Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 13605
Country/Region: Namibia
Year: 2012
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $200,000

The Livelihoods and Food Security Technical Assistance Project (LIFT) is managed by FHI 360 with support from Save the Children and Care International. LIFT will provide technical assistance (TA) to PEPFAR and its partners; the Government of Namibia (GRN); and civil society to improve access for nutrition assessment counselling and support (NACS) beneficiaries to livelihoods and economic strengthening (ES) programs that promote positive health outcomes and program sustainability. This supports the GHI, National Strategic Framework and Partnership Frameworks efforts of access to comprehensive care and support to improve the quality of life of people living with HIV/AIDS (PLWHA). LIFT works in a cost- efficient manner by strengthening networks and referrals and facilitating integration. LIFT will engage stakeholders to identify ES and community-based services for PLWHA and vulnerable groups by providing TA for the design and standardization of the referral system piloted by Ministry of Health and Social Services. LIFT will provide program design and implementation TA to partners with the highest potential to improve the health and nutrition of NACS patients, OVC and caregivers, and build their capacity to address their immediate economic needs, identify viable livelihoods and develop appropriate skills. Over time, LIFT efforts will be transitioned to the GRN and civil society organizations to ensure sustained foods security for NACS beneficiaries. This is in line with the GHI strategy of transition. LIFT will work with MOHSS to track bi-directional referrals from NACS and ART sites and implement an M&E plan. LIFT will work in: Khomas, Caprivi, Oshana, Oshikoto, Hardap, Ohangwena, Omusati, Kavango, Otjozondupa, Hardap and Karas Regions.No vehicle purchases are envisaged

Funding for Care: Adult Care and Support (HBHC): $100,000

Under this budget code in COP12, Livelihoods and Food security Technical Assistance (LIFT), through FHI 360 will provide TA to PEPFAR, its partners, the Government of Namibia (GRN) and commercial and civil society entities to improve access for nutrition assessment counseling and support (NACS) patients and graduates to livelihoods and economic strengthening (ES) programs that promote positive health and nutrition outcomes and enhance the long-term sustainability of PEPFARs investments in Namibia.In 2012, LIFT and Namibian Alliance for Improved Nutrition (NAFIN) will develop an action plan building on objectives developed during the 2011 Livelihoods, Nutrition and Health Conference. These objectives are to: 1) determine how to promote an enabling environment for improved health and nutrition; 2) identify opportunities to address the social, economic and environmental causes of under nutrition; and 3) identify and link appropriate stakeholders to implement recommended actions and manage specific functions within a clinic to community ES service delivery network. LIFT working closely with NAFIN responds to both the Partnership Framework and GHI principle and objectives of country ownership and sustainability.LIFT will strengthen networks and referral systems through which NACS patients and graduates are linked with livelihoods and ES programs by providing technical input into the design and standardization of the referral system piloted by Ministry of Health and Social Services (MOHSS). In each of the nine regions where NACS is implemented, LIFT will engage stakeholders to identify livelihoods options and map ES and community-based services for PLHIV and vulnerable groups. LIFT will provide program design and implementation TA to partners with the highest potential to improve the health and nutrition of NACS patients, OVC and caregivers, and build their capacity to address their immediate economic needs, identify viable livelihoods and develop appropriate skills.LIFT will collaborate with Namibias directorate of Disaster Risk Management in the Office of the Prime Minister to strengthen links with ES and livelihoods program staff to improve access to and use of livelihoods and early warning information.LIFT activities are also supported from central funds, as Namibia is a one of two LIFT priority countries.LIFT will work with MOHSS, NAFIN and other stakeholders to establish and implement an effective mentoring and supervisory system for referral linkages for NACS beneficiaries.Activities will be conducted at the national level and in Khomas, Hardap, Otjozondjupa, Oshana, Oshikoto, Caprivi, Rundu, Omusati and Ohangwena Regions.Activities are linked to activities funded in HKID.

Funding for Care: Orphans and Vulnerable Children (HKID): $100,000

Under this budget code in COP12, Livelihoods and Food security Technical Assistance (LIFT), through FHI 360 will provide the USG OVC partners with technical assistance in strengthening their livelihoods and food security interventions as sustainable options for graduates of Nutrition Assessment Counseling and Support (NACS) and other vulnerable households, particularly child headed and OVC households.Many OVC and their households in Namibia experience food insecurity caused or exacerbated by the impacts of HIV. Improved access to food is a critical need for many OVC and is often cited as the highest priority among groups served by PEPFAR programs. As the USG is supporting the NACS program, which integrates nutrition interventions into clinical care and treatment services, it will be critical to establish sustainable strategies to help clients obtain adequate nutrition after graduating from NACS.HIV contributes to food insecurity by reducing food production, income and availability of labor, eroding savings, and increasing health care expenses. In many households supporting OVC much of the additional income earned is used to buy alcohol or pay for other leisure activities rather than to purchase nutritious food or pay for health services for vulnerable household members. For most households, agriculture is a supplementary but essential source of income.In 2011, LIFT worked to develop strong linkages between NACS sites and livelihood and economic strengthening opportunities in the surrounding communities. Building on work done in FY 11, LIFT will facilitate the targeting of HIV-affected households with OVC (especially child-headed households), bearing in mind HIV-related stigma at the community level. LIFT will consider the gender issues that adversely affect OVC around nutrition, food security and economic strengthening and ensure that these are comprehensively addressed. LIFT will also contribute to the development of monitoring and evaluation tools for tracking the bi-directional referrals between OVC partners NACS sites and other community-based interventionsThis activity is related to LIFTs activity in HBHC and will specifically support implementation of a livelihood strategy developed with COP11 resources and strengthen existing livelihood interventions implemented by supported HKID partners.Cost efficiency is a critical consideration in this activity, as these resources will leverage more than three times the resources from central sources. Namibia is one of two priority countries for the LIFT project.Activities will be conducted at the national level and in Khomas, Hardap, Otjozondjupa, Oshana, Oshikoto, Caprivi, Rundu, Omusati and Ohangwena Regions.

Cross Cutting Budget Categories and Known Amounts Total: $200,000
Economic Strengthening $100,000
Food and Nutrition: Policy, Tools, and Service Delivery $100,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources