Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7656
Country/Region: Namibia
Year: 2008
Main Partner: Pact, Inc.
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $9,351,234

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $1,137,539

Pact's primary mandate is to provide guidance and follow-up for capacity building in civil society to help

indigenous organizations develop & become sustainable. Pact uses participatory approaches to ensure

local ownership, financial and program accountability, and continuous quality improvement. In FY 2008,

Pact will support AB interventions in all 13 regions using a combination of grants & assistance to at least 7

non-governmental organizations (including 4 faith-based organizations & 2 multi-purpose centers) as

described here. Overall, Pact will collaborate with prime partners such as EngenderHealth (activity

12342.08) & the new Partnership for Health & Development Communications activity 16501.08) to provide

technical assistance & ensure that each grantee delivers an appropriate minimum package of prevention

services including but not limited to: harmonizing AB messages (including mass media messages), ensuring

behavior change communications that encourage the transfer of knowledge to action, tackling gender

norms & male involvement (including make circumcision), addressing alcohol & drugs, & ensuring referrals

to VCT & other services. Pact will regularly assess whether each subgrantee has the support it needs for

continuous quality improvement, and respond with addition support if needed.

1) As part of its integrated community care program (activity 6471.08), Catholic AIDS Action (CAA) will use

participatory learning strategies to empower youth in all 13 regions to understand more about HIV & AIDS,

& develop personal strategies & skills to prevent HIV. CAA will target 3080 OVC age 8-13 with its

abstinence curriculum "Adventure Unlimited" & 4620 OVC age 14-25 with its Stepping Stones curriculum.

The curricula cover co-factors for positive community health: effective communication skills, gender issues,

the role of alcohol & AIDS, relationship & intimacy skills, & cultural norms & practices, particularly male

norms & behaviors. CAA provides this education & routine follow up through peer educators with plans to

recruit 250 new peer educators in FY 2008. New for 2008, 100 senior experienced peer educators will be

supervisors. Also new, & a collaboration with EngenderHealth, CAA will significantly expand its Men As

Partners pilot program to reach 800 men.

2) Change of Life Styles (COLS) will contribute to the reduction of HIV among youth age 8-18 in 3 towns

(Windhoek, Walvisbay & Swakopmund) in Khomas & Erongo regions by employing evidence-based

HIV/AIDS prevention methods through an expanded program in 18 churches, 6 schools including a special

needs institution, & the SOS Children's Village. COLS aims to improve youth self-esteem & build their

capacity to make informed choices, postpone sex, choose secondary virginity & remain faithful to one tested

partner. Using a revised Christian Life Family Education (CLFE) curriculum that incorporates appropriate

behavior change methodologies, COLS will train & support 45 peer educators, employ a participatory

edutainment model, establish CLFE clubs at schools, & conduct holiday learning camps to reach 600 youth

age 8-14 with activities focused on delaying sexual debut (A) & an additional 1800 youth age 15-18 with

activities focused on A&B. COLS will collaborate with partners in achieving behavior change, including more

focus on gender norms, particularly male norms & behaviors that place boys & girls at risk.

3) The Walvis Bay Multi-Purpose Center (WBMPC) will continue its youth peer education program to

promote AB messages, preventive behaviors, & life skills, targeting 800 in-school youth & 600 out-of-school

youth. With Pact assistance, WBMPC will improve the quality of peer education including interpersonal

communication techniques; 50 peer educators will be trained.

4) The Sam Nujoma Multi-Purpose Center (SNMPC) will reach over 30% of the population in Ongwediva

with age-appropriate ABC programs (activity 4726.08). As part of the youth AB program, SNMPC aims to

reach 1,700 in- & out-of-school youth with AB messages through a peer education programs & videos. Of

those, 200 will be reached with abstinence only messages. SNMPC will also recruit 25 males to work in the

center to model increased male engagement & leadership across multiple program areas.

5) The Rhenish AIDS Program (RAP) works with youth from 16 church congregations in 4 rural regions

using age-appropriate curricula at learning camps & Sunday School. RAP uses the Ministry of Education's

Window of Hope curriculum to target 600 youth age 9-13 years to promote abstinence & delayed sexual

debut; RAP will use CAA's Stepping Stones curriculum to target 200 youth age 14-18 years. Peer educators

support the program & follow up.

6) The Namibia Association for Community Based Natural Resource Management (NACSO), an umbrella

organization whose HIV activities & financial management are supported by Namibia Nature Foundation

(NNF), will reach communities via its innovative workplace approach. It works closely with the Ministries of

Agriculture, Water & Forestry; Environment & Tourism; Lands & Resettlement plus 12 member NGOs & 40

conservancies (activity 8037.08). In FY 2008, the peer education program (balanced ABC messages, VCT

referrals, CT) will scale up (activity 726.08). The program will target over 5,000 community members. The

AB peer education component emphasizes male norms & behaviors, targets conservancy & community

leaders, & focuses on adopting norms that support abstinence until marriage, partner reduction, &

denouncement of forced sex in marriage & relationships. Age-appropriate messages to youth will focus on

delay of sexual debut and/or faithfulness to partners.

In addition, Pact-supported OVC & home-based care programs will integrate age- & status-appropriate

behavior change activities into their programs. (activity 4727.08 & activity 6471.08). For example, Philippi

Trust has integrated prevention into its existing OVC program: 2360 OVC receive prevention interventions

in line with the newly-developed Quality Standards for HIV Prevention for OVC.

Pact's results reach beyond PEPFAR-funded programs to strengthen organizational capacity &

sustainability by addressing leadership, management, governance, & strategic direction (activity 8037.08 &

activity 8038.08).

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $317,220

Pact's primary mandate is to provide guidance and follow-up for capacity building in civil society to help

indigenous organizations develop & become sustainable. Pact uses participatory approaches to ensure

local ownership, financial and program accountability, and continuous quality improvement. During FY

2008, Pact will support 5 local prevention programs targeting older youth and adults with balanced ABC

interventions and workplace programs. Overall, Pact will collaborate with prime partners such as

EngenderHealth (activity 12342.08) & the new Partnership for Health & Development Communications

(activity 16501.08) to provide technical assistance & ensure that each grantee delivers an appropriate

minimum package of prevention services targeted to the persons who are the focus of this activity including

but not limited to: harmonizing balanced ABC messages (including working with mass media for media

promotions that coincide with scheduled activities), ensuring behavior change communications that

encourage the transfer of knowledge to action, tackling gender norms & male involvement (including make

circumcision), addressing alcohol & drugs, & ensuring referrals to VCT & other services. Pact will regularly

assess whether each subgrantee has the support it needs for continuous quality improvement, and respond

with addition support if needed. Specific program targets, populations, & activities are described below for

each sub-partner:

In 1998, the Chamber of Mines (COM) initiated the Occupational Health Education Awareness Programme

(OHEAP), which has evolved into a well-maintained peer education program that includes HIV awareness

and prevention, condom promotion, condom distribution, and STI treatment at 18 mining and non-mining

companies. In FY 2008, OHEAP's grant will focus on reducing STI/HIV/AIDS by reaching 8520 workers,

their spouses and families, & community members. COM hosts workshops to mobilize workers within mines

to participate in events and the peer education program. COM distributes quarterly briefing sheets, and

conducts a series of informational meetings for middle managers as decision makers to ensure they are

supportive and able to approve the time for peer educators to conduct sessions with other miners. OHEAP

will recruit 50 new peer educators, provide refresher training to 100 peer educators, and provide more

advanced training to 50 more experienced peer educators on advanced priority topics such as male

circumcision, symptom screening and referrals. COM conducts quarterly mentoring sessions, regular site

visits, and support meetings for peer educators for quality control. Peer educators host Information,

Education, and Communication events and HIV/AIDS awareness sessions, conduct one-on-one

interpersonal communications, provide education & information on correct & consistent condom use, &

make condoms available to employees & their families. COM will continue to mainstream its workplace

program for peer education & community outreach to employees' families & communities within its overall

Occupational Health & Safety Program.

The Walvis Bay Multipurpose Centre Trust (WBMPC) works in collaboration with its local government

authority and other partners in and around the Erongo region to reduce the incidence of HIV by

implementing ABC interventions and workplace HIV prevention programs. WBMPC will target over 40

companies to scale up workplace programs, particularly among fishing companies in Walvis Bay. The

program engages company management and support for implementing comprehensive workplace

programs-requests for WBMPC's assistance have increased substantially. Targeting over 3000 workers

with FY 2008 resources, WBMPC will work with companies to establish workplace peer education programs

that encourage workers, usually men in the fishing industry, to be more responsible (including

understanding the dangers of alcohol in increasing risky behavior), reduce multiple and concurrent partners,

use condoms consistently and correctly, cease to participate in transactional sex particularly with young

girls, and consider circumcision. WBMPC regularly distributes MOHSS-supplied condoms to companies.

The 160 peer educators participate in supervisory sessions and seminars once a month. In its outreach

program, WBMPC targets over 6,000 community members in shebeens, taxi ranks, and car washes.

Regular community outreach activities focus on fidelity, partner reduction and condom use. The program

also targets churches, and will focus on increasing male involvement in FY 2008. Together with COLS (with

experience in juvenile justice activities) and the Ministry of Safety and Security, WBMPC reaches over 400

Walvis Bay prison inmates through peer educators. Linkages to services beyond prevention are embedded

within all WBMPC prevention programs: WBMPC houses a New Start Counseling and Testing center. In

conjunction with the Ministry of Health and Social Services (MOHSS), the center provides ongoing

information sessions on HIV/AIDS issues such as positive living, ART, treatment adherence and support,

and re-infection.

The Sam Nujoma Multi-Purpose Center (SNMPC) will target 30% of the population in Ongwediva with age-

appropriate ABC programs (See also Pact AB 6470.08). With workplace and community outreach activities

similar to the WBMPC, SNMPC will reach 2368 individuals ages 14-80: of those, 448 reached through

monthly centre-based events, 1500 community members reached with outreach programs 4 times a year,

320 reached through workplace peer educators, and 100 reached with video at the center.

The Namibia Association for Community Based Natural Resource Management (NACSO) is an umbrella

organization whose HIV activities & financial management are supported through the help of a member

NGO, Namibia Nature Foundation (NNF). Working closely with 3 line ministries (the Ministry of Agriculture,

Water & Forestry; the Ministry of Environment & Tourism; & the Ministry of Lands & Resettlement), NASCO

assists conservancies to reach communities through its 12 member NGOs and 40 conservancies (see Pact

OHPS Activity 8037.08). Through this innovative workplace policy approach, FY08 funds will scale up the

peer education program while providing a balanced ABC approach (see also Pact AB 6470.08) as well as

referrals to VCT, care, & treatment. The program will target over 10,000 community members with

messages about correct and consistent condom use and condom distribution while also addressing male

norms & behaviors.

In FY 2007, Pact provided small initial support to the male-dominated Ministry of Safety and Security

(MOSS) to address male involvement. With FY08 resources, Pact proposes to work with MOSS to

mainstream male involvement prevention activities and to introduce the topic of how alcohol leads to risky

behavior choices. Messages will be targeted to workers, such as police, and men in the communities they

serve. Pact proposes to support the development of workplace policies within the MOSS based on existing

models carried out by the multipurpose centers, ensuring also a focus on consistent and correct condom

use, VCT, and male circumcision.

Funding for Care: Adult Care and Support (HBHC): $2,994,256

Motivated by the overwhelming needs of persons living with HIV/AIDS (PLWHA) & their families, Namibia's

strong faith-based sector continues to mobilize communities; 75% of Namibians are church members &

almost all community-level care is organized through churches, especially the Lutheran & Catholic

denominations with which most Namibians affiliate. During COP 2007, USG continued its community-home

based palliative care (CHBC) program through PACT, an umbrella NGO that integrates capacity building of

local faith-based organizations (FBOs) and NGOs, including targeted technical assistance (TA), into a

grants management cycle. Covering all 13 regions, PACT develops local ownership & provides capacity

building in financial & programmatic accountability, including M&E & financial management, while providing

support & guidance to improve the overall quality of programs. PACT will source and/or network

experienced TA to subgrantees & foster networking through communities of practice to address & resolve

bottlenecks in implementation. PACT efforts through PEPFAR extend beyond PEPFAR-funded programs to

create sustainable, capacitated organizations by addressing gaps in leadership, management, governance,

& strategic direction.

At the national level, in COP 2008, PACT will work closely with the Ministry of Health and Human Services

(MOHSS) (16153), the African Palliative Care Association (APCA) (16183), subgrantees & other

stakeholders to develop CHBC quality standards in training. PACT supported the MoHSS to initiate this

process in COP2007. Standards will focus on family-centered HIV-related care in the 5 key areas:

clinical/physical care, psychological care, social care, spiritual care, and integrated prevention. It will also

include stronger linkages with the TB community DOTS program (ITECH/TB: 16219), ART adherence

strategies and Prevention with Positives (NLT/Basic Care:16142). PACT will engage subgrantees in

developing the standards while also ensuring the development of appropriate tools & methods to measure

impact. PACT will work with grantees to ensure integration of clinical care into other services. Currently,

only 3,500 PLWHA are reached with a clinical care component in within this program (primarily screening

and referral for opportunistic infections, symptoms and pain) in addition to psychological, spiritual, social

and integrated prevention services they may receive.

In COP 2007, PACT worked with grantees to identify and strengthen existing activities under the 5 service

delivery areas of palliative care, focusing particularly on sensitizing grantees on clinical service delivery with

emphasis on symptom screening, referrals, and cotrimoxizole use. PACT also worked closely with grantees

on structured supervision of caregivers and quality improvement. Based on gaps routinely identified with

subgrantees, focus areas for targeted TA with COP 2008 resources include: 1) addressing volunteer

retention, incentives, supervision, & impacts of pending labor law changes; 2) expanding male involvement;

3) addressing needs of caregivers "Caring for Caregivers"; 4) improving delivery of psychosocial support at

the community level; 5) greater involvement of PLWHA in quality improvement of services; 6) food and

nutrition counseling; 7) improving bi-directional referrals, referral follow-up, & documentation; 8) addressing

barriers to transportation; 9) addressing M&E challenges of monitoring community based services; and 10)

further improvements in delivering services within the preventive care package that are feasible and

appropriate to community care: such as referrals to VCT , referrals to/from facilities for care and

medications, adherence to ARVs, TB drugs, & cotrimoxizole, safe water, ITNs in malarial areas, nutrition &

specific integrated prevention messages.

COP08 resources will support the following specific activities of subgrantees:

1) With a target of 1700 volunteers for FY 2008 resources, Catholic AIDS Action (CAA) is the largest FBO

network providing community and home-based care program to 7500 clients & their families. The family-

centered program involves assessment of PLWHA family needs, provision of family-based health education,

advocacy & referral, stigma reduction, counseling & emotional support, spiritual care, practical support, &

referrals to CAA services for OVC (see PACT CAA: OVC 16180). In FY08, a comprehensive preventive

care package will be incorporated into the existing HBC service covering education, referrals for VCT,

mobilization for cotrimoxizole prophylaxis, improved ARV adherence, safe water, hygiene, malaria

prevention & treatment, TB screening & referrals, promotion of good nutritional practices for adults and

children and promotion of child immunizations & family planning. Additionally, CAA will enhance the quality

of its HBC program by mainstreaming male involvement by targeting 500 male partners of female

volunteers, advocating for more men as volunteers, creating safe environments for male-only dialogues, &

targeting more male clients. Lastly, CAA, in collaboration with the African Palliative Care Association

(APCA), is successfully piloting its palliative care program, offering direct essential clinical services,

including appropriate pain management, through staff supervised by skilled nurses integrated into

community/home care levels (16183). CAA will dramatically scale up community-based palliative care

services by mainstreaming the program from 2 to 5 regions. APCA, CAA and MOHSS (16116) will work

together to develop and strengthen the clinical supervision of volunteers who screen for HIV-related

conditions. To support the volunteers, CAA, with support from PACT, will use existing materials from the

Southern African region on "caring for the caregivers" which will deliver one-on-one sessions with

community caregivers to ensure HIV services for infected caregivers and emotional and spiritual care for all

volunteers to renew and sustain caregiver motivation.

2) Working within 40 communities in 4 regions, the CBO TKMOAMS will add 200 new volunteers & provide

refresher training to existing 700 volunteers to provide physical (wound care, cleaning, and bathing),

psychological & spiritual care to over 5000 PLWHA & their families. TKMOAMS already provide

documented referrals, which will be strengthened. Elements of the preventive care package will be

championed including malarial nets which will be provided in one region where malaria is prevalent. Five

support groups for PLWHA will continue to be supported, focusing on psychological support, prevention with

positives, professional development opportunities, and income-generating activities.

3) Apostolic Faith Mission AIDS Action (AFM) implements a family-centered HBC intervention in its network

of congregations in four under-served rural northern regions targeting 900 clients & family members.

Support twice a week includes adherence counseling, physical support, spiritual counseling, & referrals

and/or transport to hospital. With FY 2008 resources, AFM will use the CAA HBC curriculum to increase its

volunteers from 100 to 150 (60 additional volunteers are supported by other funding). AFM will focus on

incorporating preventive messages with positives while moving more toward providing appropriate services

in a comprehensive preventive care package.

4) The Evangelical Lutheran Church of the Republic of Namibia's (ELCRN) AIDS program (ELCAP) uses it

church's wide network to improve the quality of life of PLWHAs & their families, targeting 800 support group

Activity Narrative: members, 435 volunteers, & reaching over 1,200 HBC clients & their families. ELCAP's HBC program will

focus on increasing quality of service delivery, with particular attention on improving access to elements of

the preventive care package, improved referrals and integrated prevention & ARV treatment literacy.

Support groups will encourage positive living, develop buddy programs, provide adherence support, &

initiate income generating activities. ELCAP will expand a pilot program of Men's Leagues into its existing

HBC program by empowering local male leaders to participate in caring for PLWHA in communities. ELCAP

will work closely with CAA & RAP to coordinate activities & quality of service.

5) With COP 2007 funds, Sam Nujoma Multipurpose Centre (SNMPC) expanded activities to include a

community home-based care initiative. Targeting communities in 2 regions in the north, SNMPC will expand

from 6 to 12 HBC volunteers reaching at least 50 clients & families in need. HBC services focus on

symptom diagnosis & relief, ART and OI prophylaxis adherence, psychological support, social support,

integrated prevention messages, referrals to government health services, & identification & referral of OVC

to the OVC program (OVC SNMPC 16180). PACT will ensure SNMPC has access to improved training

opportunities for HBC caregivers. SNMPC currently operates a support group of 50 with plans to expand to

more groups targeting 120 PLWHA. In addition to supporting ARV adherence, SNMPC will encourage more

involvement of men the support group through a PLWHA support group for "professionals" to address the

common challenges experienced by PLWHA.

PACT will link ensure linkages with interventions in other program areas, such as male involvement across

all program areas, identification of OVC in households & referral to OVC programs (PACT OVC 16180),

community prevention programs focusing on risk reduction including alcohol use (PACT AB 16177),

screening for violence against women & children & referrals to Women & Child protection Units (PACT OVC

16180) and improved integrated screening and referral for TB (ITECH/TB 16219; TB CAP 16210). PACT

will also work closely with SCMS to ensure an uninterrupted supply of home based care kits (and

replenishment) through appropriate ministerial channels (16185).

Funding for Care: TB/HIV (HVTB): $201,799

Motivated by the overwhelming needs of PLWHA & their families, Pact continues to support CBOs and

FBO in delivering services at community level (community and home based care). During FY07, USG

continued its community-home based palliative care (CHBC) program through Pact, an umbrella NGO that

integrates capacity building of local FBOs and NGOs, including targeted technical assistance, into a grants

management cycle. Covering all 13 regions, Pact develops local ownership & provides capacity building in

financial & programmatic accountability, including M&E & financial management, while providing support &

guidance to improving the overall quality of programs. PACT will source and/or network experienced

technical assistance (i.e. consultants or appropriate local/regional organizations) to subgrantees & foster

networking through communities of practice to address & resolve bottlenecks in implementation. Pact efforts

through PEPFAR extend beyond PEPFAR-funded programs to create sustainable, capacitated

organizations by addressing gaps in leadership, management, governance, & strategic direction.

At the national level, in FY 2008, Pact will work closely with the Ministry of Health and Social Services

(MOHSS) Community and Home Based Care Directorate to ensure that TB is integrated into the CHBC

quality standards. Integration includes routine screening and referral of both patients and family members.

At the community level, Pact will engage subgrantees to provide TB education to community based

programs, emphasizing the different between TB infection and TB disease, screening for symptoms of all

persons in household, referral, and DOTS adherence support. Pact will also ensure that TB screening and

referrals are integrated into CHBC programming with partner FBOs and NGO, such as Catholic AIDS Action

(CAA) and Walvis Bay Multipurpose Center (WBMPC). Pact will develop vastly needed simplified tools in

picture format to help community members screen, identify, and refer both CHBC patients and those living

in the household to available TB services for treatment. As part of the community home base care program,

CAA will train 1700 volunteers in TB education, screening and referral, and integrate programming to reach

7500 clients with home based care services that include HIV/TB. WBMPC will train their 50 support group

members and 10 palliative care providers in integrated TB programming. WBMPC will also reach 2000

clinic clients with TB education, and DOTS adherence messages through informational sessions run by

PLWHA in the ART clinic.

Funding for Care: Orphans and Vulnerable Children (HKID): $4,082,493

In FY07, USG continued its OVC support to local organizations & relevant line ministries through Pact, an

umbrella NGO that integrates local capacity building through grants. Pact's efforts reach beyond PEPFAR-

funded programs to strengthen organizational capacity, local ownership, & sustainability by addressing

financial & programmatic accountability, including M&E & financial management, leadership, management,

governance & strategic direction. PACT will source targeted technical assistance to organizations & foster

networking & communities of practice to assist in implementation. Key focus areas for FY08 funds include:

1) Rights-based programming & protection of OVC 2) involving children in quality improvement 3) further

collaboration on the draft OVC quality standards 4) development and implementation of tools to measure

standards 5) integration of prevention into OVC programs through technical assistance linkages with

NawaLife (4048.08), Partnership for Health & Development Communications (16501.08), and others 6)

improving M&E & linkages into national systems 7) leveraging the private sector for supporting OVC with

nutritional support & access to business skills training for OVC through PPPs.

In conjunction with UNICEF, Pact will support the MGECW's Child Welfare Directorate to improve the

functionality of the OVC Permanent Task Force (PTF) and the newly established M&E unit. Pact will provide

similar managerial & financial support to regional development committees and their OVC forums in 8

regions not covered by UNICEF. Requested and led by the OVC PTF's Technical Subcommittee with FY06

and FY07 funds, a national OVC database was created to assist the government in registering, tracking &

supporting services rendered to OVC, including social welfare grants. With FY08 funds, Pact will assist the

MGECW extend use of the database to lower levels and NGOs with emphasis on routine use & feedback of

information. PACT will fund key positions recommended by a USAID-UNICEF Human Resource and

Capacity Gap Analysis that are approved by the MGECW.

Established to assist victims of sexual assault, Women & Child Protection Units lack appropriate staff to

work with victims of violence to launch appropriate investigations & link with needed services. Pact will

continue support to the Units and ensure involvement by MGECW, Ministry of Safety and Security (MOSS),

MOHSS, UNICEF, Legal Assistance Center (LAC) & others working with OVC victims of violence. This

activity will support removal of OVC from abusive situations and assist with placement into protection

services. FY08 resources will improve victims counseling, the referral system, follow-up support and

promote community-based violence prevention of OVC.

Local NGO plans for FY08 resources include:

1. Catholic Aids Action (CAA) is Namibia's largest provider of community-based OVC support. CAA's 1730

community volunteers will deliver quality services to 18,000 OVC; of those, half (9000) will receive at least 3

focused interventions for vocational training & educational support, HIV prevention (6470.08) basic health

care, & psychosocial support including grief counseling. After-school nutrition programs will target 1380

OVC. Supervised by fulltime staff, volunteers provide psychosocial support, supervision, & advocacy and

routinely receive refresher training. HBC volunteers (see Pact CAA Pall Care) will identify & refer OVC to

CAA's OVC program and other public health services. Along with other USG partners, CAA will continue to

implement & improve on minimum quality standards for OVC services. CAA provides scholarships to

selected OVC in "Saving Remnants", a program further supported by private resources. Because WFP is

ending food support in December of 2007, other and private sector donors will be sought to continue food

donations to continue wrap around programs for food assistance.

2. Reaching communities in 8 of 13 regions, the Evangelical Lutheran Church's AIDS program (ELCAP)

utilizes existing church structures to target over 200 OVCs ages 6-18 with primary direct support while 805

receive supplementary support meeting quality standards in food/nutrition, education & psychosocial

support. Specific activities include experiential learning camps, after-school programs, kids clubs, referrals

to vocational training & economic assistance. ELCAP will train caregivers to recognize symptoms & make

effective referrals for health & protection services & to assist OVC in registration and accessing government


3. Building on the Regional Psycho-social Support Initiative (REPSSI) models, Philippi Trust has become

the country's leader in psychosocial support for OVC; Philippi staff regularly provide trainings and technical

assistance in psychosocial support to other PEPFAR-funded OVC and care programs. Though its own

programs, Philippi will support 2360 OVC to increase self-esteem, self-reliance & address loss/bereavement

through experiential learning camps & Kids Clubs. With FY08 funds, Philippi will expand the pilot community

-based empowerment program, Phoenix, from 2 to 5 regions, benefiting 800 OVC in 20 Kids Clubs; this

child-driven program focuses on building responsibility & self-reliance through micro-grants to address

issues identified by OVC. Philippi ensures communities are developed as supportive environments: the

Journey of Life curriculum empowers local communities to be responsible for the care & support of OVC

through influential leaders while following up with youth group leaders.

4. The Church Alliance for Orphans (CAFO) will graduate and transition fully under NPI award in FY08

thanks to Pact's capacity building assistance in FY 06 and FY07 (18235.08)

5. TKMOAMS uses their existing HBC program to reach OVC in 4 north central regions. About 1/4 (200) of

HBC volunteers & community counselors will be trained in psychosocial support & caring for OVC to reach

1,500 OVC with emotional support, referrals to care & food support. TKMOAMS will expand their services at

2 of their 6 food distribution sites to provide 200 OVC with life skills education including HIV prevention,

social protection & psychosocial support.

6. The Rhenish Church AIDS Program (RAP) covers 16 congregations in 4 regions. RAP will support 400

OVC with school uniforms, school & exam fees, experiential learning camps & an after school club assisting

with homework & emotional support. RAP will link OVC with their prevention program (6470.08) 100

Caregivers will be trained. RAP will also ensure that 150 of their rural OVC exercise their right to a social


7. In 4 northern regions, Apostolic Faith Mission AIDS Action (AFM) will improve quality of its OVC program

for 300 OVC aged 5-18 by focusing on psychosocial support, basic life skills, leadership skills, spiritual

support & referrals for basic health care in 5 Hope Clubs for Children. Hope Club staff supervise activities

and are trained in psychosocial support by Philippi Trust. In a wrap-around program, AFM works with Africa

Inland Mission & local primary school teachers to assist OVC with after-school tutoring at the Hope Clubs.

Activity Narrative:

8. Sam Nujoma Multipurpose Centre (SNMPC) will target 200 OVC aged 5-18 in the "Bright Future After

School Program" with focused & structured age/sex segmented educational & life skills sessions & meals.

SNMPC will assist OVC with access to social grants, improve the quality of psychosocial support

interventions, & focus on life skills, health/hygiene, & training of caretakers to provide OVC with basic


9. Legal Assistance Center's (LAC) Aids LAW Unit will reduce the vulnerability of OVC by addressing

discrimination & advocating for OVC rights. LAC will advocate for the reform of policies & laws that

negatively impact OVC rights. With a "Voices of Children" advocacy tool, LAC will promote & protect

children's rights by empowering OVC and 826 principals & stakeholders in 8 regions. LAC will scale up is

Community Child Rights Watch program & provide legal assistance & protection for 350 OVC. This partner

will link to the FY07 activities with the Women and Child Protection Units.

Overall OVC targets reflect reductions for double counting among subgrantees.

Funding for Strategic Information (HVSI): $301,302

The USG goal of building institutional capacity in Namibia is to increase the effectiveness and capacity of

indigenous partners to achieve expanded, quality, and sustainable services while managing their own

financial and human resources. Pact's comprehensive capacity building package of support will place a

premium on interventions that improve organizational and institutional sustainability, which includes

programmatic accountability and using programmatic data for effective decision making (i.e. good M&E). In

FY08, Pact will work with at least 14 local non-governmental, faith-based, and community-based partners to

improve programmatic accountability, evidence-based management, target planning, and the

implementation of (and development of, if necessary) quality assurance tools based on sound evidence.

To improve programmatic accountability, management, and planning, Pact provides monitoring and

evaluation assistance to subgrantees both through direct technical support as well as through identified

M&E activities built within subgrants. Direct support to subgrantees includes: 1) assistance with developing

M&E plans through participatory approaches, 2) regular review and use of tools for M&E reporting, data

collection, data quality improvement, data analysis, presentation, and feedback, 3) comprehensive M&E

trainings, 4) communities of practice (collaboratives) to share M&E tools and to address common M&E

challenges through peer approaches, 5) substantial one-on-one support for partners on M&E plans, tools,

and use of information to strengthen programmatic accountability and management of their own programs

through documented evidence and information and 6) feedback and sharing meetings for cross-learning,

sharing of successes, and linking among partners. Trainings planned for FY08 include basic M&E training

for any new subgrantee organizations and new subgrant M&E staff. Higher-level areas of technical support

among grantees with more advanced M&E skills and resources include: data quality management,

database management, evaluation tools and methodologies, beneficiary involvement and input in

monitoring service quality, and community-based monitoring. Support through subgrants cover tailored M&E

activities from development of tools to collection, analysis, use, and feedback. Pact also continually

advocates for increased M&E skills and an appropriate level of human resources dedicated to M&E among

subgrantees' programs.

Pact will also contribute substantially to USG efforts to develop and apply quality assurance tools across all

program areas covered by subgrantees. Various areas of assistance for quality assurance and quality

improvement include peer education programs, palliative and home-based care service delivery, and

improvement based on OVC service standards. For example, in FY07, African Palliative Care Association

(APCA) (funded by Pact Regional: conducted an initial assessment of palliative care and together with

Catholic AIDS Action (funded by Pact Namibia) developed a pilot program to document the effectiveness of

palliative care activities and to develop program tools for improving quality and measuring results. Pact

Namibia will assist its home based care grantees to apply these tools to inform and improve quality of

existing programs. This specific activity will be undertaken in consultation with APCA and all USG-

supported palliative care partners, including the Ministry of Health and Social Services (MOHSS), which has

also expressed the need for better information about all forms of palliative care provision. With FY08 funds,

Pact will work with key partners such as APCA to 1) implement and improve the inventory of PEPFAR-

supported palliative care activities and 2) implement the process indicators for evaluating the quantity,

quality and levels of palliative care provided by subgrantees. During FY07 Pact and Pact subgrantees also

participated in the development of quality standards for OVC services. Pact will work with subgrantees and

other partners to develop and implement monitoring tools for capturing service areas according to OVC

standards, evaluating quality of services, and reporting to appropriate reporting bodies (e.g. MGECW's OVC

database). Pact will also ensure progress in linkages, referrals to other services, and follow-up while

strengthening the documentation of referrals and follow up.

Assistance in strategic information for subgrantees must also be supported by Ministry engagement and

ownership. In collaboration with other key partners, Pact will assist key line ministries to nationalize the

quality assurance tools and reporting standards. Pact will particularly focus on the Ministry of Gender

Equality and Child Welfare (MGECW); SI activities with the MGECW are integrated into ongoing support to

the Ministry for strengthening the country's OVC programs (See Pact OVC). Among these are: continued

support to the MGECW, the OVC Permanent Task Force and the database subcommittee, and NGO

partners regarding the implementation and use of the national OVC database (see OVC). Pact will directly

assist further establishment of MGECW's nascent M&E unit, including continued technical support to

monitoring OVC results against the national M&E plan. As this requires participation by the civil society,

Pact will work closely with all partners on the linkages. In addition, conditional on MGECW approval, Pact

plans to employ a full-time M&E specialist starting with FY07 resources and second this position to the

MGECW. This position is based on the recommendation of a recent gap analysis conducted jointly by USG,

UNICEF, and MGECW. If approved, the M&E specialist would focus on: 1) building the capacity of the M&E

unit, 2) ensuring the National OVC M&E plan is appropriately implemented at all levels, 3) providing

guidance to the MGECW on M&E capacity, reporting, and feedback at various levels, 4) addressing

evidence-based quality standards and lead the nationalization of OVC quality improvement tools, 5)

ensuring only necessary OVC data are collected at appropriate levels and as such support the national

OVC database system to streamline data and its use, 6) developing new reports from the OVC database

system, 6) assisting the MGECW improve their information dissemination (an identified gap in the Gap

Analysis) and 7) ensuring appropriate linkages and building on existing systems such as the MOHSS's

HMIS system and Ministry of Education's (MOE) EMIS (supported by AED).

During FY07, GRN's multi-sectoral Response M&E Unit (RM&E) selected Pact's basic M&E training

program and materials as the basis for a national M&E curriculum, one of 3 focused curricula to be taken to

scale for different audiences, including community based organizations. With FY07 funds, Pact, in

collaboration with USG SI technical staff, will work with RM&E to adapt the basic Pact M&E curriculum for

Namibia and assist with the foundations for trainings. During FY08, Pact will continue to support the RM&E

unit and provide support in the planning and implementation of longer term sustainable solutions for

ensuring the availability of M&E training across the whole country.

Lastly, Pact will work closely with USG, the MGECW, the MOHSS, RM&E unit, Global Fund, and all

partners to ensure harmonization across reporting requirements and formats in order to streamline the

burden of reporting to multiple donors.

Funding for Health Systems Strengthening (OHSS): $316,625

The USG goal of building local institutional capacity in Namibia is to increase the effectiveness and capacity

of indigenous partners to achieve expanded and quality services while improving management capacity of

their own financial and human resources and improving overall accountability.

In FY2008, Pact will continue to work with at least 14 local non-governmental, faith-based, and community

based partners on two important levels: improving organizational effectiveness and strengthening technical

capacity for implementation of prevention, care and support activities. The substantial organizational

support provided by Pact results in capacity that goes beyond the PEPFAR-supported services to serve the

organizational as a whole. Pact's approach emphasizes participatory processes, local ownership,

transparency and accountability for continued sustainability and growth after PEPFAR funding ends.

Overall organizational support:

The vision for organizational capacity building is that local partners will eventually "graduate" by meeting

criteria to receive direct funding by improving their capacity to function independently as an organization. To

do this, Pact will strengthen many foundational areas of organizational effectiveness including financial

systems and accountability, program planning and accountability, overall program management,

organizational policies, procedures and systems, strategic direction, leadership and governance, fund

raising, advocacy skills, networking, basic USG Emergency Plan technical guidance, M&E, and quality


For each subgrantee, every 12-18 months, Pact conducts initial and routine organizational capacity

assessments and management control assessments to ascertain the level of financial risk and to analyze

strengths, weaknesses, and most importantly improvements over the year in organizational capacity and

financial controls. These assessments and regularly reviews further identify outstanding areas for

organizational strengthening; several recommendations are built into the partners' subgrants and workplans

over the course of the year, strengthening local ownership in the organizational capacity development


PACT provides comprehensive M&E trainings, communities of practice for M&E, and substantial one-on-

one support for partners to manage, implement, and strengthen the programmatic accountability and

management of their own programs though documented evidence and information. (See Pact SI)

Indigenous organizations that are currently not funded by USG but who have the capacity to deliver quality

HIV services are limited in Namibia. As a result, several other prime partners also subcontract/subgrant to

similar organizations for difference services. As a result, Pact will work closely with Capacity Project (See

Capacity VCT and SS) and other primes to strengthen organizational capacity for grantees funded in

common for separate services (e.g. common between Pact HBHC/OVC/Prevention and Capacity VCT:

CAA, Walvis Bay Multipurpose Center, ELCAP). This collaboration between prime partners will also

substantially strengthen linkages and referrals across the services provided by local organizations.

Programmatic capacity building of organizations:

Similarly, routine programmatic and technical reviews will occur at least once a quarter (further explained in

OVC, HBHC, AB, OP narratives). Pact's participatory approach will ensure that appropriate solutions and

support are identified and that local ownership is cultivated while arriving at solutions. Through direct

technical workshops, subgranting for technical support or workshop participation, one-on-one assistance

and follow-up, and communities of practice (collaboratives), Pact will work with each subgrantee to

strengthen the technical and programmatic aspects of their programs based upon the programs strengths

and weaknesses. Pact will work closely with grantees to ensure quality assurance tools and processes are

implemented as part of overall capacity building (see Pact SI). As needed, Pact will further access technical

assistance from selected local, regional and international partners to support subgrantees in expanding their

technical capacity.

Linkages support:

To help strengthen the civil society's contribution to the National Plan of Action and Medium Term Plan

(MTP-III) goals, Pact will also liaise closely with key government ministries to ensure a strong linked

response down to the community level and including the umbrella organizations. Key line ministries include

the Ministry of Gender Equity and Child Welfare (MGECW) (e.g. See Pact OVC), the Ministry of Health and

Social Services (MOHSS) (e.g. See Pact HBHC), and the Office of the Prime Minister (OPM) (e.g. See Pact

AB) along with other ministries. With FY07 funds, Pact also will have seconded a Change Management

Specialist to the Ministry of Gender Equality and Child Welfare, focusing on human resources. In FY2008, it

is anticipated that this position will transfer to the Capacity Project's Regional HR Coalition. At the

subgrantee level, PACT will work closely with subgrantees and other partners (PEPFAR- and non-PEPFAR-

funded) to foster networking & communities of practice to address & resolve bottlenecks in implementation

and to share experiences, resources, materials, and tools. Pact will also ensure progress in linkages,

referrals, referral follow-up and documentation to other services, whether it be to public governmental health

or social services, non-governmental or community-based organizations, or private services.

Pact's comprehensive package of capacity building support will place a premium on interventions that

improve upon organizational and institutional sustainability. In addition to these interventions, individual

partner activities under this program area are as follows:

The Namibia Association for Community Based Natural Resource Management (NACSO) is an umbrella

organization whose HIV activities and financial management are supported through the help of a member

NGO, Namibia Nature Foundation (NNF). The umbrella body assists conservancies to secure their own

livelihoods through the sustainable use and management of their natural resources. Because of the impact

of HIV on the conservancies' human resources (more than 300 000 Namibians) the umbrella body, 12

member NGOs, conservancies and communities have rolled out a comprehensive HIV program since 2003.

The overall population reached will increase significantly with FY2008 resources, requiring additional

technical support from NASCO and NNF. Through an innovative workplace policy and implementation

approach targeting conservancies, FY2008 funds will also scale up prevention activities focused on a

balanced ABC approach (see Pact AB and OP) through a community peer education program with

emphasis on referrals to VCT, care, and treatment. To reach communities, 12 NGOs, 40 conservancies,

and 3 line ministries will be trained in policy development and institutional capacity building, training a total

of 315.

Activity Narrative:

Both multipurpose centers (Walvis Bay and Sam Nujoma) support workplace policy development with local

companies. With FY2008 resources, at least 10 new companies will have workplace policies established,

supported by at least 2 peer educators per company (funded under Pact AB and OP).

The largest grantee, Catholic AIDS Action (CAA) (see Pact AB, HBHC, OVC) has an integrated program

across multiple program areas. CAA will train 800 volunteers in community mobilization, with a strong focus

on male involvement. Additionally CAA will explore options for creating public private partnerships to

support OVC in areas of economic sustainability.

In FY07, AIDS Law Unit of the Legal Assistance Center (LAC) focused on policy formulation and law reform.

Subsequently, LAC will ensure that these policies and laws are enforced through a program to inform

regions and communities and directly support OVC with legal assistance. As a direct result of the policy

implementation and service provision to OVC, this activity has been moved appropriately to OVC services in

FY2008, (See Pact OVC). LAC will continue to provide support and technical assistance to policy

development and implementation for OVC across multiple PEPFAR-funded partners.

New in FY2008, Pact will target 3 key but nascent umbrella organizations who currently are Global Fund

sub-recipients, namely: the Namibia Business Coalition on AIDS (NABCOA), the Namibia Network of AIDS

Service Organizations (NANASO), and Lironga Eparu (LE). USG, through Pact, will target these

organizations with organizational and programmatic capacity building with the aim of strengthening them to

be become principle recipients in Namibia's Round Eight Global Fund proposal. NABCOA assists its over-

65 member organizations by providing on-site guidance and best practices to help their members develop

optimal HIV/AIDS workplace programs for some of the largest employers in Namibia. NANASO is the

national HIV/AIDS umbrella for civil society organizations with over 300 member organizations. LE

promotes active involvement of PLWHA in advocacy, stigma reduction, and civil rights at national and

regional levels. Pact will target these umbrella organizations with opportunities for institutional strengthening

tailored toward the umbrellas' overall longer-term strategies, including future Global Fund goals. Pact will

foster linkages between umbrella groups and USG-funded HIV/AIDS service organizations, providing

immediate opportunities for greater involvement and further extending the reach of the umbrella groups.

This activity dramatically leverages Global Fund investments by providing the capacity building

opportunities that are lacking under the current Global Fund subgrants.

Subpartners Total: $5,677,797
Apostolic Faith Mission Church: $170,030
Catholic AIDS Action: $3,700,046
Change of Lifestyles Homes Project: $150,000
Evangelical Lutheran Church in Nambia (Various Dioceses): $300,000
Philippi Trust Namibia: $288,665
Namibia Chamber of Mines: $50,075
Rhennish Church: $133,620
Sam Nujoma Multi Purpose Center: $99,268
TKMOAMS, Namibia: $108,000
Walvis Bay Multi Purpose Center: $300,000
Legal Assistance Centre: $233,093
Namibia Nature Foundation: $145,000
Cross Cutting Budget Categories and Known Amounts Total: $429,230
Food and Nutrition: Commodities $329,230
Food and Nutrition: Commodities $100,000