Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11438
Country/Region: Haiti
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: $350,000

Funding for Strategic Information (HVSI): $350,000


Activities in this narrative are related to Institut Haitien de l'Enfance (IHE), International Training and

Education Center on HIV (I-TECH), and TULANE narratives in strategic information; I-TECH in policy and

systems strengthening and in counseling and testing (CT); prevention of mother to child HIV transmission

(PMTCT); anti-retroviral (ARV) services; palliative care; and policy analysis and systems strengthening.

SUMMARY: Funding has been earmarked this year to acquire offshore technical assistance for the country

team in the area of monitoring and evaluation. Emphasis will be put on shaping up the Monitoring and

Evaluation (M&E) plan for the next five years as well as on data usage. The country office will continue to

provide a selected range of support to the United States Government (USG) implementing partners in order

to sustain their capacity to develop HIV/AIDS strategic information system. This supply-driven support will

enable the USG to leverage the impact of its overall contribution to the national HIV/AIDS program. It

encompasses: (i) hands-on technical assistance to collaborating partners by USG regional health

information officers already established in Haiti's 10 regional departments. They will coordinate partner

interventions and provide support in those skill-intensive domains in short supply in the country; (ii) cross

technical assistance among sites within the concept of "Centers of Excellence" and; (iii) sponsorship of

participation of local indigenous staff at international forums, workshops, and seminars with the objective of

developing in-country expertise in strategic information (SI). The emphasis areas are IT, USG database and

reporting systems. The primary beneficiaries are the MOH staff, community based organizations (CBOs),

non-governmental organizations (NGOs), and other implementing organizations.

BACKGROUND: The USG has directly supported SI efforts since 2005 to ensure greater coordination of

activities including: 1) maintaining highly skilled professionals in the field that would not be otherwise

available; 2) consolidating investments in information technology and guaranteeing availability of data for

strategic information purposes. Five regional health information officers (RIOs) have been hired and

detailed to the regional departments of the country with each RIO covering more than one department. They

are seconded by the Ministry of Health (MOH) regional departments and travel throughout their assigned

region to provide support to the MOH, the sites, and local partners in health information systems

management, commodity and drug information management, and overall project management to ensure

that mechanisms are in place for the collection, processing, and analysis of data for decision making. RIOs

currently support 128 sites throughout the country.

In Fiscal Year (FY) 2006 and FY 2007, funding was provided to support participation of local personnel at

international forums, workshops, and seminars with the objective of fostering a new breed of local SI

professionals, capable of filling their responsibilities within the established SI system. Several of those who

attended offshore courses are now taking part as trainers or mentors to the ongoing M&E training programs.


Activity 1: At no cost to the country team, CDC headquarters will provide a range of technical assistance to

the country team to support the formalization of an M&E plan, the formulation of PHE themes and

elaboration of corresponding protocols, and the use of data for decision making using the various databases

in place.

Activity 2: CDC Haiti will provide hands-on assistance through RIOs and cross-assistance among

participating sites. The five RIOs will travel throughout their assigned departments to support departmental

directorates, sites, and community-based local partners. To encourage best practices and foster sharing of

experiences, RIOs will encourage cross assistance among the sites, a practice by which the most

experienced field personnel at the referral sites travel to assist other personnel at peripheral sites.

CDC, through the RIOs, will provide leadership in the development, rolling out and maintenance of the data

management system aimed at supporting the national HIV/AIDS program. Additionally, CDC will establish

local area and regional networks for sharing of information within and between entities participating in the

program and located in their coverage area; provide hands-on assistance and on the job training to health

care providers, field data personnel, and regional authorities to enable them to perform data collection,

reporting and processing duties; support the data quality assurance process and participate in field data

validation visits and quality assurance circles; lead reengineering effort to establish work and data flow

suitable to the easy collection of data in all sub-systems related to the development of the program;

participate in the establishment and maintenance of a management by objective system with regular

monitoring of established targets and by involving the sites, departmental directorates and partners; and

maintain good relationships, interface and coordinate efforts with local authorities, facility personnel, and all

USG partners developing interventions in their assigned areas.

Activity 3: The USG team will support the development of in-country SI expertise through sponsorship for

field personnel to international workshops. Such sponsorship in FY 2005 and FY 2006 led to greater

involvement and leadership from sponsored professionals. Opportunities will be sought to train people in

management of community-based information systems. Among other areas of interest are: M&E, HIV/AIDS

surveillance, tuberculosis (TB)/HIV surveillance, information technology, survey methodologies and

techniques for conducting Behavioral Surveillance Surveys (BSS), antenatal surveys and incidence reports,

and projections and estimation techniques.

Specifically, the USG team will regularly update the list of prospective training opportunities; identify

potential candidates in collaboration with the MOH and partners; work with selected participants on scope of

work to ensure application of workshops or seminar contents upon return; facilitate registration for

participants; support the logistics registration, room and boarding; and maintain a database of participants.


150 of local organizations provided with technical assistance for SI

30 individuals trained in SI including M&E, surveillance and HMIS



•Human resources

Activity Narrative: •Quality assurance / quality improvement and supportive supervision

•Monitoring, evaluation or reporting (or program level data collection)

•HIV Surveillance systems

•AIS, DHS, BSS or other population survey


•Other MOH staff

•Implementing organizations

•Program managers


•Health care providers




Increasing gender equity in HIV/AIDS programs

New/Continuing Activity: Continuing Activity

Continuing Activity: 17241

Continued Associated Activity Information

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

System ID System ID

17241 3913.08 HHS/Centers for US Centers for 7701 3141.08 $350,000

Disease Control & Disease Control

Prevention and Prevention

9348 3913.07 HHS/Centers for US Centers for 5154 3141.07 $340,000

Disease Control & Disease Control

Prevention and Prevention

3913 3913.06 HHS/Centers for US Centers for 3141 3141.06 $115,000

Disease Control & Disease Control

Prevention and Prevention

Table 3.3.17: