Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5406
Country/Region: Botswana
Year: 2008
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $3,150,385

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $420,000

08.P0190-Local Technical Expertise and Support PMTCT

This activity links with all activities under PMTCT. It covers the salaries and travel for the technical

HHS/CDC/BOTUSA staff in-country supporting PMTCT. Eight HHS/CDC/BOTUSA staff work in the PMTCT

section. Six of them are based in Francistown where they carry out operational research, while two are at

the BOTUSA headquarters in Gaborone. An example of the operational research is the successful pilot of

EID of HIV in infants using DBS and DNA PCR. The result of the pilot has led to the roll out of EID by the

MOH countrywide.

In 2008, USG funds will be used to hire additional dedicated staff (2 nurses) to visit each district, provide

detailed feedback on ART initiation rates in pregnant women and infants, organize troubleshooting

meetings, and provide ongoing feedback to every district. In addition, a medical officer will be hired to

provide ongoing technical support to the PMTCT program in the MOH and other related programs (SRH,

Family Planning Unit, and the Food & Nutrition Unit) on PMTCT related issues.

Support for printing technical materials and other costs related to working with the GOB are included. Costs

related to workshops and participation by the technical staff in domestic, regional, and occasional

international meetings are supported.

The PMTCT team in Francistown will conduct a demonstration project on Prevention with Positives (PwP),

by supporting the promotion of family planning and unintended pregnancy prevention among HIV positive

women and their partners. Activities will include community mobilization through local dramas and related

discussion forums, in addition to supporting implementation of the existing PMTCT protocols by health care

workers within clinical settings, which include active promotion of family planning to clients.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $193,000

08.P0290-Local Technical expertise and support (AB)

This activity covers the salaries and other administrative costs for the technical staff in-country that support

the AB and C/OP program areas. These staff include 2 full-time CDC direct hire, 2 senior FSN, and 1 mid-

level FSN. The funds also support USG-sponsored meetings of prevention implementing partners,

professional development and training for staff persons, conference attendance, and travel for site visits and

other meetings in and out of Botswana that USG prevention officers may attend as part of their regular

duties.

All staff work across the AB and C/OP program areas, so the costs associated with these staff and activities

above are distributed proportionately (66%-33%, respectively).

Funding for Biomedical Prevention: Blood Safety (HMBL): $75,000

08.P0390- Local Technical Expertise & Support for Blood Safety

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $114,000

08.P0590 Technical expertise and support (C/OP)

This activity covers the salaries and other administrative costs for the technical staff in-country that support

the AB and C/OP program areas. The staff includes one full time CDC direct hire, part time of a senior CDC

prevention lead, 2 senior FSN, and 1 mid-level FSN. The funds also support USG-sponsored meetings of

prevention implementing partners, professional development and training for staff persons, conference

attendance, and travel for site visits and other meetings in and out of Botswana that USG prevention

officers may attend as part of their regular duties.

All staff work across the AB and C/OP program areas, so the costs associated with these staff and activities

above are distributed proportionately (66%-33%, respectively).

Funding for Care: Adult Care and Support (HBHC): $84,000

08.C0690-Local: Technical Support for Palliative Care Basic

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the Government of Botswana. Also included are costs related to workshops

and participation by the technical staff in domestic, regional, and occasionally international meetings

deemed necessary for their work.

Funding for Care: TB/HIV (HVTB): $181,000

08.C0790-Post: Technical expertise and support (Palliative Care/TB)

This activity covers the salaries and travel for the technical staff in-country and TDY visits by colleagues

based in the US at HHS/CDC headquarters to provide support for the programs and activities, including

work with the Government of Botswana, at a total cost of $466,767. The cost of providing administrative

support (telephone, consumables, supplies and equipment) will be $5,000.

PEPFAR funds will be used to contract out the organization of a consensus workshop to finalize a national

medium-long term strategic plan for TB and TB/HIV control and of an annual conference of the BNTP, at a

combined cost of 30,000.

FY08 funds are requested to support contractual services to maintain and upgrade the electronic TB

register (ETR) and to develop a database for routine monitoring of anti-TB drug resistance, at a cost of

$90,000.

