Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1376
Country/Region: Namibia
Year: 2009
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $5,239,014

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $121,123

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS

Funding is requested to continue support for the position of Senior HIV/AIDS Prevention Advisor, first

approved in COP05, but with a change in mechanism from a Fellow to a USPSC resulting in an eventual

cost savings to the USG.

Please review the activity narrative from last year:

Funding is requested to continue support for the position of Senior HIV/AIDS Prevention Advisor, created in

COP05 but with a change in mechanism from a Fellow to a USPSC resulting in an eventual cost savings to

the USG. The Advisor focuses primarily on prevention of sexual transmission will also work closely with and

mentor the Senior Technical Advisor managing Safe Injection and PMTCT. The advisor has a leadership

role in ensuring the USG program implements an innovative, effective and balanced prevention program.

The Advisor oversees expansion of the prevention program, ensuring that best practices, lessons learned

and operational and epidemiological research results are applied in the design and refinement of the

Emergency Plan prevention activities. The Advisor plays a technical leadership role in design, management

of implementation and evaluation of prevention programs to reduce sexual transmission. The Advisor

coordinates USAID prevention programs with those of other USG partners and implementing partners, the

Government of Namibia, other development partners, and other sectoral teams within USAID/Namibia. The

Advisor provides technical support to local implementing partners and remains current in the developments

in the field of prevention, particularly prevention of sexual transmission.

Funding for this position is split between the AB and Condoms and Other Prevention program areas.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16203

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16203 8041.08 U.S. Agency for US Agency for 7388 1376.08 $150,000

International International

Development Development

8041 8041.07 U.S. Agency for Public Health 4665 4665.07 Global Health $185,475

International Institute Fellows

Development Program

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $50,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $167,446

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Funding will also provide continued support for a program assistant that closely assists the USAID

Prevention Advisor and provides overall support to manage the prevention portfolio. The program assistant

position is split between HVOP and OHSS, since the program assistant will also support the Systems

Strengthening and Capacity Development Advisor.

Please review the activity narrative from COP08:

Funding is requested to continue support for the position of Senior HIV/AIDS Prevention Advisor, created in

COP05 but with a change in mechanism from a Fellow to a USPSC resulting in an eventual cost savings to

the USG. The Advisor focuses primarily on prevention of sexual transmission but will also work closely with

the Senior Technical Advisor for Treatment and Care managing Safe Injection and PMTCT and provide

technical support to all USG agency partners, implementing partners and initiatives involved in the

programmatic areas impacting prevention of sexual transmission. The advisor has a leadership role in

ensuring the USG program implements an innovative, effective and balanced prevention program. The

Advisor oversees expansion of the prevention program, ensuring that best practices, lessons learned and

operational and epidemiological research results are applied in the design and refinement of the Emergency

Plan prevention activities. The Advisor plays a technical leadership role in design, management of

implementation and evaluation of prevention programs to reduce sexual transmission. The Advisor

coordinates prevention programs with those of other USG partners and implementing partners, the

Government of Namibia, other development partners, and other sectoral teams within USAID/Namibia. The

Advisor provides technical guidance to local implementing partners and remains current in the

developments in the field of prevention, particularly prevention of sexual transmission. Funding for this

position is split between the HVAB and HVOP.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18272

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18272 8011.08 U.S. Agency for US Agency for 7388 1376.08 $150,000

International International

Development Development

8011 8011.07 U.S. Agency for Public Health 4665 4665.07 Global Health $185,474

International Institute Fellows

Development Program

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's legal rights

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $50,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $303,925

NEW/REPLACEMENT NARRATIVE

Continued funding is requested to support a Care and Nutrition Advisor that ensures long term support for

the USG care portfolio and helps to improve interventions at facility, community, and caregiver levels.

The Advisor will work with USG care partners to implement elements of the preventive care package,

integrate care efforts with prevention and treatment, and support the implementation of activities in

accordance with the revised national guidelines for community care.

The Advisor will participate in the OGAC Care and Support, as well as Food and Nutrition technical working

group to share best practices and approaches in Namibia.

In COP 09, the need for an in-country USG person to focus on community care, lend support to the existing

USG OVC Advisor, and also monitor nutrition, TB, and palliative care interventions and their integration at a

community, facility, and caregiver level across the USG portfolio will continue.

Funding for this care and nutrition advisor will be split (85% HBHC, 15% PDCS) to reflect time spent by the

advisor focusing on getting children as well as adults to access care and support interventions.

In addition to the care technical advisor, funding will continue to support a program assistant that closely

assists the Care and Nutrition Advisor with management of the USAID care portfolio. The program assistant

position is split between HBHC and HKID, since the program assistant will also support the USG OVC

Advisor and OVC program.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17442

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17442 17442.08 U.S. Agency for US Agency for 7388 1376.08 $316,000

International International

Development Development

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $334,853

NEW/REPLACEMENT NARRATIVE

The HIV/AIDS Treatment Advisor and Manager of Clinical Services provides leadership for USAID

programs in the areas of PMTCT, ART, Injection Safety and other areas as necessary to assist the

HIV/AIDS team in planning, implementation, management, monitoring and evaluation of the care and

treatment portfolio. The Advisor will have a medical degree (MD), at least 10 years of international

experience, and knowledge of public health and HIV/AIDS clinical services in Africa.

The Advisor works in close collaboration with other USG agencies to identify crosscutting themes, liaises

with development partners and stakeholders, and serves as the primary contact for these service areas with

the Ministry of Health and Social Services (MoHSS).

The Advisor is responsible for planning treatment program activities with Cooperating Agency partners and

other local implementing partners and ensuring that the program remains appropriate to Namibia, reflects

the needs of Namibians, and encourages broad community-based participation in decision making.

The Advisor ensures alignment of program activities with MoHSS and O/GAC guidance and ensures timely

submission of program and financial reports from treatment partners.

The Advisor also performs the functions of activity manager or CTO for several USAID implementing

partners.

The Advisor will also support clinical work being implemented by USAID partners. USAID will continue to

use the services of the advisor in 2009.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16235

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16235 8017.08 U.S. Agency for US Agency for 7388 1376.08 $250,000

International International

Development Development

8017 8017.07 U.S. Agency for US Agency for 4402 1376.07 $72,365

International International

Development Development

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09:

Funding for Care: Pediatric Care and Support (PDCS): $49,208

NEW/REPLACEMENT NARRATIVE

Continued funding is requested to support a Care and Nutrition Advisor that ensures long term support for

the USG care portfolio and helps to improve interventions at facility, community, and caregiver levels.

The Advisor will work with USG care partners to implement elements of the preventive care package,

integrate care efforts with prevention and treatment, and support the implementation of activities in

accordance with the revised national guidelines for community care.

The Advisor will participate in the OGAC Care and Support, as well as Food and Nutrition technical working

group to share best practices and approaches in Namibia.

In COP 09, the need for an in-country USG person to focus on community care, lend support to the existing

USG OVC Advisor, and also monitor nutrition, TB, and palliative care interventions and their integration at a

community, facility, and caregiver level across the USG portfolio will continue.

Funding for this care and nutrition advisor will be split (85% HBHC, 15% PDCS) to reflect time spent by the

advisor focusing on getting children as well as adults to access care and support interventions.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17442

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17442 17442.08 U.S. Agency for US Agency for 7388 1376.08 $316,000

International International

Development Development

Table 3.3.10:

Funding for Care: Orphans and Vulnerable Children (HKID): $361,811

NEW/REPLACEMENT NARRATIVE

Continued funding is requested for the OVC Technical Advisor position based in Namibia.

The Advisor will assist with planning, management, implementation, and evaluation of OVC programs and

activities.

He or she will represent the USG at a multisectoral level through membership in the National OVC

Permanent Task Force.

The advisor will work in close collaboration with other USAID sectors to identify leveraging opportunities,

maintain close contact with USG care partners, UNICEF, and the Global Fund, and serve as the key liaison

with the Ministry of Gender Equality and Child Welfare and Ministry of Education on OVC matters.

He or she will work closely with the MOHSS, MOE, Ministry of Home Affairs, and Ministry of Safety and

Security, provide onsite technical support and policy guidance to implementing partners, and manage an $8

million OVC portfolio.

He or she will raise awareness of challenges faced by implementing partners to GRN counterparts, and

work closely with the MGECW Permanent Secretary to tackle higher level policy and operational issues

bottlenecking implementation of OVC direct services.

The Advisor will work closely with the Regional HIV/AIDS Program OVC Advisor to strengthen HIV/AIDS

programming for OVC in Namibia and will liaise directly with ministerial and implementing partners to share

best practices.

Funding also provides continued support for a program assistant that closely assists the OVC Advisor with

management of the OVC portfolio. The program assistant position is split between HKID and HBHC, since

the program assistant will also support the Care and Nutrition Advisor.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16234

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16234 8016.08 U.S. Agency for US Agency for 7388 1376.08 $75,000

International International

Development Development

8016 8016.07 U.S. Agency for US Agency for 4402 1376.07 $72,365

International International

Development Development

Table 3.3.13:

Funding for Strategic Information (HVSI): $92,643

NEW/REPLACEMENT NARRATIVE

This activity is for the Strategic Information (SI) program assistant, who will closely assist the USAID SI

advisor (activity #8012) in all the program monitoring & evaluation responsibilities of that position. The SI

program assistant (a locally filled position) will, after careful training and with close mentoring by the SI

advisor, assist the SI advisor in these activities:

(1) reviewing and approving partner progress reports, M&E plans, and COP submissions;

(2) reviewing and advising partners on evaluation protocols;

(3) training partners on M&E and data quality;

(4) verifying partners' reported data through site visits and data quality assessments; and

(5) assisting the GRN and other development partners as needed in their M&E activities, including training,

data quality assessments, evaluations, and surveillance activities.

The SI program assistant will be closely mentored by the SI advisor so that local capacity in SI is built. It

may seem that the SI program assistant will be responsible for a significant amount of technical work, but

that responsibility will be assumed gradually. The idea is to build local capacity and to provide crucial

assistance to the SI advisor.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $50,263

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $354,395

NEW/REPLACEMENT NARRATIVE

The System Strengthening and Capacity Development (SSCD) Advisor/USPSC will continue to serve as a

key advisor on HIV/AIDS systems strengthening and human and organizational capacity development by

working with implementing partners and GRN ministries and offices.

The Advisor will have overall leadership and management responsibilities for expanding and directing

systems strengthening and capacity building initiatives for the benefit of USG/Namibia.

The Advisor will be located at USAID/Namibia which currently manages 41 local and international partners

of which 5 are receiving direct funding plus a Strategic Objective Agreement with the National Planning

Commission and Ministry of Health and Social Services.

It is planned that under the guidance of the Advisor, more local partners will acquire the organizational and

financial capacity to qualify for direct funding.

In addition to serving as a key advisor and manager of PEPFAR funded capacity building programs, the

advisor will serve as activity manager/CTO of key capacity building partners such as Pact, Inc. and Health

Systems 20/20.

Funding will also provide continued support for a program assistant that closely assists the Systems

Strengthening Advisor and provides overall support to manage the capacity building and systems

strengthening portfolio. The program assistant position is split between HVOP and OHSS, since the

program assistant will also support the Prevention Advisor with management of the prevention portfolio.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16206

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16206 8013.08 U.S. Agency for US Agency for 7388 1376.08 $261,188

International International

Development Development

8013 8013.07 U.S. Agency for Public Health 4665 4665.07 Global Health $319,401

International Institute Fellows

Development Program

Table 3.3.18:

Funding for Management and Operations (HVMS): $3,453,610

NEW/REPLACEMENT NARRATIVE

This activity relates to USAID/HVAB/HVOP (8041.08 and 8011.08), USAID/HBHC (17442.08),

USAID/PDCS (new); USAID/HKID (8016.08), USAID/HVCT (17578.08), USAID/HTXS (8017.08),

GHFP/HVSI (8012.08), USAID/HVSI (new), USAID/OHSS (8013.08).

The USAID staff in Namibia manages a comprehensive program in all 13 regions of Namibia, including

support to the Namibia TB control program through Child Survival and Health funding from USAID/W, the

program is being implemented by 17 international partners and 31 local partners.

Staffing includes:

-a USAID Mission Director (US direct-hire),

-a USAID Program Officer/Assistant Mission Director (US direct-hire),

-an HIV/AIDS Office/Director (US direct-hire), and

-an HIV/AIDS Deputy Director for management and programs (US direct-hire),

-a technical advisor for capacity building and systems strengthening (PSC/TCN),

-a technical advisor for care and nutrition (PSC/TCN),

-a treatment advisor and manager of clinical services (PSC/TCN), and

-a prevention advisor (PSC).

Contracted personnel include:

-A technical advisor (Fellow) for monitoring and evaluation (PHI/GHFP), and

-Locally Employed Staff (LES) consisting of:

o1 technical advisor for OVC (FSN/TCN),

o1 project development specialist providing program management support, 3 program assistants providing

support to the HVSI; OHSS/HVOP; and HKID/HBHC programs respectively,

o1 M&E and budget specialist,

o3 administrative assistants (1 of which is for the Mission Director; and 2 for the HIV/AIDS Office),

oa financial analyst,

oa procurement specialist,

oa PSC executive officer,

oa Deputy Executive Officer,

oa logistics clerk/deputy GSO,

o1 executive office assistant/HR specialist,

o1 storekeeper,

o4 driver positions (1 of which is for the Mission Director; 3 for the rest of the Mission),

o1 systems manager,

o1 voucher examiner,

o1 chief accountant,

o1 accountant technician/cashier,

o1 development outreach coordinator,

o1 officer cleaner, and

o1 receptionist.

The salaries, benefits, and support costs of all technical and programmatic staff are assigned to the

appropriate program area within the Emergency Plan categories. The HIV/AIDS Director is 10% assigned

to C&T, and 90% to management and staffing. The Deputy Director is 10% assigned to HBHC and 10% to

HVTB and 80% to management and staffing.

Operations costs outside of human resources include information technology; telecommunications;

accounting, photocopying and materials production; printing of reports and other documents; office

consumables; utilities; office rent and maintenance, furniture and equipment; security; staff training; field,

conference and meeting and travel; and other daily operations costs.

A major accomplishment to date is to have identified and funded 31 local Namibian organizations including

15 FBO organizations.

The financial analyst, and HR/procurement specialist liaise with the Acquisition and Assistance regional

office in Pretoria/South Africa and with USAID-Washington and provide financial and/or management

assistance to counterparts in these Namibian organizations receiving either direct USG funding under

Cooperative Agreements or through sub-grants.

This activity leverages resources with the European Commission and GTZ which provide technical

assistance to increase the capacity of the Office of the Prime Minister to support the public sector with

managing the impact of HIV/AIDS.

This activity also leverages UNICEF funds which provide technical assistance to the Ministry of Gender

Equality and Child Welfare for OVC and the Global Fund which provides co-funding to 10 of USAID's local

partners.

It also provides technical officers in care and nutrition, prevention, PMTCT, ARV drug procurement and ART

in the MoHSS Directorate of Primary Health Care and Directorate of Special Programs (HIV/AIDS, TB and

malaria).

New/Continuing Activity: Continuing Activity

Continuing Activity: 16236

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16236 16236.08 U.S. Agency for US Agency for 7388 1376.08 $2,526,818

International International

Development Development

Table 3.3.19:

Cross Cutting Budget Categories and Known Amounts Total: $150,263
Human Resources for Health $50,000
Human Resources for Health $50,000
Human Resources for Health $50,263