Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2014 2015

Details for Mechanism ID: 13480
Country/Region: Botswana
Year: 2014
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,074,270 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Building Local Capacity (BLC) is a five-year project which aims to strengthen the sustainability, quality and reach of HIV/AIDS organizations to implement policies and health services for those infected and affected by HIV in Botswana, Lesotho, Namibia and Swaziland. In Botswana, the program contributes to achieving improved delivery of quality health care services through the application of leadership and management practices, utilization of service data, work climate improvement and sound management systems. The objective responds to 2 strategic objectives of Goal 2, Capacity Building and Health Systems Strengthening, of the Government of Botswana (GOB) National Strategic Framework II (2010-2016).

The program is presently being implemented in 13 health facilities. This number will increase in FY 2012 to 16 to meet received expressions of readiness for accreditation. It will continue to target health managers in the Ministry of Health’s (MOH) Health Inspectorate and Clinical Services Departments and District Health Management Teams (DHMTs).

Lessons learnt from FY 2011 have informed the adoption of an integrated approach of quality improvement and leadership (QIL) and introduction of activities to improve coordination and supportive supervision. This will reduce the number of workshops and overall costs. BLC will continue to explore incremental cost-share from GOB as it continues to demonstrate political will for the accreditation of public health facilities. Emphasis will be placed on technical assistance, accompaniment and participatory skills development for MOH staff and DHMTs to become better drivers of the accreditation process. BLC will continue to pursue and report on results-oriented indicators.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $934,562
Care: TB/HIV (HVTB) $100,000
Sexual Prevention: Other Sexual Prevention (HVOP) $589,708
Treatment: Adult Treatment (HTXS) $450,000
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

This mechanism has no published performance targets or indicators.

Cross Cutting Budget Categories and Known Amounts Total: $1,460,000
Motor Vehicles: Purchased $60,000
Gender: Gender Based Violence (GBV) $100,000
GBV Prevention
Collection and Use of Gender-related Strategic Information
Implementation
Capacity building
Monitoring and Evaluation
Key Populations: MSM and TG $234,000
Implementation of core HIV prevention interventions for MSM/TG that are consistent with the current PEPFAR technical guidance
Collection and use of strategic information
Training of health workers and community outreach workers
Key Populations: FSW $1,066,000
Implementation of core HIV prevention interventions for SWs consistent with PEPFAR guidance on sexual prevention
Collection and use of strategic information on SWs and clients
Training of health workers and community outreach workers
Key Issues Identified in Mechanism
Mobile Populations
Tuberculosis
Family Planning