Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9922
Country/Region: Botswana
Year: 2010
Main Partner: Academy for Educational Development
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,334,000

On July 31, 2008, AED was awarded a USAID/RHAP Associate Cooperative Agreement for the Local Partners Capacity Building Program under the Capable Partners Leader Award.

During 2010, the 3rd year of implementation, the AED CAP project will continue to support the development of increased capacity among NGOs, FBOs and CBOs in Botswana to implement successful HIV/AIDS prevention programs. Support will include technical assistance (TA) and grants management. Technical assistance will include, but not be limited to: organizational development, USG compliance (PEPFAR program and USAID funding regulations and guidance), HIV prevention program delivery, monitoring and evaluation, and finance management.

The nine organizations who will receive sub grants and technical assistance include: African Methodist Episcopal Services Trust (AMEST), True Love Waits (TLW), Evangelical Fellowship Botswana (EFB), Students Against HIV and AIDS (SAHA), Young Women's Friendly Centre (YWFC), Botswana Christian AIDS Intervention Programme (BOCAIP), Botswana Network of People Living with HIV and AIDS (BONEPWA), Humana People to People (HPP), Botswana Business Coalition on AIDS (BBCA) and small CBO's through the Peace Corps Community Grants Programme.

The types of prevention programmes all of these organizations offer are similar in nature in that they utilize locally relevant, standardized tools through similar communications channels including peer-based, small group and one-on-one discussions. The geographical reach is large and includes all regions in Botswana from Kang to Kasane. The majority of the programmes reach out to youth, both male and female, ages 15-24 with AB messages. However, given the most recent data from BAISIII, several organizations will also be focusing their attention on the older male populations and hiring age-appropriate peers to address intergenerational sex and multiple concurrent partnerships in this cohort.

As institutional capacity building is the backbone of CAP, the project will continue to provide extensive customized, one-on-one technical assistance (TA) to each sub-grantee. The TA is prioritized and strategized based on participatory assessments, organizational performance reviews and active engagement with organizational leadership and employees. Technical assistance includes but not limited to on-site coaching and mentoring, phone and email support, as well as small group and one-on-one trainings. In addition to providing capacity building support to the CAP sub-grantees, AED will continue to engage the district representatives where the grantees are implementing to assist with strengthening programme development, monitoring and evaluation at the district level.

The AED CAP project is strongly linked to the Health Systems Strengthening Component of the Partnership Framework and in line with the number one priority being HIV prevention. CAP offers capacity building of local civil society organizations which is in line with the need to strengthen and ensure the sustainability of the local HIV response. Through CAP's capacity building efforts, organizations gain increased knowledge and skills with regard to HIV programme design, management, monitoring and evaluation. In addition, organizations also gain strength in overall HR management, as well as grants and financial management oversight.

Funding for Care: Orphans and Vulnerable Children (HKID): $67,000

The Peace Corps Community Grants Program offers seed grants to CBO's providing HIV prevention, care and treatment services OVC services are included in this programme. Currently three small community-based organizations are offering OVC programs. During 09-10, AED will be awarding approximately 5-7 seed grants to organizations offering OVC programs. OVC programs can include OVC care and support ranging from peer education, livelihood development, nutritional support and psychosocial support.

Funding for Health Systems Strengthening (OHSS): $1,122,000

Institutional Capacity Building is the backbone of the CAP project. As part of the systems strengthening mandate, CAP provides extensive customized, one-on-one technical assistance (TA) to each sub-grantee. The TA is prioritized and strategized based on participatory assessments, organizational performance reviews and active engagement with organizational leadership and employees. Technical assistance includes but not limited to weekly and quarterly on-site coaching and mentoring, phone and email support, as well as small group and one-on-one trainings. Small group and one-on-one training includes topics such as finance and HR management, governance, sustainability training, evidence based programming, M&E and data quality assurance. AED also plays an active role in helping each of the grantees to broaden their resource base through grant preparation assistance and advocacy for more local civil society support. In addition to providing capacity building support to the CAP sub-grantees, AED actively engages the district representatives where the grantees are implementing to assist with strengthening programme development, monitoring and evaluation at the district level. During the 3rd year of implementation, AED will continue to work closely with the NGO networks (BONEPWA, BOCAIP and now BONASO) to help facilitate the implementation of their mandates, which in turn strengthens the individual NGO's implementing HIV prevention programmes.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $778,000

10.P.AB07: AED - CAP - 778,000.00

All of the USAID CAP sub-grantees and four small community organizations through the Peace Corps Community Grants Program offer AB prevention messages through behavior change communication projects. Individual projects are designed with community input and based on formative assessments in the respective communities, in addition to district and national prevalence/incidence data. Target groups range from youth 15-24 to adults 25-45 and older in some cases depending on implementation site. Interventions utilize locally relevant and effective tools through various activities, which include mainly peer-based small group and one-on-one discussions. Key drivers addressed during these sessions include early sexual debut, partner fidelity and multiple concurrent partnerships. The total target is the sum of the targets for each sub-grantee and take into consideration community population and potential reach, as well as the number of peer educators/outreach officers implementing the projects. All programs are closely monitored on a monthly basis for data quality through internal mechanisms and AED oversight. All grantees are provided with technical assistance to upgrade HIV prevention communication with relevant tools, standardize monitoring and evaluation approaches and data quality assurance systems, upgrade volunteer management and supervision systems, and strengthen linkages to the national prevention programs and the national minimum package of prevention activities.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $322,000

10.P.OP07: AED - CAP - 322,000.00

Four of the CAP sub-grantees and several small community based organizations through the Peace Corps Community Grant Programme offer OP messages through behavior change communication projects. Individual projects are designed with community input and based on formative assessments in the respective communities, in addition to district and national prevalence/incidence data. Target groups range from youth (M&F) 15-24 to adults (M&F) 25-45 and older in some cases (depending on implementation site such as a Kgotla's, clinics and bars). Interventions utilize locally relevant and effective tools through various activities which include mainly peer-based small group and one-on-one discussions. Key drivers addressed during these sessions include alcohol, gender-based violence, intergenerational sex, multiple concurrent partners and safe male circumcision. The total target is the sum of the targets for each sub-grantee and take into consideration community population and potential reach, as well as the number of peer educators/outreach officers implementing the projects. All programmes are closely monitored on a monthly basis for data quality through internal mechanisms and AED oversight. All grantees are provided with technical assistance to upgrade HIV prevention communication with relevant tools, standardize M&E approaches and DQA systems, upgrade volunteer management and supervision systems, and strengthen linkages to the national prevention programmes and the national minimum package of prevention activities

Funding for Care: TB/HIV (HVTB): $45,000

10.C.TB12: AED - TB/HIV Working with BBCA - 45,000.00

ACTIVITY UNCHANGED FROM FY2009

Effective collaborative treatment, care and support of patients with dual TB and HIV diagnoses remain a challenge at all levels of the health care system. The very high rate of HIV infection among TB patients (60 - 86%) implies that many of them do not receive adequate support with respect to HIV. The majority of TB/HIV patients are within the economically active age groups. Businesses face financial losses due to absenteeism, decreased productivity, lost skills and personnel, and increased medical and indirect costs. TB/HIV patients face loss of income or even employment when on anti-TB treatment. The BBCA receives PEPFAR support to conduct some HIV-related activities, but the focus is strongly on HIV/AIDS with little or no attention to address TB/HIV co-infection.

2010 Plans:

FY10 plans include a pilot project in Gaborone focused on the provision of workplace TB/HIV activities, in collaboration with the BBCA. FY10 funds will support the training of personnel from selected private companies on TB/HIV issues, focusing on TB case detection, HIV testing of TB patients, TB screening in HIV infected clients, treatment support for patients on HIV or TB treatment, and the referral of patients between private sector settings and TB and HIV public sector services. These activities will support Botswana's Round 5 TB grant from the GFATM which seeks to scale up community TB care, improve treatment success rate, strengthen TB/HIV collaborative activities and strengthen supervision, monitoring and evaluation with respect to TB care.

Subpartners Total: $0
African Methodist Episcopal Services Trust: NA
Botswana Business Coalition on AIDS: NA
Botswana Christian AIDS Intervention Programme: NA
Evangelical Fellowship Of Botswana: NA
Humana People to People: NA
Society Against HIV and AIDS: NA
True Love Waits: NA
Young Women's Friendly Centre: NA
Cross Cutting Budget Categories and Known Amounts Total: $970,000
Education $300,000
Human Resources for Health $670,000