Detailed Mechanism Funding and Narrative

Years of mechanism: 2005 2008 2009

Details for Mechanism ID: 114
Country/Region: Rwanda
Year: 2009
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $4,692,930

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $200,000

THIS ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

In FY 2009 USAID/Rwanda will have one Global Health Fellows Program (GFHP) position at USAID- the

Logistics & Commodities Advisor.

The Prevention Advisor and the PEPFAR Technical Advisor positions which were previously GHFP

positions have been changed to Personal Services Contractor (PSC) positions. Funding for these positions

is distributed in HVAB, HVOP, HTXD, OHPS and HVMS. USAID/Rwanda has been providing local and

international TA to GOR agencies and limited direct grants to local NGOs since FY 2004.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $200,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

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

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

In FY 2009, PEPFAR 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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12895

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12895 4967.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $70,000

International International Mission

Development Development

7253 4967.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $20,000

International International Mission

Development Development

4967 4967.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $225,000

International International Mission

Development Development

Emphasis Areas

Human Capacity Development

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 $70,000

Water

Table 3.3.02:

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

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

In FY 2009 USAID/Rwanda will have one Global Health Fellows Program (GFHP) position at USAID- the

Logistics & Commodities Advisor.

The Prevention Advisor and the PEPFAR Technical Advisor positions which were previously GHFP

positions have been changed to Personal Services Contractor (PSC) positions. Funding for these positions

is distributed in HVAB, HVOP, HTXD, OHPS and HVMS. USAID/Rwanda has been providing local and

international TA to GOR agencies and limited direct grants to local NGOs since FY 2004.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16520

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16520 16520.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $120,000

International International Mission

Development Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $120,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $230,000

ACTIVITY UNCHANGED FROM FY 2008

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 2009, PEPFAR 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 PEPFAR supported an assessment of IGAs. Through Title II food assistance, and

economic growth activities, PEPFAR 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 PEPFAR 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, PEPFAR will incorporate best practices of IGAs into the design of

a new community care program starting in FY 2009.

USAID issued a contract in 2008 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 was fully funded by PEPFAR, USAIDs Economic Growth team was 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 PEPFAR as well as the impact of these programs. This will enable PEPFAR to move to a

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

New/Continuing Activity: Continuing Activity

Continuing Activity: 12896

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12896 4968.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $330,000

International International Mission

Development Development

7254 4968.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $35,000

International International Mission

Development Development

4968 4968.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $35,000

International International Mission

Development Development

Table 3.3.08:

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

THIS IS A CONTINUING ACTIVITY FROM FY 2008, ALREADY APPROVED.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12898

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12898 4970.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $350,000

International International Mission

Development Development

7256 4970.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $110,000

International International Mission

Development Development

4970 4970.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $85,000

International International Mission

Development Development

Table 3.3.09:

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

ACTIVITY UNCHANGED FROM FY 2008.

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

grants to local NGOs since FY 2004. In FY 2009, 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 OVC care and

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

MIGEPPROF, which oversee OVC related activities in Rwanda.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12897

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12897 4969.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $85,000

International International Mission

Development Development

7255 4969.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $85,000

International International Mission

Development Development

4969 4969.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $185,000

International International Mission

Development Development

Table 3.3.13:

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

This is a continuing activity from FY 2008. No narrative required.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16521

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16521 16521.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $40,000

International International Mission

Development Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.14:

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

ACTIVITY UNCHANGED FROM FY 2008.

This activity supports all FY 2009 activities. It funds two PEPFAR 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 PEPFAR implementing agencies.

The SI Liaison facilitates SI team coordination by serving as the PEPFAR 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 PEPFAR team to set targets and prepare semi-annual and annual reports.

The M&E Program Manager provides TA to USG on all M&E activities with a primary focus on PEPFAR

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

transmission of all PEPFAR-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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12899

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12899 4972.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $577,500

International International Mission

Development Development

7257 4972.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $525,000

International International Mission

Development Development

4972 4972.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $509,000

International International Mission

Development Development

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $561,578

ACTIVITY HAS BEEN UPDATED IN THE FOLLOWING WAYS:

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

to local NGOs since FY 2004. In FY 2009, PEPFAR 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 2005-08 for such activities. USAID anticipates continuing this financial and technical support

role in FY 2009. USAID will also support direct TA to GOR agencies as needed, in particular CNLS.

In addition, PEPFAR will continue to utilize the technical expertise of staff and resources from

USAID/Washington's EGAT Energy team to help the PEPFAR clinical partners to better gauge and address

the energy needs of their facilities. This funding will help ensure that facility upgrades are able to

accommodate all necessary equipment and activities and support the MOH/ACM in its efforts to develop

sustainable approaches to maintenance of energy equipment at health facilities. Assistance will include: the

development of a long term plan to address energy needs at PEPFAR supported 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; training for PEPFAR partners and

health care staff on renewable energy systems; and recommendations on methods for partners to self-

finance replacement parts to ensure sustainability of the energy systems. This funding may also be used to

support a dedicated, local staff person who can follow energy needs within the PEPFAR portfolio. The direct

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

ideas presented in the PEPFAR five-year strategy and supports the GOR's national strategy of

organizational capacity building.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12900

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12900 4973.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $343,000

International International Mission

Development Development

7258 4973.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $200,000

International International Mission

Development Development

4973 4973.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $140,000

International International Mission

Development Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $250,000

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 $150,000

Water

Table 3.3.18:

Funding for Management and Operations (HVMS): $2,458,852

HVMS: Management and Staffing

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

DOD and State on PEPFAR activities in Rwanda.

Consistent with the Staffing for Results (SFR) exercise, USAID proposes to add two new positions, a

Community Health Advisor, and a PMTCT Treatment Advisor position in FY 2009. The inter-agency

Strategic Information (SI) position has already been filled.

This activity also includes partial funding for a Development and Outreach Communications Specialist that

is shared within USAID and across PEPFAR agencies in Rwanda. Continuing PEPFAR positions, expatriate

and LES are funded in 12 program areas . Currently Commodity and Logistics Advisor position is being

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

personnel costs, equipment and services to support PEPFAR management.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12901

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12901 2785.08 U.S. Agency for US Agency for 6328 114.08 USAID Rwanda $1,779,021

International International Mission

Development Development

7252 2785.07 U.S. Agency for US Agency for 4356 114.07 USAID Rwanda $3,258,000

International International Mission

Development Development

2785 2785.06 U.S. Agency for US Agency for 2563 114.06 USAID Rwanda $2,195,000

International International Mission

Development Development

Table 3.3.19:

Cross Cutting Budget Categories and Known Amounts Total: $790,000
Human Resources for Health $200,000
Education $70,000
Human Resources for Health $120,000
Human Resources for Health $250,000
Education $150,000