Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5425
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: $1,475,000

Funding for Care: Adult Care and Support (HBHC): $200,000

09.C.AC09: Harvard - Palliative Care Support

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

HAART with the PMTCT program and training on 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, SOP and 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: 17565

Continued Associated Activity Information

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

System ID System ID

17565 10301.08 HHS/Health Harvard University 7806 5425.08 5U51HA02522: $200,000

Resources School of Public Palliative Care

Services Health Support

Administration

10301 10301.07 HHS/Health Harvard University 5425 5425.07 Field $144,290

Resources School of Public

Services Health

Administration

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $200,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $1,275,000

09.T.AT08: 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 spot

(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 procedures (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: 17566

Continued Associated Activity Information

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

System ID System ID

17566 10226.08 HHS/Health Harvard University 7806 5425.08 5U51HA02522: $1,275,000

Resources School of Public Palliative Care

Services Health Support

Administration

10226 10226.07 HHS/Health Harvard University 5425 5425.07 Field $1,200,000

Resources School of Public

Services Health

Administration

Table 3.3.09:

Cross Cutting Budget Categories and Known Amounts Total: $200,000
Human Resources for Health $200,000