Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4444
Country/Region: Namibia
Year: 2007
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $171,134

Funding for Strategic Information (HVSI): $171,134

During FY06 the USG program provided technical assistance through ORC Macro to the MoHSS and other government partners in planning, coordination, implementation, data collection, data analysis and report writing for the 2006 Demographic and Health Survey (DHS). The USG is providing financial support for the AIDS module of the DHS, and will work with the MoHSS to leverage funds from the Global Fund and other development partners to cover the remaining costs. Implementation of the DHS will involve the training of at least 70 people in methodology and data collection. Data collection has been delayed several times, and is currently expected to begin in November 2006 with preliminary results available in approximately June/July 2007.

An initial amount of $1,000,000 was obligated in the FY05 COP for funding for both a DHS and health facility survey, and an additional $450,000 was allocated in FY06. It now appears unlikely that the MoHSS will administer a health facility survey in the next year utilizing a methodology which allows for the calculation of PEPFAR required outcome indicators. Therefore funding initially allocated for the health facility survey will be used instead to provide additional support for the implementation of the DHS. Plans for extensive national, regional and local dissemination and data users' workshops are in process.

Following up on the survey results from the 2006 DHS, 2 qualitative studies are proposed that would address issues arising from the quantitative analysis, to further understand relevant HIV/AIDS behaviors in Namibia. Expected topics to be explored in depth are: (1) the barriers and facilitators to abstinence, being faithful, consistent condom use, & both cross-generational & transactional sex; (2) the relationship of alcohol to risky sexual behaviors, along with the barriers and facilitators to safer alcohol use; (3) the extent to which Namibians are seeking treatment for STIs; and (4) the acceptability of male circumcision. These topics and/or others emerging from the analysis of the DHS data would be divided into the two qualitative studies, which would utilize a mix of methods (largely in-depth & focus groups). The results of these qualitative studies will help in the design of prevention interventions and will take advantage of the results of the proposed national prevention assessment in June 2007. It is hoped that they will also help build momentum toward pursuing male circumcision as a national prevention strategy.