Detailed Mechanism Funding and Narrative

Years of mechanism: 2005 2008 2009

Details for Mechanism ID: 114
Country/Region: Rwanda
Year: 2008
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $4,569,521

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $70,000

USAID/Rwanda has been providing local and international TA to GOR agencies and limited direct grants to

local NGOs since FY 2004.

In FY 2008, the EP will continue to build local capacity and provide AB services in Rwanda. USAID

anticipates continuing financial and technical support to Rwandan NGOs in sponsoring or attending

conferences, workshops and technical meetings on HIV prevention. USAID will also support direct TA to

other GOR agencies as needed, in particular CNLS and MIGEPROF.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $120,000

USAID/Rwanda has been providing local and international TA to GOR agencies and limited direct grants to

local NGOs since FY 2004. In FY 2008, the EP will continue to build local capacity and provide HVOP

services in Rwanda. USAID anticipates continuing direct financial and technical support to Rwandan NGOs

in sponsoring or attending conferences, workshops and technical meetings on HIV prevention. USAID will

also support direct TA to other GOR agencies as needed, in particular CNLS which oversees HIV

prevention activities in Rwanda.

Funding for Care: Adult Care and Support (HBHC): $330,000

This is a continuing activity from FY 2007.

USAID/Rwanda has been providing local and international technical assistance to GOR agencies and

limited direct grants to local NGOs since FY 2004. In FY 2008, the EP will continue to build local capacity

and provide HBHC services in Rwanda. USAID anticipates continuing direct financial and technical support

to Rwanda NGOs in sponsoring or attending conferences, workshops and technical meetings on HIV

treatment. USAID will also support direct TA to other GOR agencies as needed, in particular CNLS which

oversees community and home-based care activities in Rwanda.

In addition, in FY 2008 the EP will support an assessment of IGAs. Through the EP, Title II food

assistance, and economic growth activities, the EP is engaged in promoting IGAs in Rwanda to improve

livelihoods through increased incomes from running profitable businesses. USG supports a range of IGAs

including a ten year investment in the specialty coffee value chain for farmers to one-time small grants to

community associations for livestock or arts and crafts. Many of the EP and other donor financed IGAs

target vulnerable populations including people living with HIV. As part of the USGs commitment to a multi-

sectoral comprehensive care approach to PLHIVs, the EP will incorporate best practices of IGAs into the

design of a new community care program starting in FY 2009.

USAID will issue a contract through an existing IQC mechanism managed by USAIDs Economic Growth,

Agriculture and Trade office to evaluate previous activities in small scale IGAs. While this assessment will

be fully funded by the EP, USAIDs Economic Growth team will be substantially involved in designing and

managing the assessment. It is envisioned that follow-on IGA activities in community care will be managed

by the Economic Growth team and provide opportunities for wrap around programming. USAID is

interested in identifying how many of these IGAs are operated by PLHIVs and/or associations funded

through the EP as well as the impact of these programs. This will enable the EP to move to a more

structured approach to IGA programs and ensure long-term sustainability of those programs.

Funding for Care: Orphans and Vulnerable Children (HKID): $85,000

USAID has been providing local and international technical assistance to GOR agencies and limited direct

grants to local NGOs since FY 2004. In FY 2008, the EP will continue to build local capacity and provide

OVC services in Rwanda. USAID anticipates continuing direct financial and technical support to Rwanda

NGOs in sponsoring or attending conferences, workshops and technical meetings on HIV treatment. USAID

will also support direct TA to other GOR agencies as needed, in particular CNLS and MIGEPPROF, which

oversee OVC related activities in Rwanda.

Funding for Testing: HIV Testing and Counseling (HVCT): $40,000

USAID/Rwanda has been providing local and international technical assistance to GOR agencies and

limited direct grants to local NGOs since FY 2004. In FY 2008, the EP will continue to build local capacity

and provide TC services in Rwanda. USAID anticipates continuing direct financial and technical support to

Rwanda NGOs in sponsoring or attending conferences, workshops, and technical meetings on counseling

and testing. USAID will also support direct TA to GOR agencies as needed.

Funding for Treatment: Adult Treatment (HTXS): $350,000

This is a continuing activity from FY 2007. No narrative required.

Funding for Strategic Information (HVSI): $577,500

This activity supports all FY 2008 activities. This activity funds two EP staff dedicated to strategic

information - an SI Liaison Officer and an FSN M&E Program Manager. The SI Liaison serves as the

principal field counterpart to the Core Team SI Advisor and supports all EP implementing agencies.

The SI Liaison facilitates SI Team Coordination by serving as the EP representative to donor coordinating

bodies (UNAIDS, WHO, Global Fund, World Bank) to address the SI/M&E component of the Three Ones.

This position will also lead the Five Year SI Strategy implementation, while working closely with the EP

team to set targets and prepare semi-annual and annual reports.

The M&E Program Manager provides TA to USAID SO Teams on all M&E activities, with a primary focus on

EP monitoring and reporting activities. The Program Manager manages the synthesis, analysis and

transmission of all EP-funded partner reports, correspondence, and work plans. The Program Manager also

contributes to overall strategy development through analysis of partner reports and country data.

In addition to these key SI positions, USAID/Rwanda anticipates continuing financial and technical support

to local NGOs and GOR agencies by sponsoring attendance at conferences, workshops and technical

meetings on HIV prevention, care, and treatment.

Funding for Health Systems Strengthening (OHSS): $518,000

USAID/Rwanda has been providing local and international TA to GOR institutions and limited direct grants

to local NGOs since FY 2004. In FY 2008, the EP will expand this to further build local capacity. These

resources will cover the cost of sponsoring and attending conferences, workshops and technical meetings

on HIV prevention, care and treatment. A number of Rwandan NGOs requested financial assistance from

USAID in FY 2005-07 for such activities. USAID anticipates continuing this financial and technical support

role in FY 2008. USAID will also support direct TA to GOR agencies as needed, in particular CNLS. In

addition, the EP will continue to utilize the expertise and resources of the USAID Energy team to help the

EP clinical partners to better gauge the energy needs of their facilities. This will help ensure that facility

upgrades are able to accommodate all necessary equipment and activities. Assistance will include: further

assessment of energy needs at health centers, district hospitals, and pharmacies; energy demand profiles

and guidelines for partners; review of the capacity of Rwandan companies to maintain renewable and hybrid

energy systems; train EP partners and health care staff on renewable energy systems; and recommend

methods for partners to self-finance replacement parts to ensure sustainability of the energy systems. The

direct output is TA to five institutions that are directly providing HIV care and treatment. This activity

advances the ideas presented in the Rwanda EP five-year strategy and supports the GOR's national

strategy of organizational capacity building.

Funding for Management and Operations (HVMS): $2,479,021

Noted April 24, 2008: Budget cut to fund required M&S adjustment.

USAID/Rwanda has direct responsibility for a broad range of activities, and coordinates with HHS/CDC,

DOD and State on EP activities in Rwanda. All USAID/Rwanda positions were filled in FY 2007, although

some were vacant for longer than anticipated. The inter-agency SI Liaison position is vacant at the time of

COP submission. A planned departure after COP submission will leave another position vacant until a

replacement arrives.

Consistent with the Staffing for Results exercise, USAID proposes to add three positions in FY 2008.

USAID is currently and will continue to be space-constrained. New positions include an advisor on health

finance and economics; a donor coordination advisor (fellow) who will be located in the GFATM offices; and

a USDH deputy health officer who will be USAID's EP team lead.

This activity includes partial funding for a Development Outreach Communications specialist that is shared

with other functional areas within USAID and across EP agencies in Rwanda. Continuing EP positions,

expatriate and LES, are funded in eight program areas besides HVMS, and are also funded through

USAID's Global Health Fellows Program, which is a separate activity. This activity includes personnel

costs, equipment and services to support EP management.