Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 4662
Country/Region: Namibia
Year: 2007
Main Partner: University Research Corporation, LLC
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $159,792

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $110,896

Improving Healthcare provider knowledge about HIV/AIDS University Research Corporation (URC) will use its forum of Plan Do Study Act (PDSA) session that is held in each region every quarter to provide general knowledge to the population of Health Care Providers regarding HIV/AIDS in general and ABC in particular. The teaching approach is simple and consists of three main components: (1) pre-testing the knowledge regarding HIV/AIDS; (2) training in the essentials of HIV/AIDS and ABC; (3) post-testing the knowledge regarding HIV/AIDS. To alleviate the workload of URC Coordinators and to ensure sustainability of the intervention, a MoHSS staff member (Control Registered Nurse, Infection Control Nurse for example) will be trained as TOT to assist in the dissemination of information and to train other colleagues in doing so during field supervisions and mentoring. The target group will be all people working in the Health system including: janitors, waste handlers, nurses, administrators, doctors etc. The activity will be integrated with workplace programs and will therefore also serve to strengthen existing workplace programs in the MoHSS.

Expected Results It is expected that by the end of Project Year 3, 500 healthcare workers will be exposed to the knowledge and 26 MoHSS health workers will have been trained in ABC.

Due to a decrease in Track1 funding, URC does not have sufficient funding to implement their program through FY07. This increase in funding ensure that URC can fully implement this program throughout the fiscal year.

Funding for Strategic Information (HVSI): $48,896

This first part of this collaborative study between University Research Council and the Policy, Development and Implementation Project (PDI) prime partner, The Futures Group International (8007) will look at the interest and demand for male circumcision among men, women and health workers in Namibia as a part of comprehensive HIV prevention services. The second part of the study, led by PDI, will look more closely at the costs to the Namibia health system associated with providing circumcision services, and will estimate how different levels of circumcision prevalence in Namibia could affect HIV infection. URC and PDI will work together to develop the draft protocol ensuring that data necessary for the costing aspect of the study (part 2) is collected during part one.

This activity aims at providing the MOHSS policy makers and program managers with appropriate data for decision-making regarding circumcision in Namibia. Using interviews, capacity analysis, and job analysis, a two component study will be conducted to: a) assess perception and understanding of male circumcision among both men, women and health care workers in Namibia, and its acceptability as an HIV prevention method; b) interview current and potential providers of MC to understand which protocols would likely be used if MC services were to be provided widely. The interviews will also collect information on the adequacy of existing infrastructure and local costs for salaries, facilities and supplies, and address MOHSS capabilities to respond to the level of demand that could result from inclusion of circumcision in HIV prevention package. The questionnaires will also be informed from findings of the 2006 DHS, which is planned to include several questions on circumcision.

The study will be conducted in 5 regions. Selection of regions will take into consideration population weight of different regions. MOHSS, and UNAM will be associated. The qualitative study regarding perception will be conducted by an anthropologist and 10 surveyors, and the study of capacity of MOHSS will be a prospective study conducted by an anthropologist associated with 1 person from the Primary Health Care Division of the Ministry of Health and Social Services, and one person from the Directorate of Special Programs, Ministry of Health and Social Services.

PDI and URC will collaboratively conduct presentations and discussions with USG, government and other interested parties in Namibia in order to thoroughly explain to them the study findings and explore the implications for program action.