Namibia – FY 2010 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 continues to experience a severe, generalized HIV epidemic, complicated by shortages of trained healthcare staff and high levels of income inequality. HIV transmission is largely through heterosexual contact and/or through mother-to-child transmission. Social, economic and cultural factors such as population migration, gender inequity, alcohol, stigma, multiple concurrent partners, and lack of VMMC help drive the epidemic.
The planned use of FY 2010 funding represents an evolution in the vision and methods that underpin the planning, organization, and implementation of PEPFAR support for HIV/AIDS programs. In coming years, starting with FY 2010 funds, investments will be shifted to further strengthen Namibian capacity and ownership, especially in the areas of human resources, and the financing and operation of national healthcare systems.
Core to the prevention strategy is a focus on a combination of behavioral, biomedical, and structural interventions that address the known epidemic drivers with evidence-based interventions and intensifying work with vulnerable and most at-risk populations.
PEPFAR will continue to leverage its resources for care and treatment services with those of the Global Fund, Ministry of Health and Social Services (MOHSS), the Clinton Foundation, and other development partners. All partners will continue to strengthen linkages between non-ART care, HCT, and referral services. TB activities will focus on the integration of HIV/TB services.
Provider-initiated counseling and testing (PITC) services will be expanded throughout the MOHSS network from the limited settings where they are currently offered, with support from PEPFAR.
With approximately 250,000 OVC in Namibia, PEPFAR will continue to support the government and civil society in the implementation of the OVC National Plan of Action 2006 - 2010, and in the development of a follow-on plan of action.
HSS, including HRH, will play an increasingly important role Namibia begins the transition to a government-owned and led process. PEPFAR and the Government of Namibia are in the process of developing a Partnership Framework that is synchronized to the Namibia National Strategic Framework, and which will support and strengthen the Namibia government’s capacity to plan, oversee, manage and, eventually, finance the national HIV/AIDS response.
Funding will also provide support for work on gender-based violence; regional governments within Namibia to strengthen coordination of their HIV/AIDS response; and UNAIDS/Namibia, to facilitate civil society coordination efforts for the national HIV/AIDS response. Funding will also support HSS and strengthening of health outcomes in the private sector, to optimize private sector resource contributions and involvement in HIV prevention and clinical services, and provide a salary reserve for USG funded physicians to match an increase in medical officer salaries in the public sector. Additional funding will support a cooperative agreement with the Ministry of Health and Social Services (MOHSS) to support renovation, start-up funding for delayed District Health Survey, and funding for the MOHSS to strengthen multisectoral coordination within the National Strategic Framework for HIV/AIDS.
The USG and the Government of Namibia signed a PEPFAR PF in September 2010; the document is available at http://www.pepfar.gov/frameworks/namibia/index.htm.
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