Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 6166
Country/Region: Botswana
Year: 2007
Main Partner: Joint United Nations Programme on HIV/AIDS
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: USAID
Total Funding: $100,000

Funding for Health Systems Strengthening (OHSS): $100,000

07-X1414: Support to the National AIDS Coordinating Agency (NACA).

This activity has USG Team Botswana Internal Reference Number X1414. This activity links to the following: X1406 & X1407 & X1491.

NACA was established in 2000 to provide a more coordinated approach to the expanded national response in the fight against HIV/AIDS. NACA is secretariat to NAC, the highest national HIV/AIDS body, and has the following primary functions: •Policy and program development •Strengthening institutional capacity at national, district and community levels •Coordinating and facilitating implementation of programs and strategies at national, district, sub-district and community levels •Monitoring and evaluation of programs and strategies •Resource mobilization

Key HIV coordinating structures in Botswana currently include the Global Fund to fight AIDS, Tuberculosis, and Malaria (GFATM) Country Coordinating Mechanism (CCM), the Development Partners' Forum chaired by Ministry of Finance and Development Planning, and the HIV Partnership Forum chaired by NACA. Despite the existence of these and the willingness of partners to participate in them, effective program coordination has been severely hampered by underutilization of these and related structures.

Botswana holds two GFATM awards-- one for HIV for about $18 million from Round 2 and one for TB for about $9 million from Round 5. About half of the total HIV award had been spent by the end of the 2 year program period. A no-cost extension has been requested but not yet granted. No TB funds have been provided yet. The National TB Program Review supported by the Emergency Plan (EP) with intensive financial and technical resulted in excellent recommendations that can be carried out with the joint use of GFATM monies and EP assistance. Performance with regard to utilizing GF funds from Round 2 and Round 5 and accounting for this funding has been such that there is a risk that no further funding will be received. The CCM in country has faced many challenges and did not meet the CCM eligibility criretria. Hence the delay in signing and approval of the Round 5 grant. During April - September 2006, the CCM has met regularly and has tried to reinforce its internal working procedures and structure in order to meet the criteria.

EP in Botswana works closely on planning and reporting with Botswana's CCM for the GFATM, which pre-exists the EP. The CDC Director/Chief of Party participates in CCM meetings, and the Chair of the NACA who is also the Chair of the CCM Subcommittee on HIV/AIDS coordinates meetings of that subcommittee and of technical working groups during COP planning and reporting each year. The CCM works with us on the COP and the Annual Report and has the opportunity to review and approve the final documents prior to submission. Use of existing structures such as the CCM and the Partnership Forum to coordinate the Government of Botswana (GOB) response to the HIV epidemic with that of international agencies contributing to that response is efficient for both EP and GOB in order to optimize resource allocation and activity planning.

In FY2007, EP will work to strengthen coordination among development partners in order to provide more efficient service to the GOB in its response to the epidemic through several approaches. Our joint participation with these other partners in the CCM, the Partnership Forum and perhaps in the Development Forum has potential to change the environment to one of coordinated collaboration and to optimize use of GF grants available in current awards and any future GF application rounds.

Currently the USG is a voting member on the CCM and participates actively in the Country Implementation Support team. With the planned financial support we hope to provide in-country technical assistance to write select and submit grant applications, improve implementation of GFTAM activities, and enhance collaboration between EP and GFTAM.

The USG in collaboration with UNAIDS will continue to advocate for improved donor coordination and collaboration and, in 2007, strengthen NACA's coordinating role by assisting NACA in hosting the HIV Partnership Forum and providing technical support where necessary. These funds will support an AIDS Policy Advisor who will be placed at NACA to organize quarterly partner meetings and provide secretarial support. Additionally,

USG Botswana has allocated some of these funds for this new position at NACA to help facilitate GFATM in-country CCM restructuring and reinforcement and ultimately grant implementation. It is hoped that the new position will provide technical assistance to the CCM through provision of information and exposure to best practices and through identifying an on-site senior advisor who would work closely with the GFATM coordinating mechanisms and HIV development partners. This approach (i.e. making advisors available to the CCM) is expected to improve the collaboration between GFATM and the EP.