Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4674
Country/Region: Guyana
Year: 2007
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $400,000

Funding for Strategic Information (HVSI): $400,000

Measure DHS will lay the groundwork to conduct the Demographic Health Survey Plus (DHS+) in 2008 with FY07 funds. The DHS+ is a nationally-representative household survey which includes information on a wide range of monitoring and impact indicators including reproduction, marriage patterns, sexual behavior, condom use, experience with sexually transmitted infections (STIs), treatment of self-reported STIs, knowledge and attitudes related to HIV/AIDS, stigma and discrimination, PMTCT, coverage of HIV-testing services, and medical injections, as well as ownership and use of mosquito nets, care and support for chronically ill persons, persons who have died, and orphans and vulnerable children. Guyana has never implemented a DHS, and the survey is a priority for the MOH as it will provide information required for meeting HIV/AIDS program reporting requirements and will ensure comparability on standard HIV/AIDS indicators across countries and over time. The DHS+ will take the place of the second round of the AIS, which was originally implemented in 2004; this has been part of the USG SI plan for the past three years. Of note is the fact that the original AIS was to have included the seroprevalence component; however, Guyana lacked the in-country capacity at the time to carry out this aspect of the survey. Capacity now exists in Guyana to implement the seroprevalance component.

Conducting a DHS+ in Guyana is a strong priority for the Ministry of Health, for which they have requested USG support. The USG team in country has made the MOH aware of the sample size issues surrounding the probably low prevalence of HIV and has discussed the possibility of doing a DHS without HIV testing but this was not supported by the MOH. The USG Guyana team wants to work cooperatively with the MOH and is therefore proposing to support the survey not only to provide additional information on HIV prevalence (given the limited information available in country) but also to provide indicator behaviors required for PEPFAR reporting. The USG team in Guyana will support: use of ANC surveillance data (from 2004 & 2006 and operational research) to determine needed sample size; the portion of the DHS that will provide risk behavior data to serve as endpoint outcome data; and HIV testing that will provide endpoint impact data - both as required by PEPFAR for the USG Guyana HIV/AIDS program. The USG Guyana team will leverage resources from other international donors and the national government to support the rest of the (non-HIV specific) DHS. To further strategically focus USG dollars, the USG Guyana team will limit testing to 2 provinces with the densest populations where the epidemic is most heavily located, and where there is existing infrastructure to support testing and counseling activities. The USG Guyana team will also support a planning process to facilitate set up of mechanisms needed to implement the DHS+. Anticipated total costs for the USG contribution to the above activities is $750,000 (cost to implement AIS in 2005) over a 2 year period (FY 07 & FY 08).

Targets

Target Target Value Not Applicable Number of local organizations provided with technical assistance for  strategic information activities Number of individuals trained in strategic information (includes  M&E, surveillance, and/or HMIS)

Table 3.3.13: