Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 2321
Country/Region: Namibia
Year: 2008
Main Partner: U.S. Department of State
Main Partner Program: Regional Procurement Support Office - Frankfurt
Organizational Type: Other USG Agency
Funding Agency: enumerations.State/African Affairs
Total Funding: $1,000,000

Funding for Treatment: Adult Treatment (HTXS): $1,000,000

The major emphasis area for this activity is infrastructure. The Regional Procurement Support Office

(RPSO) will assist USG Namibia by providing high quality technical guidance and required contracting

authorities mandatory by USG regulation. The USG requires the services of local construction contractors to

effect renovations at select Ministry of Health and Social Services (MOHSS) sites throughout Namibia in the

implementation of HIV prevention, care and treatment services supported by FY08 PEPFAR program.

Facility renovation in Namibia is crucial for both provision of ART care and training of future ART providers.

Many MOHSS health facilities are in need of basic space in the outpatient department to accommodate the

large influx of patients seeking ART. Several MOHSS sites are providing ART in inappropriate and unsafe

environments, such as unused space on tuberculosis wards and operating theatres. In 2007, CDC/Namibia

received technical assistance from engineers from CDC/Headquarters to ensure that all future renovations

maximize structural interventions that can prevent TB transmission.

The USG will collaborate with the MOHSS, the Ministry of Works, the Global Fund, and other donors to

determine priority sites for renovation and the appropriate funding source for each. Renovation of ART sites

may not necessarily result in more patients on ART, but will result in improved quality of services.

Depending on the scope of the renovation and the value of the US dollar, funding will support renovations

for up to five sites to support provision of ART to People Living with HIV and AIDS (PLWHA) to improve the

ability of the clinic to serve a greater number of patients, reduce nosocomial transmission of TB, support

expanded rollout of rapid testing and IMAI, and provide a more complete range of services for PLWHA and

their families.