Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1401
Country/Region: South Africa
Year: 2009
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $9,489,170

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

ACTIVITY UNCHANGED FROM FY 2008

Funds will be used to recruit a Prevention Advisor with expertise in abstinence and being faithful (AB) and

other prevetion (OP) program areas. HVOP also includes funding for this advisor. This new activity is

required to strengthen the prevention portfolio. The incumbent will expand and strengthen AB activities,

integrate gender, improve nuanced, targeted communication and expand prevention efforts aimed at the

general population and at youth. The Advisor will ensure the development and dissemination of rigorously-

informed messaging in the PEPFAR/South Africa program. The Advisor will also ensure that prevention

activities conform to United States government guidance, South African government policies and the HIV &

AIDS and STI Strategic Plan for South Africa, 2007-2011.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13914

Continued Associated Activity Information

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

System ID System ID

13914 12255.08 U.S. Agency for US Agency for 6650 1401.08 Management 1 $194,000

International International

Development Development

12255 12255.07 U.S. Agency for US Agency for 4500 1401.07 Management 1 $250,000

International International

Development Development

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

ACTIVITY UNCHANGED FROM FY 2008

Plus up funds will be used to recruit a Prevention Advisor with expertise in AB and OP program areas.

HVAB also includes funding for this advisor. This new activity is required to strengthen the prevention

portfolio. The incumbent will expand and strengthen OP activities, strengthen gender programs, develop

activities aimed at substance abuse and HIV/AIDS, and develop and implement interventions in high

transmission areas. The Advisor will ensure that rigorously informed messaging is developed and

disseminated in PEPFAR/South Africa programs. The Advisor will also ensure that prevention activities

conform with the USG guidance, SAG policies and the National Strategic Plan.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13915

Continued Associated Activity Information

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

System ID System ID

13915 12324.08 U.S. Agency for US Agency for 6650 1401.08 Management 1 $194,000

International International

Development Development

12324 12324.07 U.S. Agency for US Agency for 4500 1401.07 Management 1 $250,000

International International

Development Development

Table 3.3.03:

Funding for Management and Operations (HVMS): $116,509

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

These funds will support ICASS charges. It is estimated that USAID will pay $120,000 in FY 2009 in ICASS

charges for PEPFAR-funded staff.

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These funds will support ICASS charges. It is estimated that USAID will pay $120,000 in FY 2008 in ICASS

charges for PEPFAR-funded staff.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14490

Continued Associated Activity Information

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

System ID System ID

14490 14490.08 U.S. Agency for US Agency for 6650 1401.08 Management 1 $120,000

International International

Development Development

Table 3.3.19:

Funding for Management and Operations (HVMS): $131,072

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

These funds will support IRM costs. It is estimated that USAID will pay $135,000 in FY 2009 in IRM tax for

PEPFAR-funded staff.

-----------------

These funds will support IRM costs. It is estimated that USAID will pay $135,000 in FY 2008 in IRM tax for

PEPFAR-funded staff.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14488

Continued Associated Activity Information

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

System ID System ID

14488 14488.08 U.S. Agency for US Agency for 6650 1401.08 Management 1 $135,000

International International

Development Development

Table 3.3.19:

Funding for Management and Operations (HVMS): $388,362

ACTIVITY UNCHANGED FROM FY 2008

USAID will provide funding to the centrally-managed agreement with IAP Worldwide to support two staff

persons. The budget includes salaries and benefits, and travel. Local support costs, such as housing and

school, are paid directly by USAID/South Africa. These staff include: the Palliative Care Advisor and the

Strategic Information Advisor.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14489

Continued Associated Activity Information

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

System ID System ID

14489 14489.08 U.S. Agency for US Agency for 6650 1401.08 Management 1 $400,000

International International

Development Development

Table 3.3.19:

Funding for Management and Operations (HVMS): $8,853,227

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

These funds support the management and staffing expenses of USAID/South Africa (USAID). The funds

cover the costs of ongoing and new staff who provide technical, financial and contractual oversight of over

68 USAID partners implementing the PEPFAR program in South Africa. The total USAID PEPFAR

management and staffing budget is $12,866,206 including ICASS estimated at $120,000 and the IRM tax

which is estimated at $135,000. In FY 2008, USAID was responsible for the obligation and management of

over $332 million in GHAI funds. In FY 2009 this amount will fall to approximately $316 million. Recruitment

for staff identified in the 2007 Staffing for Results exercise is on-going and many positions are close to

being filled; by the time this COP is reviewed it is anticipated that all but two will be filled. Of the new staff,

three will be overseas hires and the rest locally employed staff.

The USAID Health Office comprises three divisions: (1) Care and Treatment, (2) Prevention and OVC, and

(3) Cross Cutting (SI, HCD and others). Including the new hires, the Health Office staff will include

approximately 26 professionals and eight administrative and project assistants. As of September 2008, 15

professional were on-board, managing an average $25 million each. When recruitment is completed, the

26 professionals will manage an average of $14 million each. While this dollar-to-staff ratio will still be

relatively high, the country team has developed innovative mechanisms to strengthen management and

oversight that has proven successful through the last year of implementation of the Umbrella Grants

Management mechanisms and the new South African partner assessment contract, which is managed by

CDC and serves both agencies.

USAID, under PEPFAR, is also placing staff in several locations outside of Pretoria. PEPFAR coordinators

will be placed in the consulates in Durban and in Cape Town. Provincial PEPFAR coordinators will also be

placed in the provinces in South Africa. The decision to locate this staff provincially was made last year in

the Staffing for Results exercise, and approved in the 07 COP. However, at a meeting with all provinces

held in June, national level officers of the Department of Health asked for this placement to be delayed until

a national coordinator was hired (under a CDC contract). It is anticipated that the national coordinator will be

on-board soon and provincial coordinators will be recruited after that.

The Umbrella Grants Management agreement was designed at the beginning of PEPFAR to manage new

and small partners. In FY 2007, the Umbrella Grants Management component was recompeted and four

separate awards made to organizations to provide financial and administrative guidance and support to 35

small organizations, thereby reducing USAID's management burden. Umbrella Grants Management has

been an effective mechanism to assist the USAID PEPFAR team in the mandate to increase new partners

and build capacity but with limited staff to provide responsible oversight and technical direction. Funding for

the umbrella grants element is included in the individual program areas.

Following negations with Washington, USAID is now supporting salaries of ten USDH in the South Africa

mission with PEPFAR program funding. These include: three Health Officers; one Program Officer; one

Contracting Officer; one Legal Advisor; one Controller; one Contracting Officer; and one Executive Officer.

PEPFAR also covers the salaries of support staff in all these offices, as outlined in the staffing data base.

Overall PEPFAR is supporting salaries of 58 staff in the USAID mission.

The South African government is undergoing dramatic change and USG staffing needs are also changing.

As mentioned elsewhere, after President Mbeki's departure in the fall of 2008, an interim president and

minister of health were named. It is unknown whether the new minister will be in the position over the long

term. The South Africa PEPFAR team will develop a Compact with the South African government after the

new government is in place, which takes into account the expectation that PEPFAR budget allocations for

South Africa will decline in the future. A new Staffing for Results exercise, which will complement

development of the compact, will need to be conducted to reflect these changes.

------------------------

These funds support the management and staffing expenses of USAID/South Africa (USAID). The funds

cover the costs of ongoing and new staff who provide technical, financial and contractual oversight of over

63 USAID partners implementing the PEPFAR program in South Africa. The total USAID PEPFAR

management and staffing budget is $9,478,000 including ICASS estimated at $120,000 and the IRM tax

which is estimated at $135,000. In FY 2007, USAID was responsible for the obligation and management of

over $228 million in GHAI funds. In FY 2008 this amount will rise to over $332 million. In order to provide

comprehensive administrative, technical and managerial oversight of the PEPFAR portfolio, USAID will

recruit an additional 16 staff to work in the USAID office in Pretoria. Of these, it is anticipated that one will

be an overseas hire, and the remainder locally recruited. Many of these positions will be filled by junior staff

who will provide basic administrative support as they became more engaged in and knowledgeable about

technical issues.

The USAID Health and PEPFAR Office was divided in three divisions to correspond loosely with technical

working groups designated during the Staffing for Results exercise. Including the new hires, the Office staff

will include approximately 23 professionals, who will manage an average $14 million each, and seven

administrative and project assistants. While this dollar-to-staff ratio is relatively high, the country team has

developed innovative mechanisms to strengthen management and oversight. These include the Umbrella

Grant Management mechanisms and the new quality assurance program QMAP.

The Umbrella Grants Management agreement was designed at the beginning of PEPFAR to manage new

and small partners. In FY 2007, the Umbrella Grants Management component was recompeted and three

separate awards made to organizations to provide financial and administrative guidance and support to over

35 small organizations, thereby reducing USAID's management burden. Funding for the umbrella grants

element is included in the individual program areas.

In addition to the technical staff, PEPFAR will support staff in support offices including the Contracting

Office, Financial Management and Executive Office. Two headquarters-funded regional advisors, a legal

Activity Narrative: advisor and a contracting officer also provide services to PEPFAR. In addition to technical staff who will

serve within the Health and PEPFAR Team, USAID/South Africa will recruit additional support staff in the

Executive, the Financial Management and the Contracting Offices who will work on PEPFAR programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13916

Continued Associated Activity Information

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

System ID System ID

13916 3120.08 U.S. Agency for US Agency for 6650 1401.08 Management 1 $9,123,000

International International

Development Development

7636 3120.07 U.S. Agency for US Agency for 4500 1401.07 Management 1 $6,100,000

International International

Development Development

3120 3120.06 U.S. Agency for US Agency for 2718 1401.06 Management 1 $7,840,000

International International

Development Development

Table 3.3.19: