Namibia - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Namibia - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

Namibia exemplifies the positive results of partnerships in tackling HIV/AIDS. Data recently released from the 2008 antenatal survey indicated a decrease in prevalence in younger age groups (15-19, 20-24), decreasing from 11 to 5.1% and 22 to 13.9% respectively between 2002 and 2008. As the home of several PEPFAR initiatives (PwP, male norms, alcohol) and other innovations (EID, standards-based quality improvement for OVC, cervical cancer screening), Namibia is on the cutting edge of numerous programmatic advances that could serve as important models for other countries. Despite these programmatic successes, Namibia continues to experience a severe, generalized HIV epidemic with an estimated 230,000 HIV-infected individuals. In the long term PEPFAR Namibia's top priorities remain increasing staff capacity within the public health services by using strategic human resource planning and promoting development efforts that ensure Namibia has the human resources necessary to fight HIV/AIDS.

By September 30, 2009, resources will have supported expanded PMTCT services to all clinics. Other prevention activities will continue to focus on balanced prevention through ABC programming. New and scaled-up programs this year will address harmful male norms, PwP, male circumcision and program development, novel programs to address the role of alcohol abuse in HIV transmission and treatment adherence, integrating prevention interventions into existing structures such as the schools, the military and facility-based care, and addressing risk factors contributing to cross-generational and transactional sex.

Care activities in the country operational plan for 2009 focus on supporting Namibia's policy shift to the Integrated Management of Adult Illness practices, increasing CT services using rapid test technology, ensuring OVC are identified and provided with a full package of quality services, expanding access to facility-based and community-based palliative care in facility-based and home-based settings, and increasing linkages between TB and HIV testing and care services.

In FY 2009, PEPFAR support will focus on treatment activities that decentralize services, improve quality, support procurement and supply chain management of ARV drugs and related commodities shift tasks in order to continue to expand coverage to more rural sites, build human capacity and deliver quality services. Health care providers will focus on improving the quality of care and support and ART, including the preventive care package. PEPFAR will place particular emphasis on building laboratory capacity and quality assurance, including timeliness of specimen transport and electronic communication of results between laboratories and facilities. In addition, a program will offer a minimum of fifty graduate students annually a Master's degree in Public Health, with concentrations in general management and finance, policy development, monitoring and evaluation, and nutrition. PEPFAR will continue to provide technical advisors who work alongside government and community counterparts to build capacity in program management, monitoring and evaluation, health information systems, palliative care, treatment, prevention, tuberculosis, laboratory services and technical writing.

The Namibia response to HIV/AIDS will be highlighted as the Government of Namibia requested and was selected to host the 2009 Implementers' Meeting, which took place in Windhoek in June.

Additionally, PEPFAR funds will support the development and negotiation of the Partnership Framework and the Partnership Framework Implementation Plan.

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