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This publication is aimed at governments, development partners, and public and private health facilities seeking to provide ART as part of comprehensive care and support for people living with HIV and AIDS. It describes valuable lessons learned from several ART learning sites throughout Ghana, Kenya and Rwanda. By the end of April 2005, more than 5,800 new patients had initiated ART through this treatment and care initiative. Strategies, challenges and key recommendations are presented and comments by national and community leaders, providers and patients appear throughout the text to give readers a sense of the programs as they progressed. The lessons may not have direct relevance to all health facilities providing or planning to provide ART; it should be used or adapted depending on the epidemiological, political, social, cultural and economic context of each setting

This is a manual for service providers and counsellors enabling them to improve their skills and assist youth with the difficult issue of HIV counselling and testing. The manual provides: step-by-step information for using the traditional voluntary counselling and testing (VCT) model with youth; step-by-step information for using a counselling and testing model for youth in clinical settings; resources to help meet the broader sexual needs of youth, including information on contraceptive options and other sexually transmitted infections; information on how to counsel youth and use youth-friendly service approaches; tips and role-plays to use with young people on abstinence, being faithful, and using condoms; guides for creating a referral network

This paper discusses the first phase of a two-part study, which identified core elements of programmes through an examination of programme dynamics, activities, costs, and outputs in two countries. Based on this data, the first phase developed frameworks and eight checklists to use in assessing youth peer education effectiveness and sustainability

Voices from the Communities is a follow-up qualitative study by Family Health International (FHI) and Strengthening Community Partnerships for the Empowerment of Orphans and Vulnerable Children (SCOPE-OVC) to a 2001 quantitative survey. The quantitative study sought to determine the psychosocial and emotional needs of orphans and vulnerable children in sixteen communities in four districts of Zambia: Livingstone, Lusaka, Mongu and Kitwe. Voices extends the original research by ascertaining the psychosocial and emotional needs of OVC in greater detail. In Voices, 10 focus group discussions were held during 2002 in two townships; Itimpi in Kitwe and Chawama in Lusaka. The study sample of one hundred and eighty one discussants consisted of orphaned children, child heads of household and adult heads of household

The overall goal for the survey was to gather baseline data to facilitate an evaluation of the effectiveness of the Strengthening Community Participation for the Empowerment of Orphans and Vulnerable Children (SCOPE - OVC) project in particular areas of Zambia. Specific study objectives were to: gather information that will describe the impact of HIV/AIDS on children as well as measure the impact that programmes are having on the quality of life of the children; provide information that will be useful in the ongoing development of programmes designed to strengthen the care and support to orphans and vulnerable children, specifically in relation to their psycho-social needs; provide a framework that will show the progression of the SCOPE - OVC project towards its program goals and objectives; and document lessons learned in conducting OVC work as well as in documenting the use of a participatory evaluation process