Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 14432
Country/Region: Malawi
Year: 2014
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USDOD
Total Funding: $450,000 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Capacity building of Malawi Defense Force (MDF) in VMMC is the major area of focus for the Department of Defense (DOD) VMMC programme. The goal in FY14 is to reach 5000 males with VMMC services with the objective to support the provision of safe and comprehensive VMMC services at static and outreach sites, generate demand for circumcision services within MDF personnel, ensure that VMMC services actively link men who test positive to HIV care and treatment and assist the MDF to adapt new VMMC technology into their ongoing VMMC programming.

Having exceeded the Phase I target by conducting 5,034 MCs, under Phase II Jhpiego will continue to support the four established VMMC sites to provide routine VMMC service delivery. Jhpiego will also provide ongoing technical support through mentoring and quarterly supportive supervision to the four static sites and to the MDF as a whole. Supportive supervision and coaching will be standard to ensure quality services and Jhpiego will coordinate with MDF and DOD to ensure that data collection efforts are streamlined and not duplicated. Every quarter Jhpiego, in collaboration with MDF, will visit the four static sites to observe the trained providers and coach them accordingly; through the supportive supervision and coaching sessions, Jhpiego will identify service providers in need of mentoring in order to improve the competence of their skills. VMMC providers in the static sites who are experts in VMMC service provision will also be identified and coached as VMMC mentors.

In addition, Jhpiego and MDF, will also conduct supportive supervision and coaching for the HTC counselors who have recently been oriented to VMMC. This supervision and coaching will be done alongside supervision of service providers to ensure continuum of care.

Mechanism Allocation by Budget Code for Selected Year
Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC) $450,000
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
VMMC_AE_DSD Number of males circumcised surgically or by medical device that experienced at least one moderate or severe adverse event(s) (AEs) 2015 100
VMMC_CIRC_DSD By Age: 10-14 2015 2,527
VMMC_CIRC_DSD By Age: 15-19 2015 1,228
VMMC_CIRC_DSD By Age: 20-24 2015 516
VMMC_CIRC_DSD By Age: 25-49 2015 696
VMMC_CIRC_DSD By Age: 50+ 2015 33
VMMC_CIRC_DSD Number of males circumcised as part of the voluntary medical male circumcision (VMMC) for HIV prevention program within the reporting period 2015 5,000
VMMC_CIRC_DSD Sum of age disaggregates 2015 5,000
Cross Cutting Budget Categories and Known Amounts Total: $120,000
Human Resources for Health $105,000
Condoms: Policy, Tools, and Services $15,000
Key Issues Identified in Mechanism
Military Populations