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PEPFAR Technical Oversight and Management Expenses: FY 2010

Project Title: Department of Defense (DoD), Technical Oversight and Management

Budget: FY 2010 Approved GHCS-State Funding: $4,000,183

Program Description:

Under the direction of the U.S. Global AIDS Coordinator, DoD is a partner in the unified USG effort to implement PEPFAR. This program supports direct and indirect expenses including salary, benefits, travel, supplies, professional services and equipment. DoD is one of the implementing agencies of PEPFAR. DoD’s primary goals under PEPFAR include supporting military-to-military HIV/AIDS awareness and prevention education; developing military-specific HIV/AIDS policies; providing counseling, testing, and HIV-related palliative care for military members and their families; and, supporting clinical and laboratory infrastructure development. In addition, DoD provides HIV prevention and clinical experts to many Technical Working Groups (TWGs), committees and initiatives which are leveraged to support all populations and goals of PEPFAR. DoD activities will include:

• Support and oversight of field offices executing military HIV operations;
• Provide assistance with military HIV policy development;
• Facilitation and coordination of collaborative HIV activities between militaries;
• Scientific and technical assistance to field programs ;
• Scientific, technical and programmatic participation in interagency technical working groups, committees and initiatives;
• Monitoring of central cooperative agreements for field programs;
• Coordination of DoD HIV activities with those of other USG agencies implementing PEPFAR; and
• Support of clinical and lab HIV education for military personnel.

DoD direct expenses include personnel, travel and transportation. Indirect expenses include rent, communications and utilities, printing and reproduction, contracting and granting, other services, supplies and materials, and equipment in support of the above activities, which are captured in the OMB approved indirect cost model.

Project Title: Department of Labor (DOL), Technical Oversight and Management

Budget: FY 2010 Approved GHCS-State Funding: $130,732

Program Description:

Under the direction of the U.S. Global AIDS Coordinator, DOL is a partner in the unified USG effort to implement PEPFAR. This program supports direct and indirect expenses including salary, benefits, travel, supplies, professional services and equipment. DOL is receiving PEPFAR funds for projects in eight countries. DOL programs build on its unique experience bringing workers, employers and Ministries of Labor together to address workplace issues, including HIV/AIDS.

Workplace programs take advantage of a unique and underutilized venue for HIV programs. The workplace is where employed adults spend most of their waking hours, creating a “captive” audience for education over time to influence behavior change and reduce discrimination. These programs provide additional benefits as educated workers share HIV/AIDS information at home and in their communities, and link with other services such voluntary counseling and testing (VCT). With a relatively stable audience, the workplace also facilitates effective monitoring and evaluation to verify the program’s impact.

DOL has worked closely with PEPFAR to try and ensure coordination with the field teams in PEPFAR operational plan countries. DOL headquarters works with the country teams where DOL programs are receiving PEPFAR funds, providing support and input to the PEPFAR team, producing information upon request and acting as the main liaison with the implementers in the country.

DOL is an active member of the Public-Private Partnership Technical Working Group (PPP TWG), and as such, participated in TWG COP review process the last two years. DOL will conduct a cross-country evaluation of its workplace programs and is spearheading an effort to collect monitoring data from all USG agencies’ workplace programs in order to share effective indicators, best practices and lessons learned.

Project Title: Department of Health and Human Services (HHS), Technical Oversight and Management

Budget: FY 2010 Approved GHCS-State Funding: $74,749,350

Program Description:

Under the direction of the U.S. Global AIDS Coordinator, HHS is a partner in the unified USG effort to implement PEPFAR. HHS includes several agencies that are key players in PEPFAR such as the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). HHS efforts are coordinated by the Office of the Secretary/Office of Global Health Affairs (OGHA). The funds for Technical Oversight and Management support direct expenses including salary, benefits, and travel.

HHS headquarters offices support PEPFAR implementation by:

• Supporting operations of field offices through support for procurement and grants, human resources management, financial management, information resources management, communications, management analysis services, facilities planning and management, security, rent and utilities, and agency crosscutting activities to implement PEPFAR;
• Directing and providing scientific and technical assistance and monitoring of central cooperative agreements for field programs such as antiretroviral treatment and blood safety;
• Providing technical assistance to country programs through direct assistance by HHS program and scientific experts from a variety of disciplines including medical officers/physicians, health scientists, epidemiologists, public health advisors, AIDS education and training experts, statisticians, and informaticians; and
• Coordinating agency activities with those of other USG agencies implementing PEPFAR including joint planning; monitoring and evaluation; legal consultation; participation on core teams and technical working groups; and policy and budget coordination.

Project Title: Peace Corps, Technical Oversight and Management

Budget: FY 2010 Approved GHCS-State Funding: $5,907,836

Program Description:

Under the direction of the U.S. Global AIDS Coordinator, the Peace Corps (PC) is a partner in the unified USG effort to implement PEPFAR. This program supports direct and indirect expenses including salary, benefits, travel, supplies, professional services and equipment.

Peace Corps Volunteers work with local, community-based organizations and individuals to build capacity and mobilize communities around HIV/AIDS prevention and care activities, as well as treatment services with governmental and non-governmental organizations (NGOs), faith-based organizations, youth, PLWHA and others. Headquarters expenses include a programming and training advisor, two program analysts, an administrative officer, and an administrative assistant. These staff members, along with a Peace Corps-funded AIDS Relief Coordinator, provide technical oversight and management to twenty-six Peace Corps posts that receive PEPFAR (GHCS) funding and are implementing PEPFAR activities, including:

• Programming and training support for country programs;
• Technical assistance to staff members and volunteers;
• Facilitation of or participation in approved PEPFAR and HIV/AIDS-related seminars, workshops and conferences;
• Administrative and budget guidance, oversight, control and technical support; and,
• Monitoring and evaluation technical training and support.

Project Title: Department of State (DOS), Technical Oversight and Management

Budget: FY 2010 Approved GHCS-State Funding: $14,131,573

Program Description:

DOS includes several offices that are key players in PEPFAR, including the Office of the U.S. Global AIDS Coordinator (OGAC) and Intelligence and Research (INR). The funds for Technical Oversight and Management support direct expenses including salary, benefits, and travel.

OGAC is staffed with a range of experienced leaders and technical specialists from across the government and private sector. The eight primary roles are:

• Leading policy development and oversight;
• Maintaining and promoting interagency coordination and programmatic implementation;
• Building interagency technical coordination;
• Overseeing the development of interagency program guidance;
• Representing and reporting on the status of the initiative;
• Focusing and overseeing monitoring and evaluation;
• Assuring budgetary oversight; and
• Engaging with international organizations and foundation to ensure country coordination.

INR provides geomapping support to PEPFAR headquarters and country field staff. This includes assuring, through technical assistance and trainings, that USG teams are able to support national efforts to track the location of health care facilities and community programs offering HIV services. It enables countries to measure the scale-up of services. INR frequently advises on the appropriate use of geographic boundaries and, working with the Census Bureau, population coverage.

Project Title: U.S. Agency for International Development (USAID), Technical Oversight and Management

Budget: FY 2010 GHCS-State: $46,918,658

Program Description:

This program supports direct and indirect expenses including salary, benefits, travel, supplies, professional services and equipment. Under the direction of the U.S. Global AIDS Coordinator, the U.S. Agency for International Development (USAID) is a partner in the unified USG effort to implement PEPFAR.

This program funds technical assistance and other activities to further PEPFAR policy and programmatic objectives in the field, at headquarters and internationally. It utilizes existing contractual mechanisms within USAID to the maximum extent possible.

The USAID headquarters offices support PEPFAR implementation by:

• Using standing contacts and grants to facilitate access to technical expertise for program design, strategy development, general support of field programs and policy development;
• Supporting operations of field offices (e.g., increased support for procurement and grants, human resources management, financial management, information resources management, communications, management analysis services, facilities planning and management, security, rent and utilities and agency crosscutting activities to implement (PEPFAR);
• Directing and providing scientific and technical assistance and monitoring of central cooperative agreements for field programs (e.g., abstinence and be faithful, orphans and vulnerable children and safe medical injection programs);
• Providing technical assistance to country programs (e.g., through direct assistance by USAID staff and program and scientific experts from a variety of disciplines including medical officers/physicians, health scientists, epidemiologists, public health advisors, AIDS education and training experts, statisticians and informaticians); and
• Coordinating agency activities with those of other USG agencies implementing PEPFAR (e.g., joint planning, monitoring and evaluation, legal consultation, participation in core teams and technical working groups, and policy and budget coordination).

USAID direct expenses may include, but are not limited to, personnel, travel and transportation. Indirect expenses may include, but are not limited to, rent, communications and utilities, printing and reproduction, contracting and granting, other services, supplies and materials, and equipment in support of the above activities, which are captured in the OMB approved indirect cost model.