Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1353
Country/Region: Botswana
Year: 2009
Main Partner: Harvard University
Main Partner Program: Harvard School of Public Health
Organizational Type: University
Funding Agency: HHS/HRSA
Total Funding: $2,786,962

Funding for Treatment: Adult Treatment (HTXS): $2,786,962

09.T.AT07: Harvard Botswana AIDS Initiative Partnership

CONTINUING ACTIVITY UNDER PERFORMANCE PASS:

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The Clinical master trainer program will expand its activities in the following areas in conjunction with:

-Prevention of Mother to Child Transmission (PMTCT) Program to include the PMTCT Pilot for universal

highly active anti-retroviral therapy (HAART) with the PMTCT program and training on dried blood spots

(DBS) and Routine HIV Testing (RHT) for the expanded nurse role in testing.

-Botswana National TB Program (BNTP), which will include TB/HIV co-infection; Isoniazid Preventative

Therapy (IPT) integration activities in anti-retroviral (ARV) roll out clinics; and the development of TB/HIV

adherence material to be incorporated into training and mentoring activities.

-MASA, the anti-retroviral (ARV) distribution program to incorporate: Pediatric expert training expansion for

identifying infected children; the Nurse Training Initiative for prescribing and dispensing; and training in

conjunction with the Palliative care unit on the training package for community volunteers.

-Ministry of Local Government (MLG) to add: Nurse dispensing training.

The Laboratory Master trainers will expand its activities to include: the

development of training manuals and training in chemistry, hematology and tuberculosis microscopy in the

ARV clinic laboratories; and standardization, standard operating procedure (SOP) and external quality

assurance (EQA) program for new ARV clinic laboratories.

From COP08:

The BHP-PEPFAR ART Training and Site Support program is aimed at developing sustainable training

capacity in clinical care and treatment of HIV/AIDS patients, expanding CD4 and Viral load laboratory

testing to decentralized laboratories, and strengthening the Botswana MOHs M&E capacity to monitor the

effectiveness of the National ART program (MASA).

Achievements during FY07

Clinical master trainer results (CMT): Number of health personnel trained for ART services - 492, number

trained in palliative care - 635, facilities supported and mentored - 18 hospitals and 39 satellite clinics.

Laboratory Master Trainer (LMT) results: Number of lab technicians trained - 22; facilities supported and

mentored -15; decentralized laboratories supported ran 72,041 samples for CD4 testing, and 7,577 for VL

testing

Monitoring and Evaluation (M&E) results: Sites reached - 32; data entry clerks (DEC) trained - 59; data

warehouse developed; integration of MASA and DHIS ongoing and; data security and confidentiality

system to encrypt and decrypt completed.

Plans for FY2008:

A) CMT will continue to:

1) task shifting: training of nurse dispensers and nurse pre scribers; 2) train Health Care Providers on QAI

and implementation of QA activities at ART site level and QAI training for district/site leadership cadres; 3)

provide CME at district level, telephone site support; 4) continue training material development, SOP's,

guidelines, memo's and checklists tools for care and treatment sites.

B) LMT will continue to:

1) support the established CD4, VL decentralized and expand training to include hematology, chemistry and

microbiology support; 2) in collaboration with MOH and HHS/CDC/BOTUSA formalize the training manuals

on CD4, VL, hematology, chemistry and microbiology (including TB); 3) train on LIS issues at decentralized

labs/sites and train on lab data management, reagent logistics and quality assurance.

C) The M&E Unit within Masa will continue to:

1) refine and expand indicators and management tools; 2) replace PIMS (MASA) and roll out new system to

all PIMS locations; 3) integrate functions of (e.g. PMTCT) and integrate with all other national systems (e.g.

DHIS); 4) train end users on the new systems; 5) establish support desk and using DEC to perform vital

role; 6) conduct a targeted patient evaluation study on medication adherence.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17564

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17564 4955.08 HHS/Health Harvard University 7805 1353.08 5U51HA02522: $2,786,962

Resources School of Public Palliative Care

Services Health Support

Administration

8050 4955.07 HHS/Health Harvard University 4676 1353.07 Track 1- ARV $2,786,962

Resources School of Public

Services Health

Administration

4955 4955.06 HHS/Health Harvard University 3564 1353.06 Track 1- ARV $2,200,001

Resources School of Public

Services Health

Administration

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $1,900,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09:

Cross Cutting Budget Categories and Known Amounts Total: $1,900,000
Human Resources for Health $1,900,000