PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
Continuing Activity
An indigenous capacity building non-governmental organization, Community Support and Development
Services (CSDS) Inc is contracted to disburse and monitor small grants to a network of local organizations,
while strengthening their financial and administrative management capacities. Support to the NGOs include
the development of financial and accounting systems to ensure these systems are compatible with project
budgeting procedures and generally accepted accounting principles. Technical assistance is provided
through one-on-one support while conducting monthly visits and on-site training with partner organizations.
Training sessions/visits are geared to respond to the particular
needs of each organization and the designated accounting staff. Organizational development services are
provided through a core of local consultants to assist in strengthening the administrative capacity of each
NGO partner.
In FY '08, this organization revised the NGOs financial systems to accommodate the reporting of financial
information according to technical/program areas; installed Peachtree Accounting Software and training on
its use; the developed Operation Manuals for nine of the eleven ‘priority' NGOs/FBOs, which included
orientation, mentoring and coaching of key personnel on its use; developed and operationalized Human
Resource manuals for five NGOs; facilitated legal registration of four (4) NGOs/FBOs which were not legally
registered; and, capacity building support to eight existing NGOs/FBOs Board of Directors.
The capacity building organization will sub-contract nine NGOs and three FBOs, as well as the M.A.R.C.H.
(Modeling and Reinforcement to Combat HIV/AIDS) behavior change communication project to deliver A
and B messages to youth and adults. These organizations currently work with in and out of school youth,
youth groups in churches, as well as communities, focusing on awareness, knowledge and applied
prevention activities. Activities include sensitization sessions with youth, adults/parents and religious
leaders; a peer education program using local materials and manuals; a structured in-school and out-of-
school youth program at select schools; edutainment through the performing arts; IEC radio and television
programs; and, the distribution of IEC materials. Messages are age-appropriate and are geared to
encourage primary and secondary abstinence, the development of skills for practicing abstinence, ‘be
faithful' in sexually active adults, adolescents and older youth, and, the reduction of stigma and
discrimination. The target audience is also informed about the risk associated with cross generational sex,
alcohol and drug use, thus encouraging behavior that will reduce the risk of infection. As of March 08, over
forty thousand persons were reached with A and B messages.
AIDSTAR, will provide technical assistance in all programmatic and technical aspects of the project to
NGOs within the USAID HIV/AIDS strategy and will serve as a key agent in building sustainable program
management and technical capacity of the NGOs. While, CSDS will be responsible for the continued
capacity and system strengthening of the identified NGO/FBO partners in the
key areas of financial and administrative management, through on-site technical assistance and training.
The targets for the NGO/FBOs involved in A and B activities (except the MARCH project) will be tracked by
CSDS M&E unit. This unit will ensure that the highest quality data is generated by NGO data collection
systems. Data quality will be ensured through the use of standardized data collection forms that were
developed for each program area. NGO staff with M&E responsibility will be trained and retrained in the use
of these tools when necessary. Apart from the monthly review of data collected, CSDS will conduct
quarterly data quality assurance reviews to each NGO to monitor the utilization of the monitoring system
and the accuracy of the data collected. CSDS will track progress toward achieving program targets by
ensuring timely and accurate reporting by the twenty (20) NGOs/FBOs. Individual NGO achievements
reported will be entered into a database at the central level and analysed to generate overall program
achievements, this database will be managed by the organization's database administrator. Thus, CSDS
will monitor progress against the total program area targets and those individually set by the NGOs, in their
annual Monitoring and Evaluation plan. In order to facilitate greater use of data at the NGO level, CSDS will
install databases at each NGO for internal use, this database will improve data management and report
generation capabilities as well as increase data use for decision-making at the NGO level.
The targets for the MARCH project will be tracked by CDC and compiled in their database, utilizing
standardized data collection forms in keeping with OGAC's guidance.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15951
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15951 15951.08 U.S. Agency for Community 7264 7264.08 $345,731
International Support &
Development Development
Services
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $200,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $300,000
Water
Program Budget Code: 03 - HVOP Sexual Prevention: Other sexual prevention
Total Planned Funding for Program Budget Code: $1,777,291
Total Planned Funding for Program Budget Code: $0
Table 3.3.03:
The capacity building NGO, Community Support and Development Services Inc (CSDS) supports the NGOs
in the development of financial and accounting systems, to ensure these systems are compatible with
project budgeting procedures and generally accepted accounting principles, through on-site technical
assistance and training. Training sessions/monthly visits are geared to respond to the particular needs of
each organization and the designated accounting staff. Organizational development services are provided
through a core of local consultants to assist in strengthening the administrative capacity of each NGO
partner.
CSDS will disburse funds, manage and strengthen the financial systems of nine (9) NGOs working with
MARP in Guyana's highest HIV/AIDS affected regions. The Ministry of Health and the USAID-supported
NGOs are working collaboratively and directing efforts at risk elimination and risk reduction among this
population.
Female sex workers and MSM are also being reached with combined targeted outreach and referrals to
friendly clinical care and treatment sites. This program is implemented in Regions Four and Six with plans
for expansion in Regions Two, Three, Seven and Eight. The NGOs currently work with street-based and
brothel based commercial sex workers and their clients as well as men-who-have sex with men.
Interventions include HIV/STI prevention education including information on assessing, reducing and
eliminating one's risk of infection through behavior change, as well as substance abuse. These are
conducted through one-on-one interaction by outreach workers and peer education training. Outreach
workers and peer educators (FCSW/MSM) also facilitate access to screening and treatment for HIV and
other STI, assistance for care and treatment referrals, as well as access to affordable condoms. One peer
educator (FCSW), who is a member of Comforting Hearts, a USAID-supported NGO, attended a workshop
on Vulnerable Populations" hosted by the Caribbean Vulnerable Coalition in Trinidad, and was selected to
be the regional representative for sex workers, as well as the Head of the Coalition. She also participated in
the World AIDS conference in Mexico.
In FY 09, significant expansion of these programs, together with interventions to reduce the risk among
miners and loggers, and youth who are transitioning into sexual activity will remain a priority.
The Modeling and Reinforcement to Combat HIV and AIDS (MARCH) serial drama project, supported by
USAID will continue to focus on condom use, stigma and discrimination, alcohol and drug reduction,
negotiation and assertiveness skills and access to HIV related services. These issues will be addressed in
the listening and discussion groups, as well as two15-minute episodes aired twice weekly on the FM and
medium wave channels with two weekend omnibus editions. Reinforcement activities focus on sexually
active groups with the aim of sharing information on protective measures. Reinforcement activities to the
target groups include listening and discussion groups (LDGs), street theatre, and
community mobilization activities in conjunction with MOH, the private sector, NGO/FBO, and Peace Corps.
The MARCH project will continue to receive technical assistance and oversight by CDC Guyana.
The prevention targets for all organizations involved in Other Prevention activities (except the MARCH
project) will be tracked by CSDS M&E unit. This unit will ensure that the highest quality data is generated by
NGO data collection systems. Data quality will be ensured through the use of standardized data collection
forms that were developed for each program area. NGO staff with M&E responsibility will be trained and
retrained in the use of these tools when necessary. Apart from the monthly review of data collected, CSDS
will conduct quarterly data quality assurance reviews to each NGO to monitor the utilization of the
monitoring system and the accuracy of the data collected. CSDS will track progress toward achieving
program targets by ensuring timely and accurate reporting by the twenty (20) NGOs/FBOs. Individual NGO
achievements reported will be entered into a database at the central level and analysed to generate overall
program achievements, this database will be managed by the organization's database administrator. Thus,
CSDS will monitor progress against the total program area targets and those individually set by the NGOs,
in their annual Monitoring and Evaluation plan. In order to facilitate greater use of data at the NGO level,
CSDS will install databases at each NGO for internal use, this database will improve data management and
report generation capabilities as well as increase data use for decision-making at the NGO level.
Continuing Activity: 15953
15953 15953.08 U.S. Agency for Community 7264 7264.08 $187,950
Estimated amount of funding that is planned for Human Capacity Development $300,000
Estimated amount of funding that is planned for Education $400,000
The Community Support and Development Services (CSDS) Inc is an indigenous capacity building
institution, which was contracted to disburse
and monitor small grants to a network of local organizations, while strengthening their financial and
administrative management capacities.
Support to the NGOs include the development of their financial and accounting systems to ensure these
systems are compatible with project
Training sessions/visits are geared to respond to the particular needs of each organization and the
designated accounting staff. Organizational development services are provided through a core of local
consultants to assist in strengthening the administrative capacity of each NGO partner.
registered; and, capacity building support to eight existing NGOs/FBOs Board of Directors
In FY 09, ten (10) key NGO/FBO partners will receive financial support from CSDS to continue to reach
PLWHA and their families in their communities. To date, palliative care services have been provided to over
900 PLWHA and their families in seven regions, with 68 community health care providers/volunteers and
nurse supervisors trained in community home-based care (HBC). Under this program, one of our USAID-
supported NGOs, Hope for All in Region 2, occupies an office within the public hospital where a volunteer is
on call to receive
referrals of PLWHA from the doctors. This method, of an NGO working on site along side the formal health
care team has strengthened the
referral system and has greatly reduced the delay in a client's access to Home Based Care Services and
support. All NGOs work closely with
the MOH Regional home-based care nurse supervisors, supported by the GFATM, who refer patients
identified as positive to the NGOS to
ensure a continuum of care. Once a referral is received the client is registered into the program and
arrangements are made to do home visits,or, if the client is sick to do home care. In the home, an
assessment of the needs of both the client and family is conducted by the nurse supervisor attached to
Hope for All. Based on that assessment, a plan of care is drafted by the nurse supervisor, and is
communicated to the volunteer(s) assigned to the case. This process is used for all NGOs involved in HBC
activities.
The package of care provided includes:
1.) Clinical care accompaniment, nutritional and hygiene counseling, adherence support, hospital visits to
coordinate discharge planning, grief
and bereavement counseling, provision of care packages, and basic nursing care in the home;
2.) Prevention education for family members, testing of family members and encouraging family members to
be a source of support;
3.) Psychosocial support (Clients are invited to eventually join the NGO support groups once they have
adjusted and accepted their diagnosis);
4.) Referral to a religious organization that is sensitive to HIV/AIDS issues;
5.) Linkages to social services such as welfare and legal services; and facilitating access to micro-
enterprise initiatives and vocational skills
training.
The program is also helping people living with HIV/AIDS (PLHA) access small loans provided through a
micro financing program. These PLHA have been unable to receive loans through traditional means
because of their economic status. The loans enable PLHA to expand their small businesses and support
their families. As of June 2008, more than 90 loans had been completed with a cumulative value of
US$38,000. These were disbursed to HIV-positive entrepreneurs with businesses in diverse fields such as
poultry, livestock, lawn maintenance, sanitation, graphic design, craft production, and internet café services.
The targets for the NGO/FBOs involved in Home-based care activities will be tracked by CSDS M&E unit.
This unit will ensure that the highest quality data is generated by NGO data collection systems. Data quality
will be ensured through the use of standardized data collection forms that were developed for each program
area. NGO staff with M&E responsibility will be trained and retrained in the use of these tools when
necessary. Apart from the monthly review of data collected, CSDS will conduct quarterly data quality
assurance reviews to each NGO to monitor the utilization of the monitoring system and the accuracy of the
data collected. CSDS will track progress toward achieving program targets by ensuring timely and accurate
reporting by the twenty (20) NGOs/FBOs. Individual NGO achievements reported will be entered into a
database at the central level and analysed to generate overall program achievements, this database will be
managed by the organization's database administrator. Thus, CSDS will monitor progress against the total
program area targets and those individually set by the NGOs, in their annual Monitoring and Evaluation
plan. In order to facilitate greater use of data at the NGO level, CSDS will install databases at each NGO for
internal use, this database will improve data management and report generation capabilities as well as
increase data use for decision-making at the NGO level.
Continuing Activity: 15955
15955 15955.08 U.S. Agency for Community 7264 7264.08 $540,865
* Increasing women's access to income and productive resources
* Increasing women's legal rights
* Reducing violence and coercion
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $20,000
and Service Delivery
Estimated amount of funding that is planned for Economic Strengthening $30,000
Table 3.3.08:
institution, contracted to disburse and monitor small grants to a network of local organizations, while
strengthening their financial and administrative management capacities. CSDS supports the NGOs in the
development of financial and accounting systems, to ensure these systems are compatible with project
budgeting procedures and generally accepted accounting principles, through on-site technical assistance
and training. Training sessions/monthly visits are geared to respond to the particular needs of each
organization and the designated accounting staff. Organizational development services are provided
In FY 08, this organization revised the NGOs financial systems to accommodate the reporting of financial
its use; developed Operation Manuals for nine of the eleven ‘priority' NGOs/FBOs, which included
FY 09 will see the continuation of financial and administrative assistance to nine (9) NGO/FBO partners to
implement comprehensive OVC programs. Linden Care Foundation (LCF), one of the key NGO partners, is
currently providing care and support services to three hundred and ninety eight (398) children who are
reached through referrals from schools, members of the community and health care centres, the HBC and
VCT programs. Services offered to OVC include psychosocial counseling( individual counseling with OVC
as well as parent/guardian counseling), homework supervision, medical referrals, nutritional assessment
and counseling, adherence support, referring caregivers to social and legal services, access to micro-
enterprise initiatives and vocational skills training for older youth, age appropriate prevention education and
encouraging testing for family members. Community facilitators from LCF, trained through the program,
conduct visits to homes and schools to follow-up on the progress of the child. LCF has also been able to
leverage resources from international and local agencies to construct a ‘drop in' centre for OVC, obtain raw
materials for food and the acquisition of multi-vitamins, and, other medications for pain management and
the treatment of opportunistic infections. With support from
UNICEF and ‘Every Child Guyana' LCF also manages a mini-pharmacy. Support from the World Bank has
enabled the organization to provide nutritious meals for one hundred and twenty four OVC four days
weekly, as well as the Linden Diaspora provides nutritional support through its program "Adopt-A-Child.
Other local private sector enterprises such as the Telecommunications and Telegraph Company, Mings
Products and Services, U Mobile among others, have been aiding the program.
capacity and system strengthening of the identified NGO/FBO partners in the key areas of financial and
administrative management, through on-site technical assistance and training.
The OVC targets for these organizations will be tracked by CSDS M&E unit. This unit will ensure that the
highest quality data is generated by NGO data collection systems. Data quality will be ensured through the
use of standardized data collection forms that were developed for each program area. NGO staff with M&E
responsibility will be trained and retrained in the use of these tools when necessary. Apart from the monthly
review of data collected, CSDS will conduct quarterly data quality assurance reviews to each NGO to
monitor the utilization of the monitoring system and the accuracy of the data collected. CSDS will track
progress toward achieving program targets by ensuring timely and accurate reporting by the twenty (20)
NGOs/FBOs. Individual NGO achievements reported will be entered into a database at the central level and
analysed to generate overall program achievements, this database will be managed by the organization's
database administrator. Thus, CSDS will monitor progress against the total program area targets and those
individually set by the NGOs, in their annual Monitoring and Evaluation plan. In order to facilitate greater
use of data at the NGO level, CSDS will install databases at each NGO for internal use, this database will
improve data management and report generation capabilities as well as increase data use for decision-
making at the NGO level.
Continuing Activity: 15959
15959 15959.08 U.S. Agency for Community 7264 7264.08 $401,716
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $10,000
Estimated amount of funding that is planned for Economic Strengthening $50,000
Estimated amount of funding that is planned for Education $100,000
Table 3.3.13:
administrative management capacities. Support to the NGOs include the development of financial and
accounting systems to ensure these systems are compatible with the project budgeting procedures and
generally accepted accounting principles. Technical assistance is provided through one-on-one support
while conducting monthly visits and on-site training with partner organizations. Training sessions/visits are
geared to respond to the particular needs of each organization and the designated accounting staff.
Organizational development services are provided through a core of local consultants to assist in
strengthening the administrative capacity of each NGO partner.
The capacity building organization will continue to provide financial assistance to a regional distribution of
twenty (20) NGOs/FBOs to initiate interpersonal and community dialogue, provide information, and mobilize
communities to access Counseling and Testing Services, including counseling and testing through PMTCT
ANC clinics.
Currently, the following seven (7) NGO/FBO partners are supported to deliver counseling and testing:
Comforting Hearts, the Guyana Responsible Parenthood Association, Hope for All, Hope Foundation,
Lifeline Counseling Services, Linden Care Foundation and Youth Challenge Guyana. Of those seven, there
are five fixed sites and two mobile units located at the Guyana Responsible Parenthood Association and
Youth Challenge Guyana. The NGOs/FBOs have been reaching high risk populations with C&T services
through their walk-in service and community outreach activities, utilizing both interpersonal and multi-media
intervention. Appropriate AB education has been integrated into their risk reduction counseling, and,
prevention programs for high risk populations follow the ABC guidance. Persons who are tested positive
through counseling and testing are referred to treatment services, home and community based programs.
Emphasis is placed on male access and MARP. The NGOs are also an integral part of the MOH yearly
National Day of Testing. As of July 2008, 15,962 persons were counseled and tested.
In FY 09, the NGOs/FBOs will continue to expand counseling and testing services in key communities,
particularly targeting the rural and hinterland communities. Couples counseling will also continue to be
emphasized in FY 09 in an effort to increase the number of males who access C&T, reduce transmission
between sero-discordant couples, and encourage faithfulness in concordant negative couples.
The targets for the NGO/FBOs involved in counseling and testing will be tracked by CSDS M&E unit. This
unit will ensure that the highest quality data is generated by NGO data collection systems. Data quality will
be ensured through the use of standardized data collection forms that were developed for each program
internal use; this database will improve data management and report generation capabilities as well as
Continuing Activity: 15960
15960 15960.08 U.S. Agency for Community 7264 7264.08 $321,013
Program Budget Code: 15 - HTXD ARV Drugs
Total Planned Funding for Program Budget Code: $2,192,864
Program Area Narrative:
Treatment, care and prevention programs depend on a reliable and efficient supply of essential drugs and other commodities.
Initially, supply chain management presented the greatest challenge to the USG effort to provide ARVs and other HIV/AIDS
related medicines to Guyana as the MOH Materials Management Unit (MMU) lacked sufficient storage and managerial capacity to
handle the increased flow of commodities. In conjunction with the Government of Guyana, the USG team discussed and
developed the idea of a third-party warehouse as an intermediary solution that would address the immediate storage needs of all
the HIV/AIDS commodities and serve as a model and training ground for supply chain best practices. This Annex warehouse for
HIV/AIDS was established in FY07 and is operated and managed by the Partnership for Supply Chain Management in close
coordination with the MOH. All HIV/AIDS related health commodities in Guyana are stored and distributed via the Annex and
include ARVs, test kits and reagents from the Government of Guyana, PEPFAR, Global Fund, World Bank, CRS AIDS Relief, and
the Clinton Foundation. In early FY08 the Annex was expanded to include all essential drugs and supplies using the same best
practices and systems established for the management of HIV/AIDS commodities, but this is completely operated by the MOH.
During FY09, the vision of PEPFAR Guyana is to continue to strengthen and build the capacity of the MOH MMU to ensure a
steady supply of drugs, laboratory supplies, rapid test kits, and other HIV/AIDS commodities through improvements to
procurement systems, warehousing and inventory management, distribution and human resource capacity and retention. This
vision includes a gradual integration and capacity building strategy led by the Partnership's Supply Chain Management System
(SCMS). With SCMS support, last year the MOH established and approved Guyana's first donation policy for pharmaceuticals
and other health commodities to ensure the quality and appropriateness of donations. The new policy is managed by the MMU
procurement department and has greatly reduced the burden of unusable donations that caused a large strain on the MMU
system in the past. USG Guyana is supporting the integration of the Annex and all HIV/AIDS commodities into an improved MOH
supply chain system, which includes strengthening the roles and capacities of other government institutions such as the National
Food & Drug Department, the National Pharmacy unit and the National Blood Transfusion Service in addition to the MMU. This
coordination has also led to the establishment in March 2008 of a SCMS supported mini-lab for drug quality assurance at the
MMU Annex facility run by MOH staff in collaboration with the Food & Drug department.
There are currently 2,185 persons on ART in Guyana, including 134 (8%) pediatric cases. The aggregation of ten cohorts
beginning in 2006, from January through October, showed that nearly 75% of the patients were still alive and on ART after twelve
months. To effectively meet the procurement needs of the ART program in Guyana, the USG has coordinated closely with the
MOH and the Global Fund. In FY09 the Global Fund will purchase all adult first line ARVs and the Clinton Foundation is planning
to procure pediatric first and second line ARVs. PEPFAR will continue to procure adult second line and has committed to continue
covering any gaps in pediatric first and second line ARV and emergency first line ARVs as needed. The government of Guyana
has facilitated the registration of all ARVs that have been purchased for the national program. The national standard treatment
guidelines in Guyana were revised in FY07 and the standard first line treatment includes tenofovir, an ARV previously only used in
their second line regime. As the MOH is the Global Fund principal recipient, all procurement of Global Fund funded first line ARVs
has recently transitioned to the MMU procurement department. The USG will support SCMS technical assistance to this
department in international procurement processes including tendering and contract negotiation to help strengthen their capacity
for the procurement of ARVs and other commodities.
With SCMS assistance the Annex warehouse continues to represent warehousing best practice and with the implementation of
the MACs warehousing management system in late 2007, the MMU is the first completely automated public sector health
warehouse in the region. This system has greatly increased the efficiency, responsiveness and transparency of MMU operations
and with USG support an electronic requisition system that links to MACs has been successfully piloted in 2008 to six regional
sites and will rolled out to the rest in FY09. The MMU Annex has received multiple visits from international delegations, including
from the Rwandan central medical stores, to share their model of public health supply chain best practices. In FY09, SCMS will
continue to support the institutionalization of the warehousing system and emphasize inventory management at regional stores
and sites. At the treatment sites, the inventory of ARVs is managed manually and electronically with the ARV Dispensing Tool
(ADT). Treatment sites are required to reorder on a monthly basis and are guided by the data collected in ADT as per the number
of patients on each ARV regimen. This reduces the chances of overstocking and incurring expiry. Working together with all key
donors and treatment partners who form part of the MOH led formulary committee; SCMS has coordinated a national
quantification of ARV and other commodity needs in FY08. The issuance of items or consumption correlated to number of patients
treated has been used to prepare a forecast of needs based on actual usage. An inventory system and ARV dispensing tool was
piloted in 06 and during 07 was introduced and is now maintained at each supported facility.
Distribution represents a challenge in Guyana, especially to the more remote hinterland facilities where roads are non-existent.
ARV distribution has been more straightforward as ART sites are limited in number and the remote regions are served by mobile
ART clinics. For all other HIV/AIDS commodities, the USG will work through SCMS with the MOH to identify alternative distribution
mechanisms, including leveraging NGO flights to the hinterland regions and private sector distribution routes.
Human resource limitations continue to be a challenge across the health sector in Guyana and supply chain management is no
exception. The USG has supported comprehensive supply chain training for MOH supply chain staff, including a course with
SCMS private sector South African partner the Fuel group. Capacity building includes formal training in supply chain best practice,
quantification software and day to day mentoring at the Annex facility. In FY09 the USG will continue to support capacity building
in all supply chain management areas and work with the MMU to identify strategies for staff retention.
Strong government and other key stakeholder commitment to strengthening the HIV/AIDS commodity supply chain has created an
enabling environment in Guyana for needed supply chain improvements. The collaboration between USG, World Bank, Global
Fund and the MOH has continued over the past year as Guyana was one of the first countries selected for multi-donor
coordinated procurement planning initiative. In March 2008, representatives from the World Bank, Global Fund, InterAmerican
Development Bank and the USG met once again with the MOH to develop a strategy and finalize plans and donor commitment to
the new MMU site and infrastructure, and coordination of procurement based on donor budget cycles. The USG is providing
technical assistance including design and oversight for the construction of the new MMU facility and this support will continue in
2009 with the construction itself funded by the IADB and the World Bank.
Table 3.3.15:
The Government of Guyana, donors and civil society have recognized that in order to scale up the HIV
response and achieve Guyana's goals, non-governmental and faith-based organizations have become
important partners in the national response. While the NGOs are essential to extending the delivery of
HIV/AIDS prevention, care and support services throughout the country, many of them have demonstrated
inadequate capacity to rapidly scale up services as a result of their limited administrative management and
financial capacity. In addition, as the number of NGOs grows, it becomes increasingly necessary to identify
a sustainable cost effective solution to institutional capacity building. This requires the transfer of the
capacity building mandate to a local entity which can work with the NGOs in the field and maintain regular,
even daily contact, to respond to emergency needs and monitor progress. This agency would also fill the
gaps in the institutional memory created by the high turnover of key staff in these local NGOs. Hence,
Community Support & Development Services (CSDS) Inc, an indigenous capacity building organization,
was awarded the contract in May 2007 to meet the emerging needs of the NGOs. CSDS is contracted to
disburse and monitor small grants to a network of USAID-supported non-governmental organizations
(NGOs), faith-based organizations (FBOs), and the NGO Coordinating Committee, while strengthening their
financial and administrative management (including governance) capacity. CSDS will provide continue to
provide technical assistance through local consultants and a local Accounting Firm to enable the NGOs to
immediately expand HIV/AIDS services while simultaneously enhancing their capacity. Assistance will be
provided in a targeted manner, focusing on direct management, onsite training and mentoring and other
direct support, and when warranted, other formal training in the form of workshops to ensure long-term
organizational sustainability.
Thus, under the Other/Policy Analysis and System Strengthening program area, through CSDS, a core of
short-term local consultants will continue to build the capacity of twenty (20) USAID-supported NGOs to
fulfill critical governance and administrative tasks:
1. Review and develop customized constitutions and guidelines for NGO boards;
a. Train NGOs and their boards on final constitution
2. Update NGO Coordinating Committee Constitution;
a. Train board on final constitution
b. Participate in coordinating committees to oversee process
3. Develop customized staffing and volunteer policies for NGOs;
a. Develop management plans
b. Develop scopes of work for each position;
4. Develop conflict of interest policies;
5. Develop NGO guidelines for sub-contracting; and
6. Respond to NGO requests for on-site support.
CSDS will continue to sub-contract a local Accounting Firm to provide oversight to its financial management
of the NGOs through the review of financial systems and practices and the conduct of audits, thereby
ensuring continuous quality improvement and quality assurance.
AIDSTAR will provide technical guidance to the NGOs, and serve in a mentoring capacity to CSDS
throughout the duration of the contract, with the ultimate goal of equipping them with the requisite skills to
continue beyond the end date of the (international) institutional contractor.
Continuing Activity: 15961
15961 15961.08 U.S. Agency for Community 7264 7264.08 $89,773
Estimated amount of funding that is planned for Human Capacity Development $40,860
Table 3.3.18:
