Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7891
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: $1,798,968

Funding for Care: TB/HIV (HVTB): $0

09.C.TB10: CDC - Infection Control Prisons

ONGOING ACTIVITY FOR WHICH NO ADDITIONAL FY2009 FUNDS ARE REQUESTED - DELAYED

IMPLEMENTATION

From COP08:

Infection control is an important aspect of prevention of TB in high HIV settings, such as correctional

facilities. None of the prisons in Botswana have isolation facilities for inmates with infectious TB. Recent

reports of XDR-TB from neighboring South Africa have raised the concern about possible cross-border

movement of patients with similar TB. Infection control policies are currently under development with FY07

funds.

2008 Plans

FY2008 funds are requested to procure 1 prefabricated building to be converted into an isolation ward for

inmates with TB. The building will be located at a site to be determined in consultation with the Division of

Prison Services. Prevention of TB infection in congregate settings is a major component of collaborative

TB/HIV activities. These activities therefore will support Botswana's Round 5 TB grant from the GFATM,

which among other goals, seeks to strengthen TB/HIV collaborative activities.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17732

Continued Associated Activity Information

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

System ID System ID

17732 17732.08 HHS/Centers for US Centers for 7891 7891.08 CDC HQ & $100,000

Disease Control & Disease Control Cable

Prevention and Prevention

Emphasis Areas

Construction/Renovation

Health-related Wraparound Programs

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.12:

Funding for Care: TB/HIV (HVTB): $200,000

09.C.TB07: HHS/CDC/BOTUSA TB Section Support

ACTIVITY UNCHANGED FROM FY2008

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17330

Continued Associated Activity Information

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

System ID System ID

17330 10168.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $200,000

Disease Control & Disease Control

Prevention and Prevention

10168 10168.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $15,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.12:

Funding for Care: TB/HIV (HVTB): $229,029

09.C.TB92: Technical expertise and support (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.

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.

FY09 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.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.12:

Funding for Prevention: HIV Testing and Counseling (HVCT): $215,957

09.C.CT92: 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: 17333

Continued Associated Activity Information

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

System ID System ID

17333 10184.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $300,000

Disease Control & Disease Control

Prevention and Prevention

10184 10184.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $40,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.14:

Funding for Laboratory Infrastructure (HLAB): $416,102

09.T.LS92: Technical Expertise and Support HQ

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: 17336

Continued Associated Activity Information

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

System ID System ID

17336 10262.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $500,000

Disease Control & Disease Control

Prevention and Prevention

10262 10262.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $50,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.16:

Funding for Strategic Information (HVSI): $466,673

09.X.SI92: Technical Expertise and Support - SI (HQ)

This activity covers the 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: New Activity

Continuing Activity:

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $55,000

09.X.SS92: Technical Expertise and Support

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: New Activity

Continuing Activity:

Table 3.3.18:

Funding for Management and Operations (HVMS): $216,207

09.X.MS92: 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: 17892

Continued Associated Activity Information

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

System ID System ID

17892 17892.08 HHS/Centers for US Centers for 7891 7891.08 CDC HQ & $587,000

Disease Control & Disease Control Cable

Prevention and Prevention

Table 3.3.19: