Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5300
Country/Region: Botswana
Year: 2007
Main Partner: National Alliance of State and Territorial AIDS Directors
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $445,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $65,000

07-P0514: NASTAD - assistance for district prevention program.

This activity has USG Team Botswana Internal Reference Number P0514. This activity links to the following: P0504 & X1402.

NASTAD has supported the MLG for 3 years, to build capacity in planning, monitoring, and program implementation among District AIDS Coordinator (DAC) offices. In FY06, they increased the staff placed in the MLG - AIDS Coordinating Unit, to provide more continuous assistance to districts, and now have two NASTAD-supported staff persons working from the MLG headquarters (one local, one international hire).

With these funds, NASTAD will hire an additional staff person (local hire) to provide more intensive oversight and technical assistance to the five districts which receive implementation funds from USG (P0504). The staff person will assist those 5 district offices with planning, reporting, budgeting, and program monitoring, and will help coordinate and/or provide technical assistance for those districts in the area of prevention (e.g. organize a few short trainings on relevant prevention topics). The officer will also serve the general functions that the other NASTAD officers serve, in terms of building the capacity of other Ministry district representatives. We expect that approximately 50% of this person's time will be focused on the 5 districts, while the remainder will be spent supporting the other district-level capacity building efforts that NASTAD provides.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

07-P0514: NASTAD - assistance for district prevention program.

This activity has USG Team Botswana Internal Reference Number P0514. This activity links to the following: P0504 & X1402.

NASTAD has supported the MLG for 3 years, to build capacity in planning, monitoring, and program implementation among District AIDS Coordinator (DAC) offices. In FY06, they increased the staff placed in the MLG - AIDS Coordinating Unit, to provide more continuous assistance to districts, and now have two NASTAD-supported staff persons working from the MLG headquarters (one local, one international hire).

With these funds, NASTAD will hire an additional staff person (local hire) to provide more intensive oversight and technical assistance to the five districts which receive implementation funds from USG (P0504). The staff person will assist those 5 district offices with planning, reporting, budgeting, and program monitoring, and will help coordinate and/or provide technical assistance for those districts in the area of prevention (e.g. organize a few short trainings on relevant prevention topics). The officer will also serve the general functions that the other NASTAD officers serve, in terms of building the capacity of other Ministry district representatives. We expect that approximately 50% of this person's time will be focused on the 5 districts, while the remainder will be spent supporting the other district-level capacity building efforts that NASTAD provides.

Funding for Health Systems Strengthening (OHSS): $380,000

07-X1402 National Alliance of State and Territorial AIDS Directors (NASTAD).

This activity has USG Team Botswana Internal Reference Number X1402. This activity links to the following: C0818 & P0222 & P0504 & P0514 & X1308 & X1403.

NASTAD is a U.S based non governmental organization (NGO). Its members consist of U.S. state health department AIDS program directors whose positions are analogous in program responsibility to their counterparts in national and district level AIDS programs abroad. The objective of this project is to build the capacity of national and district level government workers to improve the response to their epidemic by applying an evidence-based, community planning approach. This is the third year of EP support for this project. NASTAD continued its partnership in 2006 with the MLG AIDS Coordinating Unit. Through a collaborative process, NASTAD revised and updated MLG's District HIV/AIDS Planning Toolkit, which guides districts in the process of developing an annual comprehensive HIV plan for district level HIV prevention and control activities, in accordance with the National Strategic Framework (NSF). NASTAD contracted with a local hire and placed one NASTAD team member in Botswana for FY 2006. These two staff persons provide on-site technical assistance to all districts at regular episodes through the year to guide the district staff and planning committees in the evidence-based steps described in the toolkit. In addition, NASTAD provides training in planning to national and district stakeholders and Peace Corps volunteers. NASTAD also works with BOTUSA to provide training and on-site technical assistance in selected districts in the area of HIV prevention program management, implementation, and quality assurance. For FY07, NASTAD technical assistance providers and staff will continue to partner with MLG to provide in-depth on-site technical assistance and training to District AIDS Coordinators (DACs), their teams (Peace Corps Volunteers [PCVs], African Comprehensive HIV/AIDS Partnerships [ACHAP] and/or BOTUSA supported program and/or Monitoring and Evaluation [M&E] officers), and District Multi-Sectoral AIDS Committees (DMSAC] to help assure the development of annual evidenced-based district comprehensive HIV plans. One role of the DAC offices is to oversee and monitor the implementation of HIV prevention activities that sectors propose to implement in the annual comprehensive plan.

Additionally in 2007 NASTAD will use a cascade, or training of trainers, training model to provide technical assistance to enhance the capacity of at least 10 DAC offices in the following areas: (1) provision of training and support to Community Based Organization (CBO) and sectors in developing program plans, and in the content and methods of implementing high quality and effective interventions; (2) developing and implementing quality assurance mechanisms; (3) promoting development of district networking and referral systems; and (4) monitoring of expenditures. The cascade model brings all 10 districts together in a central location for training in these areas. Immediately following the central training, individual NASTAD technical assistance (TA) providers will accompany DACs back to their districts to provide one-on-one peer support and mentorship as the DAC begins the work of applying the concepts learned in the training to the unique issues experienced in the district. NASTAD anticipates being able to provide two cascade trainings for multiple districts, and follow-up support to 10 districts in 2007.

NASTAD will also provide technical support to a new stigma prevention initiative designed to enhance the existing CCEP. This program, implemented by MLG, uses trained facilitators to engage communities in a process to discuss and identify community problems and solutions to HIV (e.g., harmful traditional practices, gender inequality, and stigma). The CCEP has been effective at raising the awareness of community members, but has not provided them with a specific process or mechanism with which they can implement the solutions they generate. In Ethiopia, NASTAD has developed a workshop that uses community planning techniques to help communities learn how to develop and implement community-initiated action plans to address stigma and provide support to People Living With HIV/AIDS (PLWHAs), particularly around treatment adherence. In this activity, NASTAD will: • Convene a working session with an identified Botswana PLWHA organization to revise the Ethiopian training to reflect Batswana community norms and values

• Provide a training of trainers' workshop utilizing the revised training manual Trainers will then deliver the community planning training in conjunction with existing CCEP activities in a select number of districts, and provide ongoing technical assistance and support to those districts as they develop and implement their community-based stigma reduction action plans. The partnership between NASTAD and the MLG supports several areas of USG emphasis and legislative interest. The activity builds local organization capacity, consistent with Botswana's NSF. Improved district needs assessment and planning processes will result in better-coordinated network, linkage, and referral systems at the local level to support 2-7-10 goals. Additionally, this partnership increases community mobilization/participation by involving community members in DMSAC planning processes. Of particular legislative interest is NASTAD's ongoing collaboration with the US Peace Corps program in Botswana. Volunteers placed in districts partner with NASTAD in building capacity to implement the District HIV/AIDS Planning Toolkit.