Funding for Care: TB/HIV (HVTB): $140,000

08.C0707-Post

This activity will provide care, preventive therapy and appropriate service referrals for 2,000 adult PLWHA

as part of an ongoing HHS/CDC/BOTUSA project. These individuals will be seen on at least a monthly

basis and they will receive regular checkups by registered nurses. Each will be provided 6 months of IPT;

eligible patients will be linked to services providing ARV treatment and CPT. Patients will be regularly

screened for adverse effects of medications and symptoms of opportunistic infections. Referrals to HIV

support groups, alcohol dependence counseling, psychiatric support, and PMTCT services will be made as

appropriate. Health education will be provided to all patients about living with HIV-infection, and about HIV

services available to them.

Referrals for ARV treatment and CPT will be provided to approximately 1,000 PLWHA. Quality care

through at least monthly check ups will be provided to reduce morbidity and mortality. Data from these

services will also be used to inform the ongoing National Comprehensive HIV Program.

Funding for Care: Orphans and Vulnerable Children (HKID): $50,000

08.C0891-Local Technical expertise and support HHS/CDC (OVC)

This activity covers technical assistance, travel, and printing of technical materials to provide support for the

OVC activities including work with the Government of Botswana. Costs related to workshops are included

in this activity.

Funding for Prevention: HIV Testing and Counseling (HVCT): $50,000

08.C0990-Local: Technical Support to Counseling and Testing

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

activities, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

An additional staff member (locally employed) will be hired to provide technical and management support

for the counseling and testing program area. This position was approved in FY2007, but was has not yet

been filled. Position description is now being developed, and will be caged by the US Embassy Gaborone,

before advertising the position.

Funding for Treatment: ARV Drugs (HTXD): $15,000

08.T1090-Post: Technical Support for ARV Drugs

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

Funding for Treatment: Adult Treatment (HTXS): $109,000

08.T1190-Post: Technical Support ARV Services

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the Government of Botswana. Also included are costs related to workshops

and participation by the technical staff in domestic, regional, and occasionally international meetings

deemed necessary for their work.

Funding for Laboratory Infrastructure (HLAB): $100,000

08.T1290-Local: Technical Support to Laboratory Infrastructure

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

activities, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

Funding for Strategic Information (HVSI): $100,000

08.X1390-Post: Technical Expertise and Support SI

This activity covers the salary of four experts including two additional staff members that will join the existing

team. One of the new staff will be an direct hire Full Time Equivalent and the other is a Locally employed

staff member. Costs cover salary, travel, and printing of technical materials to provide support for the

strategic information/ monitoring and evaluation activities including work with the GOB. Funding also covers

participation by staff in domestic and international conferences related to their work, contractual costs, and

TDY visits experts outside the USG agency.

Funding for Health Systems Strengthening (OHSS): $99,000

08-X1490-Post: Technical Support - policy analysis and system strengthening

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

Funding for Management and Operations (HVMS): $1,420,385

08.X1501-Local: HHS/CDC management and support

CDC Management and administration (Headquarters)

In FY 2008 the Botswana estimates for administrative costs from Base Headquarters are $1,322,615.

These include salaries, benefits, travel, training and support for the Director, Deputy Director, Associate

Director for Global AIDS Program (GAP), GAP Senior Administrator, Associate Director for Science,

Informatics Specialist, the Informatics Section Chief, and communication officers. It also covers 30 days of

support to backstop the country Deputy Director during home leave/R & R by a staff person from CDC

headquarters and dollars for a Building and Design Contractor.

Support costs for the CDC Information Technology Services Office (ITSO) will be covered for 42

workstations in Botswana. ITSO has established a support cost of $3,250 per workstation and laptop for FY

2008 to cover the cost of information technology infrastructure services and support provided by ITSO. This

includes the funding to provide base level of connectivity for Gaborone and Francistown, connectivity to the

CDC global network, keeping the IT equipment refreshed and updated on a regular cycle, expanding the

ITSO Global Activities team in Atlanta and fully implementing the Regional Technology Services Executives

in the field. This is a structured cost model that represents what is considered as the "cost of doing

business" for this location. Also included are consumable IT supplies, equipment, maintenance and

repairs, telecommunications, international travel and training of IT staff not covered by ITSO.

CDC Management and administration (Post)

These funds support local management and staffing costs including local salaries, travel costs, training;

utilities and telecommunications for sites in Gaborone and Francistown; space, leases and warehousing;

security services; XTS500 handheld radios for Emergency Action Committee members; motor pool and

supplies, local printing, supplies and associated operational costs.

Local salaries this year will be higher than last year due to the anticipated transition to a pension plan. This

will require payout for employees formerly on the severance plan as well as a 15% employee annual

contribution to the pension plan.

Salaries are included for the requested new CDC FSN positions.