PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2007 2008 2009
ACTIVITY UNCHANGED FROM FY2008
This is an ongoing activity from COP2007 and supports the care component of the Namibian Ministry of
Defense's HIV/AIDS Military Action and Prevention Program (MAPP).
The activity is focused on providing basic elements of clinical care, community and home-based care,
psychosocial care and stigma reduction to military members living with HIV, as well as for any military family
members who are HIV-positive.
Clinical palliative care will be provided to HIV positive military members and their immediate family
members who are also HIV-positive at the two Namibian military hospital ART sites in Windhoek and in
Grootfontein. Services include prevention and treatment of OIs (including provision of cotrimoxizole
prophylaxis), provision of isoniazid preventive therapy (INH) for eligible clients, screening and care for
sexually transmitted infections (STIs), and screening and alleviation of HIV-related symptoms and pain. It is
estimated that in COP 2008 up to 1900 clients will be given cotrimoxazole prophylaxis; this number includes
the 1600 patients on ARVs and an estimated further 300 who will be eligible for cotrimoxazole but not yet
for receiving ARVs. An estimated 500 HIV-positive clients will be treated with INH in COP2008. To support
technical implementation of clinical care, fifty Ministry of Defense health care workers will be trained in
proper prophylaxis and management of OIs including tuberculosis. Adherence to antiretroviral therapy
(ART) is regarded as the most important factor affecting success of antiretroviral treatment.
In order to improve health provider support for effective ARV adherence, I-TECH will provide training in
adherence counseling for 40 military health workers from the two ART sites and at least three sickbays.
I-TECH, in collaboration with the MoHSS nutrition division and the ITECH nutrition program, will offer a
routine nutritional assessment, counseling and monitoring of nutritional status at the two ART sites, with
provision of short-term therapeutic feeding for clinically malnourished patients according to the MoHSS
entry and exit criteria. It is currently estimated that 300 (20%) of clients will require short-term nutritional
support. All patients registered at the ART clinic will receive routine daily micronutrient supplementation.
I-TECH will support 30 outreach nurses from the two ART sites and other sickbays to provide home-based
palliative care for chronically and terminally ill military and family members who require home support. Each
outreach nurse will receive training and technical support in community and home-based palliative care
(CHBC), as well as receive the standardized home based care kit which is recommended by the MoHSS to
enable them to carry out more effective and quality homecare visits. Services provided by in the home will
include physical care (wound care, cleaning, bathing), psychological care and symptom screening, relief
and referrals to the nearby facility for additional services. It is anticipated that a minimum of 60 patients
living with HIV may need home visits in COP 2008. I-TECH will also provide training and technical support
to health care providers at Oshakati military base so they may scale up their home based palliative care
program in the north-west of Namibia, which currently have more than 100 soldiers placed on home-based
palliative care. In COP2008, the USG will explore opportunities to partner ITECH with the African Palliative
Care Association in order to strengthen the palliation care skills of the nurses in the overall Ministry of
Defense care program.
This initiative will also integrate referrals and linkages to care services withing the MAPP prevention
program. ITECH will partner with the MAPP program, improve awareness of basic care services and
integrate referrals for psychosocial, spiritual and social support for military members living with HIV. The
program will support the establishment of an HIV support group of HIV positive military members at the two
military ART sites.
In order to tackle stigma and discrimination within health system, I-TECH will collaborate with a local non-
governmental organization in the military catchment areas to conduct a 3-day workshop on a program
called ‘HIV and me' for 46 military health workers. This workshop is facilitated by people living with HIV and
aims to assist health workers to confront actions associated with stigma and discrimination against HIV-
positive patients. At all levels, attention will be given to increasing the gender equity in accessing HIV and
AIDS programs. I-TECH will ensure equitable access to services for both men and women, encouraging the
participation of men and boys and their responsibility in care giving and support for female caregivers, as
well as addressing stigma and discrimination.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16225
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16225 4471.08 Department of University of 7385 6169.08 DOD/I-TECH/U. $200,000
Defense Washington of Washington
7895 4471.07 Department of University of 6169 6169.07 DOD/I-TECH/U. $30,000
4471 4471.06 Department of Social Marketing 3105 3105.06 Military Action $0
Defense Association/Popul and Prevention
ation Services Program
International
(MAPP)
Emphasis Areas
Military Populations
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $31,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
ACTIVITY UNCHANGED FROM FY 2008
FY 2008 funding will support the scaling up of HIV and AIDS treatment within the Namibian Ministry of
Defense/ Namibian Defense Force (MOD/NDF). According to studies conducted in other countries,
indicated that the HIV prevalence rate in the military is higher than the national average. The 2006 antenatal
sentinel survey showed a prevalence rate of 19.9% in Namibia. There are estimated 14,000 -15,000
personnel in the MOD/NDF and inline with the national prevalence rate assumptions are that there are
about 3,000 HIV-positive military members. Through FY 2008 funds, I-TECH in collaboration with the
Military Action & Prevention Program (MAPP) prevention partner will support the MOD/NDF to conduct a
HIV sero-prevalence survey in order to confirm the estimated prevalence rate among military personnel.
With FY 2007 funds, one ARV treatment center has been identified in Windhoek and is being renovated.
With the FY 2008 funds an additional ARV center will be established and renovated in Gootfontein army
hospital. In order to ensure appropriate and quality care and treatment services within the military health
facilities, the Ministry of Health and Social Services (MOHSS) ART guidelines will be followed in all aspects,
including ART initiation and patient follow up. To ensure that HIV positive military personnel and/or their
family members have access to sustainable quality care and treatment services, HIV-positive personnel
who were referred to the MOHSS communicable disease clinics for ART, will be referred back to the
MOD/NDF medical services. With FY 2008 funds, I-TECH will build the capacity of surrounding military
sickbay facilities to promote effective HIV-positive patient referral systems. It is expected that 1600 military
personnel, including their family members, will be on ART by the end of FY 2008.
The military has a shortage of medical doctors, and has addressed this in the long term by sponsoring some
students in medical training. This program will bridge the gap and hire a minimum of two full time doctors to
directly support the ARV treatment program, one working in each military hospital. There are approximately
120 nurses and pharmaceutical staff in various health facilities in the MOD/NDF as well as four laboratory
technicians who are currently practicing at the Namibia Institute of Pathology (NIP). In order to ensure
sustainable capacity building within the military health services I-TECH will train and utilize the existing
military personnel in the provision of ART services including, patient management, adherence counseling,
pharmaceutical, laboratory, data entry, and analysis services at care and treatment sites within the military
hospitals. This approach allows the military to maintain their confidentiality requirements and also ensures
sustainability of the program.
Thus far I-TECH has trained 27 MOD/NDF health workers, selected from 23 military sickbays, in ART and
opportunistic infections including tuberculosis during FY 2007. An additional 45 healthcare workers from the
military will be trained in these areas including adherence counseling in FY 2007.
To continue with capacity building, 50 MOD/NDF health care workers from the 23 military camps/bases will
be trained in different HIV-related areas including the provision and management of ART, adherence
counseling, couples counseling, prevention with positives, PMTCT, and the newly introduced Integrated
Management of Adult and Adolescent Illnesses (IMAI) with FY 2008 funds. In addition, I-TECH in close
collaboration with the MOD/NDF will continue to build the capacity of military personnel to ensure
appropriate program monitoring and evaluation, by training military health care workers to monitor and
evaluate the program activities. Further collaboration with the MOHSS in the area of M&E will be maintained
in order to ensure integration of the military ART M&E program with the national health information system.
Adherence is the most important determinant of response to ART. In addition to strengthening adherence
counseling, I-TECH will sensitise health care workers at all 23 military sickbays on the important role of
treatment supporters. Tracking of clients who miss appointments will be enhanced through strengthening of
linkages with the treatment supporters. Furthermore, to track clients who are due for follow-up, I-TECH will
sensitize health care workers to utilise the Health Management Information System (HMIS).
Three MOD/NDF health care workers and the I-TECH project coordinator will attend the US Department of
Defense HIV/AIDS Prevention Program (DHAPP) annual training specifically targeted for the military in
either Uganda or San Diego to ensure that the particular needs and challenges of the military are taken into
account.
The number of female soldiers in the MOD/NDF is limited and delivery services are not available within
military health care facilities. As a consequence, I-TECH will maintain a referral system with the public
hospitals for pregnant soldiers.
