Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4666
Country/Region: Namibia
Year: 2007
Main Partner: IAP Worldwide Services, Inc.
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $104,102

Funding for Care: Adult Care and Support (HBHC): $34,701

Funding is requested to purchase 10% of the time of the Regional Palliative Care Advisor from the USAID Regional HIV/AIDS Program in Southern Africa, based in South Africa. The Advisor will build on activities begun in FY06 to advance palliative care efforts in Namibia.

Palliative care technical expertise in Namibia is currently limited to oncologists in the Government Cancer hospital. Hospices found throughout many parts of Southern Africa largely focused on end of life care (especially prior to ART) & who often provide broader technical support to PEPFAR investments to advance comprehensive HIV-related palliative care do not exist in Namibia; this has greatly limited the development & expansion of HIV-related palliative care. In FY06, the USG & its partners, including the MoHSS began receiving 20% technical assistance time from the USG Regional Technical Advisor for HIV/AIDS Palliative Care. Significant program accomplishments have been achieved & are currently underway, including: sensitization of the MoHSS, key stakeholders & USG partners care & treatment partners regarding the palliative approach to HIV/AIDS care; strategic planning & technical support to integrate core aspects of palliative care & the preventive care package into facility & community-based HIV/AIDS care for adult & children PLWHA; capacity building & technical support to the MoHSS, other in-country stakeholders & the African Palliative Care Association to mobilize for Namibian leadership in palliative care training, service delivery & policy development; technical support to USG implementing partners to develop improved mechanisms of counting quality palliative care services; support to the USG team to develop & implement a care & treatment technical workshop, improve programming of prevention with positives into community based care, & conduct critical planning meetings between the USG & MOHSS to integrate clinical nutrition, family planning, the preventive care package & community based care for PLWHA into COP 07 programming.

In FY07, the Palliative Care Advisor will provide ongoing technical assistance in palliative care to build on the above mentioned activities. Emphasis will be placed on increasing in-country expertise in palliative care, including support for the new technical advisor to the MoHSS for roll-out of HIV-related palliative care services & the national Integrated Management of Adult Illnesses (IMAI) palliative care program Comforce/CDC Basic Care (Activity #8024). The advisor will provide continued capacity building & technical support for APCA, an African palliative care TA provider (Pact/APCA Activity #8043) dedicated to applying lessons learned from other African countries to scale-up of cost-effective, culturally-appropriate palliative care for PLWHA & their families. The Regional Advisor will also continue to work directly with the USG team & the MoHSS (Directorate of Special Programs & Directorate of Primary Health Care) to provide technical support, & will supervise implementation of a planned targeted evaluation of selected palliative care partners working in collaboration with APCA & King's College London (Pact/APCA TE Activity #8022). The Advisor will also assist the USG to further develop & implement two different models of community & home-based palliative care service delivery which are under PACT (Catholic AIDS Action model) (Pact Basic Care Activity #) & DAPP/TCE (Activity #7326) (OHEP/Omaheke adaptation), & recommend approaches for program expansion.

The technical advisor will ensure gender-sensitive approaches, including monitoring of partners to ensure equitable training & support of male & female health care workers with the goal of equitable access to HIV/AIDS services for PWLWHA & their families throughout USG-supported programs.

Funding for Care: Orphans and Vulnerable Children (HKID): $69,401

Funding is requested to purchase 20% of the time of the Regional HIV/AIDS Program Advisor on OVC and Human Capacity Development. Technical assistance will be provided to the USG Namibia team and implementing partners through both virtual and on-site assistance. The Advisor will work with the USAID/Namibia OVC Advisor (#8016) to strengthen OVC programming in Namibia and will provide assistance based on experiences elsewhere in the southern African region.