Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 14443
Country/Region: Malawi
Year: 2013
Main Partner: United Nations Children's Fund
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $400,000

IMPACT: This investment is focused on establishing the systems and capacity to scale up HIV treatment and PMTCT services at the district level, with the most alignment with district systems and efficiency and equity of service delivery. This mechanism will increase host country ownership, effectiveness and sustainability of district-based planning, budgeting and implementation processes in selected districts in Malawi, with a specific focus on achieving greater health impact in reducing mother to child transmission of HIV and overall maternal and child mortality. This mechanism will also support multilateral engagement and a corresponding approach to district-level systems strengthening. UNICEF has extensive experience working in Malawi to support districts as part of an established wider UN-Malawi program designed in coordination with the Government of Malawi. PEFPAR funds will support increasing mutual accountability through directly funding districts, while carefully monitoring performance, providing direct financial and technical support to strengthen planning, budgeting, financial and expenditure processes, and integrating specific strategic information activities directly into the district planning process. A key element of this activity is to assist districts in coordinating all organizations working within the district to become integrated within and to assist with the existing district planning process, including development of the actual Annual Investment Plan and District Implementation Plan. The partner will purchase 2 Vehicles to support for project implementation in districts.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $250,000

UNICEF has worked closely with the Government of Malawi and Development Partners, including UNAIDS and PEPFAR, to help lead the development of the Malawi strategy to eliminate new HIV infections among children and keep their mothers alive. Through this mechanism, UNICEF will support District Health Management Team planning, budgeting and monitoring processes that support PMTCT and maternal and child mortality interventions. Specific barriers to reducing MTCT will be identified and addressed through these processes. Lessons learned from these districts will be taken to the corresponding national technical working groups for consideration during national policy development and for use in other districts.

Funding for Treatment: Adult Treatment (HTXS): $100,000

This mechanism will focus on district health systems strengthening, with a special emphasis on building the capacity of district health teams to develop evidence-based, district-specific investment plans for HIV treatment and integrated maternal, newborn and child survival interventions. UNICEF will support district health teams to generate evidence to inform both their own planning and national level financing. UNICEF will support districts in analyzing: implementation bottlenecks; equity of access to quality services; and anticipated and current mortality impacts based on planned and actual intervention coverage. UNICEF will support districts to develop routine processes to use the results of these analyses in developing and modifying district plans, and to strengthen district level monitoring of HIV treatment, PMTCT and MNCH program performance. UNICEF will also support district governments to collect, analyze and use data to identify disparities across geographical areas, age, sex, wealth and educational background in order to develop specific targets for use in district planning, implementation and monitoring.

Funding for Treatment: Pediatric Treatment (PDTX): $50,000

This mechanism will focus on district health systems strengthening, with a special emphasis on building the capacity of district health teams to develop evidence-based, district-specific investment plans for HIV treatment and integrated maternal, newborn and child survival interventions, including identification of HIV-infected children and referral to care and treatment. UNICEF will support district health teams to generate evidence to inform both their own planning and national level financing. UNICEF will support districts in analyzing: implementation bottlenecks; equity of access to quality services; and anticipated and current mortality impacts based on planned and actual intervention coverage. UNICEF will support districts to develop routine processes to use the results of these analyses in developing and modifying district plans, and to strengthen district level monitoring of HIV treatment, PMTCT and MNCH program performance. UNICEF will also support district governments to collect, analyze and use data to identify disparities across geographical areas, age, sex, wealth and educational background in order to develop specific targets for use in district planning, implementation and monitoring.

Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Child Survival Activities