Project Summary

Psycho-social support and care for Family members affected by HIV/AIDS

Objectives
• To train 25 teachers, health workers, care givers and religious workers from Aung Myay
Tha San Township on the psycho-social support and care of family members affected by
HIV/AIDS
• To ensure that at least 100 to 150 family members receive adequate care and support
through trained community members

Location
The project is to be implemented in Aung Myay Tha San Township, Mandalay.

Activities
Delivery of activity-based participatory training programme for teachers, health workers, care
givers and religious workers on the psycho-social care of family members affected by
HIV/AIDS. This will be done through training sessions for a total of 25 participants in
Mandalay. During the field implementation and monitoring, the impact of the training on
psycho-social care of family members affected by HIV/AIDS will also be evaluated. Necessary
steps will be taken to make sure that these family members receive adequate care and psycho-
spiritual support.

Implemented by
Thadar Foundation, Myanmar

Duration
12 months, from August 2010 to July 2011

Budget
Total 43515 Euro
 Project proposal

Title: Psycho-social support and care for Family members affected by

HIV/AIDS

I. Background
Myanmar is a State Party to the Convention on the Rights of the Child (CRC) and the
Convention on the Elimination of All Forms of Discrimination against Women (CEDAW). The
Country has consequently acknowledged the rights of all children and women to survival,
protection, development and participation in all matter concerning them without discrimination
of any kind.

In Myanmar, many children in need of special protection (CNSP) require support to develop
their potential and enjoy their basic rights. Some of them are street and working children,
children victims of abuse, exploitation and trafficking, children affected and infected by
HIV/AIDS, children with disabilities and children deprived of primary caregivers, including
children in conflict with the law and in institutions. Family and community attitudes as well as
poverty encourage children to abandon their families and villages to enter the informal work
force where they are increasingly exposed and disadvantaged to protect themselves against a
number of threatening risks.

There is a growing recognition and concern amongst national authorities (Department of Social
Welfare, DSW) on the situation of these children.

Overview of Families in Myanmar

Death of a parent marks an end point in a series of events leading from illness to disability,
socio-economic deprivation and psychological problems. Any one of these events is potentially
traumatizing, not to speak of the situation the surviving family members are facing after the
death occurs. A series of such life-events will put any child at a heightened risk of psychological
trauma.

Psychosocial needs are a term used freely to cover any situation where both psychological and
social factors are assumed to play a role. In the context of children affected by HIV/AIDS there
is often inadequate parenting and substitute support in the home, school and community
environment to ensure that the children grow up socially, physically and psychologically healthy.
Some of the psychosocial problems that children are facing are the following:
- fear, stress, grief/sadness, self blame, feelings of helplessness, stigmatization, family
break-up;
- loss of parents, self-esteem, home education, nurturing, identity, of stability/security, role
models, love and care; and
- increased risks of abuse/neglect.

Traditionally, the family and extended family are usually responsible for providing psychosocial
support to their children. However, with the rapid spread of HIV/AIDS and the growing numbers
of orphaned children these traditional systems are becoming overburdened. Thus, many children
are left to care for themselves and their younger siblings. Often, grandparents have to care for
children while they also depend on them.

In all these situation there is a dramatic in family income and emotional support available for
children. To compensate for this loss of income, children drop out of school, thus decreasing
their long term prospects of overcoming the burden of poverty. Young girls and boys may even
be drawn into dangerous lifestyles in order to provide for themselves and their siblings,
especially if they have been unable to find psychosocial support.

If these vulnerable children are to become healthy contributing members of society, efforts must
be made to build local support mechanisms. By supporting these systems the chances increase
for a child to receive appropriate care. The current project will attempt to addresses the neglected
component of psychosocial support to those children and adolescents.

II. Objectives

The main objectives is to provide training opportunities for 25 teachers, health workers, care
givers and religious workers in Aung Myay Tha San Township, Mandalay on the psychosocial
needs of family members, to ensure that family members receive adequate care and support
through trained community members.

Hence, the project provides educational opportunities for key community members who meet
children and family members in their professional work. The training programme will increase
knowledge and skills on the specific psychosocial needs of these children and family members. It
will also bring about attitudinal change and practices amongst the trainees with subsequent
impact on the children’s lives and conditions.

The participants will be able to address the psychosocial needs of family members and these
people will thus be provided with adequate care and support.

III. Strategy and geographic coverage

The training programme is designed for the following target groups: teachers, health workers,
care givers and religious workers. All group meet family members in their daily work. The
training will provide basic information about children’s and adolescents’ psychosocial needs and
possible ways to support them in times of distress.
The training programme consists of 4 modules: background information on children’s and
adolescents’ needs, child development and communication with children, how children cope
with the stress of grief and loss: and the psychosocial needs of children in different setting.
A total of 25 participants will be selected to attend the training programme, jointly with women
group volunteers and other key partners.
During and after the training and in particular during the field implementation and monitoring,
trainers will evaluate the impact of the training on children and family members in this target
area. Necessary step will be taken to make sure that they receive adequate care and psychosocial
support.
The overall programme will be implemented in close collaboration with FED and other relevant
partners.

The project is to be implemented in this urban area:

- in Mandalay.

IV. Activities: Description of the Training Programme

1. Translation of the manual and recruitment

During the first month of implementation, Foundation will translate the manual into local
language. In addition, Foundation will recruit one national trainer (consultant).

2. Training of trainers

During the 2nd month, Foundation will organize a training of trainers (ToT). A project
coordinator will conduct the ToT for the nationally recruited consultant. He/she will also finalize
the curriculum and training modules in collaboration with the trainer.

3. Selection of Participants

During the following month Foundation, in close collaboration with FED, local volunteers,
women group, youths group and other key partners will identify 25 participants to attend the
training. The following groups will be invited to increase their knowledge in addressing the
psychosocial needs of family members.
- Care givers from children homes, institutions
- Religious workers
- Teachers from primary, middle, high school and
- Health workers

4. Full Training programme in Mandalay

The training programme in Mandalay will run according to the detailed plan in Annex A.
Training will be staggered in the following manner:
1. Training prepared and implemented for Module 1 in Mandalay
2. Trainees given ongoing tasks and monitoring of these tasks undertaken by National
trainer
3. Cycle repeated for Module 2 etc.
Training will span the course of approximately 12 months.
As mentioned above, the training programme will consists of 4 modules.

The training programme includes the following components for each module in Mandalay.

Workshop
Training sessions on each module ( one to four) as per manual and ToT
Field-follow-up
The national trainers will help trainees implement activities based on knowledge and
lessons learned during training; document experiences; assess if the training has been effective.
Monitoring
The Project coordinator will provide support to the national trainer, develop indicators,
assess the impact of the training on caregivers and children (e.g. how the objectives have been
reached, if the materials are effective)
Feedback and evaluation
After each module, the trainer and Project coordinator will organize a session during
which participants will have an opportunity to give inputs and make recommendations for the
future.

5. Final Evaluation

A final revision of materials and evaluation ( with the participation of all relevant stakeholders
and counterparts) will take place during the last month of the project cycle. The Project
coordinator and the FED (international consultant) will also take part in these final exercises.

6. Calendar
The training programme will be conducted as per the following calendar:

Module Workshop Field Follow up Monitoring Feedback & Final joint

Time Evaluation Evaluation
1 5 days At Least 3 weeks 1 week 1 day
2 5 days At Least 3 weeks 1 week 1 day
3 8 days At Least 3 weeks 1 week 1 day
4 10 days At Least 3 weeks 1 week 2 day
Total 28 days 12 weeks 4 weeks 1 week 5 days
Note: Time does not include report writing, financial reporting, coordination meetings, ToT,
meeting with Donors etc.

Schedule of activities:
See Appendix
 V. Inputs and outputs

Inputs by Foundation
- Overall management of the project
- Translation of the training manual
- Logistics and arrangements of inception and final evaluation workshops
- Identification of one Project coordinator, to identify and train national
consultant; the two will then conduct the training programme
- Venues and all logistical arrangements to conduct training sessions
- Technical assistance and backstopping to conduct the training programme
- Office premises for Foundation personnel as required to prepare the training
programme
- Report writing (work plan, progress and final reports)
- If and when family members are identified and need further support and follow
up, Foundation will undertake to provide this a comprehensive manner,
integrating any such children into our ongoing programs in each area.

Trainer’s tasks
The trainer will conduct the workshops, field follow up and monitoring, while the project
coordinator will join for the 4 workshops, monitoring, feedback and evaluation sessions for each
module and the final evaluation.

National Trainers:
- Attend ToT
- For Mandalay and each of the four modules, jointly conduct training workshops, field
follow-up, monitoring and Feedback and Evaluation sessions
- Participate in the final evaluation workshops

Project Coordinator:
- Conduct ToT
- Provide support during 4 workshops
- Participate in selected field follow-up, monitoring and feedback & evaluation
sessions for each module
- Participate in the final evaluation workshops

2. Inputs by donors

- Assistance in selecting participants, in collaboration with FED

- Consultancy fees, per diem, travel expenses
- Costs for training sessions including meals and costs for training venues
- Costs for training materials production
- Allowance and travel expenses for participants
- Costs for monitoring and evaluation
- Costs for communications, report preparation and final evaluation
 3. Expected outputs

