Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5299
Country/Region: Botswana
Year: 2007
Main Partner: National AIDS Coordinating Agency - Botswana
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $220,000

Funding for Health Systems Strengthening (OHSS): $220,000

07-X1416 PEPFAR Coordinator.

The Government of Botswana has a Cooperative Agreement with HHS/CDC for five years from September 15, 2005 to implement a significant multi-disciplinary initiative targeting HIV/AIDS. This is the most significant financial agreement managed by BOTUSA with $14.8 million from COP05, $22.2 million from COP06 and $20.5 million from COP07 awarded. This agreement therefore has substantial programmatic management, monitoring and reporting requirements which must be maintained.

The National AIDS Coordinating Agency (NACA) under the Office of the President has been charged in government to provide strategic oversight and management to all HIV/AIDS related activities in Botswana. NACA, using PEPFAR funds has a full time ‘Principal Programme Planning Officer' to conduct the routine business management of the GOB Cooperative Agreement on behalf of the government.

The purpose of this activity is to continue financial support to the post, who can, in collaboration with BOTUSA and the ministries, provide comprehensive financial and programmatic support to the implementing partners under the GOB CoAg.

The post will supply high quality oversight and transparency documentation to the GOB Principal Investigator, business official and BOTUSA in a routine and timely manner.

National AIDS Spending Assessement (NASA) The monitoring and evaluation of the policy responses would be greatly facilitated if policymakers were continually well informed about the overall flow of funds for health in Botswana, both from the perspective of who is financing such spending, and the purposes for which it is being used. The resource envelope revealed by these flows and their current uses will enable policymakers to assess overall resource constraints, choose among competing demands on health resources and, depending on the nature of these flows, identify policy mechanisms best able to achieve desired health objectives.

The NASA resource tracking algorithm is designed to describe the financial flows and expenditures using the same categories as the globally estimated resource needs. This alignment is recommended in order to provide the necessary information (as advised by the Global UNAIDS Resource Tracking Consortium) on the financial gap between resources available and resources needed, as well as a greater harmonization of different policy tools frequently used in the field of HIV and AIDS.

By doing so, NASA provides indicators of the financial country responses to HIV/AIDS and supports the monitoring of resource mobilization. Thus, NASA is a tool to install a continuous financial information system within the national monitoring and evaluation framework.

NASA serves several purposes within different time-frames. In the short term, NASA aims to contribute to the production of an UNGASS indicator for public expenditure; in the longer term, more comprehensive information provided by NASA may be used to: a) monitor the implementation of the National Strategic Plan; b) monitor advances towards completion of nationally or internationally adopted goals such as universal access to treatment or care; c) provide evidence of compliance with the principle of additionality required by a few external donors or international agencies; and fulfill other information needs as these emerge always more demanding