Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 5810
Country/Region: Thailand
Year: 2009
Main Partner: Ministry of Public Health - Thailand
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $1,170,438

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $23,205

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 19124

Continued Associated Activity Information

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

System ID System ID

19124 19124.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $25,000

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $9,514

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.01:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $196,333

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17975

Continued Associated Activity Information

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

System ID System ID

17975 11562.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $305,091

Disease Control & of Public Health Ministry of

Prevention Public Health

11562 11562.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $498,375

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $80,497

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): $95,445

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17976

Continued Associated Activity Information

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

System ID System ID

17976 11564.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $147,588

Disease Control & of Public Health Ministry of

Prevention Public Health

11564 11564.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $264,875

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $39,132

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $34,807

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17979

Continued Associated Activity Information

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

System ID System ID

17979 11570.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $65,000

Disease Control & of Public Health Ministry of

Prevention Public Health

11570 11570.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $91,099

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $14,271

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09:

Funding for Care: Pediatric Care and Support (PDCS): $111,382

n/a

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $45,667

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Program Budget Code: 11 - PDTX Treatment: Pediatric Treatment

Total Planned Funding for Program Budget Code: $150,504

Total Planned Funding for Program Budget Code: $0

Table 3.3.11:

Funding for Treatment: Pediatric Treatment (PDTX): $27,846

n/a

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $11,417

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.11:

Funding for Care: TB/HIV (HVTB): $34,371

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17977

Continued Associated Activity Information

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

System ID System ID

17977 11566.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $250,000

Disease Control & of Public Health Ministry of

Prevention Public Health

11566 11566.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $454,986

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $14,092

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.12:

Funding for Testing: HIV Testing and Counseling (HVCT): $77,596

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17978

Continued Associated Activity Information

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

System ID System ID

17978 11568.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $40,000

Disease Control & of Public Health Ministry of

Prevention Public Health

11568 11568.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $100,962

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $31,814

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 Laboratory Infrastructure (HLAB): $259,014

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17980

Continued Associated Activity Information

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

System ID System ID

17980 11571.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $184,821

Disease Control & of Public Health Ministry of

Prevention Public Health

11571 11571.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $231,402

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $106,196

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.16:

Funding for Strategic Information (HVSI): $255,627

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17981

Continued Associated Activity Information

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

System ID System ID

17981 11573.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $257,500

Disease Control & of Public Health Ministry of

Prevention Public Health

11573 11573.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $363,569

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $104,807

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Program Budget Code: 18 - OHSS Health Systems Strengthening

Total Planned Funding for Program Budget Code: $234,500

Total Planned Funding for Program Budget Code: $0

Program Area Narrative:

Health systems strengthening and policy initiatives provide a solid foundation for HIV programs to enhance efficiency, planning,

resource mobilization, and collaboration. USG will work with the Thai government, civil society, and the private sector to help

improve the effectiveness of the country-level response to HIV/AIDS by focusing on capacity building, supporting enabling

environments, reduction of stigma and discrimination, and quality assurance.

In 2004, the Thai government instituted a political and administrative decentralization policy. Under decentralization, provincial

policies and strategic plans that are consistent with national goals are developed by provincial leaders. For HIV programs,

decentralization offers an opportunity to bring these programs closer to local communities and to increase local coordination and

adaptation of the response. However, local institutions must be ready to take over key responsibilities, including establishing

linkages between HIV and other local priorities, addressing and funding key HIV-related programs, and monitoring and evaluating

these programs.

HIV prevalence is very high among MARPs (31% among MSM, 29% among IDU, 25% among prisoners, 20% among street-

based FSW, 5.5% among indirect FSW, and 3.3% among direct FSW), so the capacity of government and NGOs to work with

MARPs is critical. Under decentralization, this capacity must exist in local government. Currently, the absence of supportive

policies and the limited capacity of government (central and local) and civil society to work with MARPs have resulted in

inadequate prevention efforts among these groups.

USG-Supported Activities

USG health systems strengthening efforts are focused in three areas: strengthening government and local NGO capacity for HIV

program planning and management; improving HIV prevention, care, and treatment services for MARPs by strengthening NGOs

and building leadership and a supportive policy environment; and strengthening GFATM management structure and donor

coordination.

1) Strengthening government and local NGO capacity for HIV program planning and management.

As a result of political reform and decentralization, support for HIV/AIDS prevention now requires leadership from local governors

and coordination between multilateral organizations. Since 2007, USG Thailand has encouraged multisectoral collaboration to

strengthen local leadership in four provinces of Thailand (Chiang Rai, Chonburi, Phuket, and Ubon Ratchathani). The twin goals

of this project are: 1) in-depth analysis of strategic information and utilization of information to develop an integrated policy on HIV

prevention and care; and 2) institutional capacity building of local agencies so they can develop integrated work plans and

mobilize resources through health and non-health governmental organizations, NGOs, CBOs, and the private sector. Lessons

learned from the four provinces have been used to expand in 2008 through the CDC-UNAIDS Programme Acceleration Funds

(PAF) to two additional pilot provinces (Lampang and Nakhon Phanom), with a focus on reducing barriers to GFATM grant

implementation in those provinces. From 2009-2014, through the Round 1 Global Fund Rolling Continuation Channel (RCC)

grant, the multisectoral model will be implemented in 44 provinces.

In FY 2009, USG will continue to build capacity in the six pilot provinces for sub-national leaders to use policy and strategy

analyses for program planning and improvement. In coordination with HIV program planning and management at the national

level, the following activities will aim to increase the integration of HIV into routine service delivery and to build capacity for

harmonized programs.

• USG technical support, in collaboration with UNAIDS, to build the leadership capacity of provincial governors, relevant provincial

authorities, and the public health and non-health sectors. The intended outcomes will be raising awareness in the community and

improving joint program planning. USG technical support for capacity building will be provided through workshops and discussions

among local political leaders who will implement HIV/AIDS prevention and care services in the Round 1 RCC award provinces.

• Technical support for data triangulation—an in-depth integration and analysis of existing evidence-based information, including

surveillance results, program data, M&E, and research information. Use of these techniques will help improve national program

planning and advocacy for multisectoral involvement, resource mobilization, and prioritization and allocation of sufficient funds for

effective interventions.

2) Improving HIV prevention, care, and treatment services for MARPs by strengthening NGOs and building leadership and a

supportive policy environment.

In Thailand, human and institutional capacity is weak among many local government institutions, NGOs, and CBOs working with

MARPs, despite the very high HIV prevalence rates in these populations. To increase the effectiveness of program interventions,

USG will support a variety of training and coaching efforts to build capacity among outreach workers, clinical staff, program

managers, and PLHA.

• To address the unique and diverse needs of MARPs, an enabling environment within society is required. USG will address this

need using a four-part approach: 1) strengthening political commitment by disseminating key information related to HIV/ AIDS

trends among MARPs; 2) increasing participation of civil society in policy development and advocacy; 3) strengthening capacity in

policy development and advocacy; and 4) reducing stigma and discrimination. Activities will include assisting PLHA to form

support groups and participate in NGO policy development and advocacy activities, and providing TA to nascent NGOs and other

civil society organizations.

• USG will strengthen a regional network of MSM groups addressing HIV/AIDS, and support capacity building for Thai MSM

groups through this network.

• USG will strengthen the institutional and technical capacity of NGOs, CBOs, and PLHA groups to deliver high impact MSM and

PwP comprehensive programs in the five provinces where USG supports HIV prevention models for MARPs. This strengthening

will be based on results of an organizational capacity building assessment. Specifically, TA will be provided to the following

indigenous NGOs working on HIV prevention: SWING-Bangkok, SWING-Pattaya, Sisters in Pattaya, Rainbow Sky Association of

Thailand, Mplus in Chiang Mai, Andaman Power in Phuket, M-Reach in Khon Kaen, and M-Friends in Udon Thani; and to the

following indigenous NGOs working on HIV care and support: Violet Home in Chiang Mai and Mercy Center in Bangkok.

• USG will improve the current policy environment through activities to strengthen civil society, build local political and leadership

capacity, improve access to information and services for vulnerable groups, and promote the greater involvement of PLHA.

• USG and RTG will provide support to strengthen the capacity of sub-district offices and PLHA groups to plan and implement HIV

programs through US Peace Corps volunteers.

3) Strengthening GFATM management structure and donor coordination.

GFATM supports three HIV grants and three TB grants in Thailand (see Global Fund Supplemental narrative). USG Thailand

strengthens GFATM management structure and donor coordination by:

• Having one membership position on the country coordinating mechanism (CCM) and one on the HIV technical committee,

allowing participation in CCM meetings, oversight of ongoing projects, contribution to phase II renewal plans, and substantive TA

for developing new proposals.

• Overseeing TA to GFATM projects provided through the UNAIDS PAF mechanism with USG funding. PAF support two projects:

o The first PAF project has three objectives: 1) building capacity of the CCM to provide technical and programmatic oversight to

GFATM grants strengthening the role of civil society in the CCM; 2) assessing needs to improve financial and programmatic

monitoring and reporting, and providing training and TA to address these needs; and 3) developing and disseminating SI briefs to

promote policies supportive of GFATM-funded HIV programs.

o The second PAF project supports capacity building for local government and GFATM sub-recipients and sub-sub-recipients to

improve their capacity to design and implement effective HIV programming at the local level. The capacity building brings together

stakeholders from multiple sectors in two selected provinces, and will result in development of local response policy and capacity

development guidelines, which will be disseminated in Thailand.

• Supporting involvement of NGOs, CBOs, and PLHA groups in proposal development and implementation of GFATM grants.

USG provides TA on MSM interventions, HIV counseling and testing, STI management, project management, M&E, and quality

improvement. USG will share with the GFATM lessons learned and recommendations to strengthen and scale-up effective HIV

prevention and care interventions in Thailand. USG will also advocate for the GFATM's support for scaling-up USG-supported TA-

based models that have been shown to be effective.

Table 3.3.18:

Funding for Health Systems Strengthening (OHSS): $54,812

n/a

New/Continuing Activity: Continuing Activity

Continuing Activity: 17982

Continued Associated Activity Information

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

System ID System ID

17982 11575.08 HHS/Centers for Thailand Ministry 7907 5810.08 Thailand $75,000

Disease Control & of Public Health Ministry of

Prevention Public Health

11575 11575.07 HHS/Centers for Thailand Ministry 5810 5810.07 Thailand $305,644

Disease Control & of Public Health Ministry of

Prevention Public Health

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $22,473

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18:

Cross Cutting Budget Categories and Known Amounts Total: $479,880
Human Resources for Health $9,514
Human Resources for Health $80,497
Human Resources for Health $39,132
Human Resources for Health $14,271
Human Resources for Health $45,667
Human Resources for Health $11,417
Human Resources for Health $14,092
Human Resources for Health $31,814
Human Resources for Health $106,196
Human Resources for Health $104,807
Human Resources for Health $22,473