From Kiosks to Marketplace The FCFC program in Malawi

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From Kiosks to Marketplace The FCFC program
in Malawi

An OVC collaborative program among four
Foundations C IFF, Diana Fund, Elton John
Foundation, Comic Relief, and the people of
Malawi.
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Malawi The Warm Heart of Africa

• Situated in South East Africa
• Border with- Mozambique (East South), Tanzania
  (North) and Zambia (West)
• Land locked country
• Covers 118484 sq. Kms, with one quarter occupied
  by Lake Malawi
• Attained independence in 1964 became republic in
  1966.
• Population 12 million..

Malawi
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Malawi HIV/AIDS and OVC situation

• 14.4 HIV prevalence rate - Cause of over 70,000
  deaths annually
• Has reduced average life expectancy from 45 to
  38.5 years
• 1 Million living with HIV/AIDS virus, 58 are
  women girls
• Approx. 1 million orphans and vulnerable children
  (OVCs) increased child headed households
• Highest death toll age group 15- 49 more
  elderly people looking after grandchildren

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HIV/AIDS OVC Government Response

• Developed policy guidelines
• documents
• HIV/AIDS Policy
• National Policy on Orphans Other Vulnerable
  Children
• National Plan of Action for OVC
• National Policy on Early Childhood Development
• National Gender Policy
• Etc.

Beautiful smiles. Many have lost parents to AIDS
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HIV/AIDS OVC Government Response

• Effective co-coordinating structures
• 
  Policy level
• National AIDS Commission
• (NAC)
• District AIDS Coordinating
• Committee (DACC)
• Community AIDS Coordinating
• Committee (CACC)
• Village AIDS Coordinating
• Committee (VACC)

Children at an orphan care centre what future
do they have?
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HIV/AIDS OVC Government Response

• Encouraged civil society collaborations, with
  positive results
• INGOs
• NGOs CBOs FBOs
• (local)
• Encouraged community care support through
  volunteers

Children participate in community mobilization
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Surrounding the child, reaching 65 of OVC in
each district.

• Identifying and optimizing kiosks of good
  practice.
• Scaling up (content, scope and geographically
  coverage)
• Utilizing a mix of interventions by linking of
  partners.
• Strengthening, rather than replacing or
  duplicating
• Learning, linking, documenting, changing
  attitudes and behavior at all levels-(no
  business as usual)

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Taking advantage of critical pillars

• Families and communities facing poverty, hunger,
  and disease- they know the needs first hand
• Families and communities who care- they know what
  works for them.
• A Program Reference Group that ensures alignment
  with government policies and response
  frameworks.
• A growing civil society network with various
  expertise, committed to making a difference,
• Numerous Kiosks of good practice
  interventions, unlinked to each other.

Children Facing Death and Orphan hood
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Needs as identified by Families and children.

• Food and nutrition
• Health and HIV care-keeping parents alive!
• Protection from abuse
• Staying at and completion of school
• Source of income
• Safe shelter-free from effects extreme weather

Food - A key Need
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Surrounding the child Health and
HIV-prevention and care

• Complete vaccinations for children
• Access to treatment of the most common childhood
  illnesses (eg, diarrhoea, worms, malaria,
  respiratory infection, TB)
• Access to prevention, care, and treatment for
  HIV/AIDS, including all aspects of ART
• Palliative care across the continuum of care HIV
  specific and other chronic illnesses.
• Prevention and management of malaria.

Its female family members who care- even while
in hospital
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Surrounding the child- Education

• Enrolment in, attendance at, and completion of
  school at the primary level
• Proactive linkages to secondary school
• Relevant skill building so that children will be
  equipped to sustain their future families
• Ensuring that school environments are at an
  appropriate level of quality and that they are
  safe for children-addressing stigma

Is this a Conducive Classroom environment?
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Social care and protection.

• Families caring for vulnerable children are
  integrated into and embraced by their communities
• Access to appropriate support networks
• Families understand their rights and the rights
  of their children and how to access support if
  these rights are violated

Grannys love- Best care and protection.
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What Works? Livelihoods

• Sustainable food security that is sufficiently
  diversified (eg, irrigation, diversified crop
  production, marketing strategy)
• Access to emergency food/ supplements/shelter
• Ensure that women have access to sufficient
  household income

Access to Emergency Food
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Turning Kiosks into a Marketplace- The Salima
district example.

• Families and Communities 10 Traditional Authority
  chiefs- 4 women, children, grandmas.
• The District Executive Committee, a committed DC,
  Govt. technical depts , bilateral and
  multilateral partners, PLHA groups local and
  INGOs, FBOs,
• Family Health International An International
  NGO, building the Boat while sailing.

Restore Their Hope and Joy
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Facing challenges, grabbing opportunities

• Slow pace of development of programs- children
  cant wait!!
• Limited numbers of skilled personnel,
  particularly in the Health sector
• There are quite a few unknowns-e.g.. impact of
  universal primary education
• There is available funding in Malawi to
  compliment FCFC funding

The Madonna-Malawi Connection, Challenge or
opportunity??
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ZIKOMO KWA MBILI-, THANK YOU VERY MUCH!