Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 16729
Country/Region: Botswana
Year: 2013
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $500,000

The Strengthening Health Outcomes through the Private Sector (SHOPS) Project works on increasing the role of the private sector in the sustainable provision and use of quality health services. The key aim of the Botswana Private Sector Health Initiative is to leverage private sector resources for health whether financial, human or structural to facilitate greater public-private cooperation, with a focus on HIV/AIDS. Building on the findings the Botswana Private Sector Assessment that was carried out by SHOPS in early 2013 and on the priorities of NACA and the Ministry of Health to further GOB public-private initiatives, SHOPS will provide technical assistance to facilitate the sustainable involvement of the private sector in the national response to HIV and AIDS, which is critical given the declining PEPFAR resources for Botswana.

Funding for Health Systems Strengthening (OHSS): $500,000

Several new activities will be launched in Botswana under the Strengthening Health Outcomes through the Private Sector (SHOPS) Project. Following the Private Sector Assessment (PSA) that SHOPS consultants carried out in early 2013, the PEPFAR team and GOB partners identified new public private activities that would complement PEPFAR funding and increase the role non-state health actors and improve the GOB ability to develop and manage contracts to outsource health care services. A major activity will be to provide technical support to the Ministry of Health related to the Medical Aid Schemes (MAS) that are subscribed to by government and non-government employees. Based on recommendations of the SHOPS PSA and the work of the Health Financing Thematic Working Group, the GOB is considering making changes to these schemes so that enrollment is increased while the plans operate more cost-effectively and efficiently. Following the PSA recommendations for making local NGOs more sustainable, SHOPS will work with up to three local organizations to assist them to develop commercially viable health a/or HIV related services that they can market to the private sector to increase the financial sustainability of the NGO, such as assisting Tebelopele to market HTC to AON clients. Working closely with the PEPFAR PPP Program Specialist, SHOPS will facilitate the development, administration and monitoring of new HIV/AIDS related public-private partnerships. The PEPFAR team is also anticipating that some health loans will be made to private sector entities through a new Development Credit Authority (DCA) activity that will be funded with non-PEPFAR resources. SHOPS, therefore, will assist the PEPFAR team to monitor and report on any health investments that might be made under this loan guarantee program. SHOPS will also support NACAs efforts to expand private sector involvement in HIV/AIDS including strengthening the enabling environment for public-private partnerships, better coordinating outreach efforts to private sector by various Government of Botswana ministries; and creating PPP policy.