Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5291
Country/Region: Botswana
Year: 2007
Main Partner: Institute of Development Management
Main Partner Program: Botswana
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $360,000

Funding for Testing: HIV Testing and Counseling (HVCT): $160,000

07-C0912 Institute of Development Management.

This activity has USG Team Botswana Internal Reference Number C0912. This activity links to the following: C0901 & C0902 & C0908 & P0103 & P0213.

Background CHCT is key to HIV prevention. In Botswana, it is estimated that some 20-25% of couples are discordant (Tebelopele, 2003, 2005 and Botswana Harvard Partnership, 2005). If not counseled and supported, the HIV negative partner in the discordant couple runs a high risk of infection. Until 2005, there was not a curriculum for training of HIV counselors in CHCT and services for couples in general, and discordant ones in particular, were scanty. In 2006, the USG through the EP provided support to the MOH to train a core team of trainers in CHCT, using a curriculum that has been developed by HHS/CDC in consultation with field offices including Botswana. MOH sub-contracted IDM to conduct this training; 83 trainers were trained. With additional support from HHS/CDC/BOTUSA, IDM trained 193 counselors in CHCT, from the public, private and civil society sectors. The MOH trainers are now rolling out training to a few districts in the country.

The 2006 training is being used as a pilot for the HHS/CDC CHCT curriculum, and feedback from course participants has been obtained by IDM and MOH trainers. There is now a consensus that the CHCT curriculum should be adapted to the Botswana situation. The FY07 funding will be used to fund the adaptation process. IDM will work with the MOH to review the reports from all trainings, to consolidate the feedback from participants. Through several workshops, participants and trainers from previous courses will discuss the curriculum and make recommendations for adaptation. Based on the recommendations, the curriculum will be revised accordingly, and proof-read by key partners (MOH, HHS/CDC/BOTUSA, HHS/CDC/HQ and representatives from civil society). Based on the approved revised curriculum, the core team trainers from the MOH and civil society will be re-oriented. If funds are adequate, copies of the approved curriculum will be printed. Otherwise, printing would be funded from FY08 budget.

FY 2007 PLUS-UP FUNDS: A recognized gap in the area of counseling and testing for children and adolescents is the lack of a counseling protocol to guide health workers in providing these services. These funds will be used to engage technical expertise to support the Ministry of Health and key partners in developing an HIV/AIDS counseling protocol for children and adolescents. Funds will also cover training of 150 health workers/counselors on child and adolescent counseling.

Funding for Health Systems Strengthening (OHSS): $200,000

07-X1410: Strengthening HIV Program Management-IDM.

This activity has USG Team Botswana Internal Reference Number X1410. This activity links to the following: C0701 & X1401 & X1406 & X1490.

The SMDP was established in 2003 at the Institute of Development Management (IDM) with the assistance of CDC/BOTUSA. The program provides a local management course, adapted from the CDC Management of International Public Health (MIPH) Course. The aim is to strengthen management and leadership abilities of public health managers. The program is implemented by Botswana graduates of the MIPH course. The purpose of the Botswana program is to provide training and support to build the managerial and leadership capacity of public health program managers working in HIV/AIDS in both the public, NGO, CBO and Faith Based Organization (FBOs) sectors.

In FY 2005, the program trained 25 HIV/AIDS program managers and in FY 2006 50 are being trained and a standardized curriculum was developed. This standard curriculum is in modular form allowing for shorter training in specific sections of the curriculum, e.g. Total Quality Management (TQM), a management tool to develop problem solving and analytic skills for addressing day-to-day processes in public health programs, and leadership, networking and strategic resource development, to strengthen the capacity to mobilize and manage resources and projects.

FY 2007, activities will include:

•Four-month training of 25 public health managers in SMDP. Participants will be drawn from the public, private, NGO, CBO and FBO sectors.

•One-week training of 50 public health managers in TQM. Participants will be drawn from government: MOH, Laboratory Services, Pharmacy Services and the TB program.

•One-week training of 50 managers from the NGO, CBO and FBO sectors in leadership, networking and strategic resource development.

•An annual one-day conference for 60 former participants to share experiences and challenges in the daily management of their programs and solicit feedback on how best to improve the training program.

•Identification and training of 20 mentors who will support and supervise the applied TQM projects in the field.