Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 5786
Country/Region: India
Year: 2008
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $1,053,020

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $44,323

$44,323 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the three

GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is funded

with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office overhead,

desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $58,955

$58,955 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the three

GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is funded

with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office overhead,

desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $177,839

$177,839 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the

three GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is

funded with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office

overhead, desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Care: Adult Care and Support (HBHC): $61,860

$61,860 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the three

GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is funded

with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office overhead,

desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Care: TB/HIV (HVTB): $107,423

$107,423 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the

three GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is

funded with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office

overhead, desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Prevention: HIV Testing and Counseling (HVCT): $115,979

$115,979 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the

three GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is

funded with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office

overhead, desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Treatment: Adult Treatment (HTXS): $81,131

$168,620 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the

three GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is

funded with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office

overhead, desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Strategic Information (HVSI): $175,701

$102,492 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the

three GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is

funded with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office

overhead, desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Health Systems Strengthening (OHSS): $210,908

$110,908 in CDC GHAI funding is necessary to support expenses and activities for technical staff in the

three GAP India offices (New Delhi, Chennai, and Hyderabad). A total of seven staff in these offices is

funded with GHAI funds. The amount requested includes salaries, fringe, travel proportionate office

overhead, desk, operational charges, head tax charges, and ICASS charges for technical staff.

Funding for Management and Operations (HVMS): $18,901

BACKGROUND

GHAI funding is combined with funding from CDC/GAP base funds to support the CDC staff listed below.

HIV/AIDS is a priority for the US Mission in India, with two Embassy-level committees addressing HIV/AIDS

issues. Under the leadership of the US Ambassador, the Deputy Chief of Mission (DCM) chairs the US

Mission's HIV/AIDS Coordination Committee. The committee promotes collaboration and coordination

among USG programs working in HIV, including USG Consulates, USAID, HHS/CDC, the Office of Defense

Cooperation and other offices of the Department of State. The Ambassador has delegated the leadership of

the President's Emergency Plan for AIDS Relief (PEPFAR) team in India to the DCM, who holds quarterly

meetings with the agency technical heads and the PEPFAR Coordinator to review policy and technical

issues.

The interagency PEPFAR team is comprised of agency technical heads, program managers and key

support staff from USAID, CDC, ODC, and a representative from the Department of State's Political Unit for

DOL. The Coordinator holds weekly DVC meetings for these staff, based in Delhi, Chennai, and Hyderabad,

to discuss programmatic, technical, and management issues. The team has recently set up State Technical

Working Groups, bringing together USG agency representatives to ensure a harmonized program in USG

focus states and unified communication with the State AIDS Control Societies (SACS) and the USG

Consuls General. Two Technical Working Groups (TWGs) on Prevention and on Treatment, Care and

Support, are being established; Scopes of Work, Operating Procedures for core and partner members and

identification of partner members will be finalized shortly. Day-to-day PEPFAR management is provided by

the PEPFAR Coordinator, and the Strategic Information (SI) Officer. A Program Management Assistant will

be appointed shortly.

ACTIVITY

The HHS/CDC AIDS Program is led by a USDH Country Director and a Deputy Director for Operations

based in New Delhi. This office has one FSN medical officer, one locally contracted technical consultant,

the PEPFAR SI officer, two FSN support staff and one driver. In Chennai, Tamil Nadu, two USDH positions

(one medical officer and one behavioral scientist) based at the US Consulate provide technical support to

CDC programs in south India, supported by two FSN technical officers (medical and scientific), one FSN

support staff and one driver. In Hyderabad, Andhra Pradesh (AP), there are two FSN technical officers

(medical and scientific), who are co-located with the AP State AIDS Control Society.

CDC requires staff with administrative and technical experience, often with a medical background and

strong expertise in training, CT, communication and behavior change, care and treatment, SI and laboratory

systems,. CDC provides technical consultants and support to NACO, the SACS, and input in several

technical areas, including ART rollout, CT, PMTCT, lab, care, M&E protocols, national guidelines and

training curricula. In the field, CDC is directly involved in designing and providing technical assistance to

partners to implement integrated prevention, care and treatment programs at the state and district level.

The budget under the Management and Staffing (M&S) category is $1,289,997. CDC non-salary costs for

all staff (including both staff included under M&S and under the technical areas are: head tax $252,948; and

ICASS: $301,070. Head tax costs under M&S are $130,020, and ICASS costs are $139,560.

After finalization of the budget and COP by the USG team in September, CDC/GAP in New Delhi was

asked by Atlanta headquarters to redirect approximately $133,824 of 2008 and 2007 PEPFAR funds to: 1)

fund an Atlanta-based IT initiative ($78,000 annually, requested 9/4/07); and 2) pay $55,824 in head tax for

the Health Attache (requested 9/24/07). The unexpected costs will result in a decrease in program activity

for 2008, due to the extremely tight CDC budget. The USG PEPFAR team will meet early in FY 2008, to

agree on which critical PEPFAR programs and activities will be decreased in 2008 to meet these

unexpected requirements. An appeal has been made to the CDC Atlanta headquarters. The HHS Health

Attache's office does not provide direct support to the PEPFAR program in India.