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Sample Letter of Intent

 

24th June 2015.

Jacob Drawly, Chair

Grants Committee,

World Health Organization,

Avenue Appia 20,

Geneva, Switzerland.

Dear Mr. Drawly,

         The National Health Institute, Jamaica (NHI) seeks a grant of  $150,789 from the World Health Organization for support of our project called Planning and Prevention of HIV/STDs in Negril, Jamaica. We are very grateful for the support from your organization in 2009 for the eradication of congenital syphilis in Southern Jamaica.

         We think this new project will be of great interest to your organization. We share the thought that it aligns with your organization's goals of making health care available and affordable to all persons.

         Our organization, established in 1984, is a health institution in Negril whose mission is to create awareness and stop the devastating spread of HIV and STDs in the town and its environs. To accomplish this, NHI has been partnering with various community-based organizations with an effort to reach out to the most vulnerable groups.

          We have had collaborations with several governmental and non-governmental organizations to bring better health services to HIV high-risk groups in Negril and create recovery centers for drug addicts. We have achieved these through educational health seminars, providing strategies for disease prevention and risk reduction, and referrals for residents who are drug users.

         We were recently honored by the National AIDS Agency (NAA) for our efforts in combating the epidemic in the Southern part of Jamaica. The Flying Doctors Association recognized our initiatives in providing early intervention measures and helping the HIV victims.

         This project will change the lives of the sex workers and drug users who are at a high risk of infections but do not receive adequate health care. The project will take a period of four years, costing $150, 789, and we expect to have the following results:

  • 0% mother-to-child transmission of the HIV.
  • At least 400 sex workers and drug users to have registered with our program.
  • To admit a similar number of drug users to recovery centers for medical attention.

         We have received support from the Highway hospital and the NHI staff who will provide their expertise in ensuring the project is successful. They have committed their support for the four-year period.

We will be glad to submit details of the project in a full proposal for your further review.

Sincerely,

Tom Harvey, Project Director,

+194-690-3892,

This email address is being protected from spambots. You need JavaScript enabled to view it..


 

Sample Letter Proposal

24th June 2015.

Jacob Drawly, Chair

Grants Committee,

World Health Organization,

Avenue Appia 20,

Geneva, Switzerland.

Dear Mr. Drawly,

         The National Health Institute, Jamaica (NHI) seeks a grant of  $150,789 from the World Health Organization for support of our Planning and Prevention of HIV/STDs project in Negril, Jamaica. We are very grateful for the support we received from your organization in 2009 for the eradication of congenital syphilis.

         Our organization, established in 1984, is a health institution in Negril whose mission is to create awareness and stop the devastating spread of HIV and STDs in the town and its environs. To accomplish this, NHI has been partnering with other community-based organizations with an effort to reach out to the most vulnerable groups.

          We have had collaborations with several governmental and non-governmental organizations to bring better health services to HIV high-risk groups in Negril and create recovery centers for drug addicts. We have achieved these through health education seminars, providing strategies for disease prevention and risk reduction, and social service referrals for Negril residents who were drug users.

         We were recently honored by the National AIDS Agency (NAA) for our efforts in combating the epidemic in the Southern part of Jamaica. The Flying Doctors Association also recognized us for providing early intervention measures and helping the HIV victims.

         This project will change the lives of the sex workers and drug users who are at a high risk of infection but do not receive adequate health care. The project will take a period of four years, at a cost of $150, 789. The following are the outcomes that we expect:

  • 0% mother-to-child transmission of the HIV.
  • At least 400 from the target population to have registered for our program.
  • To admit a similar number of drug users to recovery centers for medical attention.

         We have received support from the staff of the NHI and the Highway hospital who have committed themselves to steering the project to completion.

         I encourage you to contact the Project Director, Tom Harvey, at +194-690-3892 or tThis email address is being protected from spambots. You need JavaScript enabled to view it. for further information about the project.
Sincerely,

Jim Clement,

Executive Director,

The National Health Institute (NHI)

+103-399-8929 or This email address is being protected from spambots. You need JavaScript enabled to view it.


 

Sample Grant Proposal

NEGRIL COMMUNITY HEALTH INITIATIVE

Project Summary Outline

Project Title: Planning and prevention of HIV.

Grantee: National Health Institute (NHI).

Location: Negril, Jamaica.

Project Director: Tom Harvey.

Target Population: Drug Users and sex workers in Negril.

Project Description: A multi-dimensional outreach and education on reducing the risk of HIV and STD infections, access to various local recovery/medical facilities.

Proposed budget:

Total

$150,789

Total Direct

$125,789

Total Indirect

$25,000.


 

        Background

         Sex workers and drug users account for a high number of AIDS victims in Negril, Jamaica. This group accounts for 28.7% of the total number of new HIV infections in the town. Sex workers and drug users who use injections are at an all-time high risk of getting the disease in all Jamaica's major cities with Negril one of the leading.

         Our project will bring on board two service providers:


 

         National Health Institute (NHI): This is a community-based organization with over ten years of experience in providing outreach programs to groups that are not easy to reach, for example, the sex workers and the drug users. The Institute has in its by-laws, a clause that there should be no discrimination against this group when providing health services, which has helped them gain their trust.


 

         Highway Hospital: It is one of the oldest health service providers in Negril. It has the primary responsibility to provide health care to the town and its environs. The hospital has committed themselves to providing the indigent group with high quality and comprehensive medical services. It has an integrated system of clinics, hospitals, and health services that have staff who are responsive to the diverse needs of the town. One of the hospital’s clinics, the Immunology Center has been providing long-term and early intervention medical care to people with HIV free of charge.


 

        Mission

To reduce HIV and STD infections among high-risk groups in Negril.


 

        Goals and Objectives

  • To expand knowledge of the drug users and sex workers about their health conditions.
  • To ensure the group has access to medical care promptly.
  • To educate the group about HIV and its prevention mechanisms.
  • To encourage safe sex and safe needle practices among the target group.

         Our objectives for the first year are:

  • To provide testing for HIV and STD to 600 drug users and sex workers.
  • To enroll the HIV positive to the Immunology Center.
  • To provide medical care to those who test positive for STDs.
  • To start a recovery program for the substance users.
  • To have the drug users commit to cleaning their needles and outfits.
  • To encourage the target group commit to practicing safe sex by using latex barriers.

 

        Methodology

         This outreach program will take place in parts of Negril Town where sex workers conduct their business. The team will comprise of individuals who are familiar with the town and are friends or trusted by the participants. 

         We will have short messages on fliers about HIV prevention spread to reach as many people as possible. The participants will be in groups of three during sessions on risk-reduction education. The trainers will conduct the sessions in places where the target population are comfortable with, like rented hotel rooms or places that are close to their areas of activity.  The NHI staff will lead the sessions with assistance from the Highway Hospital nurses. The nurses will take care of those tested positive for STDs.

         The recovery centers will be set up, and registration fees paid by funds from the project. The team will also provide on-site testing for STDs and HIV and those found positive will be given counseling and referral services.


 

        Evaluation Plan.

         The project's processes and outcomes will be keenly followed to ensure it meets its targets. We will have Dr. Dorine Meyer from the New States University providing technical assistance to the team.


 

        Impact Objectives and Supporting Activities

         To provide STD and HIV testing to more than 600 drug users and sex workers during our interactions with the groups. We expect that 67% will come back for the results in the first year, 78% and 83% in the second and third years respectively.

         We also project that we will be able to enroll 70% of those who will test positive to the Immunology Center in the first year, 76% and 80% in second and third years respectively. And for those who will test positive for STDs, we will facilitate treatments that the project will fund.

         The recovery centers will enroll at least 400 drug users. Those enrolled will stay for one month with possibilities of shorter or longer stays. We expect to enroll 100 each year.

         On HIV education and awareness creation, we project to have 25 groups with 15 presentations. We target a total of 500 members who are expected to have over 50% on a post-test in the first three years.  We also target another 1,300 members of the target group who will not go through a post-test but will answer questions.

         Of the target group that will undergo basic education on HIV prevention measures, over 400 members will use condoms and other measures with their customers or partners. The number will remain at 400 for the first three years when we expect to have an increase.

         230 drug users will commit to cleaning their drug needles and outfits every time they inject. This number is also expected to remain the same for the first three years. Either to an outreach worker or on a small group post-test, the same number of participants will report that they will use needle exchange services. 


 

        Managerial Plan

        

         The NHI will handle the fiscal and administrative responsibilities for the project. The staff will be drawn from the Institute, Highway hospital and six from the neighborhood to guide the teams. Each of the participating organizations will take charge of tasks that their employees are given. In case any other interested party joins the project along the way, we will update our managerial plan promptly.


 

        BACKGROUND


 

        Target Area

         The neighborhoods of Negril, Jamaica comprises low-income households. The town has a population of about 472,899 and is one of the fastest growing cities in Jamaica. The beach city has a high concentration of drug users and sex workers which is attributable to its high poverty levels. According to the latest census report, 19.3% of Negril's population live below poverty level.


 

        HIV/AIDS in the Target Area.

         Even though the HIV levels in Jamaica have gone down significantly, there is still a high number of new infections in the target area. In 2012, the rate of increased to 18.8% from 15% in 2001. While the national cases dropped by a significant 8%, prevalence among this group remains high.

         While most of the new cases are attributable to risky sexual behaviors and unsafe use of drug outfits, there is also a significant number of congenital transmissions. Our aim is to reduce mother to infant transmission rates to 0%  by the fourth year.  The pediatric AIDS cases show that there is insufficient medical care for the town. HIV-positive parents are not taking advantage of the numerous existing measures to guard their unborn babies against getting the virus.


 

        Sexually Transmitted Diseases (STDs) in the Target Area.

         STDs have posed serious public health scare to the residents of Negril. It is even deadly in an area where the rates of HIV infections have surpassed the national cases. Persons with STDs are at higher risk of getting HIV than those who do not have it. It lowers the body's immune system thus providing entry points for the virus.

Incidence of Sexually Transmitted Disease, Negril, 2009

Syphilis Gonorrhea Chlamydia
Total Cases 153 2564 3413
Cases of Sex Workers and drug users 119 2034 2543
% of Sex Workers and drug users 77.00% 82.00% 68.00%

         Target Population

         The analysis above suggests that sex workers and drug users in Negril are at a higher risk of getting HIV/AIDS and STDs. Among the drug users, there is a group that is even at a higher risk; crack users and the injecting drug users. This category makes a bigger percentage of new cases. In 1989, only 1% of new cases were in this group, there has been a steady rise with 10% in 1990 and 25% in 1999.

         A survey by the National Health Institute dated January 2001 indicates that the rate of infection for injecting drug users tested at the Highway hospital was 18.1%, which is higher than any other town in Jamaica. The survey further indicates that 70% of all new AIDS cases in Negril were either drug users or sex workers.

         Negril, being a high-poverty area, has cases of prostitution as a fact of life. The sex workers are at higher risk of getting the virus, but even more in those who have drug addiction problems. They are likely to engage in sex to secure the drugs and cash for sustenance.  Commercial sex is unlawful in the country, and, therefore, their HIV data are not always tabulated as a category. The fact, however, is that this population is at a higher risk of HIV Infection.

          A survey in 2002 which involved 482 individuals indicates that 57% of the women who were drug users got drugs in exchange with sex. Another 34% had unprotected sex for drugs and another 46% had traded sex for money, material goods or shelter.

         Of the male drug users surveyed, 53% had in the past traded sex for drugs, 34% had unprotected sex for drugs, and 38% had sex for money.

         Another study by the University of Negril showed that of 190 sex workers, 8% were HIV positive while 18% had syphilis.

         Prostitution is thus a risky behavior as it involves having several sexual partners. It also comes between other risk factors such as injection drug use as a marker.


