Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 16665
Country/Region: Burundi
Year: 2013
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $525,000

The Burundian Ministry of Public Health and Fight against HIV/AIDS (MPLS) leads the implementation of HIV/AIDS programs. However, it still needs the organizational capacity to effectively fulfill this role. Indeed, in its second National Health Plan 2011-2015, the ministry has acknowledged the need to reinforce its leadership as well as ensuring better multi-sectoral collaboration. The implementation of HIV/AIDS activities is also hampered by the weak capacity of the MSPLS to coordinate the financing and activities of all stakeholders in the sector. There is a lack of monitoring, with limited supportive supervision taking place in the field. These challenges exist at the central, provincial, and health district levels.

Within MSPLS, there is recognition of the need to build the capacity of the national HIV/AIDS Program (PNLS) to enable it to better plan, implement and monitor HIV/AIDS programs and activities.

HFGs technical assistance will contribute in addressing the above described challenges by focusing on two main areas:

1.

Strengthen the organizational capacity of the PNLS as a whole to enable it to fulfill its role in leading, managing, monitoring, and coordinating HIV/AIDS activities.

The organizational capacity building approach will be holistic with special emphasis on the PMTCT unit within PNLS. This will enable the PMTCT unit staff to apply what they have learned from the PNLS wide organizational capacity building directly to their day-to-day tasks. Using the experience with the PMTCT unit, HFG will work with other PNLS units in future years to strengthen their capacity in a similar way. In the first year, this activity will focus on the PNLS at the national level. As the management at the national level is strengthened, HFG will extend capacity build

Funding for Health Systems Strengthening (OHSS): $525,000

The HFGs overall focus will be to build the capacity of the PNLS to ensure that it can effectively plan, manage and monitor HIV/AIDS activities with specific applications to PMTCT. As illustration, if HFG strengthens planning systems for PNLS, it will then work intensively with the PMTCT Unit to develop its annual PMTCT plan. This approach will allow HFG to respond to the broader capacity strengthening of PNLS as well as the specific PMTCT program.

HFG will take a very comprehensive view of organizational capacity building and will look to improve effectiveness in all areas of the PNLS: leadership and management, planning and budgeting, monitoring and evaluation, supervision, and coordination. This will be a contribution to the governments National HIV/AIDS Strategic Plan 2012-2016 on its key objective related to building the capacity to coordinate, monitor and evaluate HIV/AIDS activities.

HFG will support the MSPLS in costing its HIV/AIDS services, in particular PMTCT services. This technical support combined with the organizational capacity building complement each other in two ways. It will help to strengthen some of PNLSs organizational functions i.e. supporting the costing activity will contribute directly to better planning and budgeting of the PNLS, as well as providing valuable data in order to mobilize additional resources. Secondly, the PNLS will be able to apply what it has learned in organizational capacity building directly to a technical activity e.g. with strengthened leadership and management, the PNLS will plan the costing activity, assemble a qualified team for the costing, assign clear roles and responsibilities to team members, and monitor implementation. HFG will work with the PMTCT unit, as well as other necessary stakeholders, to ensure that they lead and are fully involved in the costing activity, with the ultimate objective of the MSPLS conducting its future costing activities without external assistance. Better costing information on HIV services will enable the PNLS to clearly identify the resources necessary to achieving the targets set in the National Strategic Plan for the Fight against AIDS 2012-2016. These improved budgets will be more accurate and evidence-based, and will be a useful tool to advocate both within and without the governments for increase funding.

Cross Cutting Budget Categories and Known Amounts Total: $525,000
Human Resources for Health $525,000