Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 13166
Country/Region: Namibia
Year: 2011
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $450,000

Funding for Health Systems Strengthening (OHSS): $450,000

Support the design and roll out of a low-cost health insurance product that is inclusive of ART, male circumcision, and TB-related services, to increase healthcare coverage for low wage workers thereby reducing the financing burden on the public sector.

Continuing Activity

Estimated Budget = $250,000

Build capacity of local organizations (public and CSOs) to partner with, and leverage funding from, the public and/or private sector to help sustain CSOs and their roles in providing HIV/AIDS services to communities.

Continuing Activity

Estimated Budget = $200,000


This activity aims to catalyze and sustainably increase private sector funding (particularly from the commercial sector) for the National HIV/AIDS response. By doing so, SHOPS will strengthen greater domestic investment in the national response, which is critical as USG support is decreased over the coming years.

The SHOPS project is USAID's global flagship project that brings international expertise to foster innovative state-of-the art private sector models, approaches, and tools. SHOPS will work in partnership with local organizations both public and private to strengthen their ability to nurture a sustained private sector response. In particular, attention will be focused on strengthening the GRN's stewardship role to liaise, coordinate, and communicate with the private sector. In addition, SHOPS efforts will be coordinated with those of other donors such as the Global Fund (should the Round 10 private sector/HIV proposal be awarded) and GTZ. It should be noted, that while local institutions are the target of its activities, where relevant and possible, the project will also work through local firms and consultants to deliver its technical support. The following activities address gaps identified by a comprehensive private sector assessment conducted by SHOPS in 2010.

1) Low-cost health insurance:

In COP 10, SHOPS provides technical support to lay the foundation for developing a feasible health insurance product to be extended to low wage workers. Primary activities include pricing alternative benefit packages and conducting a market survey to ascertain willingness to contribute towards health insurance, both from an employer and employee perspective.

In COP 11, SHOPS will build on these formative efforts to design, introduce, and create demand for a health insurance product that will extend HIV and related services (e.g. ART, TB , and male circumcision, a new and promising intervention) to low income workers. Increasing private contributions to fund HIV treatment will reduce the public burden to pay for ART a critical need given the growing number of individuals eligible to receive treatment as a result of recently adopted new treatment guidelines.

Specific activities proposed for COP 11 include:

Build consensus to launch a low-cost health insurance product

Convene stakeholders (MoHSS, private industry, medical aid schemes, and trade unions) to present the results of the market survey and facilitate a discussion on alternative benefit packages.

Facilitate a dialogue between trade unions, private industry and government to build consensus around a health insurance product.

Provide technical assistance to usher the health insurance proposal through the legal and regulatory process.

Negotiate a pilot for subsidized ARVs linked to a low-cost health insurance product:

Design and pilot a program to reduce inefficiencies and lower ARV premiums.

Promote low-cost health insurance product:

Market the low-cost health insurance product and its advantages of prompt private sector treatment/reduced absenteeism to employees and employers.

Capacity Building Program:

Building the capacity of local institutions (both public and not-for-profit) to dialogue, partner with, and leverage funds from the private sector is a major emphasis for SHOPS in COP 10. A core component of this work is to establish a Public-Private Working Group (PPWG) to foster increased coordination and cooperation between the public and private sectors. Formative steps include creation of a Public-Private Partnerships (PPP) policy framework and prioritizing areas for public-private collaboration. The public-private dialogue in COP 10 builds the foundation for and helps identify key areas needed for capacity building in COP 11. This may include capacity building of NGOs to competitively apply for public tenders related to HIV/AIDS services and programs.

2) In COP 11, SHOPS will continue to strengthen capacity with the following stakeholders:


Strengthening MoHSS capacity to engage with, and leverage funds for HIV-related healthcare from, the private sector will help maximize the private sector role and contribution to the HIV response. Activities to strengthen MoHSS stewardship role include:

Continued support to the PPWG:

Provide technical assistance to the PPWG to carry out specific activities: design a PPP plan, draft a proposal for new legislation, and analyze the market to identify PPP opportunities.

Provide technical assistance to create PPPs.

Provide logistical support for ongoing dialogue and communication between sectors.

Establish PPP Unit:

Secure ministerial support to establish a PPP Unit to be embedded within the GRN.

Define the terms of references, staffing configuration and organizational home for the PPP Unit

Develop the first year work plan for the newly established PPP Unit

3) Civil society/not-for-profit:

NGOs and CSOs are important actors in HIV/AIDS, delivering a wide range of services. To increase their financial viability and long-term sustainability, this sector will need to learn how to better harness private sector contributions both financial and in-kind. In COP 11, SHOPS will with work with various NGOs including NABCOA and NANASO, an indigenous HIV/AIDS civil society umbrella organization with approx. 400 CSOs, to provide the tools and skills Namibian NGOs need to tap into the private sector. In particular, SHOPS will build the capacity of NANASO to:

Establish services for its member NGOS to better harness cash donations:

Establish a certificate process for NGOS that guarantees an NGO's institutional integrity and competency

Promote and market certified NGOs to Namibian industry's as organizations eligible for donations

Promote an understanding among industry and NGOs of laws governing tax contributions, to encourage cash donations by businesses and/or business contributions to fundraising initiatives

Assist NGOS, through training and other strategies, to register as "welfare organizations" in order to become eligible for tax deductible donations

Establish mechanisms for its member NGOS to facilitate in-kind donations:

Conduct a survey of Namibian industries to identify barriers to sustained in-kind donations giving.

Develop structures and/or mechanisms to harness the donations, such as creating a central warehouse and distribution centers, similar to US "food banks," where a wide range of businesses can drop off on a regular basis excess food, office supplies, school materials, etc.

Subpartners Total: $0
Banyan Global: NA
Johns Hopkins University: NA
Marie Stopes International: NA
O'Hanlon Health Consulting: NA
Monitor Group: NA
Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000
Key Issues Identified in Mechanism
Workplace Programs