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~ - Local Fund Agent-Cambodia

- SltIJMilS ttlsrm LnrtJ~rq81nuuu S~

- H~rmdlttlU

KINGDOM OF CAMBODIA Ministry of Health Nation Religion King

i11 ~i~~lt

National Center for HIVAIDS Dermatology and STDs

NoQJJf)~NCHADS

LETTER OF AGREEMENT FOR

HIVAIDS PROGRAMME MANAGEMENT

Between the National Center for HIVAIDS Dermatology and STD (NCHADS)

and the HIVAIDS Management Team (HAMT) of Kampong Cham

Concerning Decentralization of HIVIAIDS Activities Funded under the NCHADS Comprehensive Work Plan 2009

(1)-The National Center for HIVAIDS Dermatology and STD (NCHADS) and the HIVAIDS Management Team of Kampot (hereinafter known as the HAMT) represented by Dr Kimsour Phirun acting in his capacity as Provincial Health Director and the Leader of HAMT agree that the following special assignment will be carried out with funds provided under the NCHADS Comprehensive Work Plan 2009

(2)-Task The HAMT through its subordinates (primarily the Provincial AIDS Manager) is responsible for implementation of HIVAIDS and STI activities in Kampong Cham The National Center for HIVAIDS Dermatology and STDMinistry of Health (NCHADSMoH) will directly monitor and supervise implementation on technical aspects and supervise the financial management of funds provided

(3)-Task Components The HAMT through its subordinates and represented by the HAMT Leader will ensure the completion of the activities approved in the provincial HIVAIDS and STI Annual Work Plan for the year 2009 attached at Annex 1

(4)-lndicators and Outputs Indicators and outputs for the satisfactory performance of these tasks are

1 90 of activities implemented according to Annex 2 (provincial targets 2009) 2 Accounts satisfactorily maintained as agreed by the NCHADS Finance Unit 3 DiagnOSis and management of STI cases appropriate (as judged by NCHADS

supervision) 4 Testing and Counseling conducted appropriately (as judged by NCHADS

supervision)

N245 H Street 6A Phum Kean Klang Sangkat Prek Leap Khan Russey Keo Phnom Penh Cambodia E-mail inionchadsorg Website wwwnchadsorg

5 Provincial annual and quarterly work plans submitted on time to NCHADS within one month before next annual work plan began and two weeks before next quarter work plan began (as Judged by NCHADS PMR Unit)

6 Provincial monthly and quarterly reports submitted on time to NCHADS within 2 weeks after each monthly and quarterly activity work plan ended (as judged by NCHADS PMR Unit)

(5)-Term The HAIVIT shall perform the services specified above during the period commencing on January 1 2009 and continuing to December 31 2009 This tenn is subject to change upon reasonable written notice agreed by the two Parties

(G)-Cost A total estimated cost of not more than US$ 2443250 (Twenty four thousand four hundred thirty two point five US Dollars) (GF-R7=$ 2980 and GF-R4=$ 2145250) as in Annex 1 will be provided by NCHADSMoH as follows

(7)-Funding Funds will be transferred from NCHADSMoH to the HAMT as an initial advance of $500 for GF-R7 which will be reconciled and replenished each month in accordance with NCHADS standard operating procedures as laid down in the relevant Procedures for Implementation of Program Activities with respect to various funding sources as formally approved

(8)-For 2009 funds are allocated from the following sources

bull GF-R7 $ 2980 bull GF-R4 $ 2145250

(9)-Should further funding become available for provincial activities the Annual Work Plan at Annex 1 the targets at Annex 2 and this agreement at clause 6 and 8 will be amended by letter of amendment

(10)-lt is anticipated that no additional cost will be paid for the work by NCHADSMoH to the HAMT unless extra work is requested to be performed

(11 )-If expenditures during the year are less than the approved work-plan any balance of funds advanced must be refunded to NCHADS

(12)-Audit The HAMT it accounts will be audited as part of the various relevant audits relating to relevant funding sources NCHADSMoH reserves the right to audit the HAMT Account at any time

(13)-Any difference or dispute arising out of this Letter of Agreement (LoA) which cannot be amicably settled between the parties shall be referred to adjudicationarbitration in accordance with the regulation of the Ministry of Health

(14)-The NCHADS without prejudice to any other remedy for breach of LoA by written notice of default sent to the HAMT may terminate this LoA in whole or in part (a) if the HAMT fails to perform any other obligation(s) under the Letter of Agreement (b) if the HAMT in the judgment of NCHADS has engaged in corrupt or fraudulent practices in competing for or in excluding the LoA

Date OC 1 ~ 12009

Date 0 f ~ 12009

Note In addition to the funding sources above the national budget and the following NGO funds and activities identified in the provincial planning process are included in the Annual Comprehensive Plan in Annex 1 but are not covered by the terms or scope of this LOA

bull FHI $ 143783

cc -Local Fund Agent in Cambodia -Department of planning and information ministry of health -Partners

61 00 00 0Description

61 01 00 0 1IEC Q1 Q2 Q3 Q461 01 03 0 Events61 01 03 1 Khmer New Year61 01 03 2 Water Festival61 01 03 3 World AIDS day61 01 03 4 Mobile Shows61 01 03 5 TV andRadio shows61 01 03 6 Other (festival concert)

Description61 02 00 0 2Outreach Q1 Q2 Q3 Q461 02 01 0 Training $ - 61 02 01 1 Curriculum design61 02 01 2 Training materials61 02 01 3 Conducting training 61 02 02 0 Mapping amp Sensitisation $ 636

61 02 02 1 Annual mapping PAO times $ 63600 GFATM R4Annual Mapping Conducted by 14 PWGOPC Members

61 02 03 0 Outreach interventions $ 2418 61 02 03 1 Outreach visit (monthly)

61 02 03 2 Owners meeting PAO times times times $ 241800 GFATM R44 Meetings with 30 Owners in Kampong Cham Town4 Meeting with 45 Owners in 3 OD Tbong Khmum Ponhea krek Memot

6420215 Owners meeting PAO times $ 52500 GFATM R71 Meetings with 30 Owners in Kampong Cham Town4 Meeting with 39 Owners in 3 OD Tbong Khmum Ponhea krek Memot

61 02 04 0 Peer Education

61 02 04 1 Training and refresher training of PST-OP PAO times times $ 70700 GFATM R4 2 Training for PSTOP 8 members (3 days)

6420216 Refresher training at national level for PSTOP PWG-OPC and DTOP on OPE (2 timesyear)

ANNUAL OPERATIONAL COMPREHENSIVE PLAN Jan-Dec 2009I Kampong Cham Work Plan 2009

I PREVENTION PACKAGE

CatAccount code

Donor Code WhoTime frame

Cost Source TargetExpected output

Sub-total for GFATM-R7 -$ Sub-total for CHAI -$ Sub-total for AHF -$

Sub-total for NB -$ Sub-total for IEC -$

CatAccount code

61 02 04 2 In Sevicerefresher training of PWG-OPCDTOP

6420217 Refresher training for PSTOP on OPE at provincial level (2provy)

61 02 07 0 Technical coordination61 02 07 1 Technical coordination

6420211 National TWGOPC meeting

Provincial PWGOPC coordination meeting times times times $ 54400 GFATM R4 14 PWGOPC Members

Provincial PSTOP meeting times times times $ 104400 GFATM R4 9 PSTOP Members

6420213 Provincial PWGOPC coordination meeting PAO times $ 13600 GFATM R7 14 PWGOPC Members

6420214 Provincial PSTOP meeting PAO times $ 34800 GFATM R7 9 PSTOP Members

61 02 02 2 Sensitization meeting61 02 07 5 Consensus workshop

Description61 03 00 0 3100 CONDOM USE Q1 Q2 Q3 Q461 03 01 0 Condom promotion61 03 02 0 Training61 03 03 0 Meeting for CUCCCUWG

60 03 03 1 Provincial CUCC meeting times times times $ 29200 GFATM R4 4 Meetings will be conducted and 9 members of CUCC will attend

6420320 Provincial CUCC meeting PAO times $ 8300 GFATM R7 1 Meetings will be conducted and 9 members of CUCC will attend

61 03 03 3 Provincial CUWG meeting PAO times times times $ 84000 GFATM R4

36 meetings will be Conducted and 5 members of CUWG in Kg Cham Town 5 members of CUWG in Tbong Khmum and 4 members of CUWG in Memot will attend

