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KINGDOM OF CAMBODIA Ministry of Health Nation Religion King

(~j.~'\,.. -, .~..,.o.~

National Center for HIV/AIDS,

Dermatology and STDs

No ..~.0 ....NCHADS Phnom Penh....... ........... .!...................!...................

LETTER OF AGREEIVIENT FOR

HIV/AIDS PROGRAMME MANAGEMENT

Between

the National Center for HIV/AIDS Dermatology and STD (NCHADS)

and

the HIV/AIDS Management Team (HAMT) of Oddor Meanchey Province

Concerning Decentralization of HIV/AIDS Activities

Funded under the NCHADS Comprehensive Work Plan 2010

110) (1)-The National Center for HIV/AIDS Dermatology and STD (NCHADS) and the HIV/AIDS Management Team of Oddor Meanchey (hereinafter known as 'the HAMT), represented by Dr. Ouk Kim Soeun, 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 2010.

(2)-Task: The HAMT, through its subordinates (primarily the Provincial AIDS Manager), is responsible for implementation of HIV/AIDS and STI activities in Oddor Meanchey Province. The National Center for HIV/AIDS, Dermatology and STD/Ministry of Health (NCHADS/MoH) 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 HIV/AIDS and STI Annual Work Plan for the year 2010 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 2010); 2. Accounts satisfactorily maintained, as agreed by the NCHADS Fi~ance 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) ;

#245 H, Street 6A, Phum Kean Klang, Sangkat Pre k Leap, Khan Russey Keo, Phnom Penh, Cambodia, E-mail: inio@nchads. org, Website: ww w.nchads .org

http:www.nchads.orgmailto:inio@nchads.org

5. Provincial annual and quarterlywork 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 HAMT shall perform the services specified above during the period commencing on January 1, 2010 and continuing to December 31, 2010. This term is subject to change upon reasonable written notice agre~d by the two Parties.

(6)-Cost: A total estimated cost of not more than US$ 15,902 (Fifteen thousand nine hundred and two US Dollars) , as in Annex 1; will be provided by NCHADS/MoH as follows.

~ {7)-Funding: Funds will be transferred from NCHADS/MoH to the HAMT as an initial advance of $2,418 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 Programme Activities" with respect to various funding sources, as formally approved.

{8)-For 2009, funds are allocated from the following sources:

• GF-R7 $ 9,674 • AHF $ 6,228

(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.

. (1 O)-It · is anticipated that · no additional cost will be paid for the work by NCHADS/MoH 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.

I

(12)-Audit: The HAMT it accounts will be audited as part of the various relevant audits relating to relevant funding sources. NCHADS/MoH 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

. adjudication/arbitration 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 LAO 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:.~l.. ../.. PL... .I2010

Date:.lQ. .. .I.. ~oe;: ../2010

Note: In addit'ion to the funding sources above, the national budget, and the following NGO . funds and activities. idet:Jtified in the provincial planning process are include.d in the Annual Comprehensive Plan in Annex 1, but are not covered by the terms or scope of this LOA.

$ 16,640 • NB • WOMEN $ 24,000 ~ • UNICEF $33S-~ . • AFESIP I $ 7,440

• CPN+ $ 4,000

cc: -Local Fund Agent in Cambodia -Department of planning and information (MoH) -partners.

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ANNUAL OPERATIONAL COMPREHENSIVE PLAN 2010I . ODDAR MEANCHEY PROVINCE61 00 00 0

Description61 01 00 0 1.IEC Q1 Q2 Q3 Q4

61 01 01 0 Identified needs61 01 01 1 Coordination meeting to identify needs for IEC BCC Unit61 01 02 0 Production of materials61 01 02 1 Printed materials

producing the T-shirt PHD x 1500 NB 500 T-shirt, 500 caps was printed in Water Festival days

Repaire the billboard PAO x NB 3 builboads 3x3m will repaired 61 01 03 0 Events61 01 03 1 Khmer New Year

61 01 03 2 Water Festival PAO/PAS X 1680 UNICEF 3-one day Water Vestival organized by HAMT/PAO/OD at Samrong District.

61 01 03 3 World AIDS day PAO x 500 AHFOne-one day WAD organized by HAMT/PAO/OD at Samrong District(estimated number of attendants around 1500ps).

61 01 03 6 Other (festival, concert..)Other (festival, concert..) PAO x 300 UNICEFWater Festivalin the city PAO x 500 NB

Candle Light Memorial PAO, MMM x 1190 UNICEF At lease 1000 people in the city attended in this event

61 01 04 0 Broadcasting

61 01 04 1 TV PAO x x x x 480 UNICEFThe activities of VCCT will releases through Anlong veng Local Cable TV 2times/15days/quarter. Atlease 200 families and 300 visitors/days

61 01 04 2 Radio PAO x x x x 720 UNICEFThe activities of VCCT will releases through radio FM 99 MHz 2times/15days/quarter. Atlease 200 families and 300 listrener/days

Radio PHD,PAO x x x x 270 NB

The activities of OI/ART/MMM, VCCT, PMTCT will releases through radio FM 99 MHz 2times/15days/quarter. Atlease 200 families and 1000 listeners/days

At lease 500 people in the city recerve IEC Material from Outreach distributer agent in this event

WhoTime frame

Cost Source

I. PREVENTION PACKAGE

CatAccount code

Donor Code Target/Expected output

61 01 04 3 Other ( talk show, round table discussion, newspapers…)

61 01 06 0 Monitoring and Supervision NCHADSThe activity put under the 14. Planning, Monitoring and Reporting

-$ 4,370.00$

500.00$ 2,270.00$ 7,140.00$

Description61 02 00 0 2.CoPCT Q1 Q2 Q3 Q461 02 02 0 Mapping & Sensitisation $ - 61 02 02 1 Annual mapping

642.03.3.0 Conducting annual updating map and data of Ews & other MARP PAO/NGOs x 700 GFATM-R7One update map and data of Ews number

61 02 03 0 Outreach interventions $ 8,940.00 61 02 03 1 Outreach visit (monthly) NGOs x x x x 7,440 AFESIP 165 SWs will be cover by projectin Anlong Veng

61 02 03 2 642.02.1.5 Organize MK/Managers/Owners of EWs meeting (Me-ka Forum) PAO x x x x 1500GFATM-R7

4-1days of MEKA/ Owner of EWs meeting in 3 differents places (25 in ALV, 15 in osmach & 10 in SRG)

61 02 04 0 Peer Education

61 02 04 2 In Sevice/refresher training of CoPCT-ST, DPCT

642.02.1.7 Refresher training for CoPCT-ST and DPCT at provincial level (2/prov/y) PAO x x 1200GFATM-R7

2-3days refresher training to Strengthening the capacity of P-CoPCT-ST & D-CoPCT-ST in total 18 participants.

61 02 07 0 Technical coordination61 02 07 1 Technical coordination NCHADS

642.02.1.1 National TWG/CoPCT meeting NCHADS /BCC

Provincial CoPCT-CC coordination meeting PAO x x x x 500 GFATM-R71days, 4meeting will be conducted with 8 member of P-CoPCT-CC

642.02.1.4 Provincial CoPCT-ST coordination meeting PAO xx xx xx xx 500 GFATM-R7 8-one day P-CoPCT-ST meetings with 1o participants.

642.02.1.2 D-CoPCT-CC coordination Meeting PAO/ OD xxx xxx xxx xxx 300 GFATM-R74,700.00$

Cost Source Target/Expected output

Sub-total for GFATM-R7

Sub-total for NBSub-total for IEC

CatAccount code

Donor Code WhoTime frame

Sub-total for UNICEFSub-total for AHF

Sub-total for GFATM-R7

7,440.00$ 12,140.00$

Description61 04 00 0 4.STI MANAGEMENT Q1 Q2 Q3 Q461 04 02 0 Training61 04 02 6 Refresher training

643.04.1.2Refresher training on STI/RTI syndromic case management for health care providers at 222 selected health centers

PAO x $824 GFATM-R7STI/RTI officers will be attend in 3 days training at SRP-PAO

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

643.04.2.1Mobile service on STI/RTI case management for sex workers to provide on-site care and treatment for sex workers in 10 provinces

PAO xxx xxx xxx xxx $1,200 GFATM-R7 3days-12 Mobile medical check up to Ews in Osmach HC

61 04 08 0 Technical coordination, etc

643.04.1.3Quarterly coordination meeting for health care providers at 35 STI/RTI clinic and all relevant partners

PAO x x x x $270 GFATM-R7 4-one day coordination meeting with 10 participants.

2,294$ 2,294$

62 00 00 0Description

62 06 00 0 6.HEALTH FACILITY BASED CARE Q1 Q2 Q3 Q462 06 04 0 Refresher training

62 06 04 4 Refresher Training on Pediatric Counseling OI/ART management for nursesNCHADS/PAO/AHF x 1100 AHF

3 days refresher training to OI/ART teams in Samrong OD for 15 partcipants.

1,100$ 1,100$

Description62 07 00 0 7. TB/HIV Activities Q1 Q2 Q3 Q462 07 05 0 Technical coordination62 07 05 2 Dissemination62 07 05 3 Collaborative TB/HIV Activities PAO/OI x x x x 240 AHF 4 meeting with 11 participants

Cost Source Target/Expected output

Sub-total for HFBC

CatAccount code

Donor Code WhoTime frame

CatAccount code

Donor Code

Sub-total for AHF

Target/Expected outputWhoTime frame

Cost Source

II. CONTINUUM OF CARE

Sub-total for STI

CatAccount code

Donor Code Who

Sub-total for AFESIPSub-total for Outreach

Target/Expected output

Sub-total for GFATM-R7

Time frame Cost Source

-$ 240$

240$

Description

62 08 00 08.HOME BASED CARE and

PLHA-SG & MMM & Positive Prevention Activites

Q1 Q2 Q3 Q4

62 08 08 0 Contracting HBC with NGO62 08 08 1 Contracting HBC with NGOs

662.08.1.0 Grants to HBC agencies in high priority 'gap' areas WOMEN xxx xxx xxx xxx $24,000 WOMEN 250 PLHA was supported by project (5teams of HBC)

62 08 09 0 PLHA Support Groups and MMM $ 4,000

62 08 09 2 MMM Monhtly meeting CPN+ x x x x 4000 CPN+ 1day-12 Monthly meeting of Samrong MMM center with 120PLHIVs

62 08 09 3 mmm Monhtly meeting OI/ART x x x x 9096 UNICEF 1day-12 Monthly meeting of 50PLHAs& mmm , Special Launching of mmm new service $ -

4,000$ 9,096$

24,000$ $ 37,096

Description62 09 00 0 11.VCCT Q1 Q2 Q3 Q462 11 03 0 Training62 11 03 6 Refresher lab training Need62 11 09 0 Technical coordination meeting

62 11 09 1 Technical coordination meeting PAO xxx xxx xxx xxx 1720 UNICEF 12- 1days-meeting in SRG & Anlong Veng will joint every month( 9 peoples with NGOs)62 11 10 0 Quality Assurance62 11 10 1 HIV Quality Control (QC for HIV testing)

Quality Control for VCCT PAO/ VCCT xxx xxx xxx xxx 1980 UNICEF 8- 1days-meeting of VCCT staff will be joint every 8 month( 10 peoples)-$ -$

CatAccount code

Donor Code Who Source Target/Expected output

Sub-total for GFATM-R7Sub-total for GFATM-R4

Cost Time frame

Cost

Sub-total for HBC-PLHAs-SG and MMM.

Source Target/Expected output

Sub-total for GFATM-R7Sub-total for CPN+

Sub-total for UNICEFSub-total for WOMEN

Sub-total for AHFSub-total for TB/HIV

Cat

Account code

Donor Code Who

Time frame

Sub-total for GFATM-R7

3,700$ 3,700$

Description

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

62 12 04 0 Continuum of Care Committee62 12 04 1 Designate CoC committee

62 12 04 2 Monthly CoC committee meeting expenses PAO/OD x x x x 1764 AHF 12-one day meeting in Samrong OD with 20 CoCC members, NGO, Gov62 12 05 0 Referral network62 12 05 2 Transportation/testing fee for Adult CD4,

661.12.1.0 Provide sample transportation for CD4 and viral load testing OI/ART x x x x 1200 AHFCD4 will be sent and check 2time/month for Sent CD4 to BTB

$ 2,964 $ 2,964

64 14 00Description

64 16 00 0 16. PLANNING, MONITORING & REPORTING Q1 Q2 Q3 Q4

64 16 03 0 Management & Coordination64 16 03 1 Workshops and coordination meetings 64 16 03 2 Mission to NCHADS for PAO PAO xxx xxx xxx xxx 0 AHF 3days-8 missions of PAO to Phnom Penh

Mission to NCHADS of Acc PAO xxx xxx xxx xxx 344 AHF3days-12 missions of PPU Acc to PP for replenishment and report

Mission to PNP of VCCT Officer PAO/VCCT x x x x 2196 UNICEF2days-12 missions of VCCT officer to NCHADS for Lab reagent

Mission to Siemreap of Lab VCCT x x x x 400 UNICEF3 missions for 2days of one VCCT officer will go to SRP for checking ELISA test

Mission to PAO of VCCT site VCCT xxx xxx xxx xxx 280 UNICEF 12-1day mission of VCCT staff to PAO64 16 03 3 Mission to PHD64 16 04 0 Trainings and workshops64 16 04 1 NCHADS / Provincial training PAO x x x x 0 Gap

OI/ART x x x x 0 GapOI/ART x x x x 200 UNICEF 1 OI/ART, 3 VCCT, 1PAO will trained

CatAccount code

Donor Code Who Source Target/Expected outputTime frame

Cost

IV. PROGRAM MANAGEMENT

Source Target/Expected output

Sub-total for VCCT

Time frame

Sub-total for AHFSub-total for CoC

Cost

Sub-total for UNICEF

CatAccount code

Donor Code Who

64 16 04 2 Exchange experiences (in-country) PAO x 1450 UNICEF 1-3 days of 10 CoC( PMTCT & OI Pediatrict) members will be changed experiences on Pediatric AIDS Care STG

64 16 06 0 Monitoring, Supervision 64 16 06 4 Monitoring and Supervision

642.02.2.2 monthly supervision from CoPCT/ST to DPCT in each province PAO xxx xxx xxx xxx 1080GFATM-R7

12-1days/nigth mission of P-CoPCT-ST to 3 differents places in OD

642.03.4.0 CUWG monitoring of all entertainment services PAO xx xx xx xx 0 GFATM-R7

643.04.2.3Monitoring and supervision from PAOs to operational districts (OD) on STI/RTI prevention and care mangement

PAO x x x x 420 GFATM-R74mission of 1 PAO officer will supervise to 3 HCs every 4 quaters ( HC TPS, Kokmon, Chong kal)

643.04.2.4Monitoring and supervision from operational districts (OD) to selected health centers on STI/RTI syndromic case mangement

PAO x x x x 360 GFATM-R7

4 mission of 2 PAO officer will supervise to 2clinics every 4 quaters ( Clinic Anlong Veng & Osmach & samrong)

662.16.3.0 Supervision of health facility staff by provincial Data Management units Mgt x x x x 340GFATM-R7

4 mission of 2 IT officer will be able to record data entry to 2 clinics every quaters ( Clinic Anlong Veng & Osmach & samrong)

662.16.4.0 Supervision of provincial Data Management units by NCHADS

Supervision of PAO from OD to VCCT PAO x x x x $540 UNICEF 12-1days supervision trip of PAO to 3 VCCTin 2009( VCCT SRG, Osmach &ALV)

Supervision of PAO from OD to HBC activity PAO x x x x $0 Gap

Transportation of CD4 Count to BTB PAO xxx xxx xxx xxx $1,020 UNICEF Pick the blood sample up to BTB for CD4 count64 17 06 0 Reporting PAO x x x x 120$ AHF Monthly report expense.

2,200$ 6,086$

464$ -$ -$

8,750$

Description

64 18 00 0 18. LOGISTICS & SUPPLY MANAGEMENT Q1 Q2 Q3 Q4

64 18 03 0 Equipment & Furniture64 18 03 3 Lab equipment

Target/Expected output Cost Source Time frame

CatAccount code

Donor Code Who

Sub-total for AHFSub-total for NBSub-total for Gap

Sub-total for Planning

Sub-total for GFATM-R7Sub-total for UNICEF

661.18.1.5 Includes utitlities, maintenance equipment, office supplies for all provincial labs

661.18.1.5 Includes utitlities, maintenance equipment, office supplies for all provincial labs VCCT PHD x 2000 NB1 Lap- top computer will be provide to AIDS Unit of PHD OMC in 2010

Office Equyipment of PAO PHD x 500 NB 1 Digital CAMERA will be provide to AIDS Unit64 18 07 0 Other

661.18.1.4 Maintain service contract for CD4 machine maintenance and operation of beck up generator

$ - $ 2,500 $ 2,500

Description64 19 00 0 19. ADMIN & FINANCE Q1 Q2 Q3 Q464 19 01 0 Administration

64 19 01 1 Administrative costs for Acc & PAO PAO xxx xxx xxx xxx 240 UNICEF photocopies, Email, telephone, Office supllies, Ing -cardrigd…Office suply for OI/ART PAO x x x x 480 AHF Photocopy, Paper, folder, Clippers…etc

643.04.2.2 Running cost for 35 STI/RTI clinics PAO x x x x 480 GFATM-R7 Paper, folder, Clippers…etc

Admin costs for VCCT Osmach, SRG and ALV PAO x x x x 1440 UNICEF photocopies, Email, telephone, Office supllies, Ing -cardrigd…Sent CD4 to BTB OI/ART x x x x 0 AHF

64 19 01 2 Conmmunication costs PAO x x x x 0 GFATM-R7PAO x x x x 480 AHF Cell card will be provide to PAO, OI leader,Acc,

662.19.3.0 Provide communication for NCHADS64 19 01 3 Internet connection64 19 01 5 Office supplies PAO/Acc x x x x 240 Gap Fee for copies, sending report…..ctc

Office Supply64 19 01 6 Vehicles

Fuel and maintenance and spare parts PHD x x x x 500 NB 12 tribs 700KM of PAC,HAMT will be able to do the spot cheek 3 different places in OMC 200864 19 04 0 Salary & Incentives scheme

64 19 04 1 Government Salary PAO xxx xxx xxx xxx 10800 NB 15 PAO officers will get salary every month from Government

67.19.10.0 Incentive PAO /VCCT xxx xxx xxx xxx 8640 UNICEF 12 VCCT staff in SRG, Osamch& VCCT in anlong veng will receive $60 every month

Target/Expected output

Sub-total Log-Mgt

Source

Sub-total for UNICEFSub-total for NB

CatAccount code

Donor Code WhoTime frame

Cost

67.19.11.0 Incentive scheme 480$

10,320$ 960$

11,300$ 23,060$

II. Summary Budget allocated by Components in 2010

Component %BCC

IECOutreach100%CU

STI Services 2%AIDS Care

HFBCTB-HIV

HBC,PLHAs-SG and MMM & Positive prevention

Linked ResponseClosed setting and HIV/AIDS/IDU/DU

VCCTCoC

PMTCTSurveillanceResearchPlanning, Monitoring & Reporting 9%Data ManagementLogistic and Supply Mgt 2%Admin and Finance 23%Provinces

Grand Total 100%

23,060.00$

-$ 2,500.00$

- -$ -$

8,750.00$

100,984.00$

2,294.00$ 45,100.00$

45%

1,100 240

37,096

- -

3,700 2,964

19.1%7,140

12,140 -

Sub-total for NBSub-total for Admin

& Finance

Budget 201019,280.00$

Sub-total for GFATM-R7Sub-total for UNICEF

Sub-total for AHF

ANNUAL OPERATIONAL COMPREHENSIVE PLAN 2010

I. ODDAR MEANCHEY PROVINCE

III. Summary Budget allocated by sources in 2010

Sources 'Budget % GFATM-R7 $ -9,674 10% UNICEF $ 33,572 33%

AHF $ 6,228 6.2% WOMEN $ 24,000 23.8%

CPN+ $ 4,000 4%

AFESIP ... $ 7,440 7.4% Gap $ - 0% NATIONAL BUDGET $ 16,070 16%

GRAND TOTAL $ 100,984.00 100%

....... ... 2010

Dr.KHAM SAMPHOS

OMC, date ..... ... ..... .. ....... , 2010 Prepare

PAO

Summary Budget allocated by Components in 2010

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