Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 14469
Country/Region: Central America Region
Year: 2013
Main Partner: Secretariat of Health - Mexico
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: USAID
Total Funding: $1,557,054

In FY 2012, USAID will provide funds to the MOH under the Assistance Agreement USAID 522-0450.

Using host-country MOH contracting and financing mechanisms, USAID will provide support to NGOs and community leaders to increase their organizational and technical capacity to deliver quality HIV/STI prevention services for MARPs. USAID will focus efforts on technical and financial assistance to the NGOs to provide quality BCC and VCT services in priority geographical areas. The MOH will use a performance-based financing model, to ensure local NGOs focus their efforts on achieving measurable results and products. This new paradigm change is aligned with: (1) "National Strategy for Integrated Care for STI/HIV/AIDS in the context of Health Sector Reform" that proposes decentralized service delivery through a results-based model and (2) USAIDs objective of improving the health status of underserved and vulnerable populations in Honduras.

Using the results of a recent knowledge, attitudes and practices survey, strategies and educational activities will be adapted to respond to the target populations stage of behavior change and their needs. Examples of these activities include: client-centered risk reduction counseling; peer education; educational tools; information, education and communication materials, confidential VCT with pre and post counseling, referrals to STI screening and treatment, and referrals to HIV treatment and care services.

The expected result of these activities is a reduction is the spread of HIV/STI among MSM, transgender individuals, CSW, and the Garífuna population in the areas of Francisco Morazán, Comayagua, Cortés y Atlántida, as well as an increase of the capacity of local institutions to implement HIV prevention projects.

Funding for Care: Adult Care and Support (HBHC): $347,214

Technical Assistance will be provided to the MOH to implement the norms and guidelines to improve treatment, care and support services within the National Reform Process to increase coverage and higher quality efficiencie and effectiveness in provision of HIV services for Key population in five prioritized areas of the country such as Tegucigalpa, Puerto Cortes, Atlantida, San pedro Sula and Islas de la Bahia.

Funding for Health Systems Strengthening (OHSS): $485,000

Technical Assistance will be provided to the MOH to design and develop a supervision and M&E plan for the NGOs' implementation. Technical and financial audits as well as quality control processes are some of the tools that MOH is going to use to monitor and evaluate NGO performance under the results-based contracts.USAID will be emphasis on strengthening national and local health systems and organizations by developing and testing tools and models to use community participatory processes to monitory and evaluate the HIV prevention activities implemented by the NGOs.

Funding for Testing: HIV Testing and Counseling (HVCT): $200,000

USAID will focus efforts on technical and financial assistance to the NGOs to provide more quality, efficiency, effective voluntary counseling and testing (VCT) services for MARPS in the areas of Francisco Morazán, Comayagua, Cortés y Atlántida.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $524,840

This assistance will be focus on assisting non-governmental organizations (NGOs) and community leaders to increase their organizational and technical capacity to deliver quality HIV/STI prevention services for most at-risk populations (MARPs). USAID will focus efforts on financial assistance to the NGOs to provide more quality, efficiency, effective behavior change communication (BCC) and voluntary counseling and testing (VCT) services in the areas of Francisco Morazán, Comayagua, Cortés y Atlántida.

Cross Cutting Budget Categories and Known Amounts Total: $800,000
Key Populations: Sex Workers $500,000
Key Populations: MSM and TG $300,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Child Survival Activities
Safe Motherhood