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: 2008 2009
**THE BELOW ACTIVITY NARRATIVE WAS CHANGED IN APRIL 2009 REPROGRAMMING DUE TO
THE USD$367,881 FUNDING CHANGE FROM CAA TO PACT**
Pact's primary mandate is to provide guidance and follow-up for capacity building in civil society to help
indigenous organizations develop and become sustainable. Pact uses participatory approaches to ensure
local ownership, financial and program accountability, and continuous quality improvement. In COP09, Pact
will support AB interventions using a combination of grants and assistance to at least 7 non-governmental
organizations (including 2 faith-based organizations and 2 multi-purpose centers) as described here.
In COP09, Pact will collaborate with prime partners such as EngenderHealth and C-CHANGE to provide
technical assistance and ensure that each grantee delivers an appropriate minimum package of prevention
services including but not limited to: harmonizing AB messages (including mass media messages), ensuring
behavior change communications that encourage the transfer of knowledge to action, tackling gender
norms and male involvement, and addressing alcohol and gender-based violence, both of which are highly
prevalent in Namibia. Pact will regularly assess whether each subgrantee has the support it needs for
continuous quality improvement, and respond with additional support if needed.
1) In COP09, Pact will solicit for a prevention partner in the high-prevalence area of Caprivi.
2) Change of Life Styles (COLS) will contribute to the reduction of HIV among youth age 8-18 in 3 towns
(Windhoek, Walvisbay, and Swakopmund) in Khomas and Erongo regions by employing evidence-based
HIV/AIDS prevention methods through an expanded program in 18 churches, 6 schools including a special
needs institution, and the SOS Children's Village. COLS aims to improve youth self-esteem and build their
capacity to make informed choices, postpone sex, choose secondary virginity and remain faithful to one
tested partner. Using a revised Christian Life Family Education (CLFE) curriculum that incorporates
appropriate behavior change methodologies, COLS will train and support peer educators, employ a
participatory edutainment model, establish CLFE clubs at schools, and conduct holiday learning camps to
reach youth age 8-14 with activities focused on delaying sexual debut (A) and additional youth age 15-18
with activities focused on AB. COLS will collaborate with partners in achieving behavior change, including
more focus on gender norms, particularly male norms and behaviors that place boys and girls at risk.
3) The Walvis Bay Multi-Purpose Center (WBMPC) will continue its youth peer education program to
promote AB messages, preventive behaviors, and life skills, targeting in-school youth and out-of-school
youth. With Pact assistance, WBMPC will improve the quality of peer education including interpersonal
communication techniques by providing regular peer education session.
4) The Sam Nujoma Multi-Purpose Center (SNMPC) will reach over 30% of the population in Ongwediva
with age-appropriate ABC programs. As part of the youth AB program, SNMPC aims to reach 1700 in- and
out-of-school youth with AB messages through a peer education programs and videos. SNMPC will also
recruit 25 males to work in the center to model increased male engagement and leadership across multiple
program areas.
5) The Rhenish AIDS Program (RAP) works with youth from its church congregations in 4 rural regions
using age-appropriate curricula at learning camps and Sunday School. RAP uses the Ministry of
Education's Window of Hope curriculum to target 600 youth age 9-13 years to promote abstinence and
delayed sexual debut;
6) The Namibia Association for Community Based Natural Resource Management (NACSO), an umbrella
organization whose HIV activities and financial management are source out by Namibia Nature Foundation
(NNF), will reach rural communities via its innovative workplace approach through 12 member CBNRM
NGOs. It works closely with the Ministries of Agriculture, Water and Forestry; Environment and Tourism;
Lands and Resettlement plus 12 member NGOs and 40 conservancies with a population of about 100,000
people. The AB peer education component emphasizes male norms and behaviors, targets conservancy
and community leaders, and focuses on adopting norms that support abstinence until marriage, partner
reduction, and denouncement of forced sex in marriage and relationships. Age-appropriate messages to
youth will focus on delay of sexual debut and/or faithfulness to partners.
7) In COP08, partners were selected to implement systems strengthening and services for victims of
violence against women and children; a community prevention component will be introduced in COP09. In
addition, Pact-supported OVC and home-based care programs will integrate age- and status-appropriate
behavior change activities into their programs. For example, Philippi Trust and Kayec have integrated
prevention into their existing OVC program: OVC receive prevention interventions in line with the newly-
developed Quality Standards for HIV Prevention for OVC.
8) CAA will target 2,830 OVC, age 8-12 with its primarily abstinence curriculum, Adventure Unlimited (a ten
session course). CAA will target 4,170 OVC, age 13-25 with its Stepping Stones curriculum (a fourteen
session course) which is an A/B focused curriculum. (see CAA HKID: 16,500 OVC) Both curricula cover
not only basic information regarding HIV infection and transmission, but equally important the co-factors that
contribute to positive community health and: effective communication skills, discussions on the impact of
gender, the role of alcohol on increased risk for HIV infection, intimacy and relationship skills, cultural norms
and practices and their impact on HIV infection risk, and the role of interpersonal "power" on relationships
and choices regarding sexual activity. A revised Stepping Stones curriculum also includes
transgenerational sexual activity, transactional sexual activity, and the risk of multiple concurrent partners.
CAA provides this intervention and routine follow-up activities through peer educators. CAA will plan to train
150 new peer educators. CAA will continue to support and provide refresher training for 100 "senior" peer
educators from the previous FY who will also provide additional guidance and supervision to new peer
educators. Follow up activities will include collaboration with PEPFAR partner NAWA Life for community
mobilization and media and male involvement activities through collaboration with Engender
Health/Respond. C-Change/AED will provide TA to CAA to better articulate a more precise strategy in
behavior change communication to improve prevention course implementation and outcomes. Peer
Activity Narrative: educators will also be trained to screen all participants for TB infection and make referrals to local health
centers. 280 local community leaders will be trained and sensitized to support CAA prevention activities in
their local area.
Pact's results will make a contribution beyond PEPFAR-funded programs to strengthen organizational
capacity and sustainability by addressing leadership, management, governance, and strategic direction.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16177
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16177 6470.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $1,137,539
International Leader with
Development Associates
Cooperative
Agreement
7414 6470.07 U.S. Agency for Pact, Inc. 4409 4072.07 Community $647,261
International REACH
Development
6470 6470.06 U.S. Agency for Pact, Inc. 4072 4072.06 Community $1,670,240
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's legal rights
* Reducing violence and coercion
Health-related Wraparound Programs
* TB
Workplace Programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $408,143
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $23,431
Water
Table 3.3.02:
NEW/REPLACEMENT NARRATIVE
local ownership, financial and program accountability, and continuous quality improvement. During COP09,
Pact will support 4 local prevention programs targeting older youth and adults with balanced ABC
interventions and workplace programs.
services targeted to the persons who are the focus of this activity including but not limited to: harmonizing
balanced ABC messages (including working with mass media for media promotions that coincide with
scheduled activities), ensuring behavior change communications that encourage the transfer of knowledge
to action, tackling gender norms and male involvement, addressing alcohol, and ensuring referrals to VCT
and other services. Pact will regularly assess whether each subgrantee has the support it needs for
Specific program targets, populations, and activities are described below for each sub-partner:
1. In 1998, the Chamber of Mines (COM) initiated the Occupational Health Education Awareness
Programme (OHEAP), which has evolved into a well-maintained peer education program that includes HIV
awareness and prevention, condom promotion, condom distribution, and STI treatment at 18 mining and
non-mining companies. In COP09, OHEAP's grant will focus on reducing STI/HIV/AIDS by reaching
workers, their spouses and families, and community members. COM hosts workshops to mobilize workers
within mines to participate in events and the peer education program. COM distributes quarterly briefing
sheets, and conducts a series of informational meetings for middle managers as decision makers to ensure
they are supportive and able to approve the time for peer educators to conduct sessions with other miners.
OHEAP will recruit new peer educators, provide refresher training to existing peer educators, and provide
more advanced training to more experienced peer educators on advanced priority topics such as male
circumcision, symptom screening and referrals. COM conducts quarterly mentoring sessions, regular site
visits, and support meetings for peer educators for quality control. Peer educators host Information,
Education, and Communication events and HIV/AIDS awareness sessions, conduct one-on-one
interpersonal communications, provide education and information on correct and consistent condom use,
and make condoms available to employees and their families. COM will continue to mainstream its
workplace program for peer education and community outreach to employees' families and communities
within its overall Occupational Health and Safety Program.
2. The Walvis Bay Multipurpose Centre Trust (WBMPC) works in collaboration with its local government
authority and other partners in and around the Erongo region to reduce the incidence of HIV by
implementing ABC interventions and workplace HIV prevention programs. WBMPC will target over 40
companies to scale up workplace programs, particularly among fishing companies in Walvis Bay. The
program engages company management and support for implementing comprehensive workplace
programs-requests for WBMPC's assistance have increased substantially. Targeting more than 3000
workers with COP09 resources, WBMPC will work with companies to establish workplace peer education
programs that encourage workers, usually men in the fishing industry, to be more responsible (including
understanding the dangers of alcohol abuse in increasing risky behavior), reduce multiple and concurrent
partners, use condoms consistently and correctly, cease to participate in transactional sex particularly with
young girls, and consider circumcision. WBMPC regularly distributes MOHSS-supplied condoms to
companies. The peer educators participate in supervisory sessions and seminars once a month. In its
outreach program, WBMPC targets community members in shebeens, taxi ranks, and other areas where
people wait or mingle. Regular community outreach activities focus on fidelity, partner reduction and
condom use. The program also targets churches, and will focus on increasing male involvement in COP09.
Together with COLS (with experience in juvenile justice activities) and the Ministry of Safety and Security,
WBMPC reaches Walvis Bay prison inmates through peer educators. Linkages to services beyond
prevention are embedded within all WBMPC prevention programs: WBMPC houses a New Start Counseling
and Testing center. In conjunction with the Ministry of Health and Social Services (MOHSS), the center
provides ongoing information sessions on HIV/AIDS issues such as positive living, ART, treatment
adherence and support, and re-infection.
3. The Sam Nujoma Multi-Purpose Center (SNMPC) will target 30% of the population in Ongwediva with
age appropriate ABC programs. With workplace and community outreach activities similar to the WBMPC,
SNMPC will reach individuals through monthly center-based events, outreach programs, workplace peer
educators, and video at the center.
4. The Namibia Association for Community Based Natural Resource Management (NACSO) is an umbrella
organization whose HIV activities and financial management are supported through the help of a member
NGO, Namibia Nature Foundation (NNF). The NACSO HIV/AID program reaches rural communities through
its innovative workplace approach through 12 Community Based natural resource management (CBNRM)
NGOs that work closely with 40 conservancies with a population of about 100,000. NACSO also works
closely with 3 line ministries: namely the Ministry of Agriculture, Water and Forestry; the Ministry of
Environment and Tourism; and the Ministry of Lands and Resettlement. NASCO assists conservancies to
reach communities through its 12 member NGOs and 40 conservancies (see Pact OHPS Activity 8037.08).
Through this innovative workplace policy approach, COP09 funds will scale up the peer education program
while providing a balanced ABC approach as well as referrals to VCT, care, and treatment. The program will
target over 10,000 community members with messages about correct and consistent condom use and
condom distribution while also addressing male norms and behaviors.
Continuing Activity: 16178
16178 4726.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $317,220
7411 4726.07 U.S. Agency for Pact, Inc. 4409 4072.07 Community $333,680
4726 4726.06 U.S. Agency for Pact, Inc. 4072 4072.06 Community $100,951
Estimated amount of funding that is planned for Human Capacity Development $85,304
Table 3.3.03:
Motivated by the overwhelming needs of persons living with HIV/AIDS (PLWHA) and their families,
Namibia's strong faith-based sector continues to mobilize communities. Churches claim membership among
75% of Namibians and organize almost all community-level care, especially the majority Lutheran and
Catholic denominations. During COP07 and COP08, USG continued its home based community care and
support (HBHC) program through PACT, an umbrella NGO that integrates capacity building of local faith-
based organizations (FBOs) and NGOs, including targeted technical assistance (TA), into a grants
management cycle. PACT develops local ownership and provides capacity building in financial and
programmatic accountability, including M&E and financial management, while providing support and
guidance to improve the overall quality of programs. PACT will source and/or network experienced TA to
subgrantees and foster networking through communities of practice to address and resolve bottlenecks in
implementation. PACT efforts through PEPFAR extend beyond PEPFAR-funded programs to create
sustainable, high-capacity organizations by addressing gaps in leadership, management, governance, and
strategic direction.
National level, in COP09, PACT will work closely with the Ministry of Health and Human Services
(MOHSS), the African Palliative Care Association (APCA), subgrantees and other stakeholders to further
develop and test the National HBHC training materials. PACT supported the MoHSS to initiate this process
in COP07 through a literature review, the development of standards, and draft training curriculum
integrating best practices in adult learning. In COP08 Pact intends to support a pilot training of the
curriculum and a TOT for building the capacity of grantees to carry out modules from the training. COP09,
Pact will support the MOHSS to seek local training institutions and assist with accreditation of the training
materials. When approved by the government, Pact will assist the MOHSS to define a new cadre of
community care worker to be supported by the MOHSS. Pact will also support the MOHSS to develop and
test an action-based field manual for use by the HBHC providers with a low level of literacy. PACT will
engage subgrantees in using national level materials while also supporting the enhancement of tools and
methods to measure outcomes. PACT will work with grantees to ensure clinical prioritization of needed care
into services.
COP08, PACT worked with grantees to identify and strengthen existing activities according to the new
national standards on CHBC. All grantees have recognized improving treatment adherence as a priority.
Pact will continue to strengthen the 5 service delivery areas of CHBC, focusing particularly on sensitizing
grantees on clinical service delivery with emphasis on symptom screening, referrals, and cotrimoxizole use.
PACT also worked with grantees on adopting structured supervision of caregivers and quality improvement.
Based on gaps identified with subgrantees, focus areas for targeted TA with COP09 resources include:
1) addressing volunteer retention, incentives, supervision, and impacts of pending labor law changes;
2) expanding male involvement, particularly among volunteers and volunteer partners;
3) addressing needs of caregivers "Caring for Caregivers";
4) improving delivery of psychosocial support at the community level; and talking to children
5) greater involvement of PLWHA in quality improvement of services;
6) food and nutrition counseling;
7) improving bi-directional referrals, referral follow-up and formal linkages with facilities through the network
model;
8) addressing barriers to transportation;
9) addressing M&E challenges of monitoring community based services; and
10) further improvements in delivering services within the preventive care package that are feasible and
appropriate to community care, including: referrals to VCT; referrals to/from facilities for care and
medications; adherence to ARVs; TB drugs (including IPT); cotrimoxizole; safe water; ITNs in malarial
areas; nutrition; and specific integrated prevention messages, especially among people living with
HIV/AIDS.
COP08 resources will continue to support these specific activities:
1) With COP07 funds, Sam Nujoma Multipurpose Centre (SNMPC) expanded activities to include a
community home-based care initiative. Targeting communities in 2 northern regions, SNMPC will expand
the number of HBC volunteers reaching clients and families in need. HBC services focus on symptom
diagnosis and relief, ART and OI prophylaxis adherence, psychological support, social support, integrated
prevention messages, referrals to government health services, and identification and referral of OVC to the
OVC program. PACT will ensure SNMPC has access to improved training opportunities for HBC caregivers.
SNMPC currently operates a support group of 50 with plans to expand to more groups targeting 120
PLWHA. In addition to supporting ARV adherence, SNMPC will encourage more involvement of men
through a PLWHA support group for "professionals" to address the shared challenges.
2) Within 40 communities in 4 regions, the CBO TKMOAMS will provide refresher training to existing
volunteers providing physical (wound care, cleaning, and bathing), treatment adherence, and psychological
and spiritual care to PLWHA and their families. TKMOAMS will strengthen its documented referrals. It
strengthens elements of the preventive care package, including bed nets. It will continue supporting support
groups for PLWHA, focusing on psychological support, prevention with positives (PWP), professional
development opportunities, and income-generation.
3) Apostolic Faith Mission AIDS Action (AFM) implements a family-centered HBC intervention in its network
of congregations in four under-served northern rural regions targeting clients and family members. Support
twice a week includes adherence counseling, physical support, spiritual counseling, and referrals and/or
transport to hospital. With FY 2010 resources, AFM will use a locally recognized HBC curriculum to
increase its volunteers from 100 to 150 (60 additional volunteers are supported by other funding). AFM will
focus on incorporating treatment adherence as well as preventive messages with positives while moving
more toward providing appropriate services in a comprehensive preventive care package.
4) The Evangelical Lutheran Church of the Republic of Namibia's (ELCRN) AIDS program (ELCAP) uses it
church's wide network to improve the quality of life of PLWHAs and their families through volunteers. With a
strong counseling program in place, ELCAP's HBC program will focus on increasing quality of service
delivery, with particular attention on improving treatment adherence (including the relationship between
alcohol abuse and treatment adherence), stigma reduction, improved referrals and integrated PWP. Support
groups will encourage positive living, develop buddy programs, provide adherence support, and initiate
income generating activities. ELCAP will expand a pilot program of Men's Leagues into its existing HBC
program by empowering local male leaders to participate in caring for PLWHA in communities. ELCAP will
work with CAA and RAP to coordinate activities in similar areas.
5) COP07, Walvis Bay Multi-Purpose Centre (WBMPC) expanded into HBHC. WBMPC will provide PLWHA
Activity Narrative: support group members with care and support through trained caregivers linked to the HAART clinic.
WBMPC will continue to target clinic clients with adherence messages through informational sessions run
by PLWHA as part of their greater involvement of PLWHA in programming.
6) As the predominant caregivers of PLWHA and OVC, programs that help women develop important
economic skills and self-determination are important to strengthening communities' ability to care for those
affected by HIV/AIDS. The goal of the Pact WORTH program is to strengthen women's ability to care for the
PLWHA (and OVCs) in their own households and in the community through economic empowerment and
income generation. WORTH is a unique, sustainable income-generating training program of women helping
women. It fosters grassroots development, increases family income, and develops local control of resources
through community-run village banks. WORTH combines literacy, enterprise development and savings and
loan activities. Literacy education combines practical stories about transparent group formation and
management, good business and marketing practices, creating both interest and enthusiasm among the
women to read the material even if they are literate. WORTH groups also receive regular training and
support from program empowerment workers.
7) With a target of 2000 volunteers for FY2009 resources, CAA is the largest FBO network, providing HBHC
services for 7,500 adult and pediatric clients and their families. Approximately 18% (1,350) HIV+ clients are
children and 6,150 are adults. This integrated family-centered program involves the assessment of PLWHA,
family needs, provision of family-based health education, advocacy & referral, stigma reduction, counseling
& emotional support, spiritual care, practical care, emergency material assistance, and referrals to CAA
services for OVC. In FY09, CAA will continue incorporation of a comprehensive prevention package into
HBC services, including: education, VCT and PMTCT referrals, mobilization for cotrimoxizole prophylaxis
and isoniazid preventive therapy, improved ART adherence, safe water, hygiene, malaria prevention and
treatment, TB screening and referrals, promotion of good nutrition practices for adults and children,
promotion of child immunizations, and referral for family planning services. CAA volunteers and staff help
resolve challenges with access to either cotrimoxizole or isoniazid treatment. Early referral and retention in
CAA HBHC programs is achieved through 2,000 community volunteers from a structure of over 300
parishes and missions, the volunteers' constant community mobilization and education, and CAA's
reputation for quality services.
CAA provides volunteer groups with micro-funding for emergency assistance to the neediest clients. The
community volunteer group is empowered to allocate this resource, frequently used for funeral expenses,
food, and shelter.
A national office staff member is charged with providing capacity building and training for staff and
volunteers on nutrition as well as the development of micro-enterprise activities to increase food security.
The volunteers are the target for this intervention with indirect beneficiaries including adult and pediatric
HIV+ clients and OVC. CAA provides neediest clients with supplemental nutrition in the form of e-pap.
CAA is developing PWP activities in collaboration with partner NGO's including Positive Vibes. Center- and
community-based support groups empower clients to protect their health against infections as well as
prevent HIV transmission to others.
Collaboration with the MoHSS and the Social Marketing Association allows CAA staff and volunteers to
distribute insecticide-treated nets for HBHC clients. Home care kits are replenished to each volunteer on a
monthly basis during supervision by CAA staff. In some areas, GRN facilities provide both the kit and the
replenished supplies. In others, PEPFAR funding is used to replenish non-pharmaceutical supplies such as
skin lotion and disinfectant. CAA provides medical supplies and equipment for the nurse supervisor with
PEPFAR funding.
CAA will expand its nurse-supervised home based palliative care services from 7 regional offices in FY09
to 10 offices in FY10. In collaboration with the African Palliative Care Association (APCA) and the MoHSS,
CAA will offer direct clinical services through staff/volunteers supervised by trained nurses. CAA will
continue to work with the MoHSS to strengthen referral mechanisms to and from the community and facility.
