Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 16794
Country/Region: Malawi
Year: 2014
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $1,641,250 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.

SANKHANI Moyenela is Voluntary Medical Male Circumcision (VMMC) scale-up project being implemented in three districts in Southern Malawi, where there is a high HIV prevalence and low VMMC rate. In COP14, SANKHANI will contribute to reduction of HIV risk through VMMC expansion among males 10–49 years. The scale-up plan is aligned to Malawi National HIV and AIDS Strategic Plan (2012-2016) that identifies VMMC as key component of HIV prevention for reducing new HIV infections.

In COP13, SANKHANI is working in three districts of Zomba, Thyolo and Chikwawa, and in COP14, they will focus VMMC services in Zomba district only due to reduction in COP14 funding for VMMC. SANKHANI’s key approaches include the following: 1) support to Ministry of Health (MoH) in development of an implementation framework for the national operational plan; 2) development of a standardized quality assurance package; 3) provision of quality VMMC services through fixed, outreach and mobile sites, and dedicated campaigns; and 4) targeted demand generation. In collaboration with MoH, SANKHANI will explore supporting the pilot of early infant male circumcision (EIMC) in Malawi.

For sustainability and provision of high quality VMMC services, SANKHANI will build capacity of MoH providers, M&E officers and program managers to enhance VMMC monitoring, evaluation and research. This will especially focus on utilization of data to drive efficient programming and decision-making. SANKHANI will continue efforts to integrate VMMC M&E into MoH Health Management Information System. Quarterly progress reports from District Health Information System will be prepared and submitted to MoH’s Central Monitoring and Evaluation Department, HIV Department and USAID.

Mechanism Allocation by Budget Code for Selected Year
Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC) $1,641,250
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
HTC_TST_DSD Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Male 2015 12,263
HTC_TST_DSD Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Male 2015 5,255
HTC_TST_DSD Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 17,518
HTC_TST_DSD Sum of Aggregated Age/Sex 15+ 2015 12,263
HTC_TST_DSD Sum of Aggregated Age/Sex <15 2015 5,255
HTC_TST_DSD Sum of Aggregated Age/Sex disaggregates 2015 17,518
SITE_SUPP By program area/support type: VMMC Direct Service Delivery (DSD) 2015 6
SITE_SUPP Number of unique sites supported by PEPFAR 2015 5
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 369
VMMC_CIRC_DSD By Age: 10-14 2015 5,484
VMMC_CIRC_DSD By Age: 15-19 2015 5,135
VMMC_CIRC_DSD By Age: 20-24 2015 4,068
VMMC_CIRC_DSD By Age: 25-49 2015 3,136
VMMC_CIRC_DSD By Age: 50+ 2015 618
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 18,441
VMMC_CIRC_DSD Sum of age disaggregates 2015 18,441
Cross Cutting Budget Categories and Known Amounts Total: $421,750
Gender: Gender Equality $210,875
Equity in HIV prevention, care, treatment and support
Changing harmful gender norms and promoting positive gender norms
Implementation
Condoms: Policy, Tools, and Services $210,875