Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12128
Country/Region: Malawi
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

This new activity will support the implementation of male circumcision services in Malawi over the final four years of the Partnership Framework. The RFP will be written in 2010 after Malawi has drafted more definitive male circumcision policy, and will be sent to PEPFAR HQ for input and review.

Given that the BLM circumcision activity (see BLM narrative) will emphasize support for circumcision in the private sector (although some clinicians in the public sector will also be trained and supported through this agreement), the TBD circumcision activity will have more of an emphasis on the public sector, supporting the MOH providers and facilities to roll-out circumcision nationally. Since $9 million is currently budgeted in the GFATM NSA for circumcision, the contract will be designed in a specific way to complement these resources.

Innovative approaches being used by BLM such as the use of vouchers to reimburse providers will also be scaled-up within the TBD project if they are proved to be successful. For the purposes for target setting for this TBD COP entry, a fully-loaded cost based upon UNIADS estimates of $35 per circumcision has been utilized and targets are applied for only 9 months, allowing 3 months for project start-up. However, it is anticipated that once the project is up and running, economies of scale will enable the cost to be substantially lower than this in years 2-4. The COP entry will be revised and submitted in more detail to HQ.

PFIP Year 1 budget - Redacted PFIP Year 2 budget - Redacted

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $0

This new activity will support the implementation of male circumcision services in Malawi over the final four years of the Partnership Framework. The RFP will be written in 2010 after Malawi has drafted more definitive male circumcision policy, and will be sent to PEPFAR HQ for input and review.

Given that the BLM circumcision activity (see BLM narrative) will emphasize support for circumcision in the private sector (although some clinicians in the public sector will also be trained and supported through this agreement), the TBD circumcision activity will have more of an emphasis on the public sector, supporting the MOH providers and facilities to roll-out circumcision nationally. Since $9 million is currently budgeted in the GFATM NSA for circumcision, the contract will be designed in a specific way to complement these resources.

Innovative approaches being used by BLM such as the use of vouchers to reimburse providers will also be scaled-up within the TBD project if they are proved to be successful. For the purposes for target setting for this TBD COP entry, a fully-loaded cost based upon UNIADS estimates of $35 per circumcision has been utilized and targets are applied for only 9 months, allowing 3 months for project start-up. However, it is anticipated that once the project is up and running, economies of scale will enable the cost to be substantially lower than this in years 2-4. The COP entry will be revised and submitted in more detail to HQ.

PFIP Year 1 budget - Redacted PFIP Year 2 budget - Redacted

Cross Cutting Budget Categories and Known Amounts Total: $0
Human Resources for Health $0