- 25 teachers, health workers, care givers and religious workers in Myanmar provided
with training on the psychosocial needs of family members
- 80% of the participants aware of the psychosocial needs of family members affected
by HIV/AIDS
- 80% of the participants using their skills in their contact with family members
affected by HIV/AIDS
- At least 80% of the participants developed initiatives to improve the psychosocial
support for family members in Myanmar
- Training manual on the psychosocial needs of family members affected by
HIV/AIDS
tested for future training programmes and for project expansion
- Development and dissemination of standards on adequate psychosocial support for
family members affected by HIV/AIDS
- 80 % of family members affected by HIV/AIDS in Aung Myay Tha San township,
Mandalay provided with adequate psychosocial support ( or about 100 to 150 family
members)

VI. Monitoring and Evaluation

Foundation will assign one person who will support the consultants with design monitoring and
evaluation through monthly meetings to discuss progress and modify activities as necessary. In
addition, to ensure an assessment on the progress achieved, Foundation staff will be assigned to
co-ordinate and run the programme. The findings and reports will be at the basis of the progress
reports to be submitted to the donor.

Donor staff will monitor the programme through regular field visits. They will attend workshops
as well as feedback and evaluation sessions for several modules in Mandalay, if possible.

The training materials were developed through a participatory process together with
representatives from the participating groups and family members. This participatory process
guarantees that the programme activities are adequate and designed fro the beneficiaries and
address the needs and conditions of family members. During the first month of the project the
curriculum will be revised and finalized with the participation of the selected trainees in the
Mandalay site. This process further strengthen the adequacy of the programme.

As shown in the table above, monitoring and evaluation is an integrated part of each and every
module of the training programme, which will ensure that participants will be able to give
feedback on the course. The findings from the evaluation and monitoring activities will feed
back into the programme which will them be modified accordingly. The training programme will
be flexible and easy to amend so that the interests of the participants can be incorporated into the
programme.
During the last two months of the intervention there will be a final revision of materials and a
final evaluation where findings from the monitoring and evaluation activities will be summarized
and incorporated into the curriculum. All relevant partners and counterparts will be invited to
participate in the final evaluation workshop. At the end of the project, Foundation will submit a
final report on the progress of the programme supported by an analysis on the options for
extension and /or replication of the project.

VII. Time frame

The activities will start upon signature of the Foundation Coordinator. Expected completion of
project is July 2011 or earlier. See also appendix for schedule of activities.

VIII Log Frame

Overall Objective Objectively verifiable indicators Sources of verification Assumptions
GOAL
To provide Psycho-social support % increase for a child and family Enrollment Registers Existing Laws are stable.
and care for Family members members affected by HIV/AIDS to (DOE)
affected by HIV/AIDS in Aung receive appropriate care/ psycho- Health surveys (DOH)
Myay Tha San Township, social support Report from community
Mandalay % increase of children affected by clinic and leaders
HIV/AIDS in school
% decrease of stressed families and
discrimination among community
members
% received adequate psychosocial
support from trained community
members
PROJECT PURPOSE
- To train 25 teachers, health - 25 teachers, health workers, care - List of community Authorities are agreed for
workers, care givers and religious givers and religious provided with members who received activities
workers from Aung Myay Tha training on the psychosocial needs psychosocial support
San Township on the psycho- of family members - follow-up reports from
social support and care of family - 80% of the participants aware of the national trainer and
members affected by HIV/AIDS the psychosocial needs of family community members
members affected by HIV/AIDS
- To ensure that at least 100 to
- 80% of the participants using
150 family members receive
their skills in their contact with
adequate care and support
family members affected by
through trained community
HIV/AIDS
members
- At least 80% of the participants
developed initiatives to improve
the psychosocial support for family
members in Myanmar
- Training manual on the psycho-
social needs of family members
affected by HIV/AIDS tested for
future training programmes and for
project expansion
- Development and dissemination
of standards on adequate psycho-
 Overall Objective Objectively verifiable indicators Sources of verification Assumptions
social support for family members
affected by HIV/AIDS
- 80 % of family members affected
by HIV/AIDS in Aung Myay Tha
San township, Mandalay provided
with adequate psychosocial
support (or about 100 to 150
family members)
RESULTS/ OUTPUTS
Community members received At least 80% of the family List of community Government(DOH, DSW,
adequate Psychosocial support members express satisfaction with members who received DOE) assists psychosocial
through trained community members Psychosocial support provided by psychosocial support support program; psycho-
trained community members Interview results social support program
sustained by the
community members
About 100 to 150 family members List of psychosocial
of targeted HIV/AIDS affected support receivers
families regularly seek psycho- Project Reports
social support services at the Reproductive Health Unit
Community level records

Trained community members 25 trained community members Project monitoring reports Trained representatives
effectively implement Psycho implement psychosocial support Interview results with the are committed to provide
social support at the community services and is integrated with local community members psychosocial support
level and international NGOs for referral services ; community
and other needs leaders provide strong
leadership
At least 80% of the trained Project monitoring Availability and
community members can effectively reports; supervisory commitment of trained
communicate psychosocial messages reports community volunteers;
and needs with community Interview results modest incentives are
provided to community
representatives.
Willingness of married
volunteer couples to attend
orientation sessions.

