The EMPHASIS program is a 5-year initiative funded by the Big Lottery Fund, UK, that aims to reduce the vulnerability of key mobile populations to HIV/AIDS along mobility routes between Bangladesh/India and Nepal/India. The program will deliver interventions at source, transit, and destination points and generate evidence to influence regional policies relating to safe mobility. Key objectives include demonstrating effective models for HIV prevention, care, and support for mobile populations and enhancing partners' capacity. The program will work in source areas in Nepal and Bangladesh, transit areas along the borders, and destination areas in major Indian cities. Initial activities include mapping populations, stakeholder analyses, and building common understanding among partners.

1. Enhancing Mobile Populations’ Access to HIV &
AIDS Services, Information, and Support
(EMPHASIS)
CARE
New Delhi
21 March 2011

2. EMPHASIS
• EMPHASIS is a 5-year initiative funded by the
Big Lottery Fund, UK
• The programme aims to
– reduce the vulnerability of key mobile populations to
HIV & AIDS along two mobility routes between
Bangladesh/India and Nepal/India by delivering
focused interventions at source, transit and
destination points
– influence national and regional policies relating to
safe mobility through evidence generated regionally.

3. Goal and Objectives
• Programme Goal:
– To reduce the vulnerability to HIV&AIDS of populations mobile across
borders of Bangladesh, India and Nepal and to mitigate the impact on
affected communities, with a specific focus on women.
• Programme Objectives
– To demonstrate effective good practice models for HIV prevention, care
and support for mobile populations vulnerable to HIV&AIDS across
India, Bangladesh and Nepal – for replication and scaling-up.
– To enhance capacity and contribute to government/civil society
institutions and communities’ efforts to reduce the vulnerability of mobile
populations and their families to HIV and to mitigate the impact of AIDS.
– To develop evidence-based advocacy and the creation of an enabling
environment supportive of reducing vulnerabilities of mobile populations
to HIV&AIDS

4. Approach
• Programme Approach:
– The programme approach will aim to answer the question: “What
approaches work with cross-border mobile populations and their
families to reduce vulnerability to HIV infection?”
• The four areas of intervention will be:
– Test a model of cross-border services.
– Build knowledge about the mobile populations and their families
and their vulnerability to HIV infection
– Build capacity of partners in the programme approach
– Influence changes in relevant laws, policies, practices, beliefs,
attitudes, knowledge and behaviours

5. Where will EMPHASIS work?
• Nepal-India route
– Source area (Accham and Kanchanpur)
– Transit area (Gaddachouki / Gaurifanta)
– Destination area (Delhi - National Capital Region)(Mumbai)
Gaddachouki
/ Banbasa
Dhangadi /
Gourifanta

6. Where will EMPHASIS work?
• Bangladesh-India route
– Source area (Jessore and Satkhira)
– Transit area (Petropole and adjoining areas)
– Destination area (Kolkata, Howrah and adjoining areas) (Mumbai)
Source
point
Transit
point
Destination
point

7. First Year of the Programme
• Knowledge Building Phase
– Build knowledge, information, and analysis while
supporting existing services for the target group.
– Using analysis, clarify assumptions about services for
each of the two migration routes: Inputs → Outputs →
Outcomes → Impact

8. Key Processes – Staff Recruitment
Staff Recruitment process started in September,2009 and
all staff were recruited by January, 2010.
Staff Name Designation Place
Essa Mohammad Rafique Team Leader New Delhi
Nabesh Bohidar Manager (M-E-D) New Delhi
TBD Admn Assistant New Delhi
Anupam Das Partnership Coordinator Kolkata
Surajit Chakraborty Partnership Coordinator Bahraich
Moushumi Kundu Partnership Coordinator New Delhi
Parshant Kumar Sharma Finance Officer (part time) New Delhi

9. Key Processes – Workshops for
Common Understanding
• Induction Workshop (New Delhi-October 2009)
• Inception Workshop (Kathmandu-Oct/Nov 2009)
• NGO pre-orientation workshop (New Delhi-Dec 2009)
• CARE Staff Induction workshop (Lucknow-February
2010)
• NGO Induction Workshop (New Delhi-Feb 2010) for
NGO staff of Delhi/NCR
• NGO Induction Workshop (Kolkata-March 2010) for
NGO staff of West Bengal
• NGO Induction Workshop – (Bahraich – March 2010)
for staff of Uttar Pradesh

10. Key Processes – NGO Partners
Contracted
• As the NGO partners were pre-selected, a
process of NGO assessment was carried
out with all the five NGOs. (Nov-Dec 2009)
• The NGO assessment was carried out by a
team comprising of both programme staff
and finance staff of CARE.
• Draft NGO contracts were sent to BIG
through the Secretariat.
• Approval of the contracts were received in
late February.
• NGO contracts were signed from the first
of March
• Six NGO Partners on board (Rationalisation
and new partners)

11. Key Processes – Current activities
of the NGO partners
• Mapping / Stakeholder analysis / Line Listing
• Developed a common methodology, tools and required outputs
through a consultative process for destination and transit sites.
• Status:
– Mapping completed.
– Stakeholder Analysis Completed
– Line Listing Continuing

12. Estimates of Mobile population
(combined-both transit sites)
Total Going % to Going % to Going % to
Mobile Delhi Delhi Mumbai Mumbai Others Others
Source -
Accham 3253 407 13 1606 49 1240 38
Source -
Kanchanp
ur 6543 2265 35 411 6 3867 59
Source -
Others 15252 3919 26 3859 25 7474 49
Total 25048 6591 26.3 5876 23.5 12581 50.2
• Those from Accham, more people go to Mumbai than Delhi.
• Those from Kanchanpur, more people go to Delhi than Mumbai
• More number of people go to Delhi than to Mumbai from the two
source districts

13. Milestones
• Speak about the milestones.

14. Key Processes – Overcoming the
communication divide across countries
• Communication & KM - Ning
• One Stop Shop
– Chat, Forum, Tele, Google-docs, Blog, Events,
Calendar, Map, Groups, Photos, videos, audios,
Transliteration, Archives, Intra, Google-search, SMS-
web, Wiki
• Status
– Started in Dec 09, Analytics show high usage
– Will require dedicated facilitator support

15. Snapshots of Activities in the Field
• EMPHASIS team crosses
the heavily guarded Indo-
Bangladesh Border

16. Snapshots of Activities in the Field
• EMPHASIS team at
the Indo-Nepal Border
at Gaddachouki

17. Snapshots of Activities in the Field
• Meeting with
stakeholders at
various locations

18. Snapshots of Visitors in the Field
• Visitor to EMPHASIS –
Richard Greenhalgh
(chair of CARE-UK
Board)

19. Snapshots of Visitors in the Field
• Visitor to EMPHASIS – Jane Adisu &
Nino Gurgulia

20. Who will EMPHASIS work with?
• Impact population (revised):
– Mobile population from Nepal and Bangladesh to
India.
– Mobile Population from Accham and Kanchanpur and
Jessore and Satkhira only
– Both Men and Women (Single men and all women)
– Come to India for at least three months at a time
– Have been in India for less than 5 years
– Spouses left behind at source sites

21. Budget Scenario if Mumbai
included
Overall
Original As per S1 Delta
P1 544,056 576,874 (32,818)
P2 32,475 93,410 (60,935)
P3 15,272 15,888 (616)
Mgt & Operation 669,161 687,738 (18,577)
1,260,964 1,373,911 (112,947)
SPC 75,658 82,435 (6,777)
Total 1,336,622 1,456,346 (119,723)

22. THANKS
http://emphasis.ning.com