Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 6155
Country/Region: South Africa
Year: 2009
Main Partner: Pact, Inc.
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $5,010,256

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $395,546

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Human Capacity Development

Pact's primary focus in implementing the Umbrella Grant Management Program (UGM) is the development

of human capacity in South African non-governmental and community-based organizations to promote

establishing and strengthening viable and sustainable civil society organizations. However, the COP

guidance is very specific in terms of what can be included in Human Capacity Development (HCD) and for

this reason, Pact will only address the leadership and management development aspects of the UGM HCD

activities.

Prior to the signing of grant agreements, Pact provides extensive assistance to partner organizations in

developing comprehensive program design documents that accurately reflect planned activities and clearly

articulate defined goals and objectives. Further assistance is provided in costing program activities and

developing a detailed budget that is consistent with program objectives. Pact emphasizes to management

staff during this process, the importance of ensuring that program and finance units work as a team rather

than in isolation. The ability to articulate program goals and activities clearly, and to develop realistic

budgets greatly enhances the ability of management to diversify their funding base and ensure

sustainability.

Pact conducts organizational capacity assessments in collaboration with each partner. The core

methodologies used in all of Pact's capacity building activities are as follows: assessment of sub-recipient

organizational and technical capacity, development of institutional strengthening plans, delivering capacity

building services, reassessment and refinement of institutional strengthening plans (ISP). Several

individuals from partner organizations participate in the assessments in order to ensure that feedback is

obtained from staff at all levels. This process develops the skills of senior management to objectively

assess organizational strengths and weaknesses and utilize the results to develop a realistic strategy that

will ensure that organizational objectives are achieved (including retention strategies for staff) and identified

gaps are addressed. The strategy also details what interventions and support will be provided, by whom,

when and how organizational change will be measured.

Pact also conducts workshops that primarily target senior management and board members. A resource

mobilization course is offered annually to provide information to partner organizations on sources and

strategies for diversifying their funding base. One day of the three day workshop is devoted to developing

the skills of participants in writing proposals. Board training is also offered annually to address issues

related to fiduciary, legal and ethical roles and responsibilities of board members. Although Pact's

Monitoring and Evaluation (M&E) course targets M&E and program staff, senior management members of

partner organizations are encouraged to attend in order to ensure that they understand how to utilize data to

make organizational decisions.

Pact, in working with partner organizations over the course of the past four years has recognized that

management skills among the leadership of many of the civil society organizations need to be further

developed. For this reason, utilizing FY 2008 and 2009 funding, Pact will identify short-term management

courses in South Africa that will enhance leadership and management skills. All partner organizations and

their sub-recipients will be allowed to attend the leadership and management courses, but Pact will primarily

target the partners that have experienced great difficulty in transitioning to the increased funding levels or

have new management staff and structures.

Alignment with South African Government Policies or Plans

In developing program descriptions with partners, Pact ensures that activities are aligned with district and

provincial business plans, the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011 and other

South African government policies or plans.

Gender

Pact ensures that gender-related activities are clearly articulated in partner's program descriptions and

implementation plans. Programmatic and technical assistance provided to partners addresses gender

issues as part of the assessments and recommendations for strengthening technical and organizational

capacity.

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

SUMMARY:

Pact's Rapid Response for HIV and AIDS in South Africa is an umbrella grant mechanism for USAID

PEPFAR grants identified through a USG interagency competitive (APS) process. Pact's primary goal is to

build sustainable institutional capacity and increase the effectiveness of local partners to achieve expanded

and quality services. Pact conducts initial assessments (identifying key organizational strengths and

weaknesses) and works with each partner to develop and implement a tailored, phased capacity building

agenda.

BACKGROUND:

Since FY 2004, Pact has facilitated the efficient flow of grant funds during the rapid scale-up of the PEPFAR

South Africa program. Pact provides PEPFAR funding and assistance to over 30 total PEPFAR partners

and sub partners in South Africa playing valuable roles in the fight against HIV and AIDS. Primary target

organizations include non-governmental, private voluntary and faith-based organizations. Pact's major

emphasis is the enhancement of local organizational capacity building through the development and

implementation of documented organizational systems and procedures and human capacity development at

management and operational levels. Prevention activities have to date resulted in Pact partners reaching

Activity Narrative: over 200,000 people with Abstinence and Being Faithful (AB)-focused messages. Grants to prevention

partners support the delivery of AB programs in a variety of settings including schools, churches and

through household visits. Services are delivered in accordance with the President's Emergency Plan for

AIDS Relief (PEPFAR) policy guidelines and in line with the South African Government's Department of

Health strategy. Approaches include capacitating community volunteers to conduct age-appropriate youth

activities, working with religious leaders to reach congregations with values-based prevention for men and

women, conducting participatory personal risk assessments and promoting Counseling and Testing (CT)

and use of other preventive services.

ACTIVITY 1 - Grant Management

Pact conducts a participatory assessment of each partner organization and collaboratively develops an

organizational capacity building strategy that details planned interventions. These assessment results also

inform Pact of what type of assistance must be provided urgently in order to ensure that the organizations

comply with USAID rules and regulations. Prior to the signing of grant agreements, Pact provides extensive

assistance to organizations in developing comprehensive program design documents that accurately reflect

planned activities and clearly articulate defined goals and objectives. Further assistance is provided in

costing program activities and developing a detailed budget that is consistent with program objectives. Pact

assists partners in developing realistic cost share levels and emphasizes the sustainability aspect of this

requirement. After the signing of the agreement, Pact works with each partner in developing a very detailed

annual work plan that includes specific activities to be implemented, timelines, budgeted amounts, target

beneficiaries and projected reach. The ability to clearly articulate program goals and activities and develop

realistic budgets greatly enhances the ability of partner organizations to diversify their funding base and

ensure sustainability.

ACTIVITY 2 - Human Capacity and NGO Development

Pact has developed a customized training series to orient new partners and their sub partners. The training

series includes basic and advanced grants and sub grant management which addresses USAID rules and

regulations, good governance and minimum financial management standards. Monitoring and evaluation

courses cover basic principles of monitoring and evaluation and PEPFAR data requirements as well as

internal data quality assurance. Refresher courses are also offered throughout program implementation.

Pact ensures that ongoing, intensive on-site training and mentoring is provided to partners and sub

partners. On a quarterly basis, Pact assesses the level and type of assistance required by each

organization and develops a site visit plan that ensures that the necessary support is delivered to each

partner and sub partner. Pact organizes and supports technical consultation meetings for the sharing of

best practices and lessons learned among PEPFAR and non-PEPFAR partners. As required, technical

assistance from select regional and international providers is sourced to assist partners in improving their

technical capacity.

ACTIVITY 3 - Monitoring and Evaluation (M&E)

Pact SA assists each grantee in developing a results framework that tracks success against both PEPFAR

program and organizational indicators. Pact further assists partners and sub partners in the development of

monitoring, evaluation and reporting (MER) plans and systems. Participation in a five day M&E training is

mandatory for all partners prior to full implementation. Pact provides additional M&E assistance to all

partners in the following areas: review and development of effective data collection, analysis and reporting

tools; setting realistic and achievable targets; establishing and strengthening data quality management

systems, conducting internal data quality audits and verifying and validating partner and sub partner data

submissions

ACTIVITY 4 - Program and Financial Monitoring

Pact recognizes the importance of monitoring partner and sub partner program progress and early

identification and resolution of implementation issues. Pact has frequent and regular contact with partners

and if technical/programmatic gaps or problems are identified, ensures that issues are promptly addressed

and resolved. In addition to monitoring program progress, Pact closely monitors partner financial

management and ensures that grants funds are utilized only for activities approved by USAID under

PEPFAR funding. All partners submit monthly financial reports that that detail and document expenditures.

Once Pact has ascertained that the partner has implemented and/or strengthened financial management

systems which fully comply with USAID regulations, the documentation requirement is removed and only

the monthly reporting requirement remains in effect. Pact finance staff visit partners every quarter to audit

program expenses and accompanying documentation, compliance with USAID rules (including branding

requirements) and cost share.

ACTIVITY 5 - Technical Assistance

Pact will provide and manage direct technical assistance in prevention, care and support strategies for all

sub-grantees. Pact technical staff will conduct assessments and provide consultation and training on the

development and implementation of programs and services (in line with best practice models, donor and

SAG recommended methodologies and standards). In addition, sub-grantees will be supported with

guidance and ongoing assistance on the design and delivery of partner HIV and AIDS curricula, training

modules and publications. Pact will also work closely with partners to ensure the effective incorporation and

strengthening of nutrition and food security, protection services, gender mainstreaming, and human

capacity development in existing programs.

Pact has contributed to the 2-7-10 PEPFAR goals through support to five indigenous and international

FBOs providing prevention services to communities in all nine provinces.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14252

Continued Associated Activity Information

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

System ID System ID

14252 12257.08 U.S. Agency for Pact, Inc. 6755 6155.08 UGM $582,000

International

Development

12257 12257.07 U.S. Agency for Pact, Inc. 6155 6155.07 $400,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $257,970

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Care: Adult Care and Support (HBHC): $182,530

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Human Capacity Development (HCD)

Pact's primary focus in implementing the Umbrella Grant Management Program (UGM) is the development

of human capacity in South African NGOs and CBOs to promote the establishment and strengthening of

viable and sustainable civil society organizations. However, the COP guidance is very specific in terms of

what can be included in Human Capacity Development (HCD) and for this reason Pact will only address the

Leadership and Management development aspects of the UGM HCD activities.

Prior to the signing of grant agreements, Pact provides extensive assistance to partner organizations in

developing comprehensive program design documents that accurately reflect planned activities and clearly

articulate defined goals and objectives. Further assistance is provided in costing program activities and

developing a detailed budget that is consistent with program objectives. Pact emphasizes to management

staff during this process the importance of ensuring that program and finance units work as a team rather

than in isolation. The ability to clearly articulate program goals and activities and develop realistic budgets

greatly enhances the ability of management to diversify their funding base and ensure sustainability.

Pact conducts organizational capacity assessments in collaboration with each partner. The core

methodologies used in all of Pact's capacity building activities are as follows: assessment of sub-recipient

organizational and technical capacity, development of institutional strengthening plans, delivering capacity

building services, reassessment and refinement of institutional strengthening plans (ISP). Several

individuals from partner organizations participate in the assessments in order to ensure that feedback is

obtained from staff at all levels. This process develops the skills of senior management to objectively

assess organizational strengths and weaknesses and utilize the results to develop a realistic strategy that

will ensure that organizational objectives are achieved (including retention strategies for staff) and identified

gaps are addressed. The strategy also details what interventions and support will be provided, by whom,

when and how organizational change will be measured.

Pact also conducts workshops that primarily target senior management and board members. A resource

mobilization course is offered annually to provide information to partner organizations on sources and

strategies for diversifying their funding base. One day of the three-day workshop is devoted to developing

the skills of participants in writing proposals. Board training is also offered annually to address issues

related to fiduciary, legal and ethical roles and responsibilities of board members. Although Pact's

Monitoring and Evaluation (M&E) course targets M&E and Program staff, senior management members of

partners organizations are encouraged to attend in order to ensure that they understand how to utilize data

to make organizational decisions.

Pact, in working with partner organizations over the course of the past four years, has recognized that

management skills among the leadership of many of the civil society organizations need to be further

developed. For this reason, utilizing FY 2008 and 2009 funding, Pact will identify short-term management

courses in South Africa that will enhance leadership and management skills. Attendance to leadership

courses will be made available to all partner organizations and their sub recipients but will primarily target

the partners that have experienced great difficulty in transitioning to the increased funding levels or have

new management staff and structures.

Alignment with National Strategic Plan (NSP) or other South African Government (SAG) policies or plans

In developing program descriptions with partners, Pact ensures that activities are aligned with district and

provincial business plans, the NSP and/or other SAG policies or plans.

Gender

Pact ensures that gender related activities are clearly articulated in partner's program descriptions and

implementation plans. Programmatic and technical assistance provided to partners addresses gender

issues as part of the assessments and recommendations for strengthening technical and organizational

capacity.

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

SUMMARY:

Pact's Rapid Response for HIV and AIDS in South Africa is an umbrella grant mechanism for USAID

PEPFAR grants identified through a USG interagency competitive (APS) process. Pact's primary goal is to

build sustainable institutional capacity and increase the effectiveness of local partners to achieve expanded

and quality services in the spectrum of palliative care. Primary targets include non-governmental

organizations (NGOs), private voluntary organizations (PVOs), and faith-based organizations (FBOs). Pact's

major emphasis is the enhancement of local sub-partner capacity through the development and

implementation of documented organizational systems and procedures and human capacity development at

management and operational levels.

BACKGROUND:

Since 2004, Pact has facilitated the efficient flow of grant funds during the rapid scale-up of the PEPFAR

South Africa program. Pact provides PEPFAR funding and assistance to over 30 total PEPFAR partners

and sub-partners in South Africa playing valuable roles in the fight against HIV and AIDS.

Pact has contributed to the 2-7-10 PEPFAR goals through support to 8 partners providing palliative care to

over 80,000 individuals infected and affected by HIV and AIDS. These partners equip government clinics

and hospitals with the human resources including doctors, nurses, pharmacists and counselors. They offer

Activity Narrative: specialized training and infrastructure renovation required to more effectively serve their communities. In

addition, these partners work closely with new and established hospices to develop, improve, and evaluate

current services to ensure hospice accreditation in accordance with national and global standards of

palliative care.

Palliative care services extend beyond patient facilities and include the support of grassroots initiatives for

home-based care, prevention, and positive living activities. Partners engage private doctors, traditional

healers, church groups, and people living With HIV (PLHIV) support groups to extend and enhance the

networks for entry point and follow-up care. During their partnership with PEPFAR, these providers will

increase their reach two to three-fold. This scale-up will require strong financial, monitoring & evaluation,

and management systems to both accommodate the growth in reach and maximize sustainability. In FY

2008, Pact will continue to provide capacity building support through training and mentoring necessary to

further develop and strengthen partner organizations. Pact will also facilitate the sharing of these systems

between emerging and well-established partners and reinforce the use of data and reporting for strategic

decision making.

ACTIVITY 1 - Grant Management

Pact conducts a participatory assessment of each partner organization and collaboratively develops an

organizational capacity building strategy that details planned interventions. These assessment results also

inform Pact of what type of assistance must be provided urgently in order to ensure that the organizations

comply with USAID rules and regulations.

Prior to the signing of grant agreements, Pact provides extensive assistance to organizations in developing

comprehensive program design documents that accurately reflect planned activities and clearly articulate

defined goals and objectives. Further assistance is provided in costing program activities and developing a

detailed budget that is consistent with program objectives. Pact assists partners in developing realistic cost

share levels and emphasizes the sustainability aspect of this requirement. After the signing of the

agreement, Pact works with each partner in developing a very detailed annual work plan that includes

specific activities to be implemented, timelines, budgeted amounts, target beneficiaries and projected reach.

The ability to clearly articulate program goals and activities and develop realistic budgets greatly enhances

the ability of partner organizations to diversify their funding base and ensure sustainability. Consistency with

National Guidelines is emphasized.

ACTIVITY 2 - Human Capacity and NGO Development

Pact has developed a customized training series to orient new partners and their sub-partners. The

training series includes basic and advanced grants and sub-grant management which addresses USAID

rules and regulations, good governance and minimum financial management standards. Monitoring and

evaluation courses cover basic principles of monitoring and evaluation and PEPFAR data requirements as

well as internal data quality assurance. Refresher courses are also offered throughout program

implementation. Pact also ensures that ongoing, intensive on-site training and mentoring is provided to

partners and sub-partners. On a quarterly basis, Pact assesses the level and type of assistance required by

each organization and develops a site visit plan that ensures that the necessary support is delivered to each

partner and sub-partner. Pact organizes and supports technical consultation meetings for the sharing of

best practices and lessons learned among PEPFAR and non-PEPFAR partners. As required, technical

assistance from select regional and international providers is sourced to assist partners in improving their

technical capacity.

ACTIVITY 3 - Monitoring and Evaluation (M&E)

Pact assists each grantee in developing a results framework that tracks success against both PEPFAR

program and organizational indicators. Pact further assists partners and sub-partners in the development of

monitoring, evaluation and reporting (MER) plans and systems. Participation in a five day M&E training is

mandatory for all partners prior to full implementation. Pact provides additional M&E assistance to all

partners in the following areas: review and development of effective data collection, analysis and reporting

tools; setting realistic and achievable targets; establishing and strengthening data quality management

systems, conducting internal data quality audits and verifying and validating partner and sub-partner data

submissions

ACTIVITY 4 - Program and Financial Monitoring

Pact recognizes the importance of monitoring partner and sub-partner program progress and early

identification and resolution of implementation issues. Pact has frequent and regular contact with partners

and if technical/programmatic gaps or problems are identified, ensures that issues are promptly addressed

and resolved.

In addition to monitoring program progress, Pact closely monitors partner financial management and

ensures that grants funds are utilized only for activities approved by USAID under PEPFAR funding. All

partners submit monthly financial reports that that detail and document expenditures. Once Pact has

ascertained that the partner has implemented and/or strengthened financial management systems which

fully comply with USAID regulations, the documentation requirement is removed and only the monthly

reporting requirement remains in effect. Pact finance staff visit partners every quarter to audit program

expenses and accompanying documentation, compliance with USAID rules (including branding

requirements) and cost share.

ACTIVITY 5 - Technical Assistance

Pact will provide and manage direct technical assistance in prevention, care and support strategies for all

sub-grantees. Pact technical staff will conduct assessments and provide consultation and training on the

Activity Narrative: development and implementation of programs and services (in line with best practice models, donor and

SAG recommended methodologies and standards). In addition, sub-grantees will be supported with

guidance and ongoing assistance on the design and delivery of partner HIV and AIDS curricula, training

modules and publications. Pact will also work closely with partners to ensure the effective incorporation and

strengthening of nutrition and food security, protection services, gender mainstreaming, and human

capacity development in existing programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14253

Continued Associated Activity Information

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

System ID System ID

14253 12348.08 U.S. Agency for Pact, Inc. 6755 6155.08 UGM $188,000

International

Development

12348 12348.07 U.S. Agency for Pact, Inc. 6155 6155.07 $150,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $83,331

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 Treatment: Adult Treatment (HTXS): $2,077,736

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Human Capacity Development

Pact's primary focus in implementing the Umbrella Grant Management (UGM) Program is the development

of human capacity in South African non-governmental organizations (NGOs) and community-based

organizations (CBOs) to promote the establishment and strengthening of viable and sustainable civil society

organizations. However, the COP guidance is very specific in terms of what can be included in Human

Capacity Development (HCD) and for this reason Pact will only address the Leadership and Management

development aspects of the UGM HCD activities.

Prior to the signing of grant agreements, Pact provides extensive assistance to partner organizations in

developing comprehensive program design documents that accurately reflect planned activities and clearly

articulate defined goals and objectives. Further assistance is provided in costing program activities and

developing a detailed budget that is consistent with program objectives. Pact emphasizes to management

staff during this process the importance of ensuring that program and finance units work as a team rather

than in isolation. The ability to clearly articulate program goals and activities and develop realistic budgets

greatly enhances the ability of management to diversify their funding base and ensure sustainability.

Pact conducts organizational capacity assessments in collaboration with each partner. The core

methodologies used in all of Pact's capacity building activities are as follows: assessment of sub-recipient

organizational and technical capacity, development of institutional strengthening plans, delivering capacity

building services, reassessment and refinement of institutional strengthening plans (ISP). Several

individuals from partner organizations participate in the assessments in order to ensure that feedback is

obtained from staff at all levels. This process develops the skills of senior management to objectively

assess organizational strengths and weaknesses and utilize the results to develop a realistic strategy that

will ensure that organizational objectives are achieved (including retention strategies for staff) and identified

gaps are addressed. The strategy also details what interventions and support will be provided, by whom,

when and how organizational change will be measured.

Pact also conducts workshops that primarily target senior management and board members. A resource

mobilization course is offered annually to provide information to partner organizations on sources and

strategies for diversifying their funding base. One day of the three day workshop is devoted to developing

the skills of participants in writing proposals. Board training is also offered annually to address issues

related to fiduciary, legal and ethical roles and responsibilities of board members. Although Pact's

Monitoring and Evaluation (M&E) course targets M&E and Program staff, senior management members of

partners organizations are encouraged to attend in order to ensure that they understand how to utilize data

to make organizational decisions.

Pact, in working with partner organizations over the course of the past four years has recognized that

management skills among the leadership of many of the civil society organizations (CSOs) need to be

further developed. For this reason, utilizing FY 2008 and 2009 funding, Pact will identify short-term

management courses in South Africa that will enhance leadership and management skills. Attendance to

leadership courses will be made available to all partner organizations and their sub recipients but will

primarily target the partners that have experienced great difficulty in transitioning to the increased funding

levels or have new management staff and structures.

Alignment with National Strategic Plan (NSP) or other South African Government (SAG) policies or plans

In developing program descriptions with partners, Pact ensures that activities are aligned with district and

provincial business plans, the NSP and/or other SAG policies or plans.

Gender

Pact ensures that gender related activities are clearly articulated in partner's program descriptions and

implementation plans. Programmatic and technical assistance provided to partners addresses gender

issues as part of the assessments and recommendations for strengthening technical and organizational

capacity.

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

SUMMARY:

Currently, the USG PEPFAR Task Force supports institutional capacity building of indigenous organizations

that implement PEPFAR programs through four competitively selected Umbrella Grants Mechanisms: Pact,

the Academy for Educational Development (AED), Family Health International (FHI) and Right to Care

(RTC). The main purposes of these new umbrella organizations are to: (1) facilitate further scale-up of HIV

treatment services; and (2) to develop indigenous capability, thus creating a more sustainable program. The

major emphasis area is local organizational capacity development. Primary target populations are

indigenous organizations, including non-governmental organizations (NGOs), faith-based organizations

(FBOs), and community-based organizations (CBOs).

Pact's primary goal is to build sustainable institutional capacity and increase the effectiveness of local

partners to achieve expanded and high quality services. Primary target include Non-Governmental

Organizations (NGOs), Private Voluntary Organizations (PVOs), and Faith-Based Organizations (FBOs).

Pact's major emphasis is the enhancement of local sub-partner capacity through the development and

implementation of documented organizational systems and procedures and human capacity development at

management and operational levels.

BACKGROUND:

Activity Narrative: Since 2004, Pact has facilitated the efficient flow of grant funds during the rapid scale-up of the PEPFAR

South Africa program. Pact provides PEPFAR funding and assistance to over 30 PEPFAR sub-partners in

South Africa playing valuable roles in the fight against HIV and AIDS.

The sub-partners procure USG and SAG approved ARVs through supply chain vendors and oversee their

distribution to government treatment facilities and accredited private providers. Partners also work closely

with providers to develop drug tracking and monitoring systems to facilitate correct and accurate patient

uptake, treatment management, and referral. Additional services in support of ARV drug distribution include

lab testing, adherence support, patient counseling, telemedicine and quality assurance monitoring.

Partners also equip government clinics and hospitals with the human resources including doctors, nurses,

pharmacists and counselors. In addition, these programs provide specialized training addressing

appropriate delivery of ART services and the provision of holistic HIV care. Pact has contributed to the 2-7-

10 PEFPAR goals through support to 2 partners providing ARV drugs to over 1,000 HIV-infected, uninsured

individuals in treatment sites throughout South Africa.

Partners work closely with and in the SAG provincial, municipal and district facilities to facilitate the

seamless transfer of patients in and out of public and private networks of care. As a result, their programs

continue to grow tremendously in both reach and complexity. This scale-up will require strong financial,

monitoring and evaluation, and management systems to accommodate the growth in reach and maximize

sustainability. With FY 2008 funding, Pact will continue to provide capacity building support through training

and mentoring necessary to further develop and strengthen partner organizations. Pact will also facilitate

the sharing of these systems between emerging and well-established partners and reinforce the use of data

and reporting for decision making.

ACTIVITY 1: Grant Management

Pact conducts a participatory assessment of each partner organization and collaboratively develops an

organizational capacity building strategy that details planned interventions. These assessment results also

inform Pact of what type of assistance must be provided urgently in order to ensure that the organizations

comply with USAID rules and regulations (with emphasis on financial and procurement management).

Prior to the signing of grant agreements, Pact provides extensive assistance to organizations in developing

comprehensive program design documents that accurately reflect planned activities and clearly articulate

defined goals and objectives. Further assistance is provided in costing program activities and developing a

detailed budget that is consistent with program objectives. Pact assists partners in developing realistic cost

share levels and emphasizes the sustainability aspect of this requirement. After the signing of the

agreement, Pact works with each partner in developing a very detailed annual work plan that includes

specific activities to be implemented, timelines, budgeted amounts, target beneficiaries and projected reach.

The ability to clearly articulate program goals and activities and develop realistic budgets greatly enhances

the ability of partner organizations to diversify their funding base and ensure sustainability.

ACTIVITY 2: Human Capacity and NGO Development

Pact has developed a customized training series to orient new partners and their sub-partners. The training

series includes basic and advanced grants and sub-grant management which addresses USAID rules and

regulations, good governance and minimum financial management standards. Monitoring and evaluation

courses cover basic principles of monitoring and evaluation and PEPFAR data requirements as well as

internal data quality assurance. Refresher courses are also offered throughout program implementation.

Pact also ensures that ongoing, intensive onsite training and mentoring is provided to sub-partners. On a

quarterly basis, Pact assesses the level and type of assistance required by each organization and develops

a site visit plan that ensures that the necessary support is delivered to each sub-partner. Pact organizes

and supports technical consultation meetings for the sharing of best practices and lessons learned among

PEPFAR and non-PEPFAR partners. As required, technical assistance from select regional and

international providers is sourced to assist partners in improving their technical capacity.

ACTIVITY 3: Monitoring and Evaluation

Pact SA assists each grantee in developing a results framework that tracks success against both PEPFAR

program and organizational indicators. Pact further assists sub-partners in the development of monitoring,

evaluation and reporting (MER) plans and systems. Participation in a five day M&E training is mandatory

for all partners prior to full implementation. Pact provides additional M&E assistance to all partners in the

following areas: review and development of effective data collection, analysis and reporting tools; setting

realistic and achievable targets; establishing and strengthening data quality management systems,

conducting internal data quality audits and verifying and validating sub-partner data submissions.

ACTIVITY 4: Program and Financial Monitoring

Pact recognizes the importance of monitoring sub-partner program progress and early identification and

resolution of implementation issues. Pact has frequent and regular contact with sub-partners and if

technical/programmatic gaps or problems are identified, ensures that issues are promptly addressed and

resolved.

In addition to monitoring program progress, Pact closely monitors sub-partner financial management and

ensures that grants funds are utilized only for activities approved under PEPFAR funding. All partners

submit monthly financial reports that that detail and document expenditures. Pact finance staff visit partners

every quarter to audit program expenses and accompanying documentation, compliance with USAID rules

(including branding requirements) and cost share.

ACTIVITY 5: Technical Assistance

Activity Narrative: Pact will provide and manage direct technical assistance in prevention, care and support strategies for all

sub-grantees. Pact technical staff will conduct assessments and provide consultation and training on the

development and implementation of programs and services. In addition, sub-grantees will be supported

with guidance and ongoing assistance on the design and delivery of partner HIV and AIDS curricula,

training modules and publications. Pact will also work closely with partners to ensure the effective

incorporation and strengthening of nutrition and food security, protection services, gender mainstreaming,

and human capacity development in existing programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14256

Continued Associated Activity Information

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

System ID System ID

14256 12337.08 U.S. Agency for Pact, Inc. 6755 6155.08 UGM $2,140,000

International

Development

12337 12337.07 U.S. Agency for Pact, Inc. 6155 6155.07 $1,100,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $948,550

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09:

Funding for Care: Orphans and Vulnerable Children (HKID): $1,883,555

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Human Capacity Development:

Pact's primary focus in implementing the Umbrella Grant Management Program (UGM) is the development

of human capacity in South African NGOs and CBOs to promote the establishment and strengthening of

viable and sustainable civil society organizations. However, the COP guidance is very specific in terms of

what can be included in Human Capacity Development (HCD) and for this reason Pact will only address the

Leadership and Management development aspects of the UGM HCD activities.

Prior to the signing of grant agreements, Pact provides extensive assistance to partner organizations in

developing comprehensive program design documents that accurately reflect planned activities and clearly

articulate defined goals and objectives. Further assistance is provided in costing program activities and

developing a detailed budget that is consistent with program objectives. Pact emphasizes to management

staff during this process the importance of ensuring that program and finance units work as a team rather

than in isolation. The ability to clearly articulate program goals and activities and develop realistic budgets

greatly enhances the ability of management to diversify their funding base and ensure sustainability.

Pact conducts organizational capacity assessments in collaboration with each partner. The core

methodologies used in all of Pact's capacity building activities are as follows: assessment of sub-recipient

organizational and technical capacity, development of institutional strengthening plans, delivering capacity

building services, reassessment and refinement of institutional strengthening plans (ISP). Several

individuals from partner organizations participate in the assessments in order to ensure that feedback is

obtained from staff at all levels. This process develops the skills of senior management to objectively

assess organizational strengths and weaknesses and utilize the results to develop a realistic strategy that

will ensure that organizational objectives are achieved (including retention strategies for staff) and identified

gaps are addressed. The strategy also details what interventions and support will be provided, by whom,

when and how organizational change will be measured.

Pact also conducts workshops that primarily target senior management and board members. A resource

mobilization course is offered annually to provide information to partner organizations on sources and

strategies for diversifying their funding base. One day of the three day-workshop is devoted to developing

the skills of participants in writing proposals. Board training is also offered annually to address issues

related to fiduciary, legal and ethical roles and responsibilities of board members. Although Pact's

Monitoring and Evaluation course targets M&E and Program staff, senior management members of partners

organizations are encouraged to attend in order to ensure that they understand how to utilize data to make

organizational decisions.

Pact, in working with partner organizations over the course of the past four years has recognized that

management skills among the leadership of many of the CSOs need to be further developed. For this

reason, utilizing FY 2008 and 2009 funding, Pact will identify short term management courses in South

Africa that will enhance leadership and management skills. Attendance to leadership courses will be made

available to all partner organizations and their sub recipients but will primarily target the partners that have

experienced great difficulty in transitioning to the increased funding levels or have new management staff

and structures.

Alignment with South Africa's National Strategic Plan (NSP) or other SAG policies or plans:

In developing program descriptions with partners, Pact ensures that activities are aligned with District and

Provincial business plans, the NSP and/or other SAG policies or plans.

Gender:

Pact ensures that gender-related activities are clearly articulated in partner's program descriptions and

implementation plans. Programmatic and technical assistance provided to partners addresses gender

issues as part of the assessments and recommendations for strengthening technical and organizational

capacity.

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

SUMMARY:

Pact's Rapid Response for HIV/AIDS in South Africa is an umbrella grant mechanism for USAID PEPFAR

grants identified through a USG interagency competitive process. Pact's primary goal is to build sustainable

institutional capacity and increase the effectiveness of local partners to achieve expanded and quality

services. Primary target populations include Non-Governmental Organizations (NGOs), Private Voluntary

Organizations (PVOs), and Faith-Based Organizations (FBOs). Pact's major emphasis is the enhancement

of local sub-partner capacity through the development and implementation of documented organizational

systems and procedures and human capacity development at management and operational levels.

BACKGROUND:

Since 2004, Pact has facilitated the efficient flow of grant funds during the rapid scale-up of the PEPFAR

South Africa program. Pact provides PEPFAR funding and assistance to over 30 total PEPFAR partners

and sub partners in South Africa playing valuable roles in the fight against HIV/AIDS.

Grants to OVC partners support a range of best practices for orphan care using a variety of models of

service delivery and working in coordination with the South African Government. During their partnership

with PEPFAR, Pact OVC partners will significantly increase their reach. This scale up will require strong

financial, monitoring & evaluation, and management systems to accommodate their growth and maximize

sustainability. Pact conducts technical assessments of OVC partners and sources the assistance required

to address any gaps in service delivery. In FY 2008, Pact will continue to provide capacity building support

Activity Narrative: to all OVC partners through training and mentoring. In addition, Pact will facilitate the sharing of established

systems between emerging and well-established partners to further support enhanced and expanded

networks of care.

Pact supports 11 PEPFAR partners providing care and support services to over 60,000 orphans and

vulnerable children (OVC) in South Africa. Active in all nine provinces, these partners identify and train

caregivers, establish community care centers and provide psychosocial and educational support. Ongoing

efforts to secure identification documents, social grants, increased access to education and protection from

abuse and exploitation have resulted in improved livelihoods for vulnerable children.

ACTIVITY 1: Grant Management

Pact conducts a participatory assessment of each partner organization and collaboratively develops an

organizational capacity building strategy that details planned interventions. These assessment results also

inform Pact of what type of assistance must be provided urgently in order to ensure that the organizations

comply with USAID rules and regulations.

Prior to the signing of grant agreements, Pact provides extensive assistance to organizations in developing

comprehensive program design documents that accurately reflect planned activities and clearly articulate

defined goals and objectives. Further assistance is provided in costing program activities and developing a

detailed budget that is consistent with program objectives. Pact assists partners in developing realistic cost

share levels and emphasizes the sustainability aspect of this requirement. After the signing of the

agreement, Pact works with each partner in developing a very detailed annual work plan that includes

specific activities to be implemented, timelines, budgeted amounts, target beneficiaries and projected reach.

The ability to clearly articulate program goals and activities and develop realistic budgets greatly enhances

the ability of partner organizations to diversify their funding base and ensure sustainability.

ACTIVITY 2: Human Capacity and NGO Development

Pact has developed a customized training series to orient new partners and their sub partners. The training

series includes basic and advanced grants and sub grant management which addresses USAID rules and

regulations, good governance and minimum financial management standards. Monitoring and evaluation

courses cover basic principles of monitoring and evaluation and PEPFAR data requirements as well as

internal data quality assurance. Refresher courses are also offered throughout program implementation.

Pact also ensures that ongoing, intensive on- site training and mentoring is provided to partners and sub

partners. On a quarterly basis, Pact assesses the level and type of assistance required by each

organization and develops a site visit plan that ensures that the necessary support is delivered to each

partner and sub partner. Pact organizes and supports technical consultation meetings for the sharing of

best practices and lessons learned among PEPFAR and non-PEPFAR partners. As required, technical

assistance from select regional and international providers is sourced to assist partners in improving their

technical capacity.

ACTIVITY 3: Monitoring and Evaluation (M&E)

Pact SA assists each grantee in developing a results framework that tracks success against both PEPFAR

program and organizational indicators. Pact further assists partners and sub partners in the development of

monitoring, evaluation and reporting (MER) plans and systems. Participation in a five day M&E training is

mandatory for all partners prior to full implementation. Pact provides additional M&E assistance to all

partners in the following areas: review and development of effective data collection, analysis and reporting

tools; setting realistic and achievable targets; establishing and strengthening data quality management

systems, conducting internal data quality audits and verifying and validating partner and sub-partner data

submissions.

ACTIVITY 4: Program and Financial Monitoring

Pact recognizes the importance of monitoring partner and sub partner program progress and early

identification and resolution of implementation issues. Pact has frequent and regular contact with partners

and if technical/programmatic gaps or problems are identified, ensures that issues are promptly addressed

and resolved.

In addition to monitoring program progress, Pact closely monitors partner financial management and

ensures that grants funds are utilized only for activities approved by USAID under PEPFAR funding. All

partners submit monthly financial reports that that detail and document expenditures. Once Pact has

ascertained that the partner has implemented and/or strengthened financial management systems which

fully comply with USAID regulations, the documentation requirement is removed and only the monthly

reporting requirement remains in effect. Pact finance staff visit partners every quarter to audit program

expenses and accompanying documentation, compliance with USAID rules (including branding

requirements) and cost share.

ACTIVITY 5: Technical Assistance

Pact will provide and manage direct technical assistance in prevention, care and support strategies for all

sub-grantees. Pact technical staff will conduct assessments and provide consultation and training on the

development and implementation of programs and services (in line with best practice models, donor and

SAG recommended methodologies and standards). In addition, sub-grantees will be supported with

guidance and ongoing assistance on the design and delivery of partner HIV and AIDS curricula, training

modules and publications. Pact will also work closely with partners to ensure the effective incorporation and

strengthening of nutrition and food security, protection services, gender mainstreaming, and human

capacity development in existing programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14254

Continued Associated Activity Information

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

System ID System ID

14254 12514.08 U.S. Agency for Pact, Inc. 6755 6155.08 UGM $2,940,000

International

Development

12514 12514.07 U.S. Agency for Pact, Inc. 6155 6155.07 $1,150,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $859,900

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

Funding for Treatment: ARV Drugs (HTXD): $470,889

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

HCD

Pact's primary focus in implementing the Umbrella Grant Management Program (UGM) is the development

of human capacity in South African non-governmental organizations (NGOs) and community-based

organizations (CBOs) to promote the establishment and strengthening of viable and sustainable civil society

organizations. However, the COP guidance is very specific in terms of what can be included in Human

Capacity Development (HCD), and for this reason Pact will only address the Leadership and Management

development aspects of the UGM HCD activities.

Prior to the signing of grant agreements, Pact provides extensive assistance to partner organizations in

developing comprehensive program design documents that accurately reflect planned activities and clearly

articulate defined goals and objectives. Further assistance is provided in costing program activities and

developing a detailed budget that is consistent with program objectives. Pact emphasizes to management

staff during this process the importance of ensuring that program and finance units work as a team rather

than in isolation. The ability to clearly articulate program goals and activities and develop realistic budgets

greatly enhances the ability of management to diversify their funding base and ensure sustainability.

Pact conducts organizational capacity assessments in collaboration with each partner. The core

methodologies used in all of Pact's capacity building activities are as follows: assessment of sub-recipient

organizational and technical capacity, development of institutional strengthening plans, delivering capacity

building services, reassessment and refinement of institutional strengthening plans (ISP). Several

individuals from partner organizations participate in the assessments in order to ensure that feedback is

obtained from staff at all levels. This process develops the skills of senior management to objectively

assess organizational strengths and weaknesses and utilize the results to develop a realistic strategy that

will ensure that organizational objectives are achieved (including retention strategies for staff) and identified

gaps are addressed. The strategy also details what interventions and support will be provided, by whom,

when and how organizational change will be measured.

Pact also conducts workshops that primarily target senior management and board members. A resource

mobilization course is offered annually to provide information to partner organizations on sources and

strategies for diversifying their funding base. One day of the three-day workshop is devoted to developing

the skills of participants in writing proposals. Board training is also offered annually to address issues

related to fiduciary, legal and ethical roles and responsibilities of board members. Although Pact's

Monitoring and Evaluation (M&E) course targets M&E staff and Program staff, senior management

members of partners organizations are encouraged to attend in order to ensure that they understand how to

utilize data to make organizational decisions.

Pact, in working with partner organizations over the course of the past four years has recognized that

management skills among the leadership of many of the civil society organizations (CSOs) need to be

further developed. For this reason, utilizing FY 2008 and 2009 funding, Pact will identify short-term

management courses in South Africa that will enhance leadership and management skills. Attendance to

leadership courses will be made available to all partner organizations and their sub recipients but will

primarily target the partners that have experienced great difficulty in transitioning to the increased funding

levels or have new management staff and structures.

Alignment with the National Strategic Plan (NSP) or other South African Government (SAG) policies or

plans

In developing program descriptions with partners, Pact ensures that activities are aligned with District and

Provincial business plans, the NSP and/or other SAG policies or plans.

Gender

Pact ensures that gender related activities are clearly articulated in partners' program descriptions and

implementation plans. Programmatic and technical assistance provided to partners addresses gender

issues as part of the assessments and recommendations for strengthening technical and organizational

capacity.

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

SUMMARY:

Currently, the USG PEPFAR Task Force supports institutional capacity building of indigenous organizations

that implement PEPFAR programs through four competitively selected Umbrella Grants Mechanisms: Pact,

the Academy for Educational Development (AED), Family Health International (FHI) and Right to Care

(RTC). The main purposes of these new umbrella organizations are to (1) facilitate further scale-up of HIV

treatment services; and (2) to develop indigenous capability, thus creating a more sustainable program. The

major emphasis area is local organizational capacity development. Primary target populations are

indigenous organizations, including non-governmental organizations (NGOs), faith-based organizations

(FBOs), and community-based organizations (CBOs).

As an Umbrella Grants Management (UGM) partner, Pact supports institutional capacity building, technical

assistance and grants administration for indigenous organizations that implement PEPFAR programs.

Pact's primary goal is to build sustainable institutional capacity and increase the effectiveness of local

partners to achieve expanded and high quality services. Primary target audiences include non-

governmental, faith-based, and private voluntary organizations, Pact's major emphasis is the enhancement

of local sub-partner capacity through the development and implementation of documented organizational

systems and procedures and human capacity development at management and operational levels.

Activity Narrative: BACKGROUND:

Since 2004, Pact has facilitated the efficient flow of grant funds during the rapid scale-up of the PEPFAR

South Africa program. Pact provides PEPFAR funding and assistance to over 30 PEPFAR sub-partners in

South Africa, all playing valuable roles in the fight against HIV and AIDS.

The sub-partners procure USG and South African Government (SAG) approved antiretroviral drugs (ARVs)

through supply chain vendors and oversee their distribution to government treatment facilities and

accredited private providers. Partners also work closely with providers to develop drug tracking and

monitoring systems to facilitate correct and accurate patient uptake, treatment management, and referral.

Additional services in support of ARV drug distribution include lab testing, adherence support, patient

counseling, telemedicine and quality assurance monitoring. Partners also equip government clinics and

hospitals with the human resources including doctors, nurses, pharmacists, and counselors. In addition,

these programs provide specialized training addressing appropriate delivery of ART services and the

provision of holistic HIV care. Pact has contributed to the 2-7-10 PEFPAR goals through support to 2

partners providing ARV drugs to over 1,000 HIV-infected, uninsured individuals in treatment sites

throughout South Africa.

Partners work closely with and in the SAG provincial, municipal and district facilities to facilitate the

seamless transfer of patients in and out of public and private networks of care. As a result, their programs

continue to grow tremendously in both reach and complexity. This scale-up will require strong financial,

monitoring and evaluation, and management systems to accommodate the growth in reach and maximize

sustainability. With FY 2008 funding, Pact will continue to provide capacity-building support through training

and mentoring to further develop and strengthen partner organizations. Pact will also facilitate the sharing of

these systems between emerging and well-established partners and reinforce the use of data and reporting

for decision making.

ACTIVITY 1: Grant Management

Pact conducts a participatory assessment of each partner organization and collaboratively develops an

organizational capacity building strategy that details planned interventions. These assessment results also

inform Pact of what type of assistance is urgently to ensure that the organizations comply with USAID rules

and regulations (with emphasis on financial and procurement management).

Prior to the signing of grant agreements, Pact provides extensive assistance to organizations in developing

comprehensive program design documents that accurately reflect planned activities and clearly articulate

defined goals and objectives. Further assistance is provided in costing program activities and developing a

detailed budget that is consistent with program objectives. Pact assists partners in developing realistic cost

share levels and emphasizes the sustainability aspect of this requirement. After the signing of the

agreement, Pact works with each partner in developing a very detailed annual work plan that includes

specific activities to be implemented, timelines, budgeted amounts, target beneficiaries and projected reach.

The ability to clearly articulate program goals and activities and develop realistic budgets greatly enhances

the ability of partner organizations to diversify their funding base and ensure sustainability.

ACTIVITY 2: Human Capacity and NGO Development

Pact has developed a customized training series to orient new partners and their sub-partners. The training

series includes basic and advanced grants and sub-grant management which addresses USAID rules and

regulations, good governance and minimum financial management standards. Monitoring and evaluation

courses cover basic principles of monitoring and evaluation and PEPFAR data requirements as well as

internal data quality assurance. Refresher courses are also offered throughout program implementation.

Pact also ensures that ongoing, intensive onsite training and mentoring is provided to sub-partners. On a

quarterly basis, Pact assesses the level and type of assistance required by each organization and develops

a site visit plan that ensures that the necessary support is delivered to each sub-partner. Pact organizes

and supports technical consultation meetings for the sharing of best practices and lessons learned among

PEPFAR and non-PEPFAR partners. As required, technical assistance from select regional and

international providers is sourced to assist partners in improving their technical capacity.

ACTIVITY 3: Monitoring and Evaluation

Pact SA assists each grantee in developing a results framework that tracks success against both PEPFAR

program and organizational indicators. Pact further assists sub-partners in the development of monitoring,

evaluation and reporting (MER) plans and systems. Participation in a five-day M&E training is mandatory for

all partners prior to full implementation. Pact provides additional M&E assistance to all partners in the

following areas: review and development of effective data collection, analysis and reporting tools; setting

realistic and achievable targets; establishing and strengthening data quality management systems,

conducting internal data quality audits and verifying and validating sub-partner data submissions.

ACTIVITY 4: Program and Financial Monitoring

Pact recognizes the importance of monitoring sub-partner program progress and early identification and

resolution of implementation issues. Pact has frequent and regular contact with sub-partners and if

technical/programmatic gaps or problems are identified, ensures that issues are promptly addressed and

resolved.

In addition to monitoring program progress, Pact closely monitors sub-partner financial management and

ensures that grants funds are utilized only for activities approved under PEPFAR funding. All partners

submit monthly financial reports that that detail and document expenditures. Pact finance staff visit partners

every quarter to audit program expenses and accompanying documentation, compliance with USAID rules

(including branding requirements) and cost share.

Activity Narrative: ACTIVITY 5: Technical Assistance

Pact will provide and manage direct technical assistance in prevention, care and support strategies for all

sub-grantees. Pact technical staff will conduct assessments and provide consultation and training on the

development and implementation of programs and services. In addition, sub-grantees will be supported

with guidance and ongoing assistance on the design and delivery of partner HIV and AIDS curricula,

training modules and publications. Pact will also work closely with partners to ensure the effective

incorporation and strengthening of nutrition and food security, protection services, gender mainstreaming,

and human capacity development in existing programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14255

Continued Associated Activity Information

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

System ID System ID

14255 12410.08 U.S. Agency for Pact, Inc. 6755 6155.08 UGM $485,000

International

Development

12410 12410.07 U.S. Agency for Pact, Inc. 6155 6155.07 $200,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $214,975

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.15:

Cross Cutting Budget Categories and Known Amounts Total: $2,364,726
Human Resources for Health $257,970
Human Resources for Health $83,331
Human Resources for Health $948,550
Human Resources for Health $859,900
Human Resources for Health $214,975