Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5404
Country/Region: Botswana
Year: 2009
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $3,300,705

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $147,850

09.P.PM90: Technical Expertise and Support - HQ

ACTIVITY CONTINUING UNDER PERFORMANCE PASS

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity links with all activities under PMTCT. It covers the salaries and travel for the technical

HHS/CDC/BOTUSA staff in-country supporting PMTCT. Eight HHS/CDC/BOTUSA staff work in the PMTCT

section. Six of them are based in Francistown where they carry out operational research, while two are at

the BOTUSA headquarters in Gaborone. An example of the operational research is the successful pilot of

EID of HIV in infants using DBS and DNA PCR. The result of the pilot has led to the roll out of EID by the

MOH countrywide.

In 2008, USG funds will be used to hire additional dedicated staff (2 nurses) to visit each district, provide

detailed feedback on ART initiation rates in pregnant women and infants, organize troubleshooting

meetings, and provide ongoing feedback to every district. In addition, a medical officer will be hired to

provide ongoing technical support to the PMTCT program in the MOH and other related programs (SRH,

Family Planning Unit, and the Food & Nutrition Unit) on PMTCT related issues.

Support for printing technical materials and other costs related to working with the GOB are included. Costs

related to workshops and participation by the technical staff in domestic, regional, and occasional

international meetings are supported.

The PMTCT team in Francistown will conduct a demonstration project on Prevention with Positives (PwP),

by supporting the promotion of family planning and unintended pregnancy prevention among HIV positive

women and their partners. Activities will include community mobilization through local dramas and related

discussion forums, in addition to supporting implementation of the existing PMTCT protocols by health care

workers within clinical settings, which include active promotion of family planning to clients.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17325

Continued Associated Activity Information

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

System ID System ID

17325 10153.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $350,000

Disease Control & Disease Control

Prevention and Prevention

10153 10153.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $295,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.01:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $116,267

09.P.AB90: Technical Expertise and Support

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salaries and other administrative costs for the technical staff in-country that support

the AB and C/OP program areas. These staff include 2 full-time CDC direct hire, 2 senior FSN, and 1 mid-

level FSN. The funds also support USG-sponsored meetings of prevention implementing partners,

professional development and training for staff persons, conference attendance, and travel for site visits and

other meetings in and out of Botswana that USG prevention officers may attend as part of their regular

duties.

All staff work across the AB and C/OP program areas, so the costs associated with these staff and activities

above are distributed proportionately (66%-33%, respectively).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17326

Continued Associated Activity Information

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

System ID System ID

17326 10158.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $239,000

Disease Control & Disease Control

Prevention and Prevention

10158 10158.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $30,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $84,993

09.P.OP90: Technical Expertise and Support C/OP

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salaries and other administrative costs for the technical staff in-country that support

the AB and C/OP program areas. The staff includes one full time CDC direct hire, part time of a senior CDC

prevention lead, 2 senior FSN, and 1 mid-level FSN. The funds also support USG-sponsored meetings of

prevention implementing partners, professional development and training for staff persons, conference

attendance, and travel for site visits and other meetings in and out of Botswana that USG prevention

officers may attend as part of their regular duties.

All staff work across the AB and C/OP program areas, so the costs associated with these staff and activities

above are distributed proportionately (66%-33%, respectively).

New/Continuing Activity: Continuing Activity

Continuing Activity: 17328

Continued Associated Activity Information

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

System ID System ID

17328 10149.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $79,000

Disease Control & Disease Control

Prevention and Prevention

10149 10149.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $35,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.03:

Funding for Biomedical Prevention: Blood Safety (HMBL): $0

09.P.BS90: Technical Assistance & Support - Blood safety

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salaries and travel for the technical staff in-country. This activity provides support to

the cost shared prevention team leader. The funds also support the printing of technical materials and other

costs associated with providing support for the programs and projects, including work with the Government

of Botswana. Also included are costs related to workshops and participation by the technical staff in

domestic, regional, and occasionally international meetings deemed necessary for their work.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17327

Continued Associated Activity Information

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

System ID System ID

17327 10161.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $25,000

Disease Control & Disease Control

Prevention and Prevention

10161 10161.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $25,000

Disease Control & Disease Control

Prevention and Prevention

Program Budget Code: 05 - HMIN Biomedical Prevention: Injection Safety

Total Planned Funding for Program Budget Code: $928,542

Total Planned Funding for Program Budget Code: $0

Table 3.3.05:

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $147,850

09.P.MC90: Technical Expertise and Support for Male Circumcision

This activity links with all activities under Male Circumcision (MC). Botswana recently adopted MC as added

strategy for the prevention of HIV infection. It is intended to provide technical support to the Government of

Botswana's (GOB) effort in scaling up MC and intends to do the following: (1) increase the number of health

providers trained to perform safe MC; (2) increase the knowledge of health providers about risks and

benefits of MC; (3) augment equipment and supplies; (4) establish a referral system; (5) set standards and

quality assurance for MC; and (6) establish a monitoring and evaluation process to monitor MC demand and

use, as well as rates of adverse events. Since this is a new activity, it is currently being coordinated by the

Prevention of Mother to Child Transmission (PMTCT) Section Advisor as an additional activity over and

above PMTCT activities. Given the importance of MC as a new prevention strategy in Botswana, it is

necessary that a dedicated LES be recruited to coordinate MC activities.

In F2009, United States Government (USG) funds will be used to hire a dedicated LES to coordinate all MC

activities and to provide ongoing technical support to the GOB Ministry of Health (MOH) and the partners

involved in implementation of MC.

Additionally, the costs related to training, workshops, and participation by the technical staff in domestic,

regional and international meetings, the printing of training materials, and support for the MOH on MC will

be covered by the funds for this activity.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.07:

Funding for Care: Adult Care and Support (HBHC): $214,664

09.C.AC90: Technical Expertise and Support PC/Basic Services

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the Government of Botswana. Also included are costs related to workshops

and participation by the technical staff in domestic, regional, and occasionally international meetings

deemed necessary for their work.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17329

Continued Associated Activity Information

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

System ID System ID

17329 10305.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $75,000

Disease Control & Disease Control

Prevention and Prevention

10305 10305.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $15,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $109,367

09.T.AT90: Technical expertise and Support ARV Services

CONTINUING ACTIVITY UNDER PERFORMANCE PASS

From CXOP08:

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the Government of Botswana. Also included are costs related to workshops

and participation by the technical staff in domestic, regional, and occasionally international meetings

deemed necessary for their work.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17335

Continued Associated Activity Information

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

System ID System ID

17335 10234.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $300,000

Disease Control & Disease Control

Prevention and Prevention

10234 10234.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $50,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.09:

Funding for Treatment: Pediatric Treatment (PDTX): $324,031

09.T.PT90: Pediatric treatment-HQ

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the Government of Botswana. Also included are costs related to workshops

and participation by the technical staff in domestic, regional, and occasionally international meetings

deemed necessary for their work.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.11:

Funding for Care: TB/HIV (HVTB): $150,000

09.C.TB90: Technical Expertise and Support PC

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salaries and travel for the technical staff in-country and TDY visits by colleagues

based in the US at HHS/CDC headquarters to provide support for the programs and activities, including

work with the Government of Botswana, at a total cost of $466,767. The cost of providing administrative

support (telephone, consumables, supplies and equipment) will be $5,000.

PEPFAR funds will be used to contract out the organization of a consensus workshop to finalize a national

medium-long term strategic plan for TB and TB/HIV control and of an annual conference of the BNTP, at a

combined cost of 30,000.

FY08 funds are requested to support contractual services to maintain and upgrade the electronic TB

register (ETR) and to develop a database for routine monitoring of anti-TB drug resistance, at a cost of

$90,000.

their work.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17331

Continued Associated Activity Information

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

System ID System ID

17331 10175.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $391,000

Disease Control & Disease Control

Prevention and Prevention

10175 10175.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $65,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.12:

Funding for Treatment: ARV Drugs (HTXD): $0

09.T.AD90: Technical Expertise and Support ARV Drugs

CONTINUING ACTIVITY UNDER A PERFORMANCE PASS:

ONGOING ACTIVITY FOR WHICH NO ADDITIONAL FY2009 ARE REQUESTED

From COP08:

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17334

Continued Associated Activity Information

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

System ID System ID

17334 10218.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $15,000

Disease Control & Disease Control

Prevention and Prevention

10218 10218.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $15,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.15:

Funding for Strategic Information (HVSI): $664,542

09.X.SI90: Technical Expertise and Support - SI (HQ)

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salary of four experts including two additional staff members that will join the existing

team. One of the new staff will be an direct hire Full Time Equivalent and the other is a Locally employed

staff member. Costs cover salary, travel, and printing of technical materials to provide support for the

strategic information/ monitoring and evaluation activities including work with the GOB. Funding also covers

participation by staff in domestic and international conferences related to their work, contractual costs, and

TDY visits experts outside the USG agency.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17337

Continued Associated Activity Information

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

System ID System ID

17337 10319.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $400,000

Disease Control & Disease Control

Prevention and Prevention

10319 10319.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $265,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $254,195

09.X.SS90: Technical Expertise and Support

ACTIVITY UNCHANGED FROM FY2008

From COP08:

This activity covers the salaries and travel for the technical staff in-country. The funds also support the

printing of technical materials and other costs associated with providing support for the programs and

projects, including work with the GOB. Also included are costs related to workshops and participation by

the technical staff in domestic, regional, and occasionally international meetings deemed necessary for their

work.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17339

Continued Associated Activity Information

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

System ID System ID

17339 10269.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $200,000

Disease Control & Disease Control

Prevention and Prevention

10269 10269.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $40,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.18:

Funding for Management and Operations (HVMS): $119,000

09.X.MS01: HHS.CDC ITSO Charges

This comes under the category of the cost of doing business and is to support cost for the CDC Information

Technology Services Office (ITSO). In FY2008, the ITSO Office instituted a fee of $3,250 per work station

and laptop to support information technology infrastructure services. In the COP08, this fee was included in

the overall CDC HVMS budget request, but per COP09 guidance, is being included as a separate activity

narrative. The formula for support costs has changed from a flat fee of $3,250 per work station to a more

accurately defined actual cost sharing within the South African Region and includes support for base level

connectivity to the CDC Global Network, IT field equipment maintenance and replacement on a pre-

established cycle, expanding the ITSO Global Activities team in Atlanta and fully implementing the Regional

Technology Services Executives in the field.

(See page 512 in COP08)

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.19:

Funding for Management and Operations (HVMS): $967,946

09.X.MS90: HHS/CDC Management and Support

This is a continuing activity from FY 2008 and is supported with both GAP and GHCS (State) funds.

Funds requested between GHCS (State) and GAP accounts will support staff salaries/allowances and

related office support, including travel, communications, equipment, and miscellaneous procurement, etc.

Including all program area technical staff, PEPFAR supports 55 FTE positions. No new positions are being

requested for FY2009. Most of the operations staff is shared across three CDC Divisions working in

Botswana. An additional 22 individuals representing almost 7.0 full time equivalents provide some portion of

their time to support PEPFAR activities and are funded by either the Divisions of HIV/AIDS Prevention or

Tuberculosis Elimination. The following positions are currently supported with Management and Staffing

funding:

Country Director, USDH

Associate Director-Management and Operations, USDH

Associate Director, GAP, USDH

GAP Senior Administrator, USDH

Associate Director for Science, USDH

Communications Officer, contractor

Building and Design Coordinator, contractor

Program Specialist, contractor

Financial Chief, LES

Secretary, LES (3)

Receptionist, LES (2)

Administrative Assistant, LES (3)

Janitress/laborer (6)

Drivers, LES (3)

Program Assistant

From COP08:

CDC Management and administration (Headquarters)

In FY 2008 the Botswana estimates for administrative costs from Base Headquarters are $1,322,615.

These include salaries, benefits, travel, training and support for the Director, Deputy Director, Associate

Director for Global AIDS Program (GAP), GAP Senior Administrator, Associate Director for Science,

Informatics Specialist, the Informatics Section Chief, and communication officers. It also covers 30 days of

support to backstop the country Deputy Director during home leave/R & R by a staff person from CDC

headquarters and dollars for a Building and Design Contractor.

Support costs for the CDC Information Technology Services Office (ITSO) will be covered for 42

workstations in Botswana. ITSO has established a support cost of $3,250 per workstation and laptop for FY

2008 to cover the cost of information technology infrastructure services and support provided by ITSO. This

includes the funding to provide base level of connectivity for Gaborone and Francistown, connectivity to the

CDC global network, keeping the IT equipment refreshed and updated on a regular cycle, expanding the

ITSO Global Activities team in Atlanta and fully implementing the Regional Technology Services Executives

in the field. This is a structured cost model that represents what is considered as the "cost of doing

business" for this location. Also included are consumable IT supplies, equipment, maintenance and

repairs, telecommunications, international travel and training of IT staff not covered by ITSO.

CDC Management and administration (Post)

These funds support local management and staffing costs including local salaries, travel costs, training;

utilities and telecommunications for sites in Gaborone and Francistown; space, leases and warehousing;

security services; XTS500 handheld radios for Emergency Action Committee members; motor pool and

supplies, local printing, supplies and associated operational costs.

Local salaries this year will be higher than last year due to the anticipated transition to a pension plan. This

will require payout for employees formerly on the severance plan as well as a 15% employee annual

contribution to the pension plan.

Salaries are included for the requested new CDC FSN positions.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17340

Continued Associated Activity Information

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

System ID System ID

17340 10325.08 HHS/Centers for US Centers for 7731 5404.08 HQ Base $1,322,615

Disease Control & Disease Control

Prevention and Prevention

10325 10325.07 HHS/Centers for US Centers for 5404 5404.07 HQ Base $822,419

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.19: