Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1311
Country/Region: Uganda
Year: 2009
Main Partner: U.S. Department of State
Main Partner Program: NA
Organizational Type: Other USG Agency
Funding Agency: enumerations.State/African Affairs
Total Funding: $861,329

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $100,000

The focus of the PEPFAR Small Grants Program of the Department of State - The Community Grants

Program to Combat HIV/AIDS is to provide care and support to Orphans and Vulnerable Children (OVC).

The most fundamental way to meet the needs of vulnerable children is to keep their parents alive and

prevent them from becoming orphans. The Community Grants Program also provides care and support for

people living with HIV/AIDS (Palliative Care), enabling parents to resume their role as caretakers and thus

allowing children to reclaim their childhood. The Community Grants Program recognizes the critical

contribution played by grass root organizations in providing care and support to these target populations,

often in deeply rural underserved areas. Many of these organizations do not qualify for the significantly

larger grants awarded by USAID and CDC and are unable to access the services provided by USG

Implementing Partners. Grants are awarded for a one-year period to organizations working in direct service

delivery for PHAs and OVC. Additionally, the Department of State Political and Economic Section will

support IMC efforts to prevent HIV transmission in Pader District by addressing underlying gender norms

and social factors that lead to high risk behavior through community mobilization, training and other

prevention and response activities.

In FY 2008, the IMC project will tackle the neglected problem of substance abuse as one of the leading

causes of the HIV epidemic and GBV in Northern Uganda. The project will be implemented in 3 sub-

counties (Puranga, Atanga and Pajule) in Pader District. IMC will implement community-based education

and awareness raising aimed at changing attitudes to substance abuse and reducing new cases of

substance abusers through media, drama, video shows, door to door visits, impromptu discussions, and

other IEC materials like booklets, playing cards and posters. BCC campaigns will be conducted, targeting

specific at-risk populations, like out of school youth, single women, bar owners, and men within trading

centers. IMC, in collaboration with local partners including the DDHS and CBOs, will support the return and

reintegration process in Northern Uganda by training and supporting social workers to provide treatment

and rehabilitation services for substance abusers and their families. IMC will also provide education to law

enforcement agencies and community health workers on the appropriate management and referral of

substance abusers. HIV/AIDS and GBV awareness will be integrated into substance abuse education

campaigns, drama and other community outreach programs. Village health teams will be trained and

supported to provide comprehensive HIV/AIDS knowledge and to carry out STI and GBV prevention

activities. The PHAs will be mobilized and supported to participate in HIV/AIDS/GBV Substance Awareness

activities. Condom promotion campaigns will be conducted, targeting substance abusers and other at-risk

groups so that they practice safer sex. Condom dispensers will be established at trading centers, health

centers and with other key players in the community, such as elders, LC leaders and youth leaders, to

increase community accessibility. Existing health centers in the sub-counties of operation will integrate

HIV/AIDS Counseling and Testing, STI screening and management, and GBV-related health services. This

will be done through training of Health Workers, providing the drugs and related supplies or establishing

mechanisms for referral to other health centers or hospitals that provide these services. The project will also

support the establishment of positive means for income generation, such as agricultural activities, tailoring

and grinding machines and animal rearing. This effort will target female headed houses, young single

women and survivors of GBV. This effort will also indirectly benefit entire communities as alcohol will be

less readily available and will therefore reduce associated social and health ailments.

Schools will also be a major target in the effort to change their attitudes against substance abuse. School

programs will include seminars, debates and life skills. These will provide information on the risks

associated with substance abuse, such as HIV/AIDS, STIs, GBV, poverty and other social ills.

Schoolteachers will have to be trained on substance abuse/HIV/GBV/STIs in order to support the students

to carry out these activities. Recreational activities will serve as the foundation for out-of-school youth

programs.

In FY 2009 with $100,000 funds, IMC will continue with the HIV/AIDS and GBV awareness activities which

will be integrated into substance abuse education campaigns, drama and other community outreach

programs. Trained village health teams will continue to provide comprehensive HIV/AIDS knowledge and

carry out STI and GBV prevention activities. Condom promotion campaigns and Agriculture/Livelihood

activities will also be continued.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19068

Continued Associated Activity Information

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

System ID System ID

19068 19068.08 Department of US Department of 7426 1311.08 State $350,000

State / African State Department

Affairs

Emphasis Areas

Gender

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $30,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $20,000

Education

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $176,629

The focus of the PEPFAR Small Grants Program of the Department of State - The Community Grants

Program to Combat HIV/AIDS is to provide care and support to orphans and vulnerable children (OVC). The

most fundamental way to meet the needs of vulnerable children is to keep their parents alive and prevent

them from becoming orphans. The Community Grants Program also provides care and support for people

living with HIV/AIDS (Palliative Care), enabling parents to resume their role as caretakers and thus allowing

children to reclaim their childhood. The Community Grants Program recognizes the critical contribution

played by grass root organizations in providing care and support to these target populations, often in deeply

rural underserved areas. Many of these organizations do not qualify for the million-dollar grants awarded by

USAID and CDC and are unable to access the services provided by USG Implementing Partners. Grants

are awarded for a one-year period to organizations working in direct service delivery for PHAs in the

following areas: clinical care, psychological care, social care and prevention care services.

With FY 2007 resources, The Community Grants Program funded voluntary counseling and testing for

3,500 clients of whom, 500 tested positive and all 500 are receiving treatment. The Community Grants

Program also funded a one-year supply of septrin for 580 clients and funded a motorcycle for a small Home

-Based Care Program in Iganga District. We are working with TASO Jinja to support the PHAs in this

district. In addition, FY 2007 resources were used to fund 3 community gardens to provide nutritional

support for HIV positive clients.

In FY 2008, we are funding voluntary counseling and testing to enable more Ugandans to know their HIV

status; office equipment for a HIV/AIDS clinic in Kabale, care and treatment for 200 PHAs; the provision of

13 water tanks for rainwater harvesting to 13 health centers in the Fort Portal Diocese - the water tanks will

ensure safe and clean water to PHAs and OVCs being treated and cared for in the 13 health centers; 4

motorbikes for a Home Based Care Program; funding for Community HIV/AIDS Sensitization Program and

a Community Demonstration Farm and Piggery and Goat Rearing Project that will serve as an income-

generating activity for PHAs.

In FY 2009 the Community Grants Program will continue to provide care and support to 500 PHAs and

strengthen 4 service outlets providing HIV-related palliative care throughout Uganda.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16405

Continued Associated Activity Information

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

System ID System ID

16405 4763.08 Department of US Department of 7426 1311.08 State $80,000

State / African State Department

Affairs

8394 4763.07 Department of US Department of 4822 1311.07 State $80,000

State / African State Department

Affairs

4763 4763.06 Department of US Department of 3455 1311.06 State $80,000

State / African State Department

Affairs

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $20,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $10,000

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $20,000

Education

Water

Table 3.3.08:

Funding for Care: Orphans and Vulnerable Children (HKID): $226,000

The focus of the PEPFAR Small Grants Program of the Department of State - The Community Grants

Program to Combat HIV/AIDS is to provide care and support to Orphans and Vulnerable Children. The most

fundamental way to meet the needs of vulnerable children is to keep their parents alive and prevent them

from becoming orphans. The Community Grants Program also provides care and support for people living

with HIV/AIDS, enabling parents to resume their role as caretakers and thus allowing children to reclaim

their childhood. The Community Grants Program recognizes the critical contribution played by grass root

organizations in providing care and support to these target populations, often in deeply rural underserved

areas. Many of these organizations do not qualify for the million-dollar grants awarded by USAID and CDC

and are unable to access the services provided by USG Implementing Partners. Grants are awarded for a

one-year period to organizations working in direct service delivery in one of the nine priority intervention

areas that have been identified as being essential to the well being of OVC, namely: socio-economic

security, food security and nutrition, care and support, mitigation of the impact of conflict, education,

psychosocial support, health, child protection and legal support. Comprehensive care supporting as many of

these core areas is the preferred approach.

With FY 2007 resources, the Community Grants Program funded the construction of two Vocational

Training Centers in Tororo and Lira. Both are providing education and vocational training to highly

vulnerable children whom are affected by HIV and the conflict in the North. The Vocational Training Centers

are of sound construction and staffed by professional, qualified teachers. Tailoring, catering, beekeeping,

computer studies, brick-making and masonry are being taught. Both Vocational Training Centers are also

making efforts to link graduates with jobs. There is an international market for honey, and Lira's Vocational

Training Center has connected with the ‘Little Honey Man' in Kampala who is currently exporting to the EU.

Both these Vocational Training Centers will continue to equip OVC with the necessary skills to provide for

their own socio-economic security for years to come. Currently there are 10 students enrolled in Lira's

Vocational Training Center, 2 of whom are OVC under 18. In FY 2008, 20 additional OVC will commence

vocational training. In Tororo's Vocational Training Center, there are currently 50 OVC enrolled. Every year

they will enroll an additional 50 OVC. Additionally, the Community Grants Program has also funded the

construction of a four-classroom primary school for the OVC of Buwunga and Sowe fishing village on Lake

Victoria. The nearest public primary school was 10km from Buwunga and inaccessible from Sowe. Classes

commenced in September and currently 226 OVC are attending classes, many for the first time. Although

the school can't currently cater for all the children in the area, they hope to do two sessions a day in the

future. The Project Coordinator is the former Head Teacher of Ambrosoli International School, and her

dedication and commitment to education is renowned. The children are thus assured to receive an excellent

education. Through linkages with Hope Clinic Lukuli, we have secured free medical for the 400+ OVC of

Buwunga and Sowe Fishing Village, a sesse canoe that will transport the OVC of Sowe Island to the school

in Buwunga Fishing Village, donated books to create school library, and we will find out this month as to

whether or not the 400 OVC households of Buwunga and Sowe will be receiving malaria treated mosquito

nets from the PMI.

In FY 2008, we are funding 10 projects. They are a Community Demonstration Farm and Piggery and Goat

Rearing Project that will serve as an income-generating activity for OVC households; a Solar Powered

Pump and Filter that will provide clean, safe drinking water to the OVC of Buwunga and Sowe fishing

communities; Education in the form of school fees, scholastic materials, school lunches for OVC; Shelters

for 3 Breakfast/After School Program for OVC; Vehicle that will be used as a mobile outreach

clinic/ambulance for OVC; Community and School HIV/AIDS Sensitization Program that reaches more than

200 students every week with HIV information and prevention education messages; Babies Home and

Nursery School for OVC that will provide educational and developmental activities; Arts and Crafts

vocational skills for war-affected children in the North, operating as an after-school art-program/art club.

In FY 2009 the Community Grants Program will continue to provide direct support to 1500 OVC throughout

Uganda by providing funding for OVC in the nine core program areas. Through primary support or

leveraged support, the Community Grants program will strive to provide comprehensive care to these 1500

OVC. The Community Grants Program will also place an emphasis on socio-economic security for OVC

households by supporting and linking the caregivers of OVC to successful income-generating activities.

Once an OVC household has socio-economic security, it will be able to provide for the OVC in other core

areas, namely education, health and food security. We will also place an emphasis on education and advise

our partners to adopt the block grants model. We will encourage peace corps volunteers to apply for grants

on behalf of the grass roots organizations they are working with. These volunteers act as an invaluable link

between the Small Grants Office and the rural, underserved communities in Uganda.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16406

Continued Associated Activity Information

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

System ID System ID

16406 4753.08 Department of US Department of 7426 1311.08 State $185,000

State / African State Department

Affairs

8393 4753.07 Department of US Department of 4822 1311.07 State $166,000

State / African State Department

Affairs

4753 4753.06 Department of US Department of 3455 1311.06 State $215,734

State / African State Department

Affairs

Emphasis Areas

Health-related Wraparound Programs

* Child Survival Activities

* Malaria (PMI)

Refugees/Internally Displaced Persons

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $10,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $10,000

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $50,000

Education

Estimated amount of funding that is planned for Education $80,000

Water

Table 3.3.13:

Funding for Management and Operations (HVMS): $358,700

Coordination of the PEPFAR Uganda Program: The US Ambassador, as the head of the US Mission in

Kampala, manages the overall PEPFAR country program. Working through the Executive Committee and

PEPFAR Coordinator, the Ambassador provides leadership for USG interagency coordination, and gives

policy, strategic, and budgetary guidance for achieving the overall PEPFAR goals. The PEPFAR

Coordinator is empowered by the Ambassador to carry out day-to-day leadership and management of the

USG PEPFAR program, and is therefore responsible for ensuring that the interventions and approaches of

the various USG agencies are harmonized to provide maximize synergy and that they support the Ugandan

national HIV/AIDS Strategic Plan.

PEPFAR Coordinator's Office: Given the considerable growth of the Uganda PEPFAR program, the

interagency Staffing for Results team and the PEPFAR Executive Committee agreed that the PEPFAR

Coordinator's Office should consist of:

a) the PEPFAR Coordinator;

b) a Deputy PEPFAR Coordinator to support the Coordinator in the day-to-day programmatic operations

and liaison with OGAC;

c) a Communications Officer to work closely with the Embassy Public Affairs Section and other USG

agencies to develop and implement a comprehensive PEPFAR communication strategy;

d) a Strategic Information Liaison, to work closely with the SI Advisors from CDC and USAID to coordinate

al SI activities; and

e) a Program Assistant, to coordinate activities with USG agencies, GOU ministries and organizations,

development partners, and implementing partners, and manage the office.

These positions were all filled in FY08. Thanks to actions taken by Embassy and USAID management, the

PEPFAR Coordinator's Office has been located in the Chancery Building.

Small Grants Program: State manages a PEPFAR small grants program that includes funding for orphans

and vulnerable children and for palliative care. This program complements the Ambassador's Self Help and

Democracy Grants Funds. All the small grants programs are under the purview of the Political Officer. After

a detailed workload assessment, the Mission decided to hire one staff member to manage the PEPFAR

OVC small grants program and another part-time EFM to manage the PEPFAR palliative care small grants

program. To facilitate coordination, the Political Officer will liaise closely with the PEPFAR Coordinator and

systems will be put in place to ensure coordination between the small grants program and the Coordinator's

Office. In addition, the Coordinator's Office will provide systematic technical support, particularly in

monitoring and evaluation, to the small grants program.

Refugee Program: PEPFAR also funds HIV/AIDS prevention and care programs for refugee populations,

managed by the Bureau for Population, Refugees, and Population (PRM). The primary liaison is PRM's

Refugee Coordinator who sits in the Chancery. The PEPFAR Coordinator's Office will provide technical

support to the Refugee Coordinator and the implementers of the refugee HIV/AIDS programs, particularly in

monitoring and evaluation.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16407

Continued Associated Activity Information

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

System ID System ID

16407 4752.08 Department of US Department of 7426 1311.08 State $320,000

State / African State Department

Affairs

8392 4752.07 Department of US Department of 4822 1311.07 State $130,000

State / African State Department

Affairs

4752 4752.06 Department of US Department of 3455 1311.06 State $20,000

State / African State Department

Affairs

Table 3.3.19:

Cross Cutting Budget Categories and Known Amounts Total: $250,000
Human Resources for Health $30,000
Economic Strengthening $20,000
Human Resources for Health $20,000
Food and Nutrition: Commodities $10,000
Economic Strengthening $20,000
Human Resources for Health $10,000
Food and Nutrition: Commodities $10,000
Economic Strengthening $50,000
Education $80,000