 

        Attitudes of Target Population towards social institutions

         This group is suspicious of criminal justice institutions because they engage in illegal activities. They extend this distrust to other organs including hospitals and government agencies. The sex workers and drug users feel that the staff of these agencies judge them hence the negative attitude.

         The target population also hold some rumors that alienate them further from service providers; that AIDS is a conspiracy, and that the recovery centers are only there to get grants.


 

         Target Population's Sources of Health Information

         Research has shown that this group's lifestyles and activities have put them outside the reach of various information channels.

         They also receive information through word of mouth and televisions in the common rooms of their hotel rooms  or apartments. The word of mouth is helpful in getting important facts to the target group but is also harmful because it may carry pernicious and misleading rumors.


 

         Effectiveness of Referrals

         The NHI staff have realized that referral methods are not effective when conducting an outreach program targeting such populations. From a past program where over 500 were tested positive of STDs and referred, only 8% presented their referral cards to the centers. Communication was an obstacle between the patients and the institute, hence there was no proper follow up. The sex workers and the drug users either do not have phones or are using one phone for a big group that does not allow for private conversations.

         The time the patients have to wait to get the recovery services also makes referrals difficult. These services are expensive but no matter how fair the hospitals may reduce the fees, the target population may still not afford. Drug users, especially need special medical care on the spot.


 

         Summary Description of the Problem

        

  • Sex workers and drug users in Negril face HIV/AIDS rates that are higher than national averages. It implies that risky behaviors are persistent among this group.
  • The rising cases of STDs are a cause of concern, it is deadly when combined with high HIV prevalence.
  • Within the target population, the most vulnerable are drug users who engage in sex work as well. A recent AIDS survey indicates that most of the new infections were higher in injecting drug users.
  • The target group has developed distrust of social institutions and extended it to medical staff. This disconnects them from getting adequate medical attention.
  • There are limited sources of health information for sex workers and drug users. The available sources are either impartial or provide distorted information.
  • Referral methods given to them has proved ineffective.

 

       

Capability and Experience of Applicant

         The applicant, National Health Institute (NHI), is a health institution in Negril whose mission is create awareness and stop the devastating spread of HIV and STDs in Negril town. To accomplish this, NHI has been partnering with other small community-based organizations with in order to reach out to the most vulnerable groups. The institute has a staff that is familiar with the neighborhood and can get to where the target groups are located.

         Among NHI's outreach workers, there are some former sex workers and drug users who understand the target population better. NHI hires them after going through a two-year sobriety test and getting the satisfaction that they have reformed.

          NHI began in 1984 out of the efforts of former drug users who also engaged in sex trade.  The institute has had collaborations with several governmental and non-governmental organizations to bring better health services to HIV high risk groups in Negril and create rehab and recovery centers for drug addicts. They have held various health education seminars, provided strategies for disease prevention and risk reduction, and social service referrals for Nergril residents who were drug users.

         NHI extended its programs to other parts of Jamaica when cases of new HIV infections became rampant. The projects in these areas also targeted persons who are at high risk of infections due to their activities. Over 500 sex workers and drug users were involved in the programs. There were also a number of participants who did not openly identify as sex workers or drug users but had in the past exchanged  for money drugs or shelter.

         NHI's offices are in Banjago Street, downtown Negril, at the center of the town's highest concentration of poverty.

         The services offered by NHI include:

  • Education on HIV/AIDS risk reduction and prevention: The outreach and workshops for sex workers and drug users provide the target population with materials such as needles, latex protection and literature on safe sex/drug use.
  • HIV Testing: In the neighborhoods where there is a high risk of HIV infections, NHI provides mobile testing clinics in collaboration with local hospitals and government organs like the CDC.
  • Community Forums: NHI facilitates discussions on AIDS and STDs. They are intended to encourage more open talk on the diseases to minimize their impacts.
  • Peer Support Groups: These provide emotional support for those tested positive and those already living with HIV. They also counsel the drug users who are in the process of recovery.

 

         Evidence of Access to Target Population.

         In the past two years, NHI has provided services to over 17,894 people who are at a high risk of HIV infections because of drug use or participation in sex trade.

         The following summarize our actions over the two years:

  • Our mobile clinics tested 2,265 people for HIV.
  • 2,050 people attended HIV awareness support group seminars.
  • 6,795 people got assistance at needle exchange centers.
  • 3,741 outreach contacts with substance users, sex workers, and people diagnosed with STD infections. We also contacted most of the sexual partners of the people above.

>         The institute also recently produced a video feature that encourages people to speak openly about HIV. Most of the faces in the video are sex workers and drug users telling their stories. This is more evidence of our engagement with the target population.

         NHI's budget in the last financial year was $647,364. The institute has administered over 50 grants and contracts since its inception. We have 93% in meeting project objectives, and reporting audit standards. Some of the major grants the institute has received include:

  • HIV Education and prevention: This was a four-year project which was funded by the CDC at $250,000 per year (1994-1997).
  • Outreach for HIV Positive people: This was a $65,000 grant from the Merck foundation to reach out to groups that are not easy to access but are at a high risk of HIV infection. The project ran from 1999 to 2003.

 

         Demonstrated Experience /Research Projects

         The NHI has participated in two major research projects on HIV:

  • Young Men's Survey: This project was done to determine the prevalence of sexually transmitted diseases among young men aged 18-30 years. The NHI conducted a door-to-door outreach program and interviewed 508 men. The institute also provided testing and counseling services to over 400.
  • University AIDS Research: The project evaluated the effectiveness of NHI's programs like mobile testing and outreach services to find out why some of the institute's clients were still practicing risky behaviors. The NHI interviewed a total of 150 active drug users and sex workers and another 200 who had never been into any of our programs.

 

         Capability and Experience of the Partners

         Highway Hospital: It is one of the oldest health service providers in Negril. It has the primary responsibility to provide health care to the town and its environs. The hospital has committed themselves to providing the indigent group with high quality and comprehensive medical services. It has an integrated system of clinics, hospitals and health services that have staff who are responsive to the diverse needs of the town. One of its clinics, the Immunology Center has been providing long-term and early intervention care to people with HIV free of charge.

         The hospital has done various renovations and improvements including the purchase of a state-of-the-art critical care and clinics unit which the Jamaican government funded. The Immunology Center provides outpatient and inpatient services to HIV positive persons within the town. Their fees are flexible and admit everyone regardless of their ability to pay.


 

       

        History of the partnership

         In collaboration with the Immunology Center, the NHI has operated weekly support groups for drug users at the Highway Hospital since 1998. This is funded by the Merck Foundation and is governed by an MoU between the two organizations. The NHI also refers patients who need urgent medical care to the hospital on an informal agreement.


 

         Rationale for Partnership

         The goal  of the partnership is to overcome barriers to health care that the target population faces. The Highway Hospital’s Immunology Center is committed to providing proper health care to the members of the target group who are tested HIV positive. The hospital, however, does not have the adequate capacity for early intervention and to educate people on the need for the hospital’s services. The NHI, being a trusted ally of the target population, has the experience in giving them information and has been in the area for a long time . The institute, however, has always had problems with referral of patients for effective medical care.

         The partners, therefore, present different solutions that if put together will result in better medical care for this hard-to-get population.


 

         Outreach Program

         The outreach will take place in areas with high concentration of sex workers and drug users. This includes the beaches and the central part of Negril town. The outreach staff will track shifts in locations and times of drug use and sex work. Such shifts are normally caused by police crack downs . The staff will then plan their programs to fit the shifts accordingly.

         The outreach staff are individuals who are familiar with the target area. Most of them are former sex workers and drug users. More workers will be recruited from the target area to improve our data collection abilities.

         The staff will use several strategies to get in touch with the target population. They will use contacts like gatekeepers and friends to make other contacts within the group. They will then look for behaviors from the potential clients' neighborhood that suggest they fit participating in the project. If for example, they see a person standing by the roadside with eyes on drivers, they would approach them without assuming they are sex workers. The staff will then engage the person in further conversation to establish whether they fit the project.

         The goal of the outreach is to establish a relationship with the members of the target population and determine suitable participants. The initial contacts will be informal and the staff will carry information on HIV prevention kits like condoms and bleach. The potential participants will be counseled and given brief messages on safe sex and drug use. Those with immediate needs will be referred to the Highway Hospital for medical attention and advice.

         The outreach staff will identify the client's most urgent needs and provide a suitable solution. It will help get their concentration on the message. The outreach staff will only engage the clients as long as they are willing to focus on the message.

         After each contact, the staff will fill a log sheet with the client's details like location, age, sex, number of condoms distributed, referrals provided, and self-behavior commitment. The staff  will then revisit the area to contact the same clients in order to build a stronger relationship and get more accurate information.


 

         Safety Precautions during Outreach

         Staff providing the outreach will work in teams of two or more. Outreach will be carried out both during the day and night. Because the area could be unsafe, as one worker will be engaging a client, the other will be looking around to ensure safety. Some of the factors that our staff will look out for include:

  • Proximity to hostile people and illegal activities.
  • Volume of foot and vehicular traffic.
  • Whether the place is well lit.
  • Weather conditions.

         The outreach staff are trained on how to behave in dangerous settings and leave without harm. They will also have identification cards indicating they are NHI employees, just in case they are mistaken for law enforcement officers or members of the target group. For quick access to help, the workers will have phone numbers of the supervisors and the Project Director.


 

         Group Sessions and Screenings

         The outreach will have 25 groups for HIV prevention and risk reduction education sessions. It is expected that at least 400 people will be enrolled into these groups. One of the objectives of these groups will be to encourage the participants to agree to HIV and STD screening. The sessions will be held in places that are close to the client's areas of operations like hotel rooms or areas where drug use is high.

         These groups will also help the target population to understand better safe sex and drug use. Every session will have introductions, questions discussions, role-playing, referrals, question and answers, and distribution of condoms.

         Presentations on substance abuse and recovery, and harm reduction will be provided by the NHI staff. Nurses from the Highway Hospital will provide information on STDs and treatment. The project funds will be used to enroll participants willing to join the recovery center. There will be on-site testing of HIV and STDs, those tested positive will be referred for treatment and counseled.

         The nurses and the outreach workers will visit the area the following week to provide test results and counsel the clients. The HIV-positive will be referred to the Immunology Center while those with STDs will be treated by the nurses and referred where necessary.


 

         Client Incentives

        

         As the participants will be spending time away from their usual activities, it means they will not be making money or looking for drugs, NHI will give incentives to boost their concentration. The NHI will use an incentive structure it has used in other successful projects:

  • Those who will test HIV positive will get $20 in cash.
  • Those tested and come back for results will get another $20.
  • There will be a $30 for every door that our staff go into. This will be given to the client at the end of the session.
  • NHI will provide refreshments for the small groups.

 

         Presentations

         In collaboration with the community-based organizations in Negril, the project will have presentations to their clients on site. The information will be similar to that provided in the group sessions. Some of the organizations include: Tadon, Nregril Community Project, New Life and The Shelter.


 

         Referrals and Follow-up

         Ensuring effective referrals is one of the major objectives of this project. All the outreach teams will have phones that will enable them book appointments while still on the site. The outreach services will be provided in such a manner that it will help the clients get the services that they cannot get on their own.

         All the outreach workers will have a referral guide that will be regularly updated. The organizations on the guides will be contacted and show willingness and ability to accept referrals. The workers will follow up every referrals to ensure it is successful and the patient has give feedback. All these will be recorded on a log sheet.


 

         Advisory Board

        

         The project will create a team that will consist of representatives from the partner organizations and professionals in other fields. The team will hold monthly meetings to discuss and assess the project's progress, data collection, referrals and other potential partners to bring on board. They will also look into issues arising from the outreach program and any other part of the project. The team will consist of people with proven track record for project implementation.

         The project will recruit experts from the Negril HIV Prevention Council (NHPC) which was formed in 1998 and has been in touch with various communities on matters HIV/AIDS. The body is responsible for drafting the Negril HIV prevention plan and draws membership from various health professional bodies across the country.


 

         Evaluation

         The Project Director, Tom Harvey in collaboration with Dr. Dorine Meyer from the New States University will coordinate the evaluations. Dr. Meyer helped in giving technical assistance to the NHI's University AIDS Program and evaluated its effectiveness.

         Their evaluation will focus on the impact and process objectives for the project's supporting activities. The Goals and Objectives section indicate that the objectives support the goals.


 

        

         Data Collection

          The methodology section outlines how the outreach workers will collect clients' data. They will use the following instruments in collecting the data:

  • Sign-in/log sheet.
  • Risk-behavior questionnaire.
  • Commitment forms for the drug users and sex workers to adhere to the techniques given.
  • HIV/STD testing equipments.
  • Health literature.

         The log sheet will contain demographic information like gender, age, and location. The workers will estimate the age of the respondents in cases where they do not want to reveal or are in a hurry. Data from the sign-in sheet and the questionnaire will go into an administrative database and cross-checked for accuracy.


 

         Potential Impact

         Such outreach programs have in the past proved effective in Negril. In 1999, the town, which only accounts for 5% of the country's population accounted for 26% of all syphilis cases in the country. The Negril medical center, in conjunction with the CDC and NHI established a project to combat the disease through an outreach program targeting sex workers and drug users. After the outreach, 400 high-risk people were screened and over 20% treated. It suggests that a similar project can effectively combat the HIV epidemic.


 

        MANAGEMENT PLAN: Roles and Responsibilities

         National Health Institute (NHI)

  • To handle the project's overall management, including sub-contracts, fiscal, evaluation, reporting, and data collection and analysis.
  • To facilitate the monthly meetings for the advisory team.
  • To provide regular updates of the project to the advisory board.
  • To supervise its staff taking part in the project. The executive director will supervise the project director who will in turn supervisor the project staff.
  • To handle planning, coordination, set-up, and logistics for test sites.
  • To refer clients tested positive for medical attention to Highway Hospital.
  • Will be responsible for providing the outreach services.
  • Will provide all clients with safe sex materials and condoms.
  • Track the utilization of the services by the clients.
  • Book drug users to recovery centers for immediate attention.

 

         Highway Hospital

        

  • Receive referrals and provide the needed attention for HIV positive clients.
  • Keep records of all the referrals received and give monthly reports to the outreach coordinator.
  • Send a representative to the advisory team for the monthly meetings.

 

         Applicant's Management Experience

         NHI's budget in the last financial year was $647,364. The institute has administered over 50 grants and contracts since its inception. We have 93% in meeting project objectives, and reporting audit standards. Some of the major grants the institute has received and managed include:

  • HIV Education and prevention: This was a four-year project which was funded by the CDC at $250,000 per year (1994-1997).
  • Outreach for HIV Positive people: This was a $65,000 grant from the Merck foundation to reach out to groups that are not easy to access but are at a high risk of HIV infection. The project ran from 1999 to 2003.
  • Young Men's Survey: This project was done to determine the prevalence of sexually transmitted diseases among young men aged 18-30 years. The NHI conducted a door-to-door outreach program and interviewed 508 men. The institute also provided testing and counseling services to the number.
  • University AIDS Research: The project evaluated the effectiveness of NHI's programs like mobile testing and outreach services to find out why some of the institute's clients still engaged in risky behaviors. The NHI interviewed a total of 150 active drug users and sex workers and another 200 who have never been into any of our programs.

 

         Orientation and Training

         Staff from the partner will undergo a two-day orientation before the project begins. They will be taken through the project by discussing its mission and goals. There will also be weekly trainings for the outreach staff that will review the activities performed over the previous week and any problems encountered. The supervisory staff will also provide occasional coaching to the team.

         Plan for Improvement

         An evaluation team will perform a semi-annual field observations of the outreach staff to assess the level and quality of their work. The team will consist of outreach supervisors, the NHI Executive Director and supervisors from the Highway Hospital. The team will then provide feedback from their observatory tours and give suggestions where necessary.

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