ACTIVITIES
Conduct consultation Representatives of teachers, health Project Reports; Minutes Availability of teachers,
meetings/dialogue with teachers, workers, care givers and religious of Meetings health workers, care
health workers, care givers and workers participate in meetings givers and religious
religious workers workers and local
Roles of stakeholders clarified officials; willingness to be
involved in the project.
Risk; government may
not approved or permit to
implement the program
Translation of the manual and First month of implementation Thida Training Report All funds available and on
recruitment foundation translated training manual time
Recruited one national trainer
Conduct Training of Trainer 1 staff trained on the psychosocial Training report Availability of staff to be
needs of family members trained
 Overall Objective Objectively verifiable indicators Sources of verification Assumptions
Conduct Psychosocial support Representatives of teachers, health Financial report
training for teachers, health workers, care givers and religious
workers, care givers and religious workers participate in training
workers
Conduct field monitoring/follow- Monitoring system in place for Field Visit Report
up visits tracking of psychosocial support
providers; problems identified and
actions taken to resolve problems;
quality of counseling assessed
Develop/Produce IEC materials Psychosocial support training Project Reports
on psychosocial support training Manual and resource manual
manual produced to communicate
messages on psychosocial needs to
assist Counsellors
Final Evaluation All relevant stakeholders and Evaluation report
counterparts participate in final
evaluation meetings

VIII. Budget

Total 41535 Euro

See Annex B attached for more details.

Foundation Contribution
Description Person Cost unit Qty. Total Cost

Project Preparation (project coordinator) 1 Euro 200 Day 20 4,000

M& E Coordinator (M & E support) 1 Euro 200 Day 15 3,000
KMSS project coordinator support 4 Euro 25 Day 15 1,500
HR support 1 Euro 15 Day 7 105
Finance Support for project start up 1 Euro 15 Day 3 45
Overall operational support cost (e.g. rent
for office/venues, electricity, water, A/C, cleaning, Euro 250 month 12 6,000
travel expenses, stationeries, communications, IT)

Total Foundation Contribution 14,650

 ANNEX B: BUDGET
Psycho-social support for Myanmar Family members affected by HIV/AIDS

Project Costs (Direct costs)

Description person cost unit Qty. Total cost
Trainers
Project Coordinator (consultant) Fee 1 Euro 175 Day 70 12,250
National Consultant Fee 1 Euro 250 Month 12 3,000
Sub-Total 15,250
Travel expenses
Consultant for training in Mandalay 1 Euro 160 ticket 4 640
Nat’l trainer for training in Mandalay 2 Euro 70 ticket 4 560
Mandalay Nat’l trainer for Orientation and TOT 1 Euro 70 ticket 1 70
Travel/ Participants * (28 workshop days) 25 Euro 2 Day 28 1,400
Traveling cost for Monitoring (Nat’l trainer) 2 Euro 1 Day 160 320
Sub-Total 2,990
Accommodation and Allowances
Accommodation & allowance for consultant ** 3 Euro 30 Day 40 3,600
Allowance for participants * 50 Euro 5 Day 28 7,000
Sub-Total 10,600
Other cost related to training
Translation of Training Manual (… full pages) Euro 2 100 200
Reproduction of materials Euro 5 unit 50 250
Training materials (pens, books, paper etc.) 25 Euro 5 unit 1 125
Venues and Meals for training sessions * 25 Euro 3 day 28 2,100
Evaluation * Euro 1600 unit 1 1,600
Report preparation Euro 200 report 2 400
Sub-Total 4,275

Total Project Cost 33,115

* Liquidation will be based on actual

** Although FED has different rates for nationals and internationals, for this project, Foundation uses
the same rate of Euro 30 for all two consultants.
Note: Meals will be covered under Allowance (If lunch is provided during training, the corresponding
amount shall be requested from the participants, out of their allowance).

Project Support Cost: Operational support person cost unit Qty. Total Cost
Foundation Myanmar Manager Consultant fee 1 Euro 200 day 25 5,000
(preparation, management, support, editing)
Foundation Administrative support of the
project (incl. Finance Officer for Budget
Coordination, Admin. Officer for admin and
logistics support, IT support, Audit, Stationeries
and Supplies) Euro 200 Month 24 4,800
Communication (telephone, fax etc.) Euro 250 Month 24 600
Total Project Support Cost 10,400

GRAND TOTAL(DONOR) 43,515