Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1367
Country/Region: Botswana
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $0

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

09.P.AB05: TBD-Assistance to MLG District Prevention Programs

ACTIVITY UNCHANGED FROM FY2008

It is anticipated that the same activities conducted by NASTAD last year will be continued through a TBD

organization.

From COP08:

NASTAD is embedded in the MLG to provide a range of support to the DACs and the DMSACs. In 2007,

they hired an officer dedicated to prevention; held a workshop for approximately 20 DACs, Peace Corps

Volunteers (PCVs), and Implementing Partner representatives from the 5 focus districts; and conducted one

-on-one follow up visits to those districts to support improved prevention activity planning and

implementation. NASTAD will continue to support quality prevention planning, implementation, and

monitoring in five districts identified for PEPFAR prevention assistance by the Ministry.

This activity responds to a relatively low capacity to address critical prevention needs on the district level.

With this support, districts officials and implementers will be able to hold more strategic (albeit small scale)

interventions, rather than funding a wide range of unrelated one-off activities targeting a large number of

target audiences. NASTAD will also focus on helping the district staff responsible for overseeing the District

Implementation Plans with monitoring of quality and reach of the various activities funded by the DMSAC.

NASTAD will hold training workshops and provide one-on-one technical assistance to key individuals

working in the DMSAC, including the DAC and attached PCV (in cases where a PCV is there) and at times

key district-level implementing partners, who are often small civil society groups. Local and international

NASTAD staff will provide that assistance. NASTAD will also facilitate training and implementation support

from other Botswana training and implementation providers, such as YOHO (e.g. for theater training) and

the Botswana Business Coalition on HIV/AIDS (BBCA) (e.g. for workplace outreach). NASTAD will also

coordinate and support the distribution and planning of funds provided to the MLG under PEPFAR to

support more prevention activities in these districts.

Complementing this activity are 1) a small grants program for some of the local civil society groups working

in these five districts, and 2) provision of additional funding for prevention activities for the MLG. Together,

these three activities will increase the total amount of assistance and funding for prevention activities in

those districts, through two critical directions: the DMSAC and local planning and monitoring bodies and the

civil society groups that conduct a large share of the prevention-related implementation on the local level.

The funding for this activity is from both the AB program area (66%) and the C/OP program area (33%).

The District comprehensive plans that NASTAD will support usually includes activities for a range of target

groups and issues, including some that belong under AB (e.g. school abstinence pageants) and some that

belong under C/OP (sex worker outreach).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17414

Continued Associated Activity Information

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

System ID System ID

17414 12281.08 HHS/Centers for National 7750 1367.08 U62/CCU32456 $500,000

Disease Control & Association of 96 - Capacity

Prevention State and Building

Territorial AIDS

Assistance for

Directors

GAP through

Technical

Assistance

Collaboration

with the

NASTAD

12281 12281.07 HHS/Centers for National 5300 1367.07 NASTAD $65,000

Disease Control & Association of

Prevention State and

Territorial AIDS

Directors

Table 3.3.02:

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

09.P.OP05: TBD-Assistance to MLG District Prevention Programs

ACTIVITY UNCHANGED FROM FY2008, CONTINUING ACTIVITY WITH A NEW PARTNER

From COP08:

NASTAD is embedded in the MLGt to provide a range of support to the DACs and the DMSACs. In 2007,

they hired an officer dedicated to prevention, held a workshop for approximately 20 DACs, Peace Corps

Volunteers (PCVs), and Implementing Partner representatives from the 5 focus districts, and conducted one

-on-one follow up visits to those districts to support improved prevention activity planning and

implementation. NASTAD will continue to support quality prevention planning, implementation, and

monitoring in five districts identified for PEPFAR prevention assistance by the Ministry.

This activity is responding to a relatively low capacity to address critical prevention needs on the district

level. With this support, districts officials and implementers will be able to hold more strategic (albeit small

scale) interventions, rather than funding a wide range of unrelated one-off activities targeting a large

number of target audiences. NASTAD will also focus on helping the district staff responsible for overseeing

the District Implementation Plans with monitoring of quality and reach of the various activities funded by the

DMSAC.

NASTAD will hold training workshops and provide one-on-one technical assistance to key individuals

working in the DMSAC, including the DAC and attached PCVs (in cases where a PCV is there) and at times

key district-level implementing partners, who are often small civil society groups. Local and international

NASTAD staff will provide that assistance. NASTAD will also facilitate training and implementation support

from other Botswana training and implementation providers, such as Youth Health Organization (YOHO)

(e.g. for theater training) and the Botswana Business Coalition on HIV/AIDS (BBCA) (e.g. for workplace

outreach). NASTAD will also coordinate and support the distribution and planning of funds provided to the

Ministry of Local Government under PEPFAR to support more prevention activities in these districts.

Complementing this activity are 1) a small grants program for some of the local civil society groups working

in these five districts, and 2) provision of additional funding for prevention activities for the MLG. Together,

these three activities will increase the total amount of assistance and funding for prevention activities in

those districts, through two critical directions: the DMSAC and local planning and monitoring bodies and the

civil society groups that conduct a large share of the prevention-related implementation on the local level.

The funding for this activity is from both the AB program area (66%) and the C/OP (33%). The District

Comprehensive Plans that NASTAD will support usually includes activities for a range of target groups and

issues, including some that belong under AB (e.g. school abstinence pageants) and some that belong under

C/OP (sex worker outreach).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17641

Continued Associated Activity Information

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

System ID System ID

17641 10145.08 HHS/Centers for National 7750 1367.08 U62/CCU32456 $250,000

Disease Control & Association of 96 - Capacity

Prevention State and Building

Territorial AIDS

Assistance for

Directors

GAP through

Technical

Assistance

Collaboration

with the

NASTAD

10145 10145.07 HHS/Centers for National 5300 1367.07 NASTAD $0

Disease Control & Association of

Prevention State and

Territorial AIDS

Directors

Table 3.3.03:

Funding for Health Systems Strengthening (OHSS): $0

09.X.SS02: TBD - Community Planning

ACTIVITY HAS BEEN CHANGED IN THE FOLLOWING WAYS:

This activity remains largely unchanged from last year, but will continue with a new partner. All districts will

continue to receive one-on-one technical assistance to improve their district HIV plans using the new

evidence-based toolkit introduced in FY2008. Emphasis will be placed on the use of effective, evidence-

based interventions in the district response. The work in evidence-based planning (EBP) will be

complemented by a new civil society prevention small grants project. MLG headquarters' staff will continue

to benefit from technical assistance.

The FY2009 work plan will be informed by the results of a program evaluation to be conducted during

FY2008.

This activity will result in the following output: 75% of districts will submit a comprehensive HIV/AIDS plan

to the Ministry of Local Government (MLG) that contains sections describing all six steps of the evidence-

based planning process and interventions that are evidence-based.

From COP08:

The Botswana National Strategic Framework (NSF, 2003), which guides the country's response to HIV,

outlines a decentralized strategy to address the epidemic. This is led by District Multi-Sectoral AIDS

Committees (DMSACs) and District AIDS Coordinators (DACs) who develop and implement interventions,

captured in annual work plans, to address the epidemic in their areas. Recognizing that these plans and

the resultant response were not adequately addressing the local situation, NASTAD, a U.S. NGO, was

engaged in 2003 to provide technical assistance in this area. The objective of this technical assistance 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. NASTAD works in partnership

with the MLG, Department of Primary Health Care Services (DPHCS), to provide in-depth on-site technical

assistance and training to all DACs and DMSACs to help assure the development of high quality annual

evidenced-based comprehensive district HIV plans.

Since the program was established in 2003, the NASTAD team has developed a District HIV/AIDS Planning

Toolkit and trained all DACs and DMSAC members and Peace Corps Volunteers (PCVs) on Evidence

Based Planning. The capacity of the Districts to perform key functions, particularly in the area of community

profiling and analysis of epidemiologic information, has been enhanced. As the work continues into the

future, NASTAD will address identified weaknesses in the use of evidence based planning in each district.

Specifically, attention will need to be focused on techniques for conducting and analyzing community needs

assessments, prioritization of gaps in services, identification of activities that are based in sound theory and

practice in the field, implementation of activities and monitoring and evaluation of those activities. NASTAD

will undertake a strategic planning process directed at its own program in Botswana and develop a plan for

institutionalizing evidence based planning in MLG and the District Offices, thus ensuring sustainable

planning processes that will continue to function without the assistance of NASTAD.

2007 Accomplishments:

Trained 229 people in 9 districts (DACs, DMSAC members, PCVs and other community members) in

evidence-based planning during technical site visits; developed and implemented quality assurance

mechanisms; promoted development of district networking and referral systems and monitoring of

expenditures; developed standardized database with which DACs to track implementation of their plan, and

provide standardized reporting of variables to MLG; providing technical assistance to develop a stigma

component of the CCEP and training to trainers.

2008 Plans:

Continue to partner with MLG DPHCS to provide one-on-one on-site tailored technical assistance to all 27

districts in the use of evidence-based planning methods for the development of annual district

comprehensive plans; continue to train as needed DACs (27), DMSACs, associated technical sub-

committees (DMSAC co-chairs, TAC chairs, lead DMSAC civil society member, monitoring and evaluation

officers - 162) and PCVs (20); train relevant Policy Advisors in the DPHCS (responsible for planning, home

based care, orphans and vulnerable children, CCEP and monitoring and evaluation) in evidence-based

planning (5); mentor DACs by having them join the NASTAD technical assistance teams in order to afford

an opportunity for lateral learning from their peers in the field; conduct one national training for all DACs;

collaborate with district monitoring and evaluation officers to continue to support MLG's effort to develop

and implement a standardized reporting system for district planning and prevention activities. An external

evaluation of the program will be conducted in 2008. As a result, 20 out of 27 districts will submit a

Comprehensive HIV/AIDS Plan to MLG that contains sections describing all eight steps of the evidence

based planning process.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17415

Continued Associated Activity Information

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

System ID System ID

17415 3540.08 HHS/Centers for National 7750 1367.08 U62/CCU32456 $380,000

Disease Control & Association of 96 - Capacity

Prevention State and Building

Territorial AIDS

Assistance for

Directors

GAP through

Technical

Assistance

Collaboration

with the

NASTAD

9874 3540.07 HHS/Centers for National 5300 1367.07 NASTAD $380,000

Disease Control & Association of

Prevention State and

Territorial AIDS

Directors

3540 3540.06 HHS/Centers for National 2912 1367.06 NASTAD $245,000

Disease Control & Association of

Prevention State and

Territorial AIDS

Directors

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18: