Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1484
Country/Region: Namibia
Year: 2009
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $1,500,000

Funding for Management and Operations (HVMS): $1,500,000


This activity is comprised of three components: (1) salaries and personnel costs for CDC staff in Namibia

(these positions include administrative support staff as well as technical staff working in three or more

program areas), (2) operating expenses for the CDC office, and (3) International Cooperative Administrative

Support Services ICASS costs.

Funding for this activity is divided and the remainder has been reflected in a separate entry for CDC HVMS


1. CDC Staff. Since 2002, the CDC staff in Namibia has been located in the Directorate of Special

Programs (TB, HIV/AIDS, and malaria), Ministry of Health and Social Services (MOHSS). CDC direct hire

personnel include:

a. Country Director,

b. Deputy Director of Operations,

c. Deputy Director of Programs,

d. Prevention Advisor,

e. Epidemiologist, and

f. Health Communications Specialist.

Contracted personnel include technical advisors who specialize in:

a. Health Information Systems,


c. Counseling and Testing,

d. Monitoring and Evaluation,

e. Strategic Information,

f. Laboratory Services, and

g. Clinical Quality Assurance.

By FY2009COP, these positions and one new position (Technical Advisor for Infection Control and

Communicable Disease Surveillance) will have been converted from non personnel services contracts (non-

PSC) to personnel services contracts (PSC). This conversion is necessary for two primary reasons: (1) to

reflect the inherently governmental functions of these positions, and (2) to rectify the double taxation of

these positions by both the US and Namibian governments. The double taxation results from the lack of a

ratified bilateral agreement between the two countries that covers non-PSC positions. While reducing

taxation costs, this conversion will result in increased ICASS costs.

FY2009COP will also continue to support one Association of Schools of Public Health (ASPH) fellow

providing support in strategic information or management and administration. Locally employed staff (LES)

positions include two nurse HIV field coordinators who head up the CDC/Oshakati office, one TB laboratory

specialist, and one palliative care coordinator. Other LES positions include an office manager, a financial

analyst, two systems administrators, an administrative assistant, three drivers, two driver/administrators

(Windhoek and Oshakati offices), and a receptionist. The salaries and benefits of technical and

programmatic staff are assigned to the appropriate program area within the Emergency Plan categories, but

their management and support costs are included under this activity. The Country Director spends

approximately 40% of his time on assisting the MOHSS with policy and capacity-building, but all costs for

this position are included in this activity. The Deputy Director of Operations, the Health Communications

Specialist, the Infection Control/Surveillance Advisor, and the ASPH fellow are 100% assigned to

management and staffing.

2. Operating expenses. Being located in the MOHSS, the CDC office provides direct logistical and material

support to the MOHSS' daily programmatic operations and to prevention, care and treatment sites in the

regions. Operations costs outside of human resources include information technology and digital

videoconferencing facilities; telecommunications; photocopying and materials production; printing of

guidelines, reports, training curricula and HMIS records; office consumables; utilities; office maintenance

and equipment; security; staff training; field, conference, and meeting travel; and other daily operations


As of COP08, a major accomplishment has been to program 90% of CDC-managed funds to partners.

Seventy-three percent (73%) of CDC-managed funds go to Namibian partners. From this office, the deputy

director of operations, office manager/financial analyst, and ASPH fellows liaise with the Program and

Grants Office at CDC-Atlanta and provide direct financial management support to counterparts in these

Namibian organizations receiving direct USG funding under Cooperative Agreements. These organizations

include the Ministry of Health and Social Services, Namibia Institute of Pathology, Potentia Namibia

Recruitment Consultancy, and Development Aid People to People. In addition to the US Embassy

procurement and financial management staff, the deputy director of operations also works closely with the

Ministry of Works and MOHSS' Directorate of Public Policy and Human Capacity Development on

renovations at ART/PMTCT sites that are contracted under the Regional Procurement and Services Office

(RPSO) in Frankfurt.

This activity leverages resources with the Global Fund, the UN Family, and GTZ which provide technical

advisors to increase capacity of the Directorates of Special Progammes and Primary Health Care, as well

as Regional and Constituency AIDS Coordination Committees (RACOCs and CACOCs).

All but three of the CDC positions in Namibia are based in the Directorate of Special Programs (TB,

HIV/AIDS, and Malaria), MOHSS in Windhoek, the centrally located capital. Three additional staff members

are deployed to the CDC office located on the grounds of the MOHSS' Oshakati State Hospital located in

the large northern city of Oshakati. By the end of FY08, the two CDC/Namibia offices will consist of six

CDC direct hires, eight contractors in technical roles, two locally employed staff (LES) in technical roles, and

eight LES in administrative support positions.

Activity Narrative: 3. ICASS. This activity further supports the International Cooperative Administrative Support Services

(ICASS) provided through the US Embassy by the Department of State. The CDC office is relatively small

and has traditionally been heavily staffed by persons in technical positions to support the MOHSS and other

partners to provide HIV prevention, care and treatment services. As a result, the CDC office has not had

the capacity to perform many of the traditional ICASS responsibilities, including travel and procurement, and

opted to subscribe for most of the services available through ICASS. When possible and cost effective, the

CDC office has and will continue to take on more of these duties in-house.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18907

Continued Associated Activity Information

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

System ID System ID

18907 18907.08 HHS/Centers for US Centers for 7389 1484.08 CDC base $1,056,231

Disease Control & Disease Control funding

Prevention and Prevention

Table 3.3.19: