Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4663
Country/Region: Namibia
Year: 2007
Main Partner: Palladium Group (formerly Futures Group)
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $73,343

Funding for Strategic Information (HVSI): $73,343

This collaborative study between University Research Council (7143) and the Policy, Development and Implementation Project (PDI) prime partner, and The Futures Group International looks 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, to be lead 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 (step 2) is collected during Step One (see activity 7143).

In cooperation with URC and using the data collected regarding MoHSS capability to respond to the level of demand of inclusion of circumcision in an HIV prevention package. PDI will determine: 1) Cost per person circumcised by scenario; 2) Total costs of providing MC services; 3) Infections averted by MC; 4) Cost per infection averted.

The protocol for this part of the study will be based on a targeted evaluation protocol being conducted with FY06 funds by the South Africa Regional HIV/AIDS Office in Lesotho, Swaziland and Zambia. USG/Namibia will therefore benefit from the protocol development and implementation experiences of the region.

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.

Funding is also requested for PDI to continue providing technical assistance and support to the MoHSS, National Planning Commission and other related ministries in conducting estimates and projections of the HIV/AIDS epidemic in Namibia. Work in this area began in FY05 with core funding for the POLICY Project (prime partner The Futures Group International) to work with the MoHSS in using the SPECTRUM and GOALS models, and continued in FY06 with support to institutionalize capacity for epidemiological modeling in Namibia through additional analysis of the estimates produced in FY05. Work in FY07 will focus on assisting the USG, MoHSS and other GRN ministries to use the estimates and projections in promoting the sustainability of programs and to conduct advanced planning and budgeting in light of changes in the epidemic in Namibia. More specifically, estimates will be used to assist with determining future needs for ARV drugs, health personnel to support the national treatment program, and support needs for the growing number of orphans and vulnerable children.