In order to increase the uptake of ART services within military settings, I-TECH will develop military specific
information, education and communication (IEC) materials (leaflets, flyers, brochures) and possibly translate
some in local languages. This will further be enhanced through a close collaboration with the MAPP
prevention partner by ensuring that IEC materials are disseminated to all military counseling and testing
centers. Materials will include information on condom availability at all health facilities, family planning,
prevention with positives, alcohol abuse, and adherence to medication, living positively with HIV, nutritional
issues, and addressing gender issues. In collaboration with the MAPP prevention partner, I-TECH will
continue to promote the messages of faithfulness and proper and consistent use of condoms, especially
amongst military members who have tested positive.
In line with the national ART guidelines, standard operating procedures for clinical care and treatment of
HIV-infected adults and children will be established including procedures for identifying HIV-exposed and at-
risk children, providing cotrimoxazole and isoniazid for all eligible HIV-infected persons, ensuring linkages
across programmatic areas, promoting adherence and rapidly identifying those lost to follow-up, providing
laboratory services, monitoring and evaluation, including on-site supervision, and managing drug and health
commodities.
In order to ensure linkage of nutrition into ART care, as part of the basic palliative care activities I-TECH will
assess the dietary and nutritional requirements of the HIV-positive military personnel on ART and provide
Activity Narrative: support in close collaboration with the MOD/NDF. Close linkages will be kept with the MOHSS and NIP to
ensure that the program is being implemented within the framework of national policies and guidelines. At
all levels, efforts will be made to ensure close linkages with the MAPP prevention program.
This program will be managed by the Defense Attaché Office (DAO) PEPFAR Program Manager through I-
TECH-Namibia; an experienced HIV/AIDS contractor based at the University of Washington (UW) Center
for AIDS and STD (a WHO collaborating center) and is a collaborative effort between the UW and the
University of California San Francisco. At all levels attention will be given to increasing the gender equity in
accessing HIV and AIDS programs and addressing stigma and discrimination.
Continuing Activity: 16227
16227 4489.08 Department of University of 7385 6169.08 DOD/I-TECH/U. $587,000
7889 4489.07 Department of University of 6169 6169.07 DOD/I-TECH/U. $370,000
4489 4489.06 Department of University of 3363 3363.06 I-Tech/MoD $225,000
Defense Washington Treatment,
Training, and
Oversight
Construction/Renovation
Gender
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* TB
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $147,000
Table 3.3.09:
NEW/REPLACEMENT NARRATIVE
This continuing activity from COP FY 2008 was transferred to I-TECH from SMA. Activities support the
Ministry of Defense and the National Defense Force (MOD/NDF) to provide counseling and testing under
the Military Action and Prevention Program (MAPP). Counseling and testing services for this most-at-risk
population target military staff, their families, and civilian workers. Many costs that will be covered by
COP09 funds, such as fixed site refurbishment and purchase of mobile service units, are start-up costs that
will not be incurred in future years.
With I-TECH assuming the role of providing technical assistance to the MOD/NDF to strengthen and
expand counseling and testing (CT) services with FY 2009 COP funds, focus has shifted toward:
1. The provision of CT on military bases by military staff;
2. Technical assistance to the MOD/NDF to establish internal CT supervision and management systems;
3. Support to the MOD/NDF for the expansion of CT services through diagnostic and provider-initiated
testing (PITC),
4. The opening of two new CT sites and the introduction of mobile services; as well as the integration of
additional clinical services at CT sites (TB screening, referrals and advice on male circumcision, discussion
of gender-based violence and male norms, prevention for PLHIV, and alcohol use screening).
5. I-TECH will focus on a rapid scale-up to ensure that military personnel working on all 23 military bases
can access quality military CT services, an exploration of the feasibility of also offering treatment and care
via mobile and outreach CT units, and an increase in PICT through motivating health care staff working in
sick bays on each base. A priority focus will be developing strong linkages between PICT at base sick bays
with mobile CT services, as well as improving access for HIV negative individuals to continuing counseling
and support, and access for HIV positive individuals to other clinical, preventive, psychosocial and spiritual
care.
6. Rapid scale-up will be achieved through the procurement of two mobile units (one with FY 2008 COP
funds and one with FY 2009 COP funds) that will travel to military bases without static counseling and
testing centres, linking with health care staff at sick bays on each base. The purchase of these two mobile
units will be considered as start up costs and will require additional funds to be incurred in FY10.
