Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 9694
Country/Region: Cambodia
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: $1,121,044

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $37,481

This is an ongoing activity.

USG staff members provide direct technical support in this program area to the Ministry of Health and its

National Centers, and to the Provincial Governments of Banteay Meanchey, Battambang, Pailin and Pursat.

CDC collaborates with USAID and its partners to assist in the implementation of activities.

This funding is for the portion of the contract of the HIV Clinical Advisor dedicated to PMTCT. These

activities will include providing supervision to the Program Development Officer with primary responsibility of

overseeing the demonstration project of offering HIV screening services at 15 health centers in the

provinces cited above, serving as liaison between USG and the National Center for HIV, AIDS, Dermatology

and STDs (NCHADS) and the National Maternal Child Health Center (NMCHC). The USG HIV clinical

advisor will facilitate lessons learned from the roll out of increasing access to testing for pregnant women,

providing consultation to USG implementing agencies upon request as they plan their support for PMTCT

activities, and to continue to serve on the PMTCT Technical Working Group as it implements

recommendations made by the Joint Review of the PMTCT Program conducted in 9/07 as a collaboration

between USG, UNICEF, WHO, the World Bank, the Royal Government of Cambodia, and local

stakeholders.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18461

Continued Associated Activity Information

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

System ID System ID

18461 11162.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $55,500

Disease Control & Disease Control

Prevention and Prevention

11162 11162.07 HHS/Centers for US Centers for 5745 5745.07 CDC_HQ_Base $114,244

Disease Control & Disease Control

Prevention and Prevention

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

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 Treatment: Adult Treatment (HTXS): $197,994

This is an ongoing activity.

USG staff provide direct technical support in this program area to the Ministry of Health and its National

Centers, and to the Provincial Governments of Banteay Meanchey, Battambang, Pailin and Pursat. CDC

collaborates with USAID and its partners to assist in the implementation of activities.

This funding is for salary and support costs for the HIV Clinical Advisor and the CDC GAP Director that are

attributable to adult ART activities. Those activities include assistance provided to the National Center for

HIV, AIDS, Dermatology, and STDs (NCHADS) in providing assistance to provinces as QA activities are

initiated including support to clinical mentors in identifying quality concerns and interventions to address

those concerns, plus evaluation of impact of QA program on actual quality of care; participation in meetings

of regional clinical network and clinical symposia; and participation in appropriate NCHADS technical

working groups.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18460

Continued Associated Activity Information

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

System ID System ID

18460 11168.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $74,000

Disease Control & Disease Control

Prevention and Prevention

11168 11168.07 HHS/Centers for US Centers for 5745 5745.07 CDC_HQ_Base $125,091

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.09:

Funding for Care: TB/HIV (HVTB): $92,403

This is an ongoing activity.

USG staff members provide direct technical support in this program area to the Ministry of Health and its

National Centers, and to the Provincial Governments of Banteay Meanchey, Battambang, Pailin and Pursat.

CDC collaborates with USAID and its partners to assist in the implementation of activities.

This funding is for the portion of the contracts of the HIV Clinical Advisor and the Microbiologist dedicated to

TB/HIV activities. The activities of the HIV Clinical Advisor that these monies support include participation

in sub-technical working group on TB/HIV at the National TB and Leprosy Program (CENAT) and the

National Center for HIV/AIDS, Dermatology, an STDs (NCHADS) to update clinical guidelines on evaluation

of HIV positive patients for TB and the screening of TB patients for HIV, as well as the management of co-

infection; ongoing assistance in implementing Provider Initiated Testing and Counseling; oversight of

implementation of TB screening tools being introduced in Banteay Meanchey; oversight of TB infection

control activities supported by USG, consultation upon request to USG implementing partners to help

assure harmonization of activities within USG, supervision and oversight of a demonstration project in the

cited provinces in which screening for HIV is offered at point of service for TB; and serving as liaison

between USG, CENAT and NCHADS.

The activities of the microbiologist that these monies support include technical assistance to the NTP in

implementation of the five year strategic plan for laboratory development that he authored for the NTP in

2006, development of EQA panels for sputum smears and for CD4 testing, training of laboratory staff at the

National TB Program in mycobacterium liquid culture technique, which will facilitate the diagnosis of TB

especially in PLWHAs (who have increased likelihood of sputum smear negative TB), helping NCHADS and

CENAT establish guidelines for the rational use of the laboratory in the management of PLWHAs with TB

disease, and serving as liaison between USG and the National Institute of Public Health Laboratory.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18464

Continued Associated Activity Information

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

System ID System ID

18464 11166.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $85,615

Disease Control & Disease Control

Prevention and Prevention

11166 11166.07 HHS/Centers for US Centers for 5745 5745.07 CDC_HQ_Base $138,144

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.12:

Funding for Laboratory Infrastructure (HLAB): $180,452

This is an ongoing activity.

The USG will provide direct technical support in this program area to the Ministry of Health and its National

Centers, and to the Provincial Health Departments of Banteay Meanchey, Battambang, and Pursat

provinces and Pailin municipality. The USG and its partners will assist in the implementation of laboratory

activities required for diagnosis of HIV and TB and monitoring of patient care and treatment.

This funding is for the portion of the salary of the Senior Laboratory Scientist (USG direct hire) and the

contract of the Clinical Microbiology Advisor dedicated to laboratory activities.

The Senior Laboratory Scientist provides technical assistance and consultation in support of the USG effort

to develop and strengthen laboratory capacity of the National Institute of Public Health (NIPH). This staff

identifies, evaluates, and provides training in advanced serologic, immunologic, and molecular technology

applicable to the detection and characterization of HIV and associated infectious agents; recognizes and

defines problems in diagnostic testing and evaluates methods for solution, and recommends addition of new

tests to the laboratory services, as needed; and participates in the countrywide effort to establish a quality

assurance system at the provincial and operational district hospital laboratory level.

The Clinical Microbiology Advisor provides expert advice and consultation on all aspects of laboratory

management as it relates to HIV, TB, and other opportunistic infections. Other major activities include

serving as an advisor to NIPH to expand the NIPH Laboratory (NIPHL) as a national reference laboratory

for local and provincial hospitals, determine reference and training needs of provincial and operational

district hospital laboratories, ensure the adequacy of scientific knowledge needed in the performance of

diagnostic tests and research. The Clinical Microbiology Advisor works with the National Laboratory Sub-

Committee, laboratory professionals, epidemiologists, and infectious disease specialists to improve the

capacity of Cambodia's public health and hospital laboratories to diagnose HIV and TB and to clinically

monitor patients on ARV treatment, with an emphasis on quality assurance.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18450

Continued Associated Activity Information

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

System ID System ID

18450 11169.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $167,733

Disease Control & Disease Control

Prevention and Prevention

11169 11169.07 HHS/Centers for US Centers for 5745 5745.07 CDC_HQ_Base $278,322

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.16:

Funding for Strategic Information (HVSI): $210,767

ACTIVITY UNCHANGED FROM FY2008.

HHS/CDC staff provides direct technical support in this program area to the Ministry of Health (MoH) and its

National Centers, and to the Governments of Banteay Meanchey, Battambang, and Pursat provinces and

Pailin municipality. HHS/CDC collaborates with USAID and its partners to assist in the implementation of

activities.

This funding will support salary, benefits, and official travel costs for the epidemiologist dedicated to

strategic information activities. As a member of the PEPFAR SI Team, this staff will provide technical

assistance (TA) to Royal Government of Cambodia Agencies including MoH; the National Center for

HIV/AIDS, Dermatology, and STDs (NCHADS); the National Institute of Public Health (NIPH); and other

USG partners, in the area of strategic information to strengthen capacity for collecting, analyzing,

interpreting, reporting, and using data for program implementation, monitoring, evaluation, and planning.

Specifically, the HHS/CDC epidemiologist will work with NCHADS, NIPH, and Family Health International (a

USAID contractor) to design surveys; develop survey and laboratory protocols, field manuals, and training

workshops for provincial/municipal survey teams; assist with field supervision; provide technical assistance

in the areas of data cleaning, analysis, interpretation, presentation, and reporting; and serve as a member

on various HIV and STI surveillance technical working groups and consensus working groups on estimation

and projections.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18454

Continued Associated Activity Information

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

System ID System ID

18454 11171.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $177,053

Disease Control & Disease Control

Prevention and Prevention

11171 11171.07 HHS/Centers for US Centers for 5745 5745.07 CDC_HQ_Base $272,252

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $146,336

This is an ongoing activity.

USG staff members will continue to provide direct technical support in this program area to the Ministry of

Health and its National Centres, and to the Provincial Governments of Banteay Meanchey, Battambang,

Pailin and Pursat. CDC collaborates with USAID and its partners to assist in the implementation of

activities.

This funding is for the portion of the salary of the CDC GAP Director and Associate Director dedicated to

policy development and system strengthening. This includes work with the National Center for HIV/AIDS,

Dermatology and STDs (NCHADS), the National Maternal and Child Health Center (NMCHC), the National

TB and Leprosy Center (CENAT), and other key partners within the Ministry of Health to develop improved

policies and operations. This also includes work with other bilateral donors, multilateral organizations, and

NGOs to coordinate activities, particularly as they relate to the Ministry of Health and the Global Fund

grants.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18448

Continued Associated Activity Information

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

System ID System ID

18448 11173.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $161,205

Disease Control & Disease Control

Prevention and Prevention

11173 11173.07 HHS/Centers for US Centers for 5745 5745.07 CDC_HQ_Base $306,941

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.18:

Funding for Management and Operations (HVMS): $255,611

This activity includes $183,547 in costs for portions of the salaries of the CDC GAP Director and Associate

Director associated with management and administration of the program. In addition, this activity includes

the following operations costs:

Headquarters-based travel - $43,464. This would cover two TDYs in excess of 2 weeks for management

and staffing, one for COP preparation for FY10 and one for temporary coverage during home leave of the

Associate Director. It also includes a portion of the moving cost for replacement of the GAP Director.

Shipping - $5,000. This would cover shipping of materials from headquarters to Cambodia.

Supplies - $23,600. This covers credit-card purchase of supplies, including office, IT and laboratory

supplies and blackberry service.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18446

Continued Associated Activity Information

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

System ID System ID

18446 18446.08 HHS/Centers for US Centers for 7341 7341.08 CDC_HQ_Base $232,239

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.19: