Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1470
Country/Region: Tanzania
Year: 2008
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $3,783,000

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $37,635

TITLE: PMTCT Activities, Management and Staffing (Base)

ACTIVITIES: Management and staffing funds are split between Base and GHAI to ensure continuity of

activities and no interruption in staff funding.

FY 2008 funds will support a total of two full-time staff. One senior PMTCT advisor to oversee the PMTCT

program and provide guidance on implementation of regionalization, and one program specialist to manage

cooperative agreements.

HHS/CDC will continue close collaboration with the Government of Tanzania, Ministry of Health and Social

Welfare (MOHSW), and other key partners to further strengthen technical and program capacity to ensure

appropriate Emergency Plan implementation. This will include the establishment and expansion of quality-

assured national systems in prevention of mother to child transmission (PMTCT).

In FY 2008, this funding will support the PMTCT in-country program staff to provide technical assistance

and support to PMTCT implementing partners as they operationalize the new district approach model and

regionalization of PMTCT services. The in-country staff will work with implementing partners to expand

PMTCT services to lower-level facilities and empower districts in order to serve the targeted population. In-

country staff will provide technical assistance to MOHSW and implementing partners to strengthen linkages

between ART, PMTCT, TB, malaria, family planning, and nutrition services at the national, district and site

level. An integrated approach to care and treatment will be emphasized.

Early infant diagnosis and enrollment into pediatric care and treatment is a main focus in FY 2008. In-

country staff will provide technical assistance for all early infant diagnosis activities and will ensure that all

PMTCT services are in line with the USG technical strategy and national guidelines. Field visits and

attendance at regional authority meetings will be necessary for continued program monitoring.

PMTCT staff will provide technical assistance for the Ministry of Health and Social Welfare (MOHSW) to

finalize and operationalize the recently revised national guidelines and move into a predominant role of

national coordination and program planning. Increased technical assistance will be provided in the area of

monitoring and evaluation to ensure quality of data and that data is used for decision-making.

In addition, the HHS/CDC in-country team will work with implementing partners to develop annual work

plans, conduct training and ensure overall program monitoring. Staff will also ensure that all HHS/CDC

programs adhere to the national and USG PMTCT strategies and protocols.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $289,961

TITLE: Management and Staffing (Base)

ACTIVITIES: In FY 2008, HHS/CDC will continue to work closely with the government of Tanzania (GOT)

through the relevant Ministries of Health and Social Welfare (MOHSW)/National AIDS Control Program

(NACP), Ministry of Education and Vocational training (MOEVT), and other key actors in the areas of

abstinence and faithful programs to strengthen technical and program capacity for implementing the

PEPFAR. The proposed funding will support the salaries of in-country youth program staff for FY 2008 and

site visits to provide direct capacity building among partners.

Emphasis will be placed on building the capacity of the organizations to develop appropriate behavior

change communication strategies and IEC materials for AB. Staff will collaborate with the NACP/TAYOA,

MOEVT/TIE, Balm In Gilead and other key USG funded AB partners. Staff expertise with behavior change

and behavioral theory will enhance the effectiveness of the HIV/AIDS programs that promote abstinence

messages for in and out of school youth.

The staff will work with MOEVT/TIE to scale up the LPS training in more schools in the selected regions.

Youth program staff will provide guidance on ways in which the life planning skills guidelines can be used to

reinforce and simultaneously address AB prevention while linking with other HIV prevention strategies.

The in country staff will conduct site visits to other countries to learn HIV/AIDS prevention programming to

sites managed by government, NGO, and FBO partners. They will also conduct field visits for monitoring

the implementation of the programs through supportive supervision with partners. More time will be spent

mentoring the NACP/TAYOA and the MOEVT/TIE on the development of quality BCC materials and

curriculums tailored to different target groups. A particular focus will be placed on assisting the key

implementers to adopt the Modeling and Reinforcement to Combat HIV (MARCH) and Families Matter

Program (FMP) strategies and approaches.

Funding for Biomedical Prevention: Blood Safety (HMBL): $56,400

TITLE: Management and Staffing

ACTIVITIES: This activity is split-funded between GAP and GHAI. Please refer to activity 5026.08 for the

activity narrative.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $7,800

TITLE: Management and Staffing (Base)

NEED and COMPARATIVE ADVANTAGE: Management and staffing funds are split between Base and

GHAI to ensure continuity of activities and no interruption in staff funding. This activity relates to 8724.08.

Funding for Care: Adult Care and Support (HBHC): $74,300

TITLE: Palliative Care: Basic Health Care Management and Staffing

NEED and COMPARATIVE ADVANTAGE: USG agencies provide direct technical support for all of its

HIV/AIDS programs through US and Tanzania based organizations, which manage and implement in-

country activities. These activities are funded through cooperative agreements and contracts that are

performed at the field level in direct partnership and collaboration with Tanzanian governmental and non-

governmental organizations. The non-governmental implementing partners have considerable experience in

the field of HIV/AIDS and have established offices in Tanzania to carry out these activities.

ACCOMPLISHMENTS: FY 2006 funds supported the in-country Palliative Home-based Care program staff

to assist the Ministry of Health and Social Welfare (MOHSW) Home-based Care Unit to initiate the Basic

Care preventive package program and Home-based Care counseling and testing. Technical support was

provided in the zonal Home-based Care meeting and at the sub committee meetings. The staff worked with

MOHSW through the Counseling and Social Services Unit (CSSU) in conducting supportive supervision and

preparing scale up and expansion plans for Palliative Home-based Care activities in Tanzania.

ACTIVITIES:

In FY 2007 the USG will continue to collaborate closely with the Government of Tanzania, Ministry of Health

(MOHSW), and other key partners to further strengthen technical and program capacity for implementing

the Presidents Emergency Plan for AIDS Relief (PEPFAR). This will include the establishment and

expansion of quality-assured national systems in the areas of surveillance, prevention of mother-to-child

transmission (PMTCT), laboratory services, blood safety and blood transfusion, antiretroviral treatment,

care and TB/HIV programs. In FY 2007, this funding will support the in-country Palliative Care: Basic

Health Care/Support program staff at the US Centers for Disease Control (CDC). The staff will: 1) support

the National AIDS Control Programme (NACP) - Counseling and Social Services Unit in their coordination

role; 2) assist with the provision of integrated, high quality care and support for people living with HIV/AIDS;

3) provide guidance for the strengthening of referrals between community and facility based care; 4) assist

in the preparation for implementation of the preventive care package; 5) provide guidance on improving the

monitoring and information system; 6) assist with enhancement of national guilelines for palliative care; 7)

conduct field visits and supportive supervision to USG sites that are implementing Home-Based Care(HBC);

8) review and compile quarterly and annual reports and oversee the HBC program mid- term review.

SUSTAINAIBLITY: The technical assistance (TA) and support provided by the USG through cooperative

agreements and contracts will ensure a long-term sustainable system for providing HIV/AIDS services to

Tanzanians.

Funding for Care: TB/HIV (HVTB): $89,000

TITLE:HIV/TB Collaborative Activities, Management and Staffing (GAP)

NEED and COMPARATIVE ADVANTAGE: Tanzania established TB/HIV program in 2001. In 2005, the

Ministry of Health through NTLP signed a Cooperative Agreements with CDC for implementation of the

TB/HIV collaborative activities in Tanzania. HHS/CDC provides direct technical support for all HIV/HIDS

programs through US and Tanzania based organizations, which manage and implement in-country

activities. Cooperative Agreements fund these activities which are performed at the field level in direct

partnership and collaboration with Tanzanian governmental and non-governmental organizations. The

responsibilities of the TB/HIV staff include working with the Ministry of Health (MOH) through the National

Tuberculosis and Leprosy Program (NTLP) and other partners, to oversee the overall activities within the

program, guide the partners on the PEPFAR goals and ensure quality services.

