Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5406
Country/Region: Botswana
Year: 2009
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $4,246,295

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $440,135

09.P.PM91: Technical Expertise and Support - Post

ACTIVITY CONTINUING UNDER PERFORMANCE PASS

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17341

Continued Associated Activity Information

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

System ID System ID

17341 10154.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $420,000

Disease Control & Disease Control

Prevention and Prevention

10154 10154.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $275,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.01:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $247,030

09.P.AB91: Technical Expertise and Support

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17342

Continued Associated Activity Information

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

System ID System ID

17342 10159.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $193,000

Disease Control & Disease Control

Prevention and Prevention

10159 10159.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $231,812

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $168,962

09.P.OP91: Technical Expertise and Support C/OP

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17344

Continued Associated Activity Information

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

System ID System ID

17344 10150.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $114,000

Disease Control & Disease Control

Prevention and Prevention

10150 10150.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $215,695

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.03:

Funding for Biomedical Prevention: Blood Safety (HMBL): $45,593

09.P.BS91: Technical Assistance & support - Blood safety

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17343

Continued Associated Activity Information

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

System ID System ID

17343 10162.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $75,000

Disease Control & Disease Control

Prevention and Prevention

10162 10162.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $75,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.04:

Funding for Biomedical Prevention: Injection Safety (HMIN): $47,593

09.P.IS91: Technical Assistance and support - Injection Safety

This activity is intended to provide technical support to the Ministry of Health to strengthen the existing

injection safety systems and promote the safety of health care workers, patients and the community. It will

also support the scaling up of injection safety interventions, a multi-year advocacy and Behavior Change

and Communication strategy, and linkages with Supply Chain Management Systems (SCMS) in the areas

of procurement of injection safety-related commodities.

New/Continuing Activity: New Activity

Continuing Activity:

Program Budget Code: 06 - IDUP Biomedical Prevention: Injecting and non-Injecting Drug Use

Total Planned Funding for Program Budget Code: $0

Program Budget Code: 07 - CIRC Biomedical Prevention: Male Circumcision

Total Planned Funding for Program Budget Code: $2,915,798

Total Planned Funding for Program Budget Code: $0

Table 3.3.07:

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $135,185

09.P.MC91: Technical Expertise and Support for Male Circumcision - Local

This activity links with all activities under Male Circumcision (MC). Botswana recently adopted MC as added

strategy for the prevention of HIV infection. It is intended to provide technical support to the Government of

Botswana's (GOB) effort in scaling up MC and intends to do the following: (1) increase the number of health

providers trained to perform safe MC; (2) increase the knowledge of health providers about risks and

benefits of MC; (3) augment equipment and supplies; (4) establish a referral system; (5) set standards and

quality assurance for MC; and (6) establish a monitoring and evaluation process to monitor MC demand and

use, as well as rates of adverse events. Since this is a new activity, it is currently being coordinated by the

Prevention of Mother to Child Transmission (PMTCT) Section Advisor as an additional activity over and

above PMTCT activities. Given the importance of MC as a new prevention strategy in Botswana, it is

necessary that a dedicated LES be recruited to coordinate MC activities.

In F2009, United States Government (USG) funds will be used to hire a dedicated LES to coordinate all MC

activities and to provide ongoing technical support to the GOB Ministry of Health (MOH) and the partners

involved in implementation of MC.

Additionally, the costs related to training, workshops, and participation by the technical staff in domestic,

regional and international meetings, the printing of training materials, and support for the MOH on MC will

be covered by the funds for this activity.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.07:

Funding for Care: Adult Care and Support (HBHC): $150,203

09.C.AC91: Technical Expertise and Support PC/Basic Services

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17345

Continued Associated Activity Information

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

System ID System ID

17345 10306.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $84,000

Disease Control & Disease Control

Prevention and Prevention

10306 10306.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $85,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $76,593

09.T.AT91: Technical expertise and Support ARV Services

CONTINUING ACTIVITY UNDER PERFORMANCE PASS

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17351

Continued Associated Activity Information

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

System ID System ID

17351 10235.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $109,000

Disease Control & Disease Control

Prevention and Prevention

10235 10235.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $400,000

Disease Control & Disease Control

Prevention and Prevention

Program Budget Code: 10 - PDCS Care: Pediatric Care and Support

Total Planned Funding for Program Budget Code: $1,060,900

Total Planned Funding for Program Budget Code: $0

Program Area Narrative:

In response to the challenges that HIV and AIDS present to Botswana, efforts continue to be made to diversify approaches, fine

tune technical support, and plan for future program sustainability with the support of the Presidents' Emergency Plan for AIDS

Relief (PEPFAR). The national HIV prevalence rate is 23.9% among adults ages 15 to 49, according to recent UNAIDS data, and

an estimated 300,000 are living with HIV/AIDS. About 53.2% of Batswana know their HIV status up from 25% in 2004, 95% of

pregnant mothers gaining that information through the Prevention of Mother to Child Transmission program. The Botswana 2007

Sentinel Survey indicated that HIV prevalence among pregnant women (15-49 years) is 33.7%, though the overall trend appears

to be decreasing from 37.4% in 2003. Challenges remain, however, with prevention, particularly the issue of multiple concurrent

partnerships, alcohol abuse, nascent civil society, and human capacity development.

Infant and child mortality in Botswana continues to be dramatically affected by the HIV epidemic, and HIV continues to contribute

to an alarmingly high proportion of deaths of children younger than five years old, more than 50% by some estimates. Child

mortality for younger than five years old is high at 120 per 1000. Reasons for this high infant and child mortality are unclear and

may relate to intra uterine HIV infection, HIV drug exposure, formula use, or other factors related or unrelated to HIV epidemic.

Despite these challenges, Botswana has become a global leader in scaling pediatric HIV care and treatment. Anti-retroviral

therapy (ART) is currently provided free of charge to all qualifying HIV-infected citizens in Botswana through the national ART

program known as Masa (or "new dawn"), which was launched in January 2002 and already prescribes ART through 32 hospitals

and 62 clinics around the country (see Adult Care and Treatment narrative). In common with adult treatment services, there are

no partners directly providing treatment - all care is delivered through the Masa Program or Government of Botswana (GOB)

licensed private practitioners. Children receive care and support and highly active anti-retroviral therapy (HAART) through the 32

hospitals and as of April 2008 there were 6481 pediatric patients on ART in the public sector, which represents approximately 8%

of the total number of individuals receiving ART in the public sector. In recent months, with support from UNICEF, the Masa

Program hired a Pediatric Coordinator to oversee pediatric care and treatment in the country. As part of long-term human capacity

development, the President's Emergency Plan for AIDS Relief (PEPFAR)-supported national HIV training program—Knowledge,

Innovation, and Training Shall Overcome (KITSO)—continued regularly throughout FY2008 a substantive week long pediatric

HIV/AIDS management course in an effort to decentralize pediatric expertise and care to all parts of Botswana. This course

utilized trainers from the GOB and the United States Government (USG) partners, Baylor School of Medicine and University of

Pennsylvania School of Medicine, and will continue with USG support in FY2009. PEPFAR is also supporting the position of four

pediatricians to deliver services to the children in Princess Marina, Nyangabgwe Hospital and in surrounding districts through an

outreach program. These pediatricians are strengthening the capacity of GOB in pediatric care and treatment.

HIV-exposed infants are tested for HIV using polymerase chain reaction (PCR) testing of dried blood spots (DBS), at the age of

six weeks and breastfed infants are tested again six weeks after weaning (see PMTCT Program Narrative). 2007 data show that

nationwide, 78% of all HIV-exposed infants were tested before the age of six months. Cotrimoxazole (CTX) is provided for

exposed infants from age six weeks until they have a negative HIV test along with nutritional support. 2007 data show that among

infants older than 9 weeks old, more than 70% were already taking daily CTX at the time they arrived for their first HIV test. HIV-

infected infants are referred to the Masa Program, which provides pediatric ART at all sites which provide adult ART. FY2007

data show that only 24% of HIV-infected infants identified through routine PCR testing received treatment. Reasons for this low

percentage have been explored in other studies and relate to the slow return of results and lack of adequate outreach to follow

these children at their homes in a timely manner.

In FY2009, using USG funds, clinics will be supported to develop their own protocols to track and review appointment compliance,

to prioritize patients for follow up, and to find and engage the families in care. HIV-exposed infants who become sick will be

referred to the HIV care and treatment clinic as soon as possible so they can be evaluated for possible treatment, even if they

have not had an HIV test yet. Health workers will conduct a daily review of appointment schedules to identify patients who missed

appointments and, on a weekly basis, identify priority cases for follow-up. Family welfare educators, lay counselors and peer

educators will be engaged to track families in local communities. Where possible, staff will phone patients who missed visits on

mobile phones to give them another appointment date. All infants receiving care at the sites will benefit from the development of

follow-up systems and a shift from episodic to continuous care during childhood.

Project Concern International (PCI) will strengthen delivery of comprehensive services in the community and identify ways to

strengthen service linkages between civil society and government, and community and facility, in project districts. Provider

initiated counseling and testing and strengthened referral linkages between sites of HCT and treatment are part of this strategy

(see Adult Care and Treatment narrative).

The Catholic Relief Services-Vicariate of Francistown (CRS-VoF) project aims to provide as complete and holistic a package of

OVC care and support services as possible, by integrating activities and interventions across the PEPFAR domains of palliative

care. This project will directly provide psychological care in the form of psychosocial support (PSS) to OVCs and guardians,

spiritual care as part of home visits by trained community volunteers augmented by pastoral visits, social care comprising several

forms of prevention activities including OVC peer support groups (PSG) and broad-based community sensitization, as well as

assuring links to GOB-provided social services, food and education resources. The project will indirectly provide clinical care by

linking to the local health center in each project site for non-HIV health care, and its home-based care (HBC) outreach services for

HIV-related care and support.

Strategies to increase diagnostic coverage continue, and include routine health provider initiated testing and counselling (PITC)

for all children. With support from the Clinton Foundation, Masa recently completed an expert patient training pilot to improve

appropriate diagnosis and treatment for unidentified children beyond the reach of current clinics and referral centres. In FY2009

with the support from PEPFAR, the Ministry of Health (MOH) will continue to strengthen its pediatric activity and initiate through

Masa and the Botswana Harvard Project (BHP) the roll out of the Expert Patient support which will serve to identify children in

need of treatment and increase their access to care. The pediatric care and outreach will continue with a TBD partner. In addition,

both Baylor and a new partner in FY2008, the Children's Hospital of Philadelphia (CHOP), will pilot facility to community strategies

in selected sites to improve contact tracing for TB affected families, which will include introduction of facility-based sputum

induction to improve diagnosis, and community and referral strategies to improve follow up.

A Public Health Evaluation (PHE) will begin in FY2009 that will characterize stillbirth and early infant mortality rates in several

large sites in Botswana and determine factors associated with mortality in order to tease out the causes of the unacceptably high

infant mortality figures for Botswana. In addition, a Program Evaluation collaboration between the MOH and CDC-Botswana will

extract and analyze pediatric outcome data from the Masa Program in parallel with the routine evaluation carried out for the adult

program. It is hoped to strengthen this activity so that it becomes routine.

PEPFAR will also continue to support purchase of supplies for early infant diagnosis. In addition, through SCMS, training of health

workers will be conducted to strengthen infant formula supply chain management.

Table 3.3.10:

Funding for Treatment: Pediatric Treatment (PDTX): $77,593

09.T.PT91: Technical Support Pediatric Treatment-Post

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.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.11:

Funding for Care: TB/HIV (HVTB): $223,185

09.C.TB91: Technical Expertise and Support PC

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17346

Continued Associated Activity Information

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

System ID System ID

17346 10177.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $181,000

Disease Control & Disease Control

Prevention and Prevention

10177 10177.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $15,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.12:

Funding for Prevention: HIV Testing and Counseling (HVCT): $150,685

09.C.CT91: Technical Expertise and Support CT

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17349

Continued Associated Activity Information

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

System ID System ID

17349 10186.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $50,000

Disease Control & Disease Control

Prevention and Prevention

10186 10186.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $30,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.14:

Funding for Treatment: ARV Drugs (HTXD): $0

09.T.AD91: Technical Expertise and Support—ARV Drugs

CONTINUING ACTIVITY UNDER A PERFORMANCE PASS:

ONGOING ACTIVITY FOR WHICH NO ADDITIONAL FY2009 ARE REQUESTED

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17350

Continued Associated Activity Information

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

System ID System ID

17350 10219.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $15,000

Disease Control & Disease Control

Prevention and Prevention

10219 10219.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $15,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.15:

Funding for Laboratory Infrastructure (HLAB): $223,013

09.T.LS91 Technical Expertise and Support Post

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17352

Continued Associated Activity Information

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

System ID System ID

17352 10264.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $100,000

Disease Control & Disease Control

Prevention and Prevention

10264 10264.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $100,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.16:

Funding for Strategic Information (HVSI): $410,643

09.X.SI91: Technical Expertise and Support - SI (Post)

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17353

Continued Associated Activity Information

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

System ID System ID

17353 10321.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $100,000

Disease Control & Disease Control

Prevention and Prevention

10321 10321.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $207,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $125,569

09.X.SS91: Technical Expertise and Support

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17355

Continued Associated Activity Information

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

System ID System ID

17355 10271.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $99,000

Disease Control & Disease Control

Prevention and Prevention

10271 10271.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $40,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.18:

Funding for Management and Operations (HVMS): $1,724,313

09.X.MS91: HHS/CDC Management and Support

This is a continuing activity from FY2008 and is supported with both GAP and GHCS (State) funds.

Funds requested between GHCS (State) and GAP accounts will support staff salaries/allowances and

related office support, including travel, communications, equipment, and miscellaneous procurement, etc.

Including all program area technical staff, PEPFAR supports 55 FTE positions. No new positions are being

requested for FY2009. Most of the operations staff is shared across three CDC Divisions working in

Botswana. An additional 22 individuals representing almost 7.0 full time equivalents provide some portion of

their time to support PEPFAR activities and are funded by either the Divisions of HIV/AIDS Prevention or

Tuberculosis Elimination. The following positions are currently supported with Management and Staffing

funding:

Country Director, USDH

Associate Director-Management and Operations, USDH

Associate Director, GAP, USDH

GAP Senior Administrator, USDH

Associate Director for Science, USDH

Communications Officer, contractor

Building and Design Coordinator, contractor

Program Specialist, contractor

Financial Chief, LES

Secretary, LES (3)

Receptionist, LES (2)

Administrative Assistant, LES (3)

Janitress/laborer (6)

Drivers, LES (3)

Program Assistant

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17356

Continued Associated Activity Information

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

System ID System ID

17356 10326.08 HHS/Centers for US Centers for 7732 5406.08 Local Base $1,420,385

Disease Control & Disease Control

Prevention and Prevention

10326 10326.07 HHS/Centers for US Centers for 5406 5406.07 Local Base $2,116,785

Disease Control & Disease Control

Prevention and Prevention