1. Serving Orphans and Vulnerable Children (OVC) in Mozambique & Namibia: Partnerships to Strengthen Micro Credit and Health Education Sandra Dalebout, Project HOPE

2. Presenter disclosures (1)The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Sandra Dalebout “No relationships to disclose”

3. OVC in Africa 11,600,000 million children in sub- Saharan Africa are orphans due to HIV/AIDS Effort to keep children in their own communities, with extended family members

4. Caring for OVC in Africa Seven established domains of OVC care are agreed upon by the international community: HealthEducation NutritionProtection Shelter/CarePsychosocial support Economic strengthening

5. Project HOPE’s Program Sustainable Strengthening of Families of Orphans and Vulnerable Children in Mozambique and Namibia USAID Funded project April 4, 2005 to April 2, 2010 Aim: Improve economic status and quality of life of 45,000 OVC and strengthen the capacity of families to provide care and support to 75,000 OVC Focus on OVC caregivers

6. Program area Gaza and Zambezia Provinces, Mozambique Omusati, Oshana, and Ohangwena Regions, Namibia

7. Integrated model Focus on OVC caregivers Economic strengthening Health education/ parenting skills Community outreach

8. Partnerships For the success of the program, partnerships are crucial Key partners include the community: Volunteers Ministry of Health and Education Local hospitals and clinics Microcredit organizations (Koshi Yomuti, Shack Dwellers) Local NGOs and CBOs (Catholic AIDS Action)

9. Community outreach Volunteers are trained in OVC care They train caregivers and reinforce better care with OVC caregivers during home visits Provide referrals as needed

10. Community gardens Volunteers in Mozambique started community gardens Caregivers involved with working gardens Food provided to OVC families & sold Profits used to buy school materials & clothes for OVC

11. Community based organization New CBO founded by 2 Project HOPE volunteers and 5 religious leaders Started farm Proposal to government to buy water pump PRODEZA – Zambezia Rural Development Project provided agricultural inputs

12. Growth monitoring Volunteers trained to conduct growth monitoring using Ministry of Health standards Successful partnership with volunteer, MOH, and Okahao Hospital

13. Birth certificates Birth certificates provided free to OVC 3 months of dialog with local government officials to: help understand needs coordinate mass registrations provide transportation to registration sites

14. Measuring program success Tools to measure program success include our “Member Profile” Economic indicators Child-level data Baseline & after 1 year in the program New low literacy “parenting map” for use at household level recently developed & implemented to measure impact at the child level across all 6 domains

15. Parenting map

16. Caregiver economic impact - % exceeding specific economic standards

17. Caregiver Economic Impacts (Namibia)

18. Child impact: nutrition (Namibia)

19. Results across domains

20. Results: health indicators

21. Conclusion Partnerships are needed to improve the lives orphans and vulnerable children in Africa.