Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1388
Country/Region: Namibia
Year: 2008
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $2,150,000

Funding for Strategic Information (HVSI): $0

Following up on the preliminary survey results from the 2006 DHS that were received in mid-2007, three

qualitative studies were proposed that would address issues arising from the quantitative analysis, to further

understand relevant HIV/AIDS behaviors in Namibia. This is an ongoing acitivyt that will need no additional

funding in FY 2008. Topics to be explored in depth are: (1) Multiple concurrent partnerships with a particular

lens on 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. These topics will utilize a mix of qualitative methods, namely in-depth interviews and

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 ongoing national prevention assessment with an expected

completion date of May 2008. It is hoped that they will also help bring richness to the ongoing secondary

data analysis in the prevention assessment in order to better understand the key drivers of Namibia's

epidemic.

Funding for Strategic Information (HVSI): $500,000

This is a new activity in FY 2008 and relates to the Namibia Institute of Pathology (7367), CTS Global

(7355), the Partnership for Supply Chain Management (7373), and the Public Health Instutute (7377).

In FY 2005, the USG Namibia allocated funds to ORC Macro to support the Ministry of Health and Social

Services (MOHSS) in planning, coordination, tool development, implementation, data collection, data

analysis, and report writing for the HIV-focused Health Services Provision Assessment (SPA). The SPA is

designed to assess the capacity of health facilities to respond to the HIV/AIDS epidemic through a series of

structured interviews administered to various clinical personnel at a probability sample of health facilities

country wide. Technical committee meetings for the SPA began in August 2005 with the development and

refinement of the survey tools. Data collection was anticipated for beginning to mid-2006, yet

implementation was delayed due to the availability of key MOHSS counterparts. In FY 2006, this survey

was again put aside due to other pressing priorities such as the Demographic and Health Survey (DHS).

The money was reprogrammed to support the DHS as it was more expensive than initially planned.

In partnership with MOHSS counterparts and close collaboration with the Response, Monitoring and

Evaluation unit (R,M&E) annual work plan, the SPA has become a priority for FY 2008. The $500,000 will

be allocated to Macro International in order to continue the process they began in 2005. They will provide

technical assistance to MOHSS counterparts to update the survey instruments, collect data, analyze the

data and write the final report.

Funding for Strategic Information (HVSI): $1,650,000

While the majority of funds supporting an AIDS Indicator Survey in Namibia will be provided by PEPFAR,

funding from the Ministry of Health and donor organizations will be leveraged to fully fund the AIS through

its completion.