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Economic Strengthening for the Very Poor (ES4VP)

LIFT Country Programs

The LIFT Project has laid the groundwork through assessments and stakeholder engagements in several countries: the Democratic Republic of Congo; Ethiopia; Haiti; Lesotho; Malawi; Namibia; Nigeria; and Swaziland, and started in late 2012 to operationalize its working model across several sites in Malawi, Namibia, and DRC. LIFT is not an implementer, but a facilitator, working with national and subnational government and non-government partners to integrate ES/L/FS services into the continuum of care. These sites have become essential learning laboratories where tools have been tested and adapted to integrate ES/L/FS services into NACS, ensuring a systemic approach. The LIFT working model starts with a rapid appraisal, situation analysis (SA), organizational network analysis (ONA), diagnostic tool, referral process, and M&E. Alongside its rollout model, LIFT provides ongoing technical assistance, gender and M&E assistance, and capacity building.


Democratic Republic of Congo

A joint FANTA - 2/LIFT - 2 assessment team visited the DRC in July 2011 to meet with government, international and local organizations, and community members to review experience with nutrition, food security, and economic strengthening activities targeting HIV - affected populations or in areas of relatively high HIV prevalence. The goal was to assist USAID DRC more effectively allocate $2 million PEPFAR funding for food and nutrition activities related to PLHIV and OVC.

The Democratic Republic of Congo Brief

The Democratic Republic of Congo Assessment Report



In mid-2012, LIFT carried out a joint TA trip in Malawi with the NACS-related technical assistance projects FANTA-3 and HCI. LIFT conducted over 20 meetings and site visits with key stakeholders, including USAID, civil society implementers, and the Malawian Ministry of Health, Ministry of Gender, and the Department of Nutrition, HIV and AIDS in the Office of the President and Cabinet. Findings from these meetings informed preliminary recommendations to USAID/Malawi and helped to define LIFT’s technical assistance activities.

Read about the organizational network analysis (ONA) conducted by LIFT in Malawi.

Read about LIFT’s first stakeholder meeting with health, economic strengthening, livelihoods, food security, and referral service providers who participated in the ONA.



In 2010, the LIFT project conducted a food security and livelihood assessment in Namibia oriented towards people living with HIV/AIDS. The objectives of the field assessment were to 1) Identify and analyze activities with the highest potential for livelihood and economic strengthening; 2) Assess how Food by Prescription (FBP) can be complemented with longer-term livelihood approaches; 3) Identify key market opportunities that can be pursued; 4) Identify existing programs for partnership potential; 5) Consider gender and illness burden issues. Based on USAID/Namibia’s guidance, the assessment examined opportunities to strengthen livelihoods that could be implemented immediately, as well as interventions that would require a longer-term investment.

Namibia Brief

Namibia Assessment Report



In June-July 2013, LIFT conducted a Rapid Appraisal in Tanzania to 1) engage with stakeholders to understand how LIFT activities might best fit geographically and programmatically within the existing landscape; 2) build an understanding of ES/L/FS programs that are targeting vulnerable populations and identify promising interventions for ES/L/FS for HIV-affected households; 3) identify existing referral models and any linkages between ES/L/FS activities and NACS or other clinical programs and; 4) make recommendations related to improving linkages between NACS and ES/L/FS opportunities.

 Documentation forthcoming