ACCOMPLISHMENTS: FY 2006 funds supported the in-country TB/HIV program staff and technical

assistance (TA) from Headquarters who aided the MOH with the development of TB/HIV policy, training

curriculums and manuals for TB/HIV collaborative services. The staff provided technical support for the

development of needs assessment tools, TB screening tools for PLHA and modification of TB data

collection to incorporate HIV information. The staff worked with MOH through NTLP to conduct needs

assessment, training, supportive supervision and preparing scale-up and expansion plans for TB/HIV

activities in Tanzania.

ACTIVITIES: The core activities for the TB/HIV program staff in FY 2008 will include: providing technical

assistance to MOH though NTLP, The National AIDS Control Program (NACP) and other partners

implementing TB/HIV collaborative activities in the scaling-up of TB/HIV activities in Tanzania; guiding the

partners on the PEPAR goals and required indicators; working with NTLP and other partners in conducting

needs assessment and supportive supervision activities; participating in, and providing technical support for

the training of health care providers and sensitization of regional, district and community leaders on TB/HIV

collaborative services; following up, in collaboration with NTLP, on the renovation of TB clinics (to done by

the Regional Procurement Support Office [RPSO]) ensuring that they are able to provide TB/HIV

collaborative services including provision of Anti-Retroviral Treatment (ART); providing assistance to

partners in reviewing their work plan and budgets, report writing and timely submission; providing

assistance to the Senior Program Manager for Care in overall program planning, establishment of new

strategies, resource allocation, and expansion of the Government of Tanzania (GOT) supported TB/HIV

Program to achieve the overall goals of program; assisting the Senior Program Manager with collaborations

involving MOT through NTLP and insuring that the CDC TB/HIV program embodies its needs and

objectives; closely monitoring and supervising TB/HIV collaborative activities allocated by the Senior

Program Manager for Care and serving as a consultant to TB/HIV national and district coordinators in

addressing and resolving TB/HIV implementation issues; evaluating TB/HIV collaborative implementation

activities and making modifications based on protocols and available data; performing other duties as

assigned by immediate supervisor or other Senior CDC/Tanzania management.

SUSTAINAIBLITY: The technical assistance and support provided by HHS/CDC through Cooperative

Agreement will ensure a long term sustainable system for providing TB/HIV collaborative services in

Tanzania.

Funding for Prevention: HIV Testing and Counseling (HVCT): $42,600

TITLE: HIV CT Activities, Management and Staffing (Base)

NEED and COMPARATIVE ADVANTAGE: Tanzania established a Counseling and Testing (CT) program in

1987. In 2004 the Ministry of Health through the National AIDS Control Program (NACP) signed a

cooperative agreement with CDC for implementation of the CT activities in Tanzania. HHS/CDC provides

direct technical support for all HIV/HIDS programs through US and Tanzania-based organizations, which

manage and implement in country activities. These activities are funded through cooperative agreements,

and are performed at the field level in direct partnership and collaboration with Tanzanian governmental and

non governmental organizations. The responsibility of CT staff include working with the Ministry of Health

and Social Welfare (MOHSW) through NACP and other partners to oversee the overall activities with in the

program, guide the partners on the PEPFAR goals, and ensure quality services.

ACCOMPLISHMENTS: PEPFAR funds supported the in-country CT program staff to assist the MOHSW

and partners with the development of CT policy, training curriculum and manuals. The staff provided

technical support for development of guidelines, training materials, and other relevant materials. The staff

also worked with MOHSW/NACP in conducting supportive supervision, training, and preparing scale-up and

expansion plans for CT activities in Tanzania.

ACTIVITIES:

The core activities for the CT program staff in FY 2008 include the following:

1) Providing technical assistance and oversight to the MOHSW, NACP, Zanzibar AIDS Control Program

(ZACP) and other partners in the implementation of HIV counselling and testing. This includes the

development of policy, guidelines, protocols, tools, reporting instruments, and systems to effectively monitor

and evaluate counselling and testing program activities.

2) Identifying and correcting problems, barriers, and issues that impede the effective implementation of

counselling and testing program activities.

3) Developing and maintaining effective liaisons with partner organizations to ensure that timelines and

quality standards for implementation of program activities are met. Staff will identify training needs in

implementing partner organizations, facilitates, and participates in the planning and development of training

programs, teaching modules, manuals, and educational materials to address identified needs. Staff will

also build capacity through mentoring while keeping up to date with scientific developments, innovations,

best practices, and new approaches in CT.

4) Participating in the design and development of program guidelines and activities, including protocols for

HIV counselling and testing, strategies for expanding and improving the quality of counselling and testing

services and strategies.

5) Conducting site visits to provide technical assistance and oversight to partners in program

implementation.

6) Ensuring adherence to established work plans and CDC and PEPFAR guidelines, policies and priorities.

SUSTAINAIBLITY: The technical assistance and support provided by HHS/CDC will ensure a long term

sustainable system for CT services in Tanzania.

Funding for Treatment: Adult Treatment (HTXS): $150,829

TITLE:ARV Services, Management and Staffing, Base funding

NEED and COMPARATIVE ADVANTAGE:

Management and staffing funds are split between Base and GHAI to ensure continuity of activities and no

interruption in staff funding. This acrtivity relates to activity # 5506.08

FY 2008 funds will support a total of five full-time staff. Three technical staff will assist in coordinating

activities within this program area as well as serve as technical leads for aspects of the work. The specific

composition of the staffing is three full-time specialists given the scope and magnitude of the treatment roll-

out in Tanzania, and the evolving responsibility of the USG in the coordination of the various ARV treatment

partners.

In addition, one aministrative specialist will assist the team with all logistical and communication work. With

the enormous growth of the program during the last fiscal year, this position has become a critical addition

to the team.

Finally, a public health advisor will be integral part of the team by providing data analysis for program

planning and evaluation.

In FY 2008, USG/Tanzania ART-implementing partners will assist the GOT in scaling up ARV services to

additional sites throughout the country, especiallly to lower level health care facilities. USG partners will

continue providing some level of support, and will be integrated within the regional and district annual health

budget and plans.

In support of this, the technical full-time staff members will work directly with implementing partners, both

governmental and non-governmental partners, specifically providing technical assistance to the National

AIDS Control Program (NACP) and USG ART partners. Field visits and attendance at regional authority

meetings will be a necessary. One staff member, in addition to the focus on ARV Services, will help oversee

the ongoing integration of non-ARV services such as PMTCT, TB/HIV and Care. One specialist will mainly

focus on the multi-dimensional strategic approach to pediatric HIV/AIDS.

ACTIVITIES:.

1. Assist in coordinating activities within this program area as well as serve as technical leads for aspects of

the work.

2. One administrative specialist will assist the team with all logistical and communication work.

3. A public health advisor will be integral part of the team by providing data analysis for program planning

and evaluation.

4. Work directly with implementing partners, both governmental and non-governmental partners, specifically

providing technical assistance to the National AIDS Control Program (NACP) and USG ART partners and

conducting field visits

5. Oversee the ongoing integration of non-ARV services such as PMTCT, TB/HIV and Care. One specialist

will mainly focus on the multi-dimensional strategic approach to pediatric HIV/AIDS.

Funding for Laboratory Infrastructure (HLAB): $164,398

TITLE: Laboratory Infrastructure and Capacity Building Management and Staffing

NEED and COMPARATIVE ADVANTAGE: This activity is funded through country held funds and

complements the centrally funded activities.

HHS/CDC laboratory infrastructure program has the necessary expertise to support care and treatment

partners and the MOHSW in the provision of well-equipped laboratories staffed by qualified personnel

applying goodl laboratory practices which are essential in the fight against HIV/AIDS. The Ministry of

Health and Social Welfare (MOHSW) with support from USG in FY 2004 developed a plan to strengthen

HIV/AIDS laboratory capacity. Emergency Plan funds were allocated to support the network of zonal,

regional, and district laboratories and provide capacity to diagnose HIV infection, disease staging of

HIV/AIDS, and treatment monitoring.The HHS/CDC laboratory infrastructure program draws resources and

support from the Global AIDS Program International Laboratory branch which has a wealth of expertise and

human resources, and International Laboratory partners. HHS/ CDC is a renouned institution for its

laboratory expertise and is therefore best placed to support the laboratory Infrastructure Program

ACHIEVEMENTS: HHS/CDC provided technical assistance to the MOHSW and coordinated technical

assistance by international and in country laboratory partners in order to meet the needs for HIV diagnosis,

and monitoring of care and treatment. HHS/CDC has provided technical assistance at all levels of the

National Laboratory Network to ensure a comprehensive infrastructure and capacity building.

HHS/CDC provided technical assistance in the revision of the national rapid testing algorithm and the

subsequent training and roll out. Technical assistance and coordination was provided in the training for

CD4, Chemistry and Hematology undertaken by Association of Clinical Pathologists (ASCP) and the African

Medical Research Foundation ( AMREF), technical assistance in the development of standard operational

procedures and quality systems implementation by the Clinical and Laboratory Standards Instituted and in

the revision of data collection and reporting tools and further implementation of Laboratory Information

Systems by The Association of Public Health Laboratories (APHL). HHS/CDC also coordinates the

laboratory support provided by the USG care and treatment partners in order to ensure a cohesive

implementation without duplication of efforts but also to meet the increasing demand for laboratory support

to care and treatment sites.

HHS/CDC works to build laboratory capacity in the country. This has been achieved through its

participation in national laboratory activities and attending coordination meetings. The training of trainers

with teach back methodology has been adapted from CDC and is now the modus operandi for all in-service

training. This has ensured that training capacity is left in the country.

HHS CDC undertook renovation and equipping of the National Quality Assurance Laboratory and Training

Center which is now complete. This center will be responsible for the quality assurance activities of the

country through the implementation of the National Quality Framework as well as training to achieve the

quality.

HHS/ CDC has provided leadership and guidance to the implementation of the Early Infant Diagnosis

Program and has been involved in the preparation policies and guidelines.,

HHS/CDC has procured high through put equipment for three zonal hospitals and one military referral

hospital. This effort was complementary to the global fund which procured medium and low through put

Equipment for the regional and district laboratories while the AXIOS procured equipment for the fourth

Zonal Hospital.

ACTIVITIES: The HHS/CDC Laboratory Infrastructure Program works in collaboration with MOHSW and

partners to impliment National Laboratory Plan in support of HIV/AIDS Care and Treatment Plan. The

program supports the laboratory network at all levels in infrastructure and capacity building.

FY08 funds wil be used to maintain the existing staff consisting of a senior laboratory advisor and a senior

laboratory technologist and hire additional two members of staff approved in FY 2007. These will be the

Infant Diagnosis Program officer and an additional senior laboratory technologist whose positions are

currently vacant.

HHS CDC will financially support the procurement of reagents, equipment and supplies in the first year of

operations of the NHQALTC as the MOHSW plans to take over not only the building but also works on

making the NHQALTC into an executive agency which will make it autonomous. This process is anticipated

to take a year. In FY 08 HHS/ CDC will assist MOHSW to coordinate Technical Assistance to the National

HIV Quality Assurance Laboratory and Training Centre from USG partners. The NHQALTC will provide

leadership and serve as a focal point for HIV/AIDS-related laboratory training, quality systems

implementation and will support and promote operational research into various aspects of HIV including its,

treatment, control and prevention and related opportunistic infections. The NHQALTC will serve as a

referral laboratory for specimens that present unusual or unique testing problems and facilitate referral for

specialized testing not available in the country, such as genetic sub-typing, HIV drug resistance testing, HIV

-1 incidence, and other specialized microbiological assays. In the long term the NHQALTC will undertake

greater Public Health Laboratory Functions such as the surveillance of new and emerging infections such

as Avian Influenza.

HHS/CDC will continue to coordinate and provide technical Assistance to the Track 1.0 ART awardees

(Columbia University, Harvard University, EGPAF, Family Health International, AIDSRelief) , who provide

support to the laboratory network at the regional level, provide support and Technical assistance to the

MOHSW and coordinate the implementation of the Infant diagnosis program in the country by the care and

treatment partners. The target is to build early infant diagnosis capability at KCMC Moshi, Muhimbili

National Hospital, Mbeya referral hospital and develop capacity to manage speciment transportation and

results back to the patients .This activity will be undertaken in collaboration with the , PMTCT, RCHP, HBC,

OVC and other community based intervention programs. The activities will include the finalisation of the

national infant diagnosis guidelines, customisation of training modules for Tanzania from existing national

and international documents, training on Dried blood Spot (DBS) collection transportation system; provide

technical assistance for the renovation of three referral laboratiry facilities to implement DNA PCR; support

the training of three technologist per site on DNA PCR.

HHS/CDC will support MOHSW efforts to establish a national HIV laboratory quality assurance system to

meet international standards of Good Laboratory Practices (GLP) and will provide and coordinate technical

assistance to MOHSW and US based partners CLSI, APHL, ASCP and in country based partners NIMR,

AMREF Bugando Medical center Track 1 and non-USG organizations that support the national laboratory

plan such as WHO, AXIOS, JICA and the Clinton HIV/AIDS foundation.. The areas of technical assistance

include laboratory infrastructure renovation, equipment specification and procurement, laboratory

information systems, training, quality assurance framework development and implimentation, assessment

for provision of services for infant diagnosis, policy formulations and guidelines in various areas of

Activity Narrative: laboratory based and affiliated services

LINKAGES: The HHS/CDC staff work with all USG partners in collabotion with MOHSW and its non -USG

partners such as German technical assistance (GTZ) Clinton Foundation (CHAI), WHO in the planning and

implementation of the HIV/AIDS laboratory activities. The activities are in line with the National HIV/AIDS

multisectorial Framework, the National Laboratory Operational Plan in support of HIV/AIDS care and

treatment for Tanzania and PEPFAR goals. The activities are undertaken in consultation with the National

AIDS Control Program and the PMTCT,VCT, PITC programs

CHECK BOXES: N/A

M&E: N/A

SUSTAINAIBLITY: HHS/CDC works to build capacity nationally for the sustainability of quality laboratory

services. This is in the areas or training trainers, standardization of information and data collection in line

with country requirements, implementation of quality systems with a long term goal towards accreditation

and establishment of implementation, oversight and management structures within the network in line with

the MOHSW operational framework.

Funding for Strategic Information (HVSI): $167,910

TITLE: Management and Staffing - SI CDC GAP (Base)

ACTIVITIES: This activity is split-funded between GAP and GHAI. Please refer to activity #3519.08 for the

activity narrative for this position.

Funding for Health Systems Strengthening (OHSS): $88,000

Managment and staffing for CDC OPSS GAP (Base)

This is a split with activity #7831

Funding for Management and Operations (HVMS): $2,614,167

TITLE: Management and Staffing GAP

ACTIVITIES: HHS/CDC Tanzania estimates the cost to manage and support the HIV program in Tanzania

to total $4,822,969 (GAP=$2,614,167; GHAI = $2,208,802)

This activity narrative describes the CDC Tanzania M&S needs for both GAP and GHAI funds. The budget

for all funds has been vetted through the interagency decision-making process and agreed upon as

presented in the FY2008 submission. Included are costs associated with the management, administration,

information and communication services, and operations of the HHS CDC HIV program for the

establishment and expansion of quality-assured national systems in the areas of strategic information,

prevention of mother to child transmission of HIV, human capacity development, laboratory services, blood

safety and blood transfusion, antiretroviral therapy, patient care and prevention programs.

Activities supported by CDC are funded through 27 cooperative agreements and are performed at the

national and field level. Strong partnership and collaboration exists between CDC management and

program staff, USG, Government of Tanzania and many non-governmental organizations.

By June 2007, PEPFAR country team had completed a Staffing for Results (SFR) analysis. This

comprehensive analysis was endorsed by the U.S. Ambassador and yielded a "footprint" that, although

started in 2007, will be fully implemented throughout FY2008. HHS/CDC Tanzania is currently working in

compliance with the SFR footprint.

Current Staffing Pattern: There are currently a total of 41 positions approved for HHS/CDC Tanzania.

While this staff mix currently includes four US Direct Hire (USDH) staff, 22 locally engaged staff (LES), and

sixteen contract staff, the mix will change over FY2008 as CDC continues to make progress converting

contract staff to LES.

Twenty (20) of the 41 current positions support the management, administration and operations of the CDC

HIV program and include: a) one Country Director and one Deputy Director who together provide technical

leadership and overall management; b) four staff (IT chief, systems manager, assistant systems manager

and computer management assistant) supporting the information and communications needs of the

program; c) six staff, including a team lead, to support the administrative and management support

functions (e.g., travel, procurement, human resources support, etc.); d) three staff, including a Budget and

Finance Chief, assisting with budget and fiscal management and tracking; e) two staff assisting with

cooperative agreement management* and infrastructure development, respectively, and f) one Public

Health Evaluation Specialist providing technical expertise on scientific and evaluation activities across all

CDC programs. Also included in the management and staffing activity section are two program area staff

that have significant management responsibility; these are the Chief, SI and Capacity Building Program,

Chief, HIV/AIDS Care and Treatment.

*In FY2008, a USDH has been approved to be hired to replace the cooperative agreement management

contract position. The budget reflects only one net position.

The other 21 currently approved staff positions are technical advisors (non-management staff) that are

located in the respective program areas (2 PMTCT, 3 ABY, 1 Blood Safety, 1 Palliative Care, 1 TB/HIV, 1

CT, 1 ARV Services, 4 Laboratory, 6 SI, and 1 OPSS.

Ten of the 41 approved positions are currently vacant and processes are underway to fill these positions as

quickly as possible. CDC requests early funding to continue support for on-going management and staffing

needs.

FY2008 Staff: Nine new positions are proposed for 2008 as being needed to provide fiduciary, technical

and programmatic oversight; these positions have been jointly developed across PEPFAR agencies and are

not duplicative of efforts across these agencies. Seven of the requested positions resulted from the April,

2007 SFR analysis and include one TB/HIV Program Officer, one HIV Care and Treatment Program Officer,

two Strategic Unit Program Analysts, one Database Administrator, one SI Monitoring and Evaluation Officer

and one Clinical Services Administrative Assistant. Two additional positions have been recently proposed

for FY2008. These include two cooperative agreement junior staff.

Finally, five additional positions are proposed for FY2008, but these positions are currently unallocated until

the completion of the SFR analysis for 2008. These positions include one Blood Safety Team Lead, one

Human Capacity Development Officer, one Prevention Program Officer, one ART Program Officer, and one

Public Health Evaluation Program Officer.

Management and staffing needs identified for FY2008 include short term technical assistance and training

needs (i.e., 3-6 month consultations and non-PEPFAR technical assistance needs) of CDC and partner

staff. Specifically, the technical assistance needs include assistance with property management, document

control processes, and human resources management. Training needs include procurement and grants

training for internal staff and external partners, training on human subjects review process, and team

building/leadership training.

Concerns and issues include the following: challenges to recruitment and retention and the inability to

attract the caliber of persons needed for grades/salaries offered; disparate salaries and benefits packages

that exist across types of persons engaged (USDH, LES, contractors); differing interpretations of job

analysis documents across USG agencies (e.g., results of CAJEing often differ between Department of

State and USAID); and lag times and steps needed to complete a recruitment action. One additional issue

of note is that CDC is moving to standardizing ICT processes across its international offices. The impact of

this action is not immediately known but will be monitored throughout FY2008.