7. Motivate more soldiers living with HIV/AIDS to join the support groups at the military bases. Support
groups established on military bases will be eligible to compete for small amounts of funding for innovative
activities.
8. I-TECH will work closely with the MOD/NDF and the Ministry of Health and Social Services to ensure that
the majority of military personnel are informed and actively participate in the HIV National Testing Day.
9. I-TECH will continue to build the capacity of military personnel to conduct counseling and testing
services. Under FY 2009 COP, 30 medics and counselors will be trained in counseling and rapid testing. In
addition, 30 nurses will be trained on counseling to offer provider-initiated services.
10. To increase the quality of CT services and referrals, I-TECH will assist the MOD/NDF to establish a
structured supportive supervision system utilizing coaching checklists, suggestions books, and client exit
interviews.
11. To ensure continuous quality improvement of CT activities across the military network and to strengthen
the institutional capacity of the MOD to manage the CT program, I-TECH will assist the MOD/NDF to
establish quarterly CT and Referral Program Review meetings that initially focus on data cleaning and shift
toward analysis of data and identification of areas for improvement.
12. Rapid Testing (RT) quality assurance will be supported by the MOD laboratory staff and their
partnership with the Namibia Institute of Pathology (NIP). NIP will continue to certify MOD/NDF staff trained
in RT.
13. To ensure standardization of CT services across the country, the MOD/NDF has adopted the MoHSS's
National Guidelines for Counseling and Testing and utilizes I-TECH supported MoHSS CT training.
14. An uninterrupted supply of rapid tests and medical consumables for military CT services is built upon
the MOD/NDF's existing procurement arrangements with the MoHSS's Central Medical Stores and the
MoHSS's partnership with Supply Chain Management System (SCMS). I-TECH will continue to use this
system for the MOD/NDF kits and medical consumables for the counseling and testing program.
Continuing Activity: 19398
19398 19398.08 Department of University of 7385 6169.08 DOD/I-TECH/U. $500,000
* Addressing male norms and behaviors
Estimated amount of funding that is planned for Human Capacity Development $55,000
Table 3.3.14:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
I-TECH will continue to work closely with NIP to support the MOD/NDF to operate their own laboratory
facilities within the military hospitals where care and treatment services are provided.
1. In FY09 the military laboratory facilities will continue to cater for HIV screening, CD4 and other basic
laboratory bio-clinical monitoring tests necessary for the diagnosis of HIV infection, evaluation of patients
before initiation of HAART, and for the monitoring of patients on HAART.
2. COP09 funds will be used to establish a second laboratory facility at the 2nd ARV site, procure laboratory
equipment and assist the MOD/NDF to establish a military laboratory network, strengthen quality assurance
and build capacity.
3. I-TECH will provide technical assistance to the MOD/NDF for strategic planning and strengthening of the
military's laboratory network. I-TECH will provide assistance in logistics and quality assurance. Quality
assurance support focuses on pre-analytical (specimen collection, storage, client preparation, specimen
referral system) and post-analytical (results reporting, archiving, specimen storage and disposal) processes,
as well as external quality assurance.
4. I-TECH will assist the MOD/NDF to establish an effective and sustainable equipment maintenance
process in order to ensure uninterrupted services.
5. I-TECH will facilitate the training of an additional five military laboratory personnel through the CDC's
International Laboratory Branch Consortium partners and NIP in order to strengthen laboratory systems and
ensure provision of quality and sustainable laboratory support services within the military.
6. As ART services expand, I TECH will also conduct further training needs assessment in this important
program area so that additional military personnel can be trained to ensure sustainability.
I-TECH will work closely with the MOD/NDF, NIP and the Polytechnic of Namibia to ensure that the
MOD/NDF benefits from the long and short term laboratory training programs provided through the
Polytechnic of Namibia.
Please review the activity narrative from COP08:
As an expansion of the Military Action and Prevention Program (MAPP), the Ministry of Defense/ Namibian
Defense Force (MOD/NDF) has initiated a new HIV/AIDS care and treatment program for its military
personnel under FY 2006. Laboratory support is essential for implementation of an ART program in the
military. Currently, the MOD/NDF uses the laboratory facilities of the National Institute of Pathology (NIP) for
testing purposes. Emphasizing the unique nature of the military and the issue of confidentiality of data, the
MOD/NDF has expressed the need to establish their own laboratory facilities within the military hospitals
where ART services will be provided.
