidelines, the approval of the Business plan, the completion of the Initiation project status review, and the approval to proceed to the next phase, signify the end of the Initiation Phase. 11
  • 12. Purpose Feasibility Project Team Scope Business Plan Sponsors Phase review Completion of the Initiation phase comprised: • Establishment of project sponsorship • Development of the Business Plan • Identification of the Project Manager • Formation of the Team • Identification and initial analysis of the budget 12
  • 13. Parents Ministry of Health Governors of all the 4 regions Minister of Gender Affairs Young girls members Heads of local and internatio nal NGOs Chiefs (commun ity heads) Young girls-non members 13
  • 14. № 1 Expense items Micro loans for the whole programme Euro 100.000 € Sponsors USAID (USA) HIVOS (Netherlands) Urgent Action Fund (Africa) 2 Training 3 Equipment's/Materials 158.000 € 4 Salaries 479.000 € 5 Administrative cost 25.000 € 6 Other Materials 33.360 € Total cost for the project 844.360 € 49.000 € 12% 35% 53% 10 N$= 1 EURO “It's clearly a budget. It's got a lot of numbers in it.” George W. Bush 14
  • 15. 15
  • 16. Meetings , training of officers Coordinates with donor organization &working with young women groups Recruitment of staff Establish offices ,get equipment for office work Translate learning materials into local language Conduct meetings with communities to explain scope & activities of project AIDS is an absolutely tragic disease. The argument about AIDS' being some kind of divine retribution is crap. Calvin Klein 16
  • 17. • Developed by Project Managers and Regional Supervisors Activities Starting & Personnel Target Partners completing needed Expected outcome Material needed Person resp. Evidence Examples of possible data represented in the plan Provide training, disbursement of loans, coaching, meetings, collection of data Exact dates Names, positions Young girls, women Catholic Aid Action Expectations to reach exact amount of participants, identify activists, train people, make a report, organize meetings Money, statistical material, vehicles, training material, condoms, etc. Names Field reports, simple report, training report, activity report, health activists report 17
  • 18. Duration of the Project – 47 months Start date – 01.01.2007 End date – 03.12.2010 It has been my observation that most people get ahead during the time that others waste. 18 Henry Ford
  • 19. Sponsors Legal advisor Country Director Program manager Project manager of Microfinance Regional Supervisor (North West) Health officer (4 In the Region) Community Health Activist (10 in Region) Loan officer (4 in the Region) Regional Supervisor (North East) Health officer (4 in the Region) Community Health Activist (12 in Region) Project Management office Project manager of Health education Regional Supervisor (North Center) Loan officer (4 In the Region) Health officer (4 in the Region) Community Health Activist (15 in Region) Loan officer (4 In the Region) Regional Supervisor ( Far North) Health officer (4 in the Region) Loan officer (4 in the Region) Community Health Activist (13 in Region) 19
  • 20. Trainings provided to the recruited staff in Windhoek office for a period of 2 weeks. Trainings will be provided by the Country Director and Project Manager. At the end of the training, recruited staff will show their competency by doing what they learned during a supervised visit of the Country Director and Programme Manager and Project Manager. 20
  • 21. Main risks Possibility medium high % Participant will not pay the interest - + 5% Participants disappear with loans given out - + 4% Participants continue antisocial behavior - + 3% Participants do not take part in trainings and meetings + - The extension of social risk assessment and management procedures to financial part of the project by means of the Project Charter. 2% 21
  • 22. 22
  • 23. Execution phase Micro-finance and education Step 1. Micro credit (VHH) Step 2. Education session 1 Health education Step 4. Loanpayment session Preventive methods Everyday management Step 3. Education session 2 Implementation 23
  • 24. No 1 Topic Organisational Management Results Stage 1. Election of management Committee. List of Village Health Fund (VHF) members and copy of ID’s or Birth certificates Stage 2. Finalisation of basic internal regulation document (membership profile and loan application) and signing of internal rules of Project. 2 Record Keeping Basic income and expenditure recording capabilities for businesses and for loan repayment. Individual loan amount requests for consideration of the committee. Payment of membership fee and a 2% interest 3 Book keeping and loan request Record keeping concepts (how to fill loan passbook, repayment register and request) Group sign loan request 24
  • 25. • Amont of first loan is N$ 500 • Future loan amounts may be larger once the member has shown ability to repay on the first loan • The second loan will have a sealing of N$1,000 • The annual interest rate is 2.0% • End of first year, we met out target of 300 participants Loan repayment 25
  • 26. Section Method Abstinence/Be faithful 1 2 3 Outcome ABC Condoms and other Prevention Other/Policy Analysis and System Strengthening Community Health Workers staff of PH will compliment PH activities during the monthly sessions on which young women will have the opportunity to share their experiences, concerns and challenges. Ensure that health fairs are held and organised for both women and men to listen to positive/motivational speakers, as well as guest speakers, such as doctors, representative of government/donor or partner organisation PH = Project Hope 26
  • 27. • Provide comprehensive ABC method & prevention training sessions to young women & their families utilizing learning materials • Health officers at the regions trained 50 village health workers participants in the three component above • Trained Village Health Workers trained, conduct by weekly health meetings in their communities "If candidates do not support testing for HIV or Aids, don't vote for them. If candidates don't support the use of condoms, don't vote for them." — Zackie Achmat 27
  • 28. • Develop an study design by means of questionnaires, protocols & others tools to measure statistically significant difference • Training interviewers for quantitative & qualitative research • Conduct rolling baseline with people participating in the two different groups (loan and health) • Individual interviews with young women/girls participating in the studying process 28
  • 29. • Mobility of young girls and drop out. • Dropping out because of membership fee (50 N$). • Inability to repay loan. • Authorities force members of the Project to pay taxes to begin a small business. 29
  • 30. 30
  • 31. Tasks Responsible Person Rolling baseline documentation of Regional Supervisors, Loan Officers and socio-economic status and Health Health Officers education Regular Performance monitoring Country Director, Program Manager, Project Manager and Regional Supervisors Follow-up documentation of socio- Regional Supervisors (of all regions) economical behavioral change Project reporting Director, Program Manager, Project Manager and Regional Supervisors 31
  • 32. • Membership profile for each participants. • Promotion and monitoring of self governance and problem solving. • Leverage service at community level, including how and where to access counseling, support against women and child violence services, etc. • Follow up documentation on socioeconomic status. 32
  • 33. 33
  • 34. Data to be collected three times: Baseline, middle term (24 months) and final term (47 months). Young women who received micro-credit loans and health education are more likely to report practicing safer sex. Participants divided in two study sections: • Full intervention (Micro-Credit + Health Education) • Health Education only 34
  • 35. • • • • • • 16 Health and Loan Officers trained 50 Health Activist trained 300 Participants received loan 150,000 N$ disbursed as micro credit loan Women more interested in micro credit activity than health education Modules for health training developed 35
  • 36. Small Loan from Project Hope After 1 year, she paid back her loan +interest. Option to renew a loan Village Health Fund The pig produced 10 piglets in a year. She sold few and kept the rest She learned to manage Basic Bookkeeping of family finance Woman bought the small pig With the help from Social Workers, she learned to raise husbandry 36
  • 37. Health Education Enrolled No. – 300 women Median Age – 21, Less than half completed secondary education 70% never married, 24% married and 5% cohabiting 94.5% had sex, 6% reported having sex with 15 years older 46% knew their partner less than one week before having sex, 85% reported having gifts or money received from their partners 70% expect gifts or money to be in relationship Results: 2010- 60% reported usage of condoms ( in 2007 - 20%) 2010 -5% reported having more than one partner (2007- 60%) Micro- Finance 70% of participants contributes to the household expenses are increased from our baseline (20%) 75% participants has realized change in the personal income and other 37
  • 38. This project was targeted to the woman of age group 15-25 to mitigate the HIV/AIDS. Some extent this project really helped the girls of the Namibia to enhance the knowledge of HIV/AIDS and manage one’s life that is being affected from HIV/AIDS epidemic. Since 2007 increased the number of condom users. There was a huge reduction in the having multiple relations. Economical growth in 4 Regions. The findings suggest that properly administered, microcredit coupled with health education has the potential to reduce risk behavior among vulnerable young girls. 38