Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 9695
Country/Region: Cambodia
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: $728,371

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $68,445

This is an ongoing activity.

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. CDC collaborates with USAID and its partners 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 the introduction of HIV screening services at selected health centers in Battambang and

Banteay Meanchey Provinces under the managerial and technical guidance of the Deputy Director and the

HIV Clinical Advisor.

In addition, $25,000 in post-held travel funds are budgeted for international and field travel.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18466

Continued Associated Activity Information

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

System ID System ID

18466 11163.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $84,391

Disease Control & Disease Control e

Prevention and Prevention

11163 11163.07 HHS/Centers for US Centers for 5746 5746.07 CDC_Post_Bas $33,606

Disease Control & Disease Control e

Prevention and Prevention

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.01:

Funding for Treatment: Adult Treatment (HTXS): $52,126

This is an ongoing 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. CDC

collaborates with USAID and its partners to 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 in the above provinces. In addition,

$25,000 in post-held travel funds are budgeted for international and field travel, and $11,700 is budgeted for

the portion of the CDC GAP Director's in-country maintenance costs attributable to this program area.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18488

Continued Associated Activity Information

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

System ID System ID

18488 18488.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $27,351

Disease Control & Disease Control e

Prevention and Prevention

Table 3.3.09:

Funding for Care: TB/HIV (HVTB): $84,765

This is an ongoing 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. CDC

collaborates with USAID and its partners to assist in the implementation of activities.

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

dedicated to TB/HIV ($45,765). The Deputy Director will be a liaison between NCHADS and the three

provincial and one municipal AIDS directors on budgeting, planning, and reporting. Based in Battambang,

the 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 50% 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, NCHADS will be scaling up implementation of

isoniazid preventive therapy (IPT) for HIV infected patients in whom TB has been ruled out, and will also be

promoting the "Option 2" strategy to transport blood from health centers to VCT sites for testing. The

Program Development Specialist will play an integral role in implementing both these activities in the four

focus areas. 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 staff salaries, $25,000 in post-held travel funds are budgeted

for international and field travel and $14,000 is 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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18486

Continued Associated Activity Information

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

System ID System ID

18486 11167.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $43,697

Disease Control & Disease Control e

Prevention and Prevention

11167 11167.07 HHS/Centers for US Centers for 5746 5746.07 CDC_Post_Bas $44,507

Disease Control & Disease Control e

Prevention and Prevention

Table 3.3.12:

Funding for Laboratory Infrastructure (HLAB): $93,898

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 Provincial Health Departments 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 ($34,898). For FY 09, a second Laboratory Analyst is proposed in order to meet the

rapidly increasing demand for technical support for laboratories that has been created by laboratory

upgrades and new lab activities. In addition, $25,000 in post-held funds are budgeted for international and

field travel, and $34,000 for housing and utilities for the Senior Laboratory Scientist.

The current 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. This would also be true of the newly proposed Laboratory

Analyst. 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. He 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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18451

Continued Associated Activity Information

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

System ID System ID

18451 11170.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $36,342

Disease Control & Disease Control e

Prevention and Prevention

11170 11170.07 HHS/Centers for US Centers for 5746 5746.07 CDC_Post_Bas $127,142

Disease Control & Disease Control e

Prevention and Prevention

Table 3.3.16:

Funding for Strategic Information (HVSI): $76,295

This is an ongoing activity.

HHS/CDC staff provide direct technical support in this program area to the Ministry of Health and its

National Centers, and to the Provincial Health Departments of Banteay Meanchey, Battambang, and Pursat

provinces and Pailin municipality. HHS/CDC collaborates with USAID and its partners to assist in the

implementation of activities.

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 member 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 local and international travel costs for SI-related travel, and housing and utilities for

the USG epidemiologist, who is a member of the PEPFAR SI Team.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18455

Continued Associated Activity Information

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

System ID System ID

18455 11172.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $46,828

Disease Control & Disease Control e

Prevention and Prevention

11172 11172.07 HHS/Centers for US Centers for 5746 5746.07 CDC_Post_Bas $58,727

Disease Control & Disease Control e

Prevention and Prevention

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $23,075

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. HHS/CDC collaborates with USAID and 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 ($11,375). 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, $11,700 is budgeted for housing of the GAP Director and Associate Director, prorated by the

proportion of their time dedicated to policy and systems strengthening.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18449

Continued Associated Activity Information

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

System ID System ID

18449 11174.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $44,787

Disease Control & Disease Control e

Prevention and Prevention

11174 11174.07 HHS/Centers for US Centers for 5746 5746.07 CDC_Post_Bas $85,986

Disease Control & Disease Control e

Prevention and Prevention

Table 3.3.18:

Funding for Management and Operations (HVMS): $329,767

This is an ongoing activity.

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. Funds

also support the portion of the CDC GAP Director and Associate Director's housing and utilities attributable

to management and administration. 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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18447

Continued Associated Activity Information

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

System ID System ID

18447 18447.08 HHS/Centers for US Centers for 7342 7342.08 CDC_Post_Bas $470,199

Disease Control & Disease Control e

Prevention and Prevention

Table 3.3.19: