Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5152
Country/Region: Haiti
Year: 2007
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $1,302,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $75,000

Linked to Activities 9322, 9281, 9260, 9273, 9327, 9937.

SUMMARY: Recent preliminary data from the Demographic and Health Survey (DHS) 2005 shows that condom use in Haiti has decreased. Indeed, data indicates that while 98% of never married women are sexually active, condom use among this group is barely 30%. In addition, condom use among youth (15-24) is even lower, putting them at risk for both HIV and unwanted pregnancy. Based on this evidence, USAID will continue to procure condoms. With FY 2007 funding, an additional 3 million male condoms and 20,000 female condoms will be purchased to add to the stock currently in the pipeline for sale/distribution to high risk partners by the USG-supported social marketing program. Collaboration with the United National Population Fund (UNFPA) and the Ministry of Health (MOH) will be strengthened to ensure non-branded condoms are available to reduce HIV transmission, especially among PLWHA and discordant couples. USAID will ensure that PSI will reinforce the work with the public and private sector to reduce the gap of unmet need, create demand for at-risk groups, and reinforce market segmentation among stakeholders to overall condom market.

Funding for Management and Operations (HVMS): $1,227,000

Lilnked to Activities 9347, 9349.

SUMMARY: In FY 2007 USAID/Haiti will continue to oversee the President's Emergency Plan for AIDS Relief (PEPFAR) activities using its existing staff and Mission support functions. Virtually all staff in the USAID Health Office contributes at least a portion of their time to the management and technical oversight of the United States Government (USG) PEPFAR activities, although only nine persons contribute 50% or more of their time and only 1 person is devoted full-time to PEPFAR. This staffing pattern for PEPFAR at USAID is an intentional strategy to foster integration of HIV/AIDS programming throughout the entire health portfolio of the Mission and to ensure that PEPFAR activities achieve wrap-around impact wherever possible. In the new 2007-2009 Mission Strategy, in which technical offices are subsumed under three broader strategic objectives, the Health Office is incorporated into Strategic Objective 12, Basic Social Services, thus creating increased opportunities for cross-sector wrap-around programming. USAID/Haiti supports PEPFAR with strong in-country Mission capacity for finance, program planning, procurement and executive functions through its Financial Management, Program Support, Contracts and Executive Offices to manage resources and ensure compliance with USG regulations. In addition to PEPFAR funding, the USAID Health Office also manages a $20 million annual program of maternal and child health, family planning and other infectious diseases (tuberculosis) interventions to strengthen basic health services in Haiti and provides a platform for PEPFAR activities through an active network of 30 non-governmental organizations (NGOs) which run more than 100 health centers. The Health Office also coordinates with the Mission's $34 million Title II Food Security Program to strategically leverage PEPFAR resources to expand the capacity of the Title II project partners, CARE, Save the Children, World Vision and Catholic Relief Services, to operate over 800 food distribution outlets countrywide.

USAID and CDC, in a coordinated effort to ensure adequate technical coverage and avoid duplication of human resources, have a complementary roster of technical advisors that is based on core institutional competencies and experience. The USAID roster has technical advisors/program managers who provide technical expertise in PMTCT, behavior change communication for prevention, orphans and vulnerable children (OVC), tuberculosis (TB)/HIV, counseling and testing (CT) and drug and commodity procurement. There is one full-time PEPFAR staff person, the Senior HIV/AIDS Advisor and 9 persons working 50% or more on PEPFAR. Another 16 persons contribute less than 50% of their time to PEPFAR. The total roster of USAID staff contributing any amount of time includes: (2) US direct hires (USDH), the Health Office Chief who provides Technical Leadership and Management and Health Office Deputy Chief who serves as technical advisor/program manager for Behavior Change Communication; (2) US personal services contractors (USPSC), the Senior HIV/AIDS Advisor who provides overall coordination and technical leadership and the Monitoring and Evaluation Technical Advisor; (5) foreign service national (FSN) Technical Advisors/Program Managers: (1) PMTCT Advisor, (1) TB/HIV and OVC Advisor, (1) Strategic Information (SI) Advisor, (1) Infectious Disease Advisor and (1) Supply Chain Logistics and Pharmaceutical Management Advisor; (7) support staff: (3) Secretaries, (1) Program Assistant, (1) Financial Analyst and (3) Drivers; and 2 persons each from the Contracting, Financial Management, Program Planning and Executive Offices to provide on-going support when needed.

To supplement USAID Mission resident staff, funds are reserved for targeted technical assistance from USAID Washington on a broad range of technical issues, policy development, and documentation activities to bring more analytical and evidence-based design to the PEPFAR Program. Funds are reserved for staff training, travel for field program supervision and technical coordination in and outside of Haiti. Commodity procurement includes purchase of additional office equipment. Infrastructure expenses include security and related office upgrades and administrative expenses. Logistics include staff overtime and vehicle maintenance, insurance and fuel.