Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014

Details for Mechanism ID: 10382
Country/Region: Namibia
Year: 2013
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $810,293

Communication for Change (C-Change) supports domestic institutions, both governmental and local civil society organizations (CSO), to improve the quality of behavioral interventions, integrate HIV prevention into primary health care and sustain a combination HIV prevention response through strengthening of national and subnational HIV and AIDS coordination structures. The program provides technical assistance to local CSO and the Ministry of Health and Social Services and Ministry of Regional and Local Government throughout the country. Expected results include: Strengthen the quality of social and behavior change interventions of local CSO; strengthen the governmental national and subnational health program; and support the Directorate of Primary Health Care, regional entities and the National Health Training Center to design and implement the Health Extension Program (HEP)a key task-shifting activity to improve effectiveness and efficiencies. It supports long-term improvements to access at primary health care through HEP. C-Change assistance provides long-term transition and sustainment of the HIV prevention response to country organizations, both governmental and CSO and is in line with the GHI strategic focus of transition. C-Change assists CSO to incorporate SBCC methodology, and implement quality improvement. On national and regional level, the program assists government offices to develop enabling structures, policies, strategies and standards, define essential service packages, and develop national SBCC materials and implement quality programs.

C-Change will be evaluated in 2012. Monitoring efforts include a review of country organization progress against quality improvement benchmarks and implementation of HEP training.

No vehicle procurement

Funding for Care: Orphans and Vulnerable Children (HKID): $141,858

This is a new budget code which supports transition. Under the HKID budget code, Communication for Change (C-C), implemented by international partner FHI360, will utilize COP13 funds to strengthen health and social services delivery at the community level to improve child/family access to health care. This activity will contribute to the overall improvement of health outcomes of OVC and families in underserved rural populations in selected regions where the Health Extension Program (HEP) is implemented.

This activity will provide technical assistance (TA) at the regional health office (RHO) and local level to systematically deliver a package of preventive and promotive health and social services in five new regions by government funded Health Extension Workers (HEW). This effort will reduce USG financial support to community health workers and ensure the sustainability of this important cadre in delivering primary health care and linking community and clinical services.

The HEP is a community-based primary health care intervention that increases the coverage of GRN funded health and social services in communities currently underserved and experiencing poor health outcomes. Access constraints include distance to health facilities and traditional socioeconomic or cultural barriers to seeking health care. The HEP utilizes a census based, impact-oriented approach including systematic visitation by HEW, community screening and case management services for all children and caregivers including HIV and TB, coordination for greater locally-driven health outreach to deliver high-impact technical interventions. The Health Extension Program (HEP) is domestically financed by the Ministry of Health and Social Services (MOHSS). HEP standard modules, developed by MOHSS in collaboration with C-C, cover a range of community-based preventive/ promotive health and social services including: First Aid; Maternal, neonatal, infant and child health (MNCH); Infectious Diseases including HIV and TB; Social welfare; and Referral/linkage to clinical services. C-C supported the MOHSS and RHO pilot a HEP in Kunene Region where poor health outcomes and serious access constraints to health and social services were identified.

C-C will provide specialized TA to five RHO and associated health districts to expand the HEP pilot through providing: 1) Assistance to RHO to deliver quality in-service training for newly selected HEP personnel; 2) Assistance to the National Health Training Center (NHTC) and RHO in HEP expansion, including supervisory structures; 3) Assistance to collect, analyze and utilize standard HEP M&E data at local and regional level; and 4) Assistance to MOHSS to adapt standard HEP modules to meet local cultural or contextual factors during HEP expansion.

TA delivered under this activity is in collaboration with the MOHSS Primary Health Care Directorate and JHPIEGO/MCHIP; as well as Survey Warehouse which will support HEW baseline evaluation and data analysis. This narrative is linked to other TA to other C-C MOHSS activities listed under HVOP.

Cross-cutting activities include: HRH/In-service Training and estimated funding is $150,000. No construction, renovation, motor vehicles envisaged.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $668,435

Communication for Change (C-Change) provides technical assistance to strengthen and focus social and behavior change (SBC) on comprehensive HIV prevention programming among local civil society organizations (CSO), national and regional Government of Namibia (GRN) programs and the GRNs Health Extension Program.

C-Change focuses on critical enablers such as social norms, national and regional implementation of strategies and response plans, strengthening coordination and the performance of technical committees and field workers in processes associated to SBC to support the enabling environment for SBC. C-Change provides important technical leadership to the GRN and local CSO on diffusing best practices in SBC.

Activities to improve the quality of SBC interventions among selected local CSO include: Training in SBC Communication (SBCC) theories and methods; strategy development and planning; program strengthening to include SBC quality standards; field materials review and development; and quality improvement visits to strengthen HIV prevention quality improvement processes. Recipients include: 1) Selected USG-supported local CSO with direct recipient status including Catholic AIDS Action, LifeLine/ChildLine, Church Alliance for Orphans, and KAYEC Trust; and 2) Selected GFATM-supported CSO delivering SBCC at scale including those receiving sub-awards under the Namibia Network of AIDS Service Organizations.

Activities to strengthen the capacity of GRN national and regional programs to plan, monitor and evaluate SBC components of public health activities include: Engage the GRN to strengthen national and regional SBC strategies, policies, structures and efforts through technical assistance and training. Recipients will include: 1) The Ministry of Health and Social Services/Directorate of Special Programs through the National Prevention Technical Advisory Committee and its Technical Working Groups; 2) The Ministry of Health and Social Services/Directorate of Primary Care; and 3) The Ministry of Regional and Local Government, Housing and Rural Development (MRLGHRD) and subnational coordination structures such as Regional AIDS Coordinating Committees (RACCOC) which fall under MRLGHRD mandate in the National Strategic Framework.

Activities to provide technical assistance to the MOHSS Primary Health Care Directorate on the design and implementation of the Health Extension Program include: Engage the GRN in a technical assistance model to ensure quality design and implementation of the MOHSS Health Extension Worker (HEW) program including integration of HIV, TB and malaria-related preventive and promotive services into community level primary health care implementation.

Subpartners Total: $0
Survey Warehouse: NA
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Child Survival Activities
Safe Motherhood
Family Planning