The USG will continue to provide direct technical support in this program area to the Ministry of Health and

its National Centers, and to the Provincial Governments of Banteay Meanchey, Battambang, Pailin and

Pursat. The USG and its partners will collaborate to assist in the implementation of activities.

This funding is for the portion of the salaries of the Deputy Director and Program Development Specialist

dedicated to PMTCT. The Deputy Director will be a liaison between NCHADS and NMCHC on budgeting,

planning, and reporting and provide overall coordination to the national PMTCT program manager and the

three provincial and one municipal AIDS directors. He will also participate in the PMTCT Technical Working

Group, working closely with HIV Clinical Advisor and USG partners to implement recommendations made

by Joint Review of the country's PMTCT Program. The Program Development Officer will directly implement

with USG partners on the introducing of HIV screening services at half the health centers in the area

indicated above, and the existing three PMTCT sites in Bantey Mean Cheay province under the managerial

and technical guidance of the Deputy Director and the HIV Clinical Advisor.

In addition, $13,000 in post-held travel funds are budgeted for international and field travel.

Finally, a recent evaluation of the national PMTCT program has resulted in the opportunity of performing

HIV screening tests at antenatal clinics. Funds are budgeted for HIV test kits to implement this activity in

the Provinces of Banteay Meanchey, Battambang, Pailin and Pursat.

USG staff provide direct technical support in this program area to the Ministry of Health and its National

Centers, and to the Provincial Governments of Banteay Meanchey, Battambang, Pailin and Pursat. The

USG and its partners assist in the implementation of activities.

This funding is for the portion of the salary of the Program Development Specialist dedicated to TB/HIV

($30,697). Based in Battambang, this Program Development Specialist will be well situated to improve HIV

testing rates of TB patients in this province. In 2006, only 17% of TB patients in the province were tested

for HIV. Through workshops supported by USG that rate increased to 36% in 2007, but a goal of 75-80%

testing cannot be reached without the presence of a mentor working both with the Provincial TB Supervisor

and TB/HIV coordinator, as well as with health center staff, to emphasize the importance of HIV testing of

TB patients and to help develop mechanisms to accomplish this. In addition, the USG will be implementing

HIV testing of TB patients at health centers in Battambang, Banteay Meanchey, and Pursat Provinces plus

Pailin City. The Program Development Specialist will be integral to the training of the TB staff in these

provinces in counseling and testing. He will also assist in data analysis of the Improving Diagnosis of TB in

HIV-infected Persons Study (The ID-TB/HIV Study) being conducted by USG.

In addition to the funds requested to support the work of the Program Development Specialist, $8,000 in

post-held travel funds are budgeted for international and field travel and $5,000 in funds are budgeted to

procure Determine HIV rapid tests for the TB clinics at which HIV testing will be introduced as a

demonstration project. Holding these funds at post will allow for rapid implementation of this activity.

USG staff provide direct technical support in this program area to the Ministry of Health and its National

Centers, and to the Provincial Governments of Banteay Meanchey, Battambang, Pailin and Pursat. The

USG and its partners assist in the implementation of activities.

This funding is for the portion of the salary of the Deputy Director dedicated to ARV Services ($14,351).

The Deputy Director will be a liaison between NCHADS and the three provincial and city AIDS directors on

budgeting, planning, and reporting. He will work closely with CDC HIV Clinical Advisor and partners to

assist NCHADS in developing a Quality Assurance (QA) Program to be piloted in the above provinces. In

addition, $13,000 in post-held travel funds are budgeted for international and field travel.

This is an ongoing activity.

The USG will provide direct technical support in this program area to the Ministry of Health and its National

Centers, and to the Governments of Banteay Meanchey, Battambang, and Pursat provinces and Pailin

municipality. The USG and its partners will assist in the implementation of laboratory activities required for

diagnosis of HIV and TB and monitoring of patient care and treatment.

This funding is for the portion of the salary of the Laboratory Analyst (locally employed staff) dedicated to

laboratory activities ($17,092). In addition, $19,250 in post-held funds are budgeted for international and

field travel, and for housing for the Senior Laboratory Scientist (Lab_CDC_HQ).

The Laboratory Analyst is stationed in Battambang to provide expert technical advice on laboratory

operations, procedures, and quality assurance in the four focus areas of Banteay Meanchey, Battambang,

and Pursat provinces and Pailin municipality. The Laboratory Analyst is responsible for working with

laboratory staff to assess training needs and to develop standard operating procedures for laboratory

testing, equipment maintenance, and quality assurance. The staff is also responsible for conducting

analytical systems assessments of national, provincial, and operational district laboratories to evaluate the

level of laboratory medicine practiced, make recommendations for improvement, and to provide the

technical assistance and training necessary to implement these recommendations.

USG staff members will provide direct technical support in this program area to the Ministry of Health and its

National Centers, and to the Governments of Banteay Meanchey, Battambang, and Pursat provinces and

Pailin municipality.

This funding will support salary, benefits, and official travel costs of a locally employed staff M&E program

assistant dedicated to strategic information activities. The M&E program assistant is stationed in

Battambang province to collate, organize, and enter HIV and TB data and information from a variety of

government and non-government sources in the four focus areas of Banteay Meanchey, Battambang, and

Pursat provinces and Pailin municipality. This staff creates databases and spreadsheets as needed to

organize and analyze data in support of programmatic, research, and monitoring and evaluation activities.

Types of data to be organized and analyzed include, but are not limited to, ARV treatment clinic patient

monitoring data and HIV/TB diagnostic study data.

Funding also includes housing for the USG epidemiologist, who is a member of the PEPFAR SI Team.

This is an ongoing activity.

In FY 08, USG staff members will continue to provide direct technical support in this program area to the

Ministry of Health and its National Centers, and to the Provincial Governments of Banteay Meanchey,

Battambang, Pailin and Pursat. The USG collaborates with its partners to assist in the implementation of

activities.

This funding is for the portion of the salaries of the Budget Analyst and the Administrative Assistant

dedicated to working directly with Ministry of Health partners to develop capacity to manage cooperative

agreements ($23,667). Considerable time is spent with NCHADS, NIPH, the National Maternal and Child

Health Center, and the provincial governments in Banteay Meanchey, Battambang, Pailin and Pursat to

monitor cooperative agreement expenditures, assist with activity and spending plans, and jointly evaluate

proposed procurements. As a result, there is a growing team of local staff at these organizations who have

been trained in the management of US cooperative agreements.

In addition, $21,120 is budgeted for housing of the GAP Director and Associate Director, prorated by the

proportion of their time dedicated to policy and systems strengthening.

This activity relates to CDC_HQ_Base-Other, as well as with other activities within the NCHADS and NIPH

cooperative agreements.

Post-held CDC M&S funds are used to support administrative FSN staff salaries, including those of the

budget analyst, administrative assistant, administrative associate, 2 secretaries, and 3 chauffeurs. In

addition, funds support operations costs, including travel not specifically for a designated program area,

shipping charges, telephone and Internet charges, office supplies, motor vehicle fuel and maintenance,

utilities, furniture, office equipment, reference materials, printing, and translation. Requested funding also

covers FSN awards, FSN training, FSN international travel, local travel, office furniture, office equipment,

computer equipment, and contractual funds for office improvement.

In addition, during 2007 CDC renovated and moved into a new office and opened a satellite office. Funding

is budgeted to cover the additional costs of completing office setup and starting up operations.