6420330 Provincial CUWG meeting PAO times $ 16800 GFATM R7

61 03 06 0 Techncial coordination

Description

Sub-total for GFATM-R7 100900$ Sub-total for GFATM-R4 534900$

Sub-total for Outreach 635800$

CatAccount code

Sub-total for GFATM-R4 113200$ Sub-total for CUP 138300$

Sub-total for GFATM-R7 25100$

CatAccount code

61 04 00 0 4STI MANAGEMENT Q1 Q2 Q3 Q4

61 04 02 0 Training

61 04 02 6 Refresher training PAO times $ 625150 GFATM R4 3 Refreshers training for 60 HCs Staff and 10 OD Coor from 10 OD ( 3 days)

6430412Refresher training on STIRTI syndromic case management for health care providers at 222 selected health centers

61 04 03 0 Supplies61 04 04 0 Other operational cost61 04 04 1 Mobile clinic for SWs

6430421Mobile service on STIRTI case management for sex workers to provide on-site care and treatment for sex workers in 10 provinces

Province

61 04 08 0 Technical coordination etc

61 04 08 1Semi Annual meeting for strengthening linkage between STI clinic OPC VCCT ANC FP and NGOs partners

61 04 08 2 Monthly TWG meeting on STIRTI case manageement

61 04 08 3 Network meetings in five regions for sharing STIRTI clinical and lab experiences

6430411Regional workshops for sharing experiences in STIRTI clinical and laboratory management in 5 regions

61 04 08 4Coordination meeting between Family Health Clinics and Local MSM networks to promote utilization of HIVAIDSSTI services

6430413Quarterly coordination meeting for health care providers at 03 STIRTI clinic and all relevant partners

PAO times $ 27500 GFATM R7 1 Coordination Meeting for Health care providers at 3 STIRTI Clinic

62 06 00 0 6HEALTH FACILITY BASED CARE Q1 Q2 Q3 Q462 06 01 0 Need assessment62 06 02 0 Guidelines and policies62 06 03 0 Initial Training 62 06 07 0 Technical coordination62 06 07 1 PAO times $ 50600 FHI Clinician network meeting for OIART for Adult

62 06 07 2 Counseling network meeting for OIART for Adult

Cat Donor Code Who Cost Source TargetExpected output

Sub-total for GFATM-R7 27500$ Sub-total for GFATM-R4 625150$ Sub-total for STI 652650$

II CONTINUUM OF CARE

CatAccount code

Donor Code TargetExpected outputWhoTime frame

Cost Source

62 06 07 3 Pediatricians network meeting for OIART

Description62 07 00 0 7 TBHIV Activities Q1 Q2 Q3 Q462 07 01 0 Guidelines and Policies62 07 01 1 Develop 3Is Framework

OD times times $ 57840000 FHIDevelop referral mechanism and refer TB pts blood for HIV testing ( Kg ChamTbong KhmumMemot and Cheung Prey OD)

62 07 02 0 Training62 07 05 0 Technical coordination

62 07 05 1 Orientation workshop on TBHIV collaborative activities

62 07 05 2 Dissemination

OD times times $ 488400 FHIStrengthen linkages with HC staffHBCVHSG (Monthly Meeting ) in Kg ChamTbomg KhmumMemot and Cheung Prey OD

62 07 05 3 Collaborative TBHIV Activities

6610710 Transport of poor PLHA patients to TB X-ray Services at Referral Hospital

6610720 Orientation and networking on TBHIV

Description

62 08 00 08HOME BASED CARE and

PLHA-SG amp MMM amp Positive Prevention Activites

Q1 Q2 Q3 Q4

62 08 07 0 Technical Coordination -$ 62 08 07 1 Technical Coordination62 08 07 2 Meeting of provincial HBC network62 08 07 3 Quarterly Meeting of HBC Networks62 08 07 4 TWG Meetings62 08 07 5 TWG Meetings for HBC62 08 07 6 TWG Meetings for Positive Prevention

Counselor Monthly Meeting OD times times 42400$ FHI Counselor Monthly Meeting (adultPediatric and AUA staff ) in Kg Cham RH

