This activity is linked to workplace activity OHPS 9159.

Beginning in mid-COP06, the USG team has assigned a high priority to working with the private sector to build capacity and implement workplace programs. The Constella Group (formerly the Futures Group) has been selected as the partner best able to move this agenda forward. PEPFAR/Mozambique continues to support the Business Forum Against AIDS (ECