Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 4707
Country/Region: Rwanda
Year: 2009
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $400,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $100,000

ACTIVITY UNCHANGED FROM FY 2008

Through SCMS and DELIVER, PEPFAR continues to support the procurement and distribution of ARVs,

test kits, laboratory supplies, OI drugs, and condoms for HIV prevention and contraceptive commodities for

HIV-positive families. SCMS focuses on ARV procurement and central level support and works with district

pharmacies and warehouses. DELIVER supports contraceptive commodities and public sector condom

distribution.

In FY 2008, DELIVER, using the results of a baseline assessment of condom uptake at health facilities

(2007) working with SCMS and the GOR on quantification and reporting, is supporting the integration of

contraceptive commodities in HIV and coordinating with other PEPFAR partners to avoid duplication of

training.

In FY 2008, DELIVER continues supporting the public sector contraceptive commodities and condom

distribution program. The tasks include quantification, customs clearance, distribution, district level support

and training in contraceptive logistics. In addition, PEPFAR provideS additional support to the public sector

commodity system in collaboration with other donors. The goal is to ensure condom availability at public

sector clinical facilities. To accurately project condom quantification, DELIVER monitors condom uptake in

these facilities. DELIVER also adapts distribution reporting tools to be used by all PEPFAR clinical sites,

and PEPFAR partners integrate these data collection tools into their site-level reporting.

In FY 2009, DELIVER will continue its work on forecasting, quantification and logistical support to USG

condom supplies. Activities will also include monitoring public sector condom distribution, along with follow

up of day to day activities.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12759

Continued Associated Activity Information

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

System ID System ID

12759 8134.08 U.S. Agency for John Snow, Inc. 6280 4707.08 Deliver II $100,000

International

Development

8134 8134.07 U.S. Agency for John Snow, Inc. 4707 4707.07 Deliver follow-on $100,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $20,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $270,000

ACTIVITY UNCHANGED FROM FY 2008:

The Programme Nationale Integre de Lutte contre le Paludisme (PNLP) coordinates all procurement and

distribution of Long Lasting Insecticide Treated nets (LLINs) for the population including LLINs for People

living with HIV/AIDS (PLHWHA). GFATM and PMI are the two major donors for LLINs with GF providing

more than 3 millions LLINs in the past 3 years for vulnerable populations and PMI will provide 550,000

LLINs for the poorest of the poor in 2008. PEPFAR in FY 2008 invested $300,000 for the LLINs through

JSI/DELIVER. PMI also uses JSI/DELIVER for LLINs procurement. PEPFAR LLINs will target PLWHAs not

already covered by the GFATM and will reach an estimated 42,800 PLWHA. PEPFAR will procure and

distribute an additional 42,800 LLINs in FY 2009 for PLWHAs not covered in FY 2008. PMI and PEPFAR

will work with the National Malaria Control Program (NMCP) to ensure a coordinated quantification,

forecasting, and distribution of these LLINs once in country. Furthermore, monitoring of product use,

storage and inventory control through Logistics Management Information System (LMIS) will be done for all

LLINs distributed in country. Using the same partner for both the PEPFAR and PMI funded LLINs will allow

for effective, efficient and less costly programming.

With FY 2008 PMI funding, DELIVER will provide technical assistance to the PNLP for quantification and

forecasting of malaria commodities.

DELIVER also receives PMI support in FY 2008 to second a logistics officer who will be located at PNLP.

This person will be coordinating all procurement at the PNLP including LLINs. This coordinated technical

assistance will increase capacity in terms of quantification, forecasting, distribution and tracking of LLINs

and other health commodities. DELIVER will also procure and clear the LLINs into the country, and deposit

them at CAMERWA. Following the distribution channels already established by the PNILP, clinical partners

and umbrella organizations will obtain LLINs from CAMERWA and distribute them to PLWHA associations

in the community. This PMI wraparound demonstrates the increased integration and collaboration between

PEPFAR and PMI, as well as collaboration with other donors.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16881

Continued Associated Activity Information

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

System ID System ID

16881 16881.08 U.S. Agency for John Snow, Inc. 6280 4707.08 Deliver II $300,000

International

Development

Emphasis Areas

Health-related Wraparound Programs

* Malaria (PMI)

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

Funding for Care: Pediatric Care and Support (PDCS): $30,000

ACTIVITY UNCHANGED FROM FY 2008:

In FY 2008, PEPFAR invested $300,000 into the procurement of Long Lasting Insecticide Treated nets

(LLINs) for People living with HIV (PLHIV) through JSI/DELIVER. These LLINs were to be distributed

among PLHIV not already covered by PMI or the GFATM. PEPFAR, PMI, and the GFATM worked together

to share the costs of the procurement and distribution of the bed nets for an estimated 42,800 PLWHA.

Through the same partner, PMI is providing the majority of the LLINs for children, pregnant women and the

extremely poor. PEPFAR will procure and distribute exposed and infected children and their families. PMI

and PEPFAR will ensure coordinated quantification, forecasting, and distribution of these LLINs once in

country. Furthermore, monitoring of product use, storage and inventory control through Logistics

Management Information System (LMIS) will be done for all LLITNs distributed in country. Using the same

partner for both the PEPFAR and PMI funded LLITNs will allow for effective, efficient and less costly

programming.

With FY 2009 PEPFAR funding, DELIVER will provide technical assistance to the Programme Nationale

Integre de Lutte contre le Paludisme (PNLP) for quantification and forecasting of malaria commodities. In

FY 2008, DELIVER received PMI funds to support a logistics officer at PNLP. This support will continue

through FY 2009. This person coordinates all procurement at the PNLP including LLINs. This coordinated

technical assistance will continue to strengthen the PNILP capacity in quantification, forecasting, distribution

and tracking of LLINs and other health commodities for bothadults, pregnant women and children.

DELIVER will also continue to procure and clear the LLITNs into the country, in collaboration with PNLIP

and CAMERWA. Clinical partners and umbrella PLHIV organizations will obtain LLITNs from CAMERWA

and distribute them to PLHIV associations in the community. Because children are vulnerable to malaria,

especially those infected with HIV,, emphasis for the supply of LLINs will be placed on delivery to families of

HIV-exposed infants and infected children. Similar emphasis will be placed on delivering nets to pregnant

women through broader efforts under PMI and the GF. HIV infected pregnant women will be particularly

targeted as well due to the high morbidity and mortality in this group and the possible effects on infant

outcomes. This PMI wraparound demonstrates the increased integration and collaboration between

PEPFAR and PMI, as well as collaboration with other donors.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16881

Continued Associated Activity Information

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

System ID System ID

16881 16881.08 U.S. Agency for John Snow, Inc. 6280 4707.08 Deliver II $300,000

International

Development

Emphasis Areas

Health-related Wraparound Programs

* Malaria (PMI)

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.10:

Cross Cutting Budget Categories and Known Amounts Total: $20,000
Human Resources for Health $20,000