Sub-total for GFATM-R7 -$ Sub-total for GFATM-R4 -$

Sub-total for HFBC 50600$ Sub-total for FHI 50600$

Account code

Donor Code Who

Time frame

CatAccount code

Sub-total for FHI

Sub-total for GFATM-R7 -$ 1066800$

Sub-total for TBHIV 1066800$

Bi-weekly Case discussiondeath review to improve the quality of services (OIART) OD times times 638400$ FHI

Bi-weekly Case discussiondeath review to improve the quality of services in Kg ChamTbong KhmumMemot and Cheung Prey

Bi-weekly OIART Coordination meeting OD times times 196200$ FHI Bi-weekly OIART Coordination meeting (Kg Cham RH)

Link OIART with HBC OD times times 72000$ FHILink OIART with HBC to improve lost follow up(perdiem amptransport)in Kg ChamTbong Khmum Memot and Cheung Prey OD

Referral to Service amp Improve quality of service OD times times 2013000$ FHIReferral to Service amp Improve quality of service(Lab testing OPD) in Kg ChamTbong Khmum Memot and Cheung Prey OD

62 08 07 7 Dissemination Workshop of Guidelins Policy and SOP

62 08 08 0 Contracting HBC with NGO -$ 62 08 08 1 Contracting HBC with NGOs62 08 09 0 PLHA Support Groups and MMM $ 1219200 62 08 09 1 PLHA Self help group meeting

62 08 09 2 MMM Monhtly meeting OD times times $ 1219200 FHI MMM Monthly Meeting in OD Kg ChamMemotTbong Khmum and Cheung Prey

62 08 09 3 mmm Monhtly meeting OD times times $ 291000 FHI mmm Monthly Meeting in OD Kg ChamTbong Khmum

62 08 11 0 Technical coordination for PLHA-SG amp MMM

Description62 09 00 0 9 Linked Response Activities Q1 Q2 Q3 Q462 09 1 0 Need Assessement

OD times times $ 1700000 FHI For Lik Response in Tbong Khmum OD62 09 02 0 Training62 09 02 1 initial traininig of LR 62 09 02 2 Refresher training for LR62 09 02 3 Study tours LR for management teams62 09 02 4 Mentoring LR for New sites62 09 03 0 Referral network

Description

Sub-total for FHI 4472200$

Sub-total for GFATM-R7 $ - Sub-total for GFATM-R4 -$

Sub-total for HBC-PLHAs-SG and MMM $ 4472200

CatAccount code

Cost Source

$ 1700000

TargetExpected output

Sub-total for Linked Response

CatAccount code

Sub-total for GFATM-R7 $ - Sub-total for FHI $ 1700000

62 09 00 0 11VCCT Q1 Q2 Q3 Q462 11 01 0 Guidelines Regulation -$

62 11 01 1 Revise and printing policy strategy and guidelines for HIV testing and counseling

62 11 03 0 Training62 11 03 1 Develop curriculum amp Training

PAO times times 200000$ FHI Positive Prevention Training62 11 03 2 Initial Counseling training

6611114 Initial training for VCCT Counselors62 11 03 3 Initial Laboratory Training

6611111 Initial laboratory serology Trainings62 11 03 4 Training VCCT data management 62 11 03 5 Refresher counseling training 62 11 03 6 Refresher lab training 62 11 09 0 Technical coordination meeting62 11 09 1 Technical coordination meeting

PAO times times $ 231600 FHI Counselor Network meeting62 11 10 0 Quality Assurance62 11 10 1 HIV Quality Control (QC for HIV testing)

Quality Control for VCCT6611120 Quality control for 230 VCCT sits

62 11 10 2 Network meeting (QI)6611113 Regional Counselling Network meeting6611112 Regional Lab Network Meeting

62 11 10 3 Annual regional VCCT meeting

Description

62 12 00 0 12COORDINATION and REFERAL NETWORK of CoC Q1 Q2 Q3 Q4

62 12 01 0 Needs assessment62 12 02 0 Policy and guidelines $ - 62 12 04 0 Continuum of Care Committee

62 12 04 1 Designate CoC committee

62 12 04 2 Monthly CoC committee meeting expenses OD times times $ 406800 FHI Monthly CoC cmmittee meeting in Kg ChamTbong KhmumMemot and Cheung Prey OD

62 12 05 0 Referral network62 12 05 1 Development of referral network materials62 12 05 2 Transportationtesting fee for Adult CD4 62 12 08 0 Technical coordination

Sub-total for FHI 431600$ Sub-total for VCCT 431600$

CatAccount code

Sub-total for GFATM-R7 $ -

Description61 13 00 0 13PMTCT Q1 Q2 Q3 Q461 13 01 0 Need assessment

6611340 MampE Network amp Assessment PMTCT61 13 02 0 Policy and Guideline61 13 03 0 Training

Workshop and Training PMTCT times times $ 200000 FHI Workshop and Training for PMCTC62 13 04 0 Supplies and drugs

Vitamin Supplements Gaps (Iron and Folate)61 13 05 0 Technical Coordination

MiscellaneousMiscellaneous II redundant procurement

6611310 Transport HIV positive pregnant women

6611320 Annual planning workshopretreat for PMTCT

Quarterly Network meeting for PMTCT PMTCT times times $ 144600 FHI Quarterly Network meeting for PMTCT 6611330 Provide on site coaching PMTCT staff

6611340 Provide monitoring networking and assessment in support of 2 new PMTCT sites

6611350 Equipment for PMTCT6611360 IEC campaign - PMTCT

Strengthen follow up positif pregnant women infants exposed to delivery in RH OD times times $ 66000 FHI

Strengthen follow up positif pregnant women infants exposed to delivery in RH (Kg ChamTbong KhmumMemot and Cheung Prey)

Support positive womem to delivery in RH OD times times $ 90000 FHI Support positive womem to delivery in RH(Kg ChamTbong KhmumMemot and Cheung Prey)

Coordination PMTCT bi-weekly meeting OD times times $ 603000 FHI Coordination PMTCT bi-weekly meeting(Kg ChamTbong KhmumMemot and Cheung Prey)

64 14 00Description

64 16 00 0 16 PLANNING MONITORING amp REPORTING Q1 Q2 Q3 Q4

64 16 01 0 Planning

Sub-total for CHAI $ - Sub-total for AHF $ -

Sub-total for CoC $ 406800

TargetExpected outputCatAccount code

Donor Code Who

Sub-total for FHI $ 1103600

Time frame Cost Source

Time frameTargetExpected outputWhoCat

Account codeDonor Code Cost Source

Sub-total for PMTCT $ 1103600

IV PROGRAM MANAGEMENT

64 16 01 1 Annual Planning Workshops64 16 01 2 Mid-year Review Workshop

PAO times $ 84700 FHI Review budget workplan for OIARTPAO times $ 150000 FHI Workplan budget development

6716110 Mid-Term amp Final evaluation 64 16 02 0 Technical Strategies64 16 02 1 Strategy Development64 16 02 2 Printing and documentation64 16 03 0 Management amp Coordination64 16 03 1 Workshops and coordination meetings

64 16 03 2 Mission to NCHADS PAO times times times $ 22400 GFATM R4 4 Missions to NCHADS by 1 HAMT Accountant

Travel to PP for Drug PMTCT times $ 4500 FHI 1 Mission to PP by PMTCT StaffTransportation for Supply Chain Management

PAO times times $ 9000 FHI Transport go to take reagent and material

OD times times $ 68700 FHI Transportation to get drug (when the drugs out of stock) for Kg ChamTbong KhmumMemot and Cheung Prey OD

OD times times $ 22800 FHI Transport to Kg Cham for Request( Tbong KhmumMemot and Cheung Prey OD)

OD times times $ 13200 FHI Blood Transportation fee for HIV testing from HC to RH ( PMTCT Kg Cham RH)

64 16 06 0 Monitoring Supervision 64 16 06 1 M amp E system64 16 06 4 Monitoring and Supervision

PAO times times times $ 87600 GFATM R4 PSTOP members will supervise the Outreach Activities in 4 OD

PAO 3 OD times times times $ 336000 GFATM R4 CUWG members will supervise the 100 CU

activities in 3 ODs

PAO times times times 120000$ GFATM R4 PAO Staff Supervise STI Activities 20 HCs

PAO times times times 198000$ GFATM R4 OD Coordinator Supervise STI Activities 33 HCs

PAO times times $ 136800 FHI PAO Staff Supervise VCCT Activities 10 ODPAO times times $ 34800 FHI Supervise PMTCT Activities 6 SitesPAO times $ 18600 FHI Supervise OIART Activities 4 Sites

OD times $ 26000 FHI Supervision from OD to HC ( Kg ChamTbong KhmumMemot and Cheung Prey)

6420222 monthly supervision from PSTOP to DTOP in each province

6420340 CUWG monitoring of all entertainment services PAO x 21000$ GFATM R7 CUWG members will supervise the 100 CU activities in 3 ODs

6430423Monitoring and supervision from PAOs to 10 operational districts (OD) on STIRTI prevention and care mangement

PAO x $ 30000 GFATM R7 PAO Staff Supervise STI Activities 20 HCs

6430424Monitoring and supervision from 10 operational districts (OD) to 33 selected health centers on STIRTI syndromic case mangement

OD x $ 49500 GFATM R7 OD Coordinator Supervise STI Activities 33 HCs

6621630 Supervision of health facility staff by provincial Data Management units PAO times times times 60000$ GFATM R7 PDMO Team will supervise on Data management System at

10 OD64 16 07 0 Reporting

Description

64 18 00 0 18 LOGISTICS amp SUPPLY MANAGEMENT Q1 Q2 Q3 Q4

64 18 03 0 Equipment amp Furniture

64 18 03 1 Clinical equipment

Furniture and Equipment PAOOD times times $ 1374000 FHI Furniture for PAOVCCTOIART and PMCTC Sevices

64 18 03 2 Electronic equipment

6621810 provide electronic equipment to 9 new provinical data management units

64 18 03 3 Lab equipment

6611815 Includes utitlities maintenance equipment office supplies for all provincial labs

64 18 05 0 Consumables6611813 Consumables

64 18 05 1 Consumables for VCCTConsumables for OIART RH times times 300000$ FHI Consumable for OIART in Kg Cham RH

OD times times 78600$ FHI PMCTC Material ( Cheung Prey)Consummables and commodities for new VCCT sites

64 18 05 4 Condom supply PAO times times times 80000$ GFTM R4 40000 condoms will be Supplied

Description64 19 00 0 19 ADMIN amp FINANCE Q1 Q2 Q3 Q4

160500$ Sub-total for GFATM-R4 764000$

569100$ 1493600$

CatAccount code

Sub-total for GFATM-R7 $ - Sub-total for GFATM-R4 $ 80000

Sub-total Log-Mgt $ 1832600 Sub-total for FHI $ 1752600

Cost Source

Sub-total for PlanningSub-total for FHI

Sub-total for GFATM-R7

64 19 01 0 Administration64 19 01 1 Administrative costs

PAO times times times $ 4000 GFATM R4 Office Supply for CUCC

PAO 3 OD times times times $ 24000 GFATM R4 Office Supply for CUWG

PAO times times $ 155000 FHI Office Supply for VCCTPAO times times $ 120000 FHI Office Supply for OIARTPAO times times $ 60000 FHI Office Supply for PMTCTPAO times times $ 20000 FHI Office Supply for TB-HIV

6430422 Running cost for 35 STIRTI clinics PAO 3 OD times times times $ 24000 GFATM R7 Running Cost for 3 STIRTI Clinic

64 19 01 2 Conmmunication costs PAO times times $ 90000 FHI Phone card ( Adult amp Pediatric service)RH times times $ 205000 FHI Computer for Data entry in Kg Cham HR

RH times times $ 60000 FHI Training and Rent Computer in Kg Cham RH

64 19 03 0 Renovations64 19 03 1 RenovationConstruction

RH times $ 50000 FHI MMM Room Renovation in Kg Cham RH (if it needed)

OD times $ 100000 FHI Renovation (Memot OD)64 19 05 0 Consulting services

Stipend PAO times times $ 36000 FHI Stipend for VCCT staff in Dambe HC

OD times times $ 1929000 FHI Stipend for PLHA staff in MemotKg ChamTbong Khmum and Cheung Prey RH( PLHA CounselorsPLHA Cleaner )

Sub-total for Admin amp Finance 2877000$

II Summary Budget allocated by Components in 2009

III Summary Budget allocated by sources in 2009

Sources Budget 00

GFATM-R7 $ ~~~ ~ GFATM-R4 $ 2145250 FHI $ 14378300

GRAND TOTAL $ 16897400 0 -shy

Date ltz t rbgt b ~ Prepared by t

~ Dr CHHUN LYPrCfl

kcm 00

KCM 2009l