Namibia

Overview

The ACS project supports the Government of the Republic of Namibia in accelerating progress towards universal health coverage (UHC) through sustainable financing of the country’s HIV/AIDS response

ACS in Namibia

ACS works in partnership with the Ministry of Health and Social Services (MoHSS), the Presidents Emergency Plan for AIDS Relief (PEPFAR), and the United States Agency for International Development (USAID), in addition to the private sector and civil society. ACS lends technical support and expertise to health financing activities related to Namibia’s long-term HIV/AIDS response, which aims to ensure that all Namibians have equitable access to quality health services without experiencing financial hardship.

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Background

  • Namibia has made substantial progress in responding to the HIV/AIDS epidemic and moving the country towards achieving its 95-95-95 targets, where currently:
    • 94% [1] of Namibians know their HIV status
    • 96% [2] of Namibians who know their HIV status are on antiretroviral treatment (ART)
    • 95% [3] of Namibians on ART are virally suppressed
  • Despite the country’s progress, 36% [4] of all HIV/AIDS related costs are funded by donors, which positions Namibia as having one of the highest donor dependency rates among its peer countries in the region.
  • Overall, 80% [5] of donor funding for the health sector is dedicated to Namibia’s HIV/AIDS response. Namibia’s progress towards epidemic control of HIV/AIDS combined with its upper-middle income country status has meant a continuous trend of decreasing donor resources and support. This highlights the importance of ACS’ work in supporting long-term domestic investments in Namibia’s HIV response and movement towards UHC.

ACS Namibia Key Objectives

  • Support the government to create a comprehensive long-term HIV/AIDS response strategy to reduce the government’s reliance on donor financing.
  • Support the creation of accountability structures to ensure the government fulfills its commitment to providing access to quality HIV/AIDS services that are maintained through sustainable and domestic funding streams.
  • Support responsible management of health resources to ensure Namibia’s health system is responsive to its peoples’ needs.

ACS Namibia Implementation

  • ACS has partnered with Synergos, Inc. to implement ACS activities in Namibia.
  • The Synergos team is comprised of a team of experienced Namibians who support the government on a continuous and responsive basis.
  • The greater ACS Namibia team, comprised of ACS and Synergos staff, works closely with government counterparts and other relevant stakeholders to ensure that deliverables and outcomes are country-owned.
  • ACS Namibia encourages and facilitates wide stakeholder engagement to ensure greater knowledge-sharing, consensus-building, buy-in and accountability.
  • The ACS Namibia team invests significant time into building local health financing capacity within the MoHSS and among other stakeholders involved in health financing and sustainability discussions, to ensure that outcomes generated exceed the life of the project.

What We Do

The ACS Approach graphic - Accountability, Learning, CollaborationThe African Collaborative for Health Financing Solutions (ACS), a 5-year (2017-2022) USAID-funded project, provides support to regional and country stakeholders in sub-Saharan Africa to better navigate their paths to UHC. We work to increase synergies with the many existing efforts to advance UHC through our three project pillars-strengthening accountability, promoting collaboration, and supporting learning. ACS is responsive to demand-driven needs for bolstering technical facilitation, coaching and mentoring, sharing knowledge and learning processes, supporting strategic communications, advocacy and accountability measures, and providing direct assistance to further build upon UHC momentum.

Notes

1 2019 estimates of the Ministry of Health and Social Services (MoHSS)
2 ibid
3 ibid
4 Ministry of Health and Social Services. August 2018. Namibia’s Health and HIV Financing Landscape: Evidence from the 2015/16 & 2016/17 Resource Tracking Exercises. Windhoek, Namibia.
5 ibid