I-TECH will work very closely with the MOD/NDF and the NIP to establish these laboratory facilities. It is
estimated that by the end of the reporting period a total number of 1600 military members will be receiving
ART within the military settings during FY 2008. Laboratory services will therefore cater for patient
evaluation before initiation of ART, monitoring the clients on ART and the counseling and testing services.
The MOD/NDF has so far trained four laboratory technicians who are seconded to NIP while the MOD/NDF
laboratory facilities are being established. Once the laboratory facilities have been established at the two
ART sites, these four technicians will be expected to work at those two facilities.
I-TECH will also facilitate the training of at least six military laboratory personnel through NIP in order to
ensure appropriate use of the new equipment and provision of quality services and sustainability of services
at the military facilities. As the ART services expand, further training needs assessment in this important
program area will be conducted so that additional military personnel can be trained to ensure sustainability.
The MOD/NDF will continue to collaborate with the NIP in identifying and selecting critical members to be
trained as laboratory technicians in order to ensure the suitability of services in the MOD/NDF facilities. In
addition, the MOD/NDF will also continue to seek the support of NIP in terms of quality assurance of the
services provided in the military laboratory facilities.
CD4 testing is an important tool for determining clinical eligibility for HAART and coupled with other basic
laboratory tests for monitoring HIV-disease. The Ministry of Defense (MOD/NDF) has indicated that it
essential to perform CD4 testing as well as other basic monitoring tests within military laboratories in order
to ensure effective and sustainable ART service provision within the military health delivery system. CD4
tests are currently being sent to NIP. Due to increased referrals from the military counseling and testing
services and the need to regularly monitor patients on HAART, it is anticipated that the requests for CD4
counts will increase markedly in the short term. NIP not only provides these essential services to MOD/NDF
but NIP also provides such services to the Ministry of Health and Social Services and other ART service
providers, which sometimes delays the return of results to clients such as MOD/NDF.
I-TECH will collaborate with Supply Chain Management Systems (SCMS) in the procurement of equipment
and pharmaceuticals for the MOD/NDF ART facilities. Logistics for the procurement of pharmaceuticals will
be discussed in details between the MOD/NDF, I-TECH and SCMS.
I-TECH will support MOD/NDF to renovate and upgrade the current laboratory services.
The Defense Attaché Office (DAO) PEPFAR program manager will manage this program and administer
Activity Narrative: funding through I-TECH Namibia.
Continuing Activity: 16110
16110 4490.08 Department of University of 7385 6169.08 DOD/I-TECH/U. $250,000
8553 4490.07 Department of University of 6169 6169.07 DOD/I-TECH/U. $135,000
4490 4490.06 Department of University of 3363 3363.06 I-Tech/MoD $0
Estimated amount of funding that is planned for Human Capacity Development $25,000
Table 3.3.16:
I-TECH will continue to work closely with the MOD/NDF to continue to build capacity in strategic
information, including the ability to gather and analyze service delivery and survey data, utilize data to
improve the quality of care, and to strategically plan in response to evolving needs, programmatic
innovations, and new technologies.
Specifically, I-TECH will assist the MOD/NDF to:
1. Conduct own HIV/AIDS prevalence survey. Present prevalence survey results through a survey report
and workshops for MOD/NDF senior personnel. I-TECH will work with the Ministry to develop a protocol for
conducting the survey.
2. Conduct quarterly Referral, Counseling and Testing (CT) Program Reviews. During the first few reviews,
participants will review data from other sites and make recommendations for cleaning data. Reviews will
evolve into the use of data for improving the quality of care and planning.
3. Assist the MOD to conduct Quarterly Care and Treatment Program Reviews with a proposed structure
similar to the Referral and CT Reviews.
4. Merge HMIS systems for the laboratory, clinic, and pharmacy. Train staff in data management using the
merged system.
5. Procure and expand computer/internet connectivity to additional military health sites.
6. Expand HIMS for CT expansion and train CT staff to manage data and information.
7. Build capacity of MOD/NDF IT Specialist in systems management and hardware maintenance.
8. Conduct a Data Use Workshop to coincide with MOD/NDF planning and budgeting cycle.
9. Assist MOD/NDF to evaluate access to services among military staff, their families, and civilian
employees working on military bases.
10. Facilitate the participation of MOD/NDF's personnel in relevant Strategic Information training programs
at national and international level.
11. Assist the MOD/NDF to establish a monitoring and evaluation system. There is currently no system in
place and I-TECH has developed a paper-based HMIS and is working on establishing an electronic one. I-
TECH has already started providing training to MOD/NDF personnel and will continue to assist the Ministry
to establish a system where all HIV/AIDS related data can be recorded and tracked. This system should be
able to feed into the national M&E system of the Ministry of Health and Social Services.
Continuing Activity: 16228
16228 4493.08 Department of University of 7385 6169.08 DOD/I-TECH/U. $128,000
7891 4493.07 Department of University of 6169 6169.07 DOD/I-TECH/U. $90,000
4493 4493.06 Department of University of 3363 3363.06 I-Tech/MoD $60,000
Estimated amount of funding that is planned for Human Capacity Development $17,600
Table 3.3.17:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS
Highlights of COP09 activities include:
• Assist MOD/NDF to create an Action Plan based on the first MOD/NDF HIV/AIDS Policy launched in
FY09. Provide feedback to senior management on policy implementation in collaboration with MAPP
Prevention Partner.
• Train senior personnel on military HIV/AIDS policy development, implementation and monitoring at
national and international levels (Defense Institute for Medical Operations [DIMO] and Implementers'
Conference).
• Ensure HIV-related stigma and discrimination reduction activities for senior officers and unit HIV
Coordinators effectively links with the MAPP Prevention Partner's Peer Education Program among enlisted
soldiers.
• Continue to support human capacity development in the MOD/NDF through military HIV/AIDS program
training regionally and internationally.
• Work with MOD/NDF to develop a sustainability plan which addresses organizational/human resources,
technical, and financial sustainability.
Please review the activity narrative from last year:
The Ministry of Defense/Namibian Defense Force (MOD/NDF) has developed a draft HIV/AIDS policy for
the military during FY 2006. I-TECH will provide technical assistance to the MOD/NDF to finalize and launch
the policy. About 2000 copies of the policy document will be printed in at least three different languages
and distributed to all critical personnel at the 23 bases/camps. In collaboration with the Department of
Defense Military Action & Prevention Program (DOD MAPP) prevention partner, I-TECH will conduct
training workshops to sensitize all commanders and their deputies to the content of the policy. Furthermore,
all HIV/AIDS coordinators at the 23 bases/camps, HIV/AIDS counselors and health care providers at the
military hospitals and clinics will receive a copy of the policy document and will also be sensitized to its
content. I-TECH with the support of the prevention partner will monitor the implementation of the policy on a
periodic basis and make recommendation to the MOD/NDF on possible modifications.
I-TECH will support the MOD/NDF to develop a short-term and long-term training plan for its health care
providers in order to ensure an efficient scaling up of ART services in the military.
With FY08 funds military physicians will be sent to participate in the Defense HIV/AIDS Prevention Program
(DHAPP) training in San Diego or in Uganda, as part of human capacity development in the military. In
addition, I-TECH--in collaboration with the MOD/NDF--will identify and send 5 military nurses, counselors
and doctors from the military ART program to sub-regional HIV/AIDS short-term training courses in FY
2008.
In order to ensure a committed management and leadership of the MAPP prevention, care, and treatment
program, I-TECH will support the participation of senior military officers to participate in the annual training
courses offered by the Defense Institute for Medical Operations (DIMO). At least two senior officials from
the MOD/NDF will participate in the resident DIMO (San Antonio) course on HIV/AIDS planning/policy
development and about 20 nurses and counselors will participate in one non-resident course (Namibia) on
leadership in HIV/AIDS program development during FY 2008.
I-TECH in collaboration with the prevention partner will explore the possibility of collaborating with a local
organization to conduct a comprehensive evaluation which will determine the relevance, quality and
effectiveness of the MAPP program.
funding through I-TECH Namibia.
Continuing Activity: 16230
16230 4495.08 Department of University of 7385 6169.08 DOD/I-TECH/U. $140,000
7892 4495.07 Department of University of 6169 6169.07 DOD/I-TECH/U. $65,000
4495 4495.06 Department of University of 3363 3363.06 I-Tech/MoD $46,000
Estimated amount of funding that is planned for Human Capacity Development $53,000
Table 3.3.18:
