Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 13110
Country/Region: Namibia
Year: 2011
Main Partner: Namibian Network of AIDS Service Organizations
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: USAID
Total Funding: $425,334

Funding for Strategic Information (HVSI): $425,334

Through the direct engagement of civil society, this activity will develop and implement an M&E training program to strengthen existing community based information systems (CBIS) (such as the System for Program Monitoring (SPM) tools)

This activity will work to ensure that information on HIV/AIDS and health from civil society and communities are collected and relayed back to the public sector. In addition, this activity will support the use of such data at the community and civil society level itself.

Quality data from the community and civil society, which is currently weak, is critical to informing HIV and health-related programming, including identification of service delivery gaps, setting of goals and targets, and monitoring of the HIV Response.

New Activity

Estimated Budget = $ 425,334

ADDITIONAL DETAIL:

HIV and health Information flow from communities and NGOs to policymakers is weak and inconsistent. Such information is critical for making programming decisions, identifying service delivery gaps, and setting goals and targets. In addition, morbidity and mortality-related events occurring in the community are not necessarily documented at health care facilities. This routine community based information is critical to ensuring a coordinated response to the HIV epidemic as well as to monitoring the effectiveness of the Response.

To date, efforts to secure data from civil society by the public sector have been weak. To help address these issues, NANASO, Namibia's national umbrella body for CSOs working in HIV/AIDS, will work to facilitate information linkages between communities, civil society, and the public sector (including MoHSS, MGECW) by developing and implementing a training program to strengthen community based information system (CBIS). NANASO is well-suited for this task given its national networking and training mandate for all civil society in Namibia. By directly engaging a civil society organization itself (as opposed to a public sector entity), this activity will help strengthen efforts to collect and relay data from the community and civil society. Such information complements public facility level information (which is reliant on data from patients and facility-based health care workers) by relaying morbidity and mortality data from individuals who may not access the public health care facilities. In addition, it fosters access to service-delivery data from civil society organizations.

NANASO will focus its training program on existing HIV/AIDS and health data collection tools and approaches like the MoHSS' System for Program Monitoring (SPM), which collects health and healthcare data from CSOs, and Centerships' community systems strengthening initiatives.

Specific activities will entail the following:

1) Develop selection criteria and select 4 regions to pilot the project.

2) For these 4 regions, conduct assessments of current information flows between the communities, CSOs, and the national level GRN.

3) Become familiar with various CBIS related tools and approaches. For example, NANASO would be trained on the SPM (by ITECH) and Centerships' approach (by MSH). NANASO will then collaborate with the MoHSS to tailor these, and other tools, to the regional contexts.

a. Some of the tools may need to be refined; for example some civil society stakeholders have stated that the SPM data collection tool does not reflect the full breadth of HIV/AIDS activities undertaken by CSOs.

4) Develop and implement a training program for community- and CSO-level collection, provision, and use of HIV/AIDS related data.

a. Specific attention will be given to improving data quality and to ensuring data use at the community and civil society level (in addition to the public sector and policymaker levels)

5) Identify, through consultation with stakeholders, mechanisms for ensuring sustained implementation and use of the chosen CBIS tools. For example, as part of its networking function, NANASO will support its CSO members to provide HIV/ADS data for the Response.

As mentioned above, this activity will be closely coordinated with other USG-related efforts. For example, I-tech will share with NANASO its training tools on the SPM. In addition, PACT's work with the MGECW to strengthen OVC related information from civil society will also be incorporated and linked into NANASO's training program.

Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000