Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5387
Country/Region: Côte d'Ivoire
Year: 2009
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $3,080,000

Funding for Health Systems Strengthening (OHSS): $800,000

In April 2009 reprogramming, FY09 funds made available for development of a Partnership Framework are

being allocated to USAID to support a long-term Framework manager and a human resources for health

adviser.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.18:

Funding for Management and Operations (HVMS): $2,280,000

USAID contributes to the Cote d'Ivoire (CI) PEPFAR program through select Washington-managed "field

support" activities and implementation agreements awarded by the USAID West Africa regional mission in

Accra. Although there is no USAID bilateral mission in CI, local management and technical oversight is

provided by a senior technical adviser and a senior management adviser based in Abidjan, both of whom

serve on the in-country inter-agency PEPFAR Executive Team. These advisers provide senior-level

technical and management oversight for USAID-funded implementing partners and participate in joint

technical assistance and planning for all PEPFAR-funded partners. They provide guidance, direction,

financial management, program oversight, and coordination for USAID-supported projects and, as members

of the PEPFAR team, bring knowledge of agency guidelines, implementing mechanisms, and resources to

PEPFAR team policy and strategic discussions.

In addition to the senior advisers, USAID supports two program managers responsible for management and

oversight of PEPFAR implementing partners and will engage a number of locally employed staff and

expatriate professionals to ensure robust technical and management oversight for the PEPFAR program

within the stated priorities of the USG CI team. Additional technical and program management support is

provided through virtual consultation and short-term field visits from the West Africa Regional Mission based

in Accra, the USAID/Washington Office of HIV/AIDS, and the USAID/Washington Bureau for Africa.

A majority of these positions will be engaged through an intermediary institutional contractor to accelerate

recruitment and minimize the management burden on the USG team in CI. Contractor-engaged staff will

serve as technical advisers and activity managers, in collaboration with the USG direct-hire staff.

Notwithstanding their contractual status, these individuals will be expected to function as full members of

the USG in-country team. All of these positions will be financed from PEPFAR CI program funds, with some

positions expected to be absorbed as direct-hire staff of either CDC or USAID in the future. The USG team

and USAID may also agree to hire additional short- or long-term staff during the program year as needed to

meet emerging or ad hoc priorities, unless prohibited by OGAC. In FY09, for example, USAID will recruit

and place an interim PEPFAR Country Coordinator to carry out the responsibilities of this position until a

long-term Coordinator is recruited and on board. Resources from FY09 will support current positions, new

priority positions identified by the PEPFAR team, and enhanced, targeted program support from USAID

West Africa.

The PEPFAR team in CI places a strong emphasis on interagency coordination and a "Staffing for

Results" (SFR) orientation and functions as one USG team. The USG team met extensively over the past

months to identify the skills mix required to effectively implement the CI program, along with the

corresponding staffing gaps. Based on these SFR discussions, the PEPFAR team has identified a number

of critical staffing priorities for FY09 and beyond and has asked USAID to recruit and manage the following

staff needed to address these program management and technical gaps. These include:

1. PEPFAR Country Coordinator for Cote d'Ivoire, the primary point of contact with the Office of the Global

AIDS Coordinator and responsible for coordinating all PEPFAR activities in Cote d'Ivoire. The PEPFAR

Coordinator plays a critical role in the planning, implementation, and reporting of program performance of

USG implementing agencies; facilitates the development of a unified program and COP; and serves as

liaison with the Global Fund Country Coordinating Mechanism.

2. Health Management Information System (HMIS) specialist to provide technical assistance for all HMIS

activities supported by the USG in CI, including the design, strengthening, and maintenance of information

systems supporting HIV counseling and testing, PMTCT, ART services, community-based care for HIV-

infected persons, orphans and vulnerable children, and palliative care, including TB services. The systems

developed or improved will address collection, management, analysis, and application of HIV/AIDS data for

patient-care tracking, program monitoring and evaluation, and measuring disease burden and trends (expat

position).

3. Supply Chain and Logistics Management Specialist responsible for accurate planning, implementation,

management, monitoring, and results reporting for PEPFAR commodities procurement and logistics

activities. This technical advisor will serve as the USG focal point of contact for all HIV-related commodities

procured with PEPFAR funds in Cote d'Ivoire.

4. Associate Director for Operations, responsible for ensuring efficient and effective program operations for

the PEPFAR CI team. CDC provides program operations support to all members of the in-country PEPFAR

team. As the size and scope of the CI program has expanded and more staff has joined the team, an

additional management-level position in the program operations branch is needed to ensure quality and

timely program support (projected FSN 10/11 equivalent).

The USAID West Africa regional office based in Accra will provide additional support to the CI program in

the form of short-term technical assistance visits (TDYs) to CI as well as Ghana-based administrative,

technical, monitoring, and procurement support from USAID direct staff. In anticipation of increased bilateral

procurement actions and awards to NGOs, the USAID/West Africa office will designate one full-time

Acquisition and Assistance Specialist to execute procurement actions on behalf of the CI program. In

addition to support positions planned and budgeted in the FY2008 COP, the following positions will be fully

or partially funded:

5. Until the full-time A&A Specialist is hired, a part-time (50%) A&A Specialist to execute procurement

actions and establish and monitor new competitively awarded agreements for the CI program (TCN 13).

6. HIV/AIDS Adviser to provide guidance and technical assistance in state-of-the art innovations and

programs and forge links with other regional and Washington-based resources and experts (TCN 13, 10%

time).

The USG integrated team will be supported by joint-agency (CDC-funded) technical and operational

positions, thereby reducing redundancies and lowering costs. Where possible, CDC Cote d'Ivoire will

provide PEPFAR staff with equipment and other necessary support (e.g. IT, travel, motor pool), which will

Activity Narrative: minimize the USAID ICASS bill and reduce overall USG ICASS costs in Cote d'Ivoire.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15159

Continued Associated Activity Information

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

System ID System ID

15159 10541.08 U.S. Agency for US Agency for 7065 5387.08 USAID $1,360,000

International International (TA+staff+ICAS

Development Development S)

10541 10541.07 U.S. Agency for US Agency for 5387 5387.07 USAID $1,079,000

International International (TA+staff+ICAS

Development Development S)

Table 3.3.19: