Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4866
Country/Region: Mozambique
Year: 2007
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $1,497,845

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $19,422

This activity is linked to 8605, 8630, and 8638 activity sheets.

This activity will partially fund the salary and benefits package for a CT & PMTCT Prevention Program Support Officer. The CDC staffperson will provide technical assistance directly to Ministry of Health (MoH) PMTCT program personnel and assist the MOH PMTCT team with coordination and guidance provided to USG and non-USG funded NGOs, CBOs and FBOs involved in PMTCT interventions. In addition, the senior CDC staff person participate in various donor coordination fora and assists providing relevant PMTCT program information and up-dates to other multi- and bilateral donor agencies.

The CDC CT & PMTCT Prevention Support Officer will dedicate part of his/her time to participate in the finalization of the assessment of clinical staging performed by PMTCT personnel with comparison to CD4+ & total lymphocyte count to determine eligibility for antiretroviral therapy, and dissemination of findings through presentation of findings to MOH and stakeholders in-country, production and dissemination of the final report.

Funding for Care: Adult Care and Support (HBHC): $62,243

This activity will partially fund the salary and benefits package of one existing position - Prevention Program Support Officer, one approved, but yet-to-be-filled position - OI, TB/HIV Specialist - and the full salary and benefits package of one proposed position - Home Based Care Assistant. Each of these positions will provide significant support to the Palliative Care program.

The OI, TB/HIV specialist will work to support and provide oversight for the development and implementation of standard care services for HIV-infected patients within USG-supported treatment facilities. Additionally, this person will contribute to policy development through participation in national technical meetings.

The Home Based Care Assistant will provide technical support to the Ministry of Health Home-Based Care Program and the Ministry of Women and Social Action Integrated Care and Support network pilot sites to further strengthen access to coordinated services which will, in turn, inform policy development. This position will also contribute to the development of innovative and sustainable approaches to food security together with relevant government sectors and partners such as USAID, WFP, FAO, and implementing NGOs/CBOs/FBOs.

The Prevention Program Support Officer will participate in the finalization of the assessment of integration of STI diagnosis, treatment and improved partner services into routine HIV outpatient clinical care (see also activity sheets 8587, 8570, 8631, 8637 in relation to HIV-STI integration).

Funding for Care: TB/HIV (HVTB): $48,555

This activity includes the salary and benefits package of one existing position - STI Study Advisor and one approved, but yet-to-be-filled position - OI, TB/HIV Specialist to support the development and implementation of standard care for TB/HIV co-infected patients within USG-supported ART and MOH TB facitities and contribute to policy development through participation in national TB/HIV task-force meetings.

Funding for Testing: HIV Testing and Counseling (HVCT): $19,422

This activity is linked to 8597, 8620, and 8633 activity sheets.

This activity will partially fund the salary and benefits package forthe CT and PMTCT Study Advisor. This CDC staff person will provide technical assistance directly to Ministry of Health (MoH) CT program personnel. This person will also assists the MoH CT team with coordination and guidance provided to USG and non-USG funded NGOs, CBOs and FBOs involved in CT interventions.

Funding for Treatment: Adult Treatment (HTXS): $33,110

This activity will partially fund the salary and benefits package for two proposed ART Site Assistants whose role is critical to the monitoring of care and ART services being implemented in Mozambque through the Emergency Plan. Activities include 1) regular site support visits where implementation-related problems may be identified and resolved and 2) responsibility for collecting program data useful for program performance improvements.

Funding for Laboratory Infrastructure (HLAB): $33,110

This activity will partially fund the salary and benefits package for two proposed ART Site Assistants working in this technical area. Work includes conducting site support visits to monitor laboratory programs and ensure that treatment and laboratory programs are well coordinated to provide quality care and treatment services in USG-supported and other sites. The ART site assistants will also work closely with laboratory partners working on the supply, distribution and maintenance of laboratory equipment and reagents in the country.

Funding for Strategic Information (HVSI): $57,159

CDC incurs many cross-cutting administrative costs in-country, including office rent, vehicles and their maintenance, and administrative salaries. These costs are accounted for in the Management and Staffing section of this document. However, many costs are directly attributable to particular program areas. The funding in this activity will pay for a portion of the administrative costs of maintaining a Direct Hire, CDC employee in-country: a Senior Technical Advisor for Strategic Information. The funding will pay for rent and utilities of said employee.

This activity will also fund 100% of the salary and benefits package of an existing position: an IT Assistant. This position provides full-time technical assistance to the Mozambican Ministry of Health to aid in IT planning and network management.

Funding for Management and Operations (HVMS): $1,224,824

The CDC Mozambique Management and Staffing program is divided among four different mechanisms - 4864, 4866, 4865, 4867. The four activities that contain costs associated with this program are 8512, 8611, 8624, 8634. The Management and Staffing program supports all administrative costs associated with running the robust portfolio of technical programs, including administrative staff salaries, office costs as well as direct program support through staff and other costs to manage grants and advise program staff on administrative issues.

The CDC office currently has 26 positions under various mechanisms - including four direct hires, 13 locally employed staff and nine contracted staff (COMFORCE, PSC). Three positions are currently vacant, but will be filled in the near future. Each of these positions existed when COP 2006 was submitted with the exception of one administrative assistant which was a proposed position in 2006 and since been filled. We had proposed an additional seven positions at that time, but due to various hiring difficulties - lack of available hiring mechanisms, visa issues with the local government and severe shortage of local human resources, only the administrative assistant position was filled. CDC is currently dealing with these issues on various fronts and hopes that a sound resolution will be found.

In addition to the approved positions from the 2006 COP, CDC Mozambique is proposing 12 technical and administrative positions that will manage the significant increase in activities for 2007 and beyond. They are discussed in the Staffing Matrix as well the individual program activities that will fund these positions.

CDC's office space is currently full with existing staff. In order to accommodate the expected growth in staffing, CDC received approval in the 2006 COP to expand the office to the adjacent space in our existing building. We are in the final stages of the OBO approval process and rehabilitation should begin in the coming months. Funding for rehabilitation was budgeted in 2006.

This activity contains funding for various administrative and technical managers' activities:

- Salaries for various administrative support staff ($274,846) - Data Entry Specialist, Administrative Assistant I, Administrative Assistant II, Driver I, Driver II, Driver III, Driver IV, Executive Secretary, HR Admin Assistant, Procurement Chief, Program Support Specialist I, Program Support Specialist II, Receptionist, Secretary. Note that we are requesting early funding for salaries to assure availability of funding in the early months of the fiscal year. - Automobile Fuel for CDC Motorpool ($12,000) - Automobile maintenance and insurance ($20,000) - Travel and course costs for IT Staff ($23,000) - Office Cleaning Services - $400 per month X 2 offices ($9,600) - Customs clearance of goods (Supplies, Equipment, Furniture, etc.) ($10,500) - Locally procured Office Supplies ($25,000) - HR Position Announcements in local paper $2000 per announcement ($38,000) - Internet Service for CDC Office $2900 per month + VAT (17%) ($40,716) - IT hardware, workstations, consumables, upgrades - includes costs of IT equipment for office expansion ($86,000) - Parking space rental ($7,800) - Local Guard Service for office and residential security ($72,000) - Office Furniture for new office ($35,330) - Office Maintenance contract ($25,000) - Utilities - Office phones (Land line & cell phones), electricity and water ($65,880) - Travel and course costs for administrative staff training ($75,000) - Shipment of things ($12,284) - Travel costs for administrative and programmatic staff - ($207,000) - Residential Utilities for direct hire employees - ($12,000) - Residential rent for direct hire employees - ($60,000) - Two new official CDC vehicles to supported program staff - Toyota Sedans ($15,272 X 2) + Freight ($2664 X 2) + RSPO Charges ($1076 X 2) - (Total $38,024)

- Partial technical staff salaries for the Director and Senior Training Specialist are also included (29,133)

Table 3.3.15: