Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 14432
Country/Region: Malawi
Year: 2013
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USDOD
Total Funding: $300,000

The goal of the collaboration between PCI and the MDF is to enhance the capacity of Malawis military leadership in leading the response towards reduced HIV prevalence among MDF personnel and their families. The objectives are:

? To engage and strengthen MDF leadership in response to HIV programming, including strategic planning, implementation, monitoring and evaluation focusing on Battalion and Company Commanders, Military Chaplains, and other key actors

? To provide technical assistance to the MAMHS HIV & AIDS Program Unit and existing HIV prevention team members, on a range of HIV technical areas.

? To promote information sharing and learning on comprehensive HIV & AIDS programming between the Malawian and Zambian Defense Forces;

DHAPP promotes MDF ownership and leadership through strategic capacity building of human resources for a sustainable program. DHAPP adheres to Malawis National Action Framework and the PEPFAR country strategy and GHI Partnership Framework. Through partnerships with government, other organizations and the private sector resources will be leveraged to ensure cost efficiency and sustainability. The program will ensure strict adherence to gender considerations through gender analysis and monitoring of appropriate gender indicators. The program will be implemented in 12 MDF units across Malawi and targets 30,000 soldiers and their families including the surrounding civilian populations. Joint MDF/PCI teams will monitor activities and conduct periodic data quality audits to enhance data quality. New approaches for BCC and peer education will be introduced to make behavior change communication more effective. 1 vehicle is include for support ot moblie VCT activities

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $300,000

Jhpiego will support MDF facilities in the implementation of this project through capacity building, system strengthening, VMMC promotional activities, training of providers, provision of VMMC services, and standardized, supportive supervision to ensure quality of services. Jhpiego uses a competency-based training approach, which will provide the MDF with health care providers who have the knowledge, skills and attitudes to adequately provide high-quality clinical VMMC services. Jhpiego will work closely with MDF and partners, primarily Project Concern International (PCI), in supporting the STI and HIV counseling and testing (HCT) programs to ensure that the minimum package for VMMC services is fulfilled, as well as to ensure that referrals from HCT/STI clinics to VMMC services are strengthened, and vice versa. DOD, PCI and Jhpiego have an agreement that mandates PCI to do all the communications and demand creation for the VMMC program. Jhpiego will also ensure that the trained providers will have the necessary supervision and coaching needed to establish services. Jhpiego will then build the capacity of selected providers and develop them to become trainers, thus enabling the MDF to sustainably address its own human resource needs in the future. Jhpiego will also implement proven monitoring and evaluation methods to ensure timely and accurate reporting and provide data for decision-making. Under Phase 1, Jhpiego will work with MDF and DOD to develop a comprehensive VMMC scale up plan to circumcise 5000 men in MDF clinics. The first six months will focus on developing a comprehensive plan, conducting site assessments, and orienting staff at five barracks to VMMC. The second six months will focus on equipping and strengthening five VMMC static sites; training clinicians in safe clinical VMMC, nurses in post-operative VMMC service, and HTC counselors in VMMC counseling; adapting communication materials to raise awareness; generating demand; and conducting one intensive VMMC campaign. Under Phase 2, Jhpiego will continue to provide technical support through mentoring and supportive supervision to the 5 barracks serving as static sites from phase 1 and add 3 additional barracks to these static sites. More clinicians and nurses will be trained in safe clinical VMMC and post-operative VMMC service and HTC counselors in VMMC counseling. The project will conduct 3 intensive campaigns. The target is to have 1500 VMMCs performed in MDF clinics. Under Phase 3, Jhpiego will continue to provide technical support through mentoring and supportive supervision to 8 barracks serving as static sites. The project will also oversee 2 intensive campaigns, with a target of 3500 VMMCs.

Cross Cutting Budget Categories and Known Amounts Total: $65,000
Human Resources for Health $65,000
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
Military Populations