Palliative care-trained volunteers, supervised by nurses, improve the quality of life of people living with HIV
through the prevention and relief of suffering by means of early identification of HIV infection and
opportunistic infections and the assessment and treatment of psychosocial, spiritual, and physical pain.
Care is provided throughout the disease continuum from diagnosis to bereavement support for families and
loved ones. Program quality is monitored through frequent supervision by CAA staff, monthly data
collection, as well as the APCA palliative care outcome scale. CAA is active in the Namibian Palliative Care
Task Force that advocates for increased access and quality of palliative care services, including access to
opioids.
CAA will enhance the quality of its home based palliative care services by mainstreaming the involvement
of at least 500 men, male partners of existing home based palliative care volunteers and male community
leaders. With the technical assistance of Engender Health, a community workshop curriculum has been
developed to clarify how cultural values play a key role in determining attitudes and behaviors related to
gender and HIV infection. These workshops assist participants to redefine masculinity and develop new
models for healthier individuals, families and communities. The workshops help men understand how they
need to be involved in transforming culture to address key issues in HIV transmission and plan for greater
involvement of men in HIV prevention, care, and treatment.
During routine home visits, CAA volunteers remind families and caregivers of the importance of boiling
water, safe water storage and basic hygiene to reduce the burden of diarrhea on the nutritional and health
status of HIV infected clients.
CAA volunteers provide extensive community mobilization and education to decrease stigma and
discrimination and increase uptake of clinical services including VCT, PMTCT, ART and treatment for TB.
Regular monthly supervision and an annual retreat for staff and volunteers, as well as materials from the
southern African region on "caring for caregivers" will ensure HIV services for infected caregivers and
emotional and spiritual care for all volunteers to renew and sustain caregiver motivation. CAA will also
target HIV+ volunteers and provide a small transport subsidy to ensure access to ARV treatment to those
that need it.
PACT will ensure linkages with interventions in other program areas, such as male involvement across all
program areas, identification of OVC in households and referral to OVC programs, community prevention
focusing on risk reduction including alcohol abuse, screening for violence against women and children and
referrals to Women and Child Protection Units and improved integrated screening and referral for TB
(ITECH/TB; TB CAP). Pact works closely with both EngenderHealth for male involvement as well as C-
CHANGE for BCC support.
Activity Narrative:
Continuing Activity: 16179
16179 4727.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $2,994,256
7412 4727.07 U.S. Agency for Pact, Inc. 4409 4072.07 Community $1,861,153
4727 4727.06 U.S. Agency for Pact, Inc. 4072 4072.06 Community $926,644
* Increasing women's access to income and productive resources
* Child Survival Activities
* Safe Motherhood
Estimated amount of funding that is planned for Human Capacity Development $1,673,624
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $10,253
and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Commodities $45,000
Estimated amount of funding that is planned for Economic Strengthening $372,000
Estimated amount of funding that is planned for Water $2,000
Table 3.3.08:
THE USD$201,984 FUNDING CHANGE FROM CAA TO PACT**
USG continued its home based community care and support (HBHC) program through PACT, an umbrella
NGO that integrates capacity building of local faith-based organizations (FBOs) and NGOs, including
targeted technical assistance (TA), into a grants management cycle. PACT develops local ownership and
provides capacity building in financial and programmatic accountability, including M&E and financial
management, while providing support and guidance to improve the overall quality of programs. PACT will
source and/or network experienced TA to subgrantees and foster networking through communities of
practice to address and resolve bottlenecks in implementation. PACT efforts through PEPFAR extend
beyond PEPFAR-funded programs to create sustainable, high-capacity organizations by addressing gaps in
leadership, management, governance, and strategic direction.
Because currently-funded community and faith-based programs are not structured and lack capacity to
provide comprehensive pediatric support with proper linkages with facilities, Pact will solicit for 1 or more
subpartners in COP09 who can provide support directly to facility based programs in pediatric support in
FY09. These may include existing partners. Pact will also explore the feasibility of soliciting and working
with NGOs that may provide innovative approaches to catchment groups, such as liaising with foster
placement programs, which take in HIV+ children (status known or not) - this would complement programs
that capture pediatric cases at the facility level to assist in identifying children who may not have been born
and followed up at a facility.
Beyond the solicitation, Pact will provide support to CAA, the largest Namibian FBO network. In FY09, a
comprehensive prevention package continues to be incorporated into pediatric home based palliative care
services covering education, referrals for VCT and PMTCT, mobilization for cotrimoxizole prophylaxis and
isoniazid preventive therapy, improved ART adherence, safe water, hygiene, malaria prevention and
treatment, TB preliminary screening and referrals, promotion of good nutrition practices for adults and
children, promotion of child immunizations. If there are any challenges regarding either cotrimoxizole or
isoniazid supplies, CAA volunteers report this to CAA staff and coordinate and communicate this with local
GRN health facilities.
Additionally, CAA will expand its nurse-supervised home based palliative care services from 7 regional
offices in FY08 to 10 regional offices in FY09. In collaboration with the African Palliative Care Association
(APCA) and the MoHSS CAA will offer direct clinical services, including pain management, through
staff/volunteers supervised by trained nurses. Palliative care trained volunteers, supervised by trained
nurses improve the quality of life of children living with HIV through the prevention and relief of suffering by
means of early identification of HIV infection and opportunistic infections, impeccable assessment and
treatment of psychosocial, spiritual and physical pain. Care is provided throughout the disease continuum
from diagnosis to bereavement support for children and their families. Program quality is monitored through
the collection of basic statistical data as well as the APCA palliative care outcome scale. CAA is active in
the Namibian Palliative Care Task Force that advocates for increased access to palliative care services,
including access to opiods. CAA will continue to coordinate with the MoHSS to develop and strengthen
referal mechanisms to and from the community and facility. These referals are key for the clinical
monitoring of physical, cognitive, social, emotional and behavioral growth and development as well as
facility based care and treatment when required.
CAA volunteers and staff, during regular visits of identified clients as well as during community mobilization,
reinforce the importance of pediatric HIV testing and counseling. This fosters early diagnosis and
treatment. Because volunteers are daily in the community, pregnant women can readily be identified and
referred for the range of PMTCT interventions.
water, safe water storage, and basic hygiene education to reduce the burden of diarrhea on the nutritional
and health satus of HIV exposed and infected children. Beginning in FY07, and continuing in FY08 and
FY09, CAA has a designated national office staff person to build the capacity of regional staff and CAA
volunteers for improved nutritional assessments of HIV infected children. This includes body mass index
(BMI), mid-upper arm circumference (MUAC) measures, and building the capacity of staff and volunteers to
assess for nutrition related symptoms (appetite, nausea, thrush, and diarrhea) and provide education on the
importance of basic nutrition using locally available foodstuffs. Micronutrients are provided through a
separate donor (Action Medior of Germany). Targeted nutritional support (e-Pap) for children most-at-risk
following nutritional assessments is provided through PEPFAR resources and resources through the new
OGAC public-private partnership development.
Collaboration with the MoHSS and the Social Marketing Association, through Global Fund Resources,
allows CAA staff and volunteers to distribute insecticide-treated nets for HIV infected children. Volunteers
are trained in the provision of psychosocial support for both children and their families and caregivers. CAA
will work with other NGO partners, such as Positive Vibes and Family Health International to further develop
and implement community based group support for children affected by HIV.
Monitoring and evaluation begins with volunteers documenting service provision on individual forms,
collating this data with other volunteer group members and submitting the data during monthly supervision
to the CAA regional coordinator. Data from regions is checked and collated by CAA regional managers and
then submitted to the national office in Windhoek where it is further collated and made available to
Namibian governmental offices, donors, and for program monitoring and evaluation.
Regular monthly supervision and an annual retreat for both staff and volunteers, as well as materials from
the southern African region on "caring for caregivers" ensures HIV services for infected caregivers and
emotional and spiritual care for all volunteers is renewed and sustained for continued caregiver motivation.
Estimated amount of funding that is planned for Human Capacity Development $187,488
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $10,000
Table 3.3.10:
THE USD$101,524 FUNDING CHANGE FROM CAA TO PACT**
Motivated by the overwhelming needs of PLWHA and their families, the USG is continuing its community-
home based care (CHBC) and support program through Pact, an umbrella NGO that integrates capacity
building of local FBOs and NGOs, including targeted technical assistance, into a grants management cycle.
Pact efforts through PEPFAR extend beyond PEPFAR-funded programs to create sustainable, effective
organizations by addressing gaps in leadership, management, governance, and strategic direction.
Covering all 13 regions of Namibia, Pact develops local ownership and provides capacity building in
financial and programmatic accountability, including M&E and financial management, while providing
support and guidance to improving the overall quality of programs. PACT will source and/or leverage
appropriate technical assistance (i.e. consultants or suitable local/regional organizations) to subgrantees
and foster networking through communities of practice to address and resolve bottlenecks in
implementation.
At the national level during FY 2009 COP, Pact will work closely with the Ministry of Health and Social
Services (MOHSS) Community and Home Based Care Directorate to ensure that TB is integrated into the
CHBC quality standards. Integration includes intensified TB case finding through routine basic screening
and referral of both patients and family members. In FY 2009 COP, Pact will also continue to support the
development of national level training materials to support CHBC, including TB screening and referral.
At the community level, Pact will engage subgrantees through a new solicitation for community-based
activities addressing the new CBHC policies which include TB. Special attention will be given to community
based TB programs such as TB education for community based programs, IPT therapy for HIV infected
individuals, prevention of TB transmission in the household (including hygiene and ventilation), basic
screening for symptoms of all persons in household, referral, and adherence support and emphasizing the
difference between TB infection and TB disease, and if the MOHSS is ready, community-based DOTS.
Pact will also ensure that intensified TB case finding through basic TB screening and referrals are
integrated into CHBC programming with partner FBOs and NGOs, such as Walvis Bay Multipurpose Center
(WBMPC) and others who are implementing the national level community and home based care standards
which include TB.
Pact will work with its existing grantees to solicit and identify those that are ready to add community-based
TB screening, prevention, and referral to their program. Pact will also work with selected grantees to
improve formal relationships with nearby facilities to further enhance both referrals and followup. Together
with those identified grantees, Pact will, together with CDC and MOHSS, develop urgently needed,
simplified tools in picture format to help community members screen, identify, and refer both CHBC patients
and those living in the household to available TB services for treatment.
Note: only care and support indicators are relevant for these community based organizations.
Pact will also directly fund CAA to provide TB education through community based programs, emphasizing
the difference between TB infection and TB disease, screening for symptoms of all persons receiving
services, referral for clinicial sputum testing, and DOTS adherence support. 2000 CAA home based
palliative care volunteers will work to ensure that 7,500 home based palliative care clients are receiving
isoniazid preventive therapy (ITP). CAA will ensure that TB screening and referrals are integrated into all
CAA programs and service delivery including home based palliative care, support for orphans and other
vulnerable children, youth HIV infection education and prevention and VCT services. In collaboration with
the MoHSS, CAA will use simplified tools in picture format to help community members screen, identify, and
refer clients both to available TB services for treatment. As part of its community based service provision,
CAA will train 100 staff members, 2,000 HBC volunteers, and 250 peer educators in TB education,
screening and referral, and integrate programming to reach 7,500 home based care clients, 7,000 A/AB
prevention participants, 16,500 OVC and 14,036 VCT clients with preliminary screening for TB and
subsequent referral for sputum testing for those at risk.
Intensified community based TB-case finding will begin upon permission of the MoHSS to initiate this
process. CAA is working with the CDC and the MoHSS to develop an appropriate pictorial screening tool,
such as used in Rwanda: 1. Has the patient had a cough for 3 weeks? 2. Has the patient had night sweats
for > 3 weeks? 3. Has the patient lost > 3kg in the past 4 months? 4. Has the patient had fever for > 3
weeks? 5. Has the patient had recent contact with another person with active TB? If "Yes" to question 1:
The patient is a TB suspect and will be referred for sputum collection for acid fast bacilli smear and continue
evaluation for TB per the TB control program diagnostic algorithm for pulmonary TB. If "No" to question 1
but "Yes" to any other question: The patient is a TB suspect and is referred for continued evaluation for TB
guided by clinical signs and symptoms. If "No" to all the questions: The patient is not a TB suspect at this
time and repeat screening with the questionnaire will be performed in 3 to 6 months. During home care
visits, volunteers routinely inquire if clients have access to isoniazid preventive therapy (IPT) and are
properly adhering to the prescription. Any problems with this are reported to CAA staff and CAA palliative
care nurses for follow-up with local GRN facilities.
It is hoped that in the near future, CAA nurses will be able to distribute both IPT and Cotrim to CAA HBC
clients. CAA staff and volunteers are also trained to implement basic infection control strategies, amongst
themselves and with family caregivers, to prevent TB transmission. This includes environmental
intervention (improved ventilation) and proper coughing hygiene. CAA is currently tracking HBC clients
currently on treatment for TB. This includes treatment adherence support. For clients failing to appropriately
resond to treatment, referrals can be made to the CAA palliative care nurse and the clients GRN health
facility to help prevent MDR TB.
Continuing Activity: 21260
21260 21260.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $201,799
Estimated amount of funding that is planned for Human Capacity Development $217,053
Table 3.3.12:
THE USD$1,400,000 FUNDING CHANGE FROM CAA AND USD$420,000 FUNDING FROM ORT TO
PACT**
USG will continue its OVC support to local organizations and relevant line ministries through Pact, an
umbrella NGO that integrates local capacity building through grants. Pact's efforts reach beyond PEPFAR
funded programs to strengthen organizational capacity, local ownership, and sustainability by addressing
financial and programmatic accountability, including M&E and financial management, leadership,
management, governance, and strategic direction. PACT will source targeted technical assistance to
organizations and foster networking and communities of practice to assist in implementation.
Key focus areas for COP09 funds include:
1) Protection of OVC and strengthening support systems to assist victims of violence;
2) involving children in quality improvement;
3) further collaboration on the draft OVC quality standards;
4) development and implementation of tools to measure standards;
5) integration of prevention into OVC programs through technical assistance linkages with
NawaLife (4048.08), Partnership for Health and Development Communications (16501.08), and others;
6) improving M&E and linkages into national systems; and
7) leveraging the private sector for supporting OVC with nutritional support and access to business skills
training for OVC through PPPs.
In conjunction with UNICEF, Pact will support the MGECW's Child Welfare Directorate to improve the
functionality of the OVC Permanent Task Force (PTF) and the newly established M&E unit. Pact will
continue to provide targeted capacity builidng of national, regional, and local level staff for ensuring the
improved functioning of the MGECW to deliver on the National Plan of Action for OVC. Pact will provide
similar managerial and financial support to regional development committees and their OVC forums in 8
regions not covered by UNICEF. Requested and led by the OVC PTF's Technical Subcommittee, a national
OVC database was created to assist the government in registering, tracking and supporting services
rendered to OVC, including social welfare grants. With COP09 funds, Pact will continue to assist the
MGECW extend use of the database to lower levels and NGOs with emphasis on routine use and feedback
of information. PACT will continue to fund key positions (OVC advisor and M&E advisor) recommended by a
USAID-UNICEF Human Resource and Capacity Gap Analysis that are approved by the MGECW. Pact will
also phase out the volunteer support (in COP08) while MGECW fills critical staff on its new establishment.
Pact will continue to support student social workers with bursaries and 4th year internship-Capstone
support who are in financial need at the University of Namibia while ensuring a binding agreement between
the students receiving support and the MGECW. Pact will also explore assisting the Ministry with solutions
to transport issues.
Established to assist victims of sexual assault, Women and Child Protection Units lack appropriate staff to
work with victims of violence to launch appropriate investigations and link with needed services. Pact will
continue support to the Units and ensure involvement by MGECW, Ministry of Safety and Security (MOSS),
MOHSS, UNICEF, and others working with OVC victims of violence. In COP08, to support the WCPUs (see
above), Pact supported the solicitation of NGOs to strengthen protection services and enhance linkages
between the various ministries. This activity will support removal of OVC from abusive situations and assist
with placement into protection services. COP09 resources will improve victims counseling, the referral
system, follow-up support, and promotion of community-based violence prevention of OVC.
Local NGO plans for COP09 resources include:
1. LifeLine/ChildLine, PEACE Center, and LAC have been selected from the RFA, and are under
negotation. Activities will focus on supporting community based referral, prevention, and service systems to
OVC victims of violence as well as other victims. Community facilitators, Court intermediaries, and
community based messaging will be integral to the services, linked closely with the Women and Child
Protection Units.
2. Reaching communities in 8 of 13 regions, the Evangelical Lutheran Church's AIDS program (ELCAP)
utilizes existing church structures to target OVC ages 6-18 with primary direct support meeting quality
standards in food/nutrition, education and psychosocial support. Specific activities include experiential
learning camps, after-school programs, kids clubs, referrals to vocational training and economic assistance.
ELCAP will continue to train caregivers to recognize symptoms and make effective referrals for health and
protection services and to assist OVC in registration and accessing government social grants (cash
transfers).
3. Building on the Regional Psycho-social Support Initiative (REPSSI) models, Philippi Trust has become
the country's leader in psychosocial support for OVC; Philippi staff regularly provide trainings and technical
assistance in psychosocial support to other PEPFAR-funded OVC and care programs. Though its own
programs, Philippi will support OVC to increase self-esteem, self-reliance and address loss/bereavement
through experiential learning camps and Kids Clubs. Philippi ensures communities are developed as
supportive environments: the Journey of Life curriculum empowers local communities to be responsible for
the care and support of OVC through influential leaders while following up with youth group leaders.
4. In COP08, Pact initiated a new solicitation to target high risk street children. This grantee (TBD) will
continue with COP09 funds.
5. TKMOAMS uses their existing HBC program to reach OVC in 4 north central regions. HBC volunteers
and community counselors will be trained in psychosocial support and caring for OVC to reach OVC in
homes with emotional support, referrals to care and food support. TKMOAMS will provide services and
leveraged food distribution at sites to provide OVC with life skills education including HIV prevention, social
protection and psychosocial support and feeding (leveraged).
Activity Narrative: 6. The Rhenish Church AIDS Program (RAP) covers 16 congregations in 4 regions. RAP will support OVC
with school uniforms, school and exam fees, experiential learning camps and an after school club assisting
with homework and emotional support. RAP will link OVC with their prevention program (6470.08)
Caregivers will be trained. RAP will also ensure that their rural OVC exercise their right to a social grant.
7. In 4 northern regions, Apostolic Faith Mission AIDS Action (AFM) will improve quality of its OVC program
for OVC aged 5-18 by focusing on psychosocial support, basic life skills, leadership skills, spiritual support
and referrals for basic health care in Hope Clubs for Children. Hope Club staff will supervise activities and
will continue to be trained in psychosocial support by Philippi Trust. In a wrap-around program, AFM works
with Africa Inland Mission and local primary school teachers to assist OVC with after-school tutoring at the
Hope Clubs.
8. Sam Nujoma Multipurpose Centre (SNMPC) will target OVC aged 5-18 in the "Bright Future After School
Program" with focused and structured age/sex segmented educational and life skills sessions and meals.
SNMPC will assist OVC with access to government social grants (cash transfers), improve the quality of
psychosocial support interventions, and focus on life skills, health/hygiene, and training of caretakers to
provide OVC with such basic needs.
9. Legal Assistance Center's (LAC) Aids LAW Unit will reduce the vulnerability of OVC by addressing
discrimination and advocating for OVC rights. LAC will advocate for the reform of policies and laws that
negatively impact OVC rights. With a "Voices of Children" advocacy tool, LAC will promote and protect
children's rights by empowering OVC and school principals and stakeholders in 8 regions. LAC will scale up
is Community Child Rights Watch program and provide legal assistance and protection for OVC. This
partner will link to the COP09 activities with the Women and Child Protection Units.
10. KAYEC Trust continues to play a key role in delivering critical vocational services to OVC and
caregivers. In FY 2009 COP, KAYEC Trust will continue its training portfolio, which consists of economic
strengthening for caregivers through vocational training linked to SME support, as well as educational and
psychosocial after-school youth programs (IYA) which aim to keep youth HIV/AIDS free, keep them in
school, assist in upgrading their English and math skills, and promote life-skills, confidence, leadership,
gender awareness and post-school training linkages. KAYEC works in eight Namibian regions. Through its
vocational training KAYEC plans to target 624 caregivers, and through its IYA intervention plans to target
1025 marginalized in-school-youth. While support for the Namibian government-sponsored vocational skills
training will phase out with the FY 2008 COP, critical vocational skills training to OVC and enhancing the
lives and development of OVC remains intact and will be implemented by KAYEC Trust in FY 2009 COP.
However, the prime partner will become Pact, Inc. and the request for early funding remains a priority.
11. Catholic Aids Action (CAA) is one of Namibia's largest providers of community-based OVC support.
CAA's 2000 community volunteers will deliver quality services to 16,500 OVC. Of these, 70% (11,550) will
receive at least 3 focused interventions from shelter and care, protection, health care, psychosocial support,
education and vocational training, and food and nutrition. After-school programs that provide both
psychosocial support and nutrition will target 1,380 OVC. Body mass index (BMI) and mid-upper arm
circumference (MUAc) measurments as well as qualitative information interviews from caretakers are used
to assess impact of supplemental feeding. Staff and volunteers are trained to provide quality nutritional
meals using locally available food stuffs. CAA will continue to evaluate environmental compliance with
feeding centers per USAID guidelines. CAA will provide school uniforms and supplies to 7,000 of the most
needy children it supports. This represents not only a "material" intervention, but equally as important, it
represents volunteer and staff time and compassion, ensuring that these children are regularly attending
school and encouraging and motivating these children toward academic success. Supervised by fulltime
staff, 2,000 community volunteers provide psychosocial support, supervision, & advocacy and routinely
receive refresher training. These volunteers are supported through quality monthly supervision. HBC
volunteers (See CAA HBCS) will identify & refer OVC to CAA's OVC program and other public health
services. Along with other USG partners, CAA will continue to implement & improve on minimum quality
standards for OVC services. CAA provides secondary school scholarships to selected OVC in "Saving
Remnant", a program further supported by private resources. CAA volunteers will also be trained in
preliminary screening for all OVC for TB to increase case finding (see Pact HVTB)
Pact and CAA continue to work through PEPFAR public/private partnership coodrinator Mary Jordan to
collaborate with Namibian private sector donations to continue wrap-around nutrition programs for food
assistance to OVC. Additionally, an additional public/private activity will develop small-scall businessess for
older OVC.
Continuing Activity: 16180
16180 6471.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $4,082,493
7415 6471.07 U.S. Agency for Pact, Inc. 4409 4072.07 Community $3,903,594
6471 6471.06 U.S. Agency for Pact, Inc. 4072 4072.06 Community $2,408,694
Estimated amount of funding that is planned for Human Capacity Development $3,097,667
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $15,253
Estimated amount of funding that is planned for Food and Nutrition: Commodities $20,811
Estimated amount of funding that is planned for Economic Strengthening $94,594
Estimated amount of funding that is planned for Education $515,081
Table 3.3.13:
The USG goal of building institutional capacity in Namibia is to increase the effectiveness and capacity of
indigenous partners to achieve expanded, quality, and sustainable services while managing their own
financial and human resources. Pact's comprehensive capacity building package of support will place a
premium on interventions that improve organizational and institutional sustainability, which includes
programmatic accountability and using programmatic data for effective decision making (i.e. good M&E). In
COP09, Pact will work with 14-20 local non-governmental, faith-based, and community-based partners to
improve programmatic accountability, evidence-based management, target planning, and the
implementation of (and development of, if necessary) quality assurance tools based on sound evidence.
To improve programmatic accountability, management, and planning, Pact provides monitoring and
evaluation assistance to subgrantees both through direct technical support as well as through identified
M&E activities built within subgrants. Direct support to subgrantees includes:
(1) assistance with developing M&E plans through participatory approaches; with full M&E assessments for
new grantees;
(2) regular review and use of tools for M&E reporting, data collection, data quality improvement, data
analysis, presentation, and feedback;
(3) comprehensive M&E trainings;
(4) communities of practice (collaboratives) to share M&E tools and to address common M&E challenges
through peer approaches;
(5) focus on ensuring well defined outcomes, with appropriate indicators to measure outcomes and impact
on beneficiaries
(6) substantial one-on-one support for partners on M&E plans, tools, and use of information to strengthen
programmatic accountability and management of their own programs through documented evidence and
information;
(7) regular data verification with feedback for systems strengthening; and
(8) feedback and sharing meetings for cross-learning, sharing of successes, and linking among partners.
Trainings planned for COP09 include basic M&E training for any new subgrantee organizations and new
subgrant M&E staff. Higher-level areas of technical support among grantees with more advanced M&E skills
and resources include: data quality management, database management, evaluation tools and
methodologies, beneficiary involvement and input in monitoring service quality, and community-based
monitoring. Support through subgrants cover tailored M&E activities from development of tools to collection,
analysis, use, and feedback. Pact also continually advocates for increased M&E skills and an appropriate
level of human resources dedicated to M&E among subgrantees' programs. When requested, Pact
provides support to the recruitment of M&E staff, including assistance in developing job descriptions and
scopes of work.
Pact will also work closely with existing partners (such as EngenderHealth's Male involvement program and
AED/C-CHANGE) to ensure that relevant local partners are incorporating and using key male involvement
indicators and BCC indicators. Pact also is supporting one grantee, Bicycle Empowerment Network
Namibia (BENN), who is partnering with another grantee (Walvis Bay Multipurpose Center) to fully
implement their monitoring and evaluation plan around an income generation activity for the WBMPC
PLWHA support group.
Pact will also contribute substantially to USG efforts to develop and apply quality assurance tools across all
program areas covered by subgrantees. Various areas of assistance for quality assurance and quality
improvement include peer education programs, home-based care service delivery, and improvement based
on OVC service standards. Pact Namibia will assist grantees to apply the tools to inform and improve
quality of existing programs. This specific activity will be undertaken in consultation with stakeholders
including USG-supported partners, the Ministry of Health and Social Services (MOHSS), the Ministry of
Gender Equality and Child Welfare.
During FY07, Pact and its subgrantees participated in the development of quality standards for OVC
services. Pact will work with subgrantees and other partners to develop and implement monitoring tools for
capturing service areas according to OVC standards, evaluating quality of services, monitoring outcomes of
programs, assuring child-based assessments (using a version of the CSI tool adapted for Namibia), and
reporting to appropriate reporting bodies (e.g. MGECW's OVC database). Pact will also ensure progress in
linkages, referrals to other services, and follow-up while strengthening the documentation of referrals and
follow up.
Assistance in strategic information for subgrantees must also be supported by Ministry engagement and
ownership. In collaboration with other key partners, Pact will assist key line ministries to nationalize the
quality assurance tools and reporting standards. Pact will particularly focus on the Ministry of Gender
Equality and Child Welfare (MGECW); SI activities with the MGECW are integrated into ongoing support to
the Ministry for strengthening the country's OVC programs (See Pact OVC). Among these are: continued
support to the MGECW, the OVC Permanent Task Force and the database subcommittee, and NGO
partners regarding the implementation and use of the national OVC database (see OVC). Pact will directly
assist further establishment of MGECW's nascent M&E unit, including continued technical support to
monitoring OVC results against the national M&E plan. As this requires participation by civil society, Pact
will work closely with all partners on the linkages.
In addition, Pact plans to continue employing a full-time M&E specialist (starting with COP07 resources)
seconded to the MGECW. This position was based on the recommendation of a recent gap analysis
conducted jointly by USG, UNICEF, and MGECW. The M&E specialist focuses on: (1) building the capacity
of the M&E unit, (2) ensuring the National OVC M&E plan is appropriately implemented at all levels, (3)
providing guidance to the MGECW on M&E capacity, reporting, and feedback at various levels, (4)
addressing evidence-based quality standards and lead the nationalization of OVC quality improvement
tools, (5) ensuring only necessary OVC data are collected at appropriate levels and as such support the
Activity Narrative: national OVC database system to streamline data and its use, (6) developing new reports from the OVC
database system, (7) assisting the MGECW to improve their information dissemination (an identified gap in
the Gap Analysis) and (8) ensuring appropriate linkages and building on existing systems such as the
MOHSS's SPM and HMIS systems and Ministry of Education's (MOE) EMIS (supported by AED).
Lastly, Pact will work closely with USG, the MGECW, the MOHSS, RM&E unit, Global Fund, and all
partners to ensure harmonization across reporting requirements and formats in order to streamline the
burden of reporting to multiple donors.
Continuing Activity: 16181
16181 8038.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $301,302
8038 8038.07 U.S. Agency for Pact, Inc. 4409 4072.07 Community $167,198
Estimated amount of funding that is planned for Human Capacity Development $259,626
Table 3.3.17:
The USG goal of building local institutional capacity in Namibia is to increase the effectiveness and capacity
of indigenous partners to achieve expanded and quality services while improving management capacity of
their own financial and human resources and improving overall accountability.
In COP09, Pact will continue to work with at least 20 local non-governmental, faith-based, and community
based partners on two important levels: improving organizational effectiveness and strengthening technical
capacity for implementation of prevention, care and support activities. The substantial organizational
support provided by Pact results in capacity that goes beyond the PEPFAR-supported services to serve the
organizational as a whole. Pact's approach emphasizes participatory processes, local ownership,
transparency and accountability for continued sustainability and growth after PEPFAR funding ends.
Overall organizational support: The vision for organizational capacity building is that local partners will
eventually "graduate" by meeting criteria to receive direct funding by improving their capacity to function
independently as an organization. To do this, Pact will strengthen many foundational areas of organizational
effectiveness including financial systems and accountability, program planning and accountability, overall
program management, organizational policies, procedures and systems, strategic direction, leadership and
governance, fund raising, advocacy skills, networking, basic USG Emergency Plan technical guidance,
M&E, and quality assurance.
For each subgrantee, every 12-18 months, Pact conducts initial and routine organizational capacity
assessments and management control assessments to ascertain the level of financial risk and to analyze
strengths, weaknesses, and most importantly improvements over the year in organizational capacity and
financial controls. These assessments and regular reviews further identify outstanding areas for
organizational strengthening; several recommendations are built into the partners' subgrants and workplans
over the course of the year, strengthening local ownership in the organizational capacity development
process.
PACT provides comprehensive M&E trainings, communities of practice for M&E, and substantial one-on-
one support for partners to manage, implement, and strengthen the programmatic accountability and
management of their own programs though documented evidence and information. (See Pact SI)
Indigenous organizations that are currently not funded by USG but who have the capacity to deliver quality
HIV services are limited in Namibia. As a result, several other prime partners also subcontract/subgrant to
similar organizations for difference services. As a result, Pact will work closely with Capacity Project (See
Capacity VCT and SS) and other primes to strengthen organizational capacity for grantees funded in
common for separate services (e.g. common between Pact HBHC/OVC/Prevention and Capacity VCT:
CAA, Walvis Bay Multipurpose Center, ELCAP). This collaboration between prime partners will also
substantially strengthen linkages and referrals across the services provided by local organizations.
Programmatic capacity building of organizations: Similarly, routine programmatic and technical reviews will
occur at least once a quarter (further explained in OVC, HBHC, AB, OP narratives). Pact's participatory
approach will ensure that appropriate solutions and
support are identified and that local ownership is cultivated while arriving at solutions. Through direct
technical workshops, subgranting for technical support or workshop participation, one-on-one assistance
and follow-up, and communities of practice (collaboratives), Pact will work with each subgrantee to
strengthen the technical and programmatic aspects of their programs based upon the programs strengths
and weaknesses. Pact will work closely with grantees to ensure quality assurance tools and processes are
implemented as part of overall capacity building (see Pact SI). As needed, Pact will further access technical
assistance from selected local, regional and international partners to support subgrantees in expanding their
technical capacity.
Linkages support: To help strengthen the civil society's contribution to the National Plan of Action and
Medium Term Plan (MTP-III) goals, Pact will also liaise closely with key government ministries to ensure a
strong linked response down to the community level and including the umbrella organizations. Key line
ministries include the Ministry of Gender Equity and Child Welfare (MGECW) (e.g. See Pact OVC), the
Ministry of Health and Social Services (MOHSS) (e.g. See Pact HBHC), and the Office of the Prime Minister
(OPM) (e.g. See Pact AB) along with other ministries. With FY07 funds, Pact also will have seconded a
Change Management Specialist to the Ministry of Gender Equality and Child Welfare, focusing on human
resources. In FY2008, it is anticipated that this position will transfer to the Capacity Project's Regional HR
Coalition. At the subgrantee level, PACT will work closely with subgrantees and other partners (PEPFAR-
and non PEPFAR-funded) to foster networking & communities of practice to address & resolve bottlenecks
in implementation and to share experiences, resources, materials, and tools. Pact will also ensure progress
in linkages, referrals, referral follow-up and documentation to other services, whether it is to public
governmental health or social services, non-governmental or community-based organizations, or private
services.
Pact's comprehensive package of capacity building support will place a premium on interventions that
improve upon organizational and institutional sustainability. In addition to these interventions, individual
partner activities under this program area are as follows:
The Namibia Association for Community Based Natural Resource Management (NACSO) is an umbrella
NGO, Namibia Nature Foundation (NNF). The umbrella body assists conservancies to secure their own
livelihoods through the sustainable use and management of their natural resources. Because of the impact
of HIV on the conservancies' human resources (more than 300 000 Namibians) the umbrella body, 12
member NGOs, conservancies and communities have rolled out a comprehensive HIV program since 2003.
The overall population reached will increase significantly with FY2008 resources, requiring additional
technical support from NASCO and NNF. Through an innovative workplace policy and implementation
Activity Narrative: approach targeting conservancies, FY2008 funds will also scale up prevention activities focused on a
balanced ABC approach (see Pact AB and OP) through a community peer education program with
emphasis on referrals to VCT, care, and treatment. To reach communities, 12 NGOs, 40 conservancies,
and 3 line ministries will be trained in policy development and institutional capacity building, training a total
of 315.
Both multipurpose centers (Walvis Bay and Sam Nujoma) support workplace policy development with local
companies. With COP09 resources, at least 10 new companies will have workplace policies established,
supported by at least 2 peer educators per company (funded under Pact AB and OP).
In COP08, AIDS Law Unit of the Legal Assistance Center (LAC) focused on policy formulation and law
reform. Subsequently, LAC will ensure that these policies and laws are enforced through a program to
inform regions and communities and directly support OVC with legal assistance. As a direct result of the
policy implementation and service provision to OVC, this activity has been moved appropriately to OVC
services in COP09, (See Pact OVC). LAC will continue to provide support and technical assistance to policy
development and implementation for OVC across multiple PEPFAR-funded partners.
Continuing Activity: 17261
17261 17261.08 U.S. Agency for Pact, Inc. 7656 7656.08 PACT TBD $316,625
Estimated amount of funding that is planned for Human Capacity Development $258,491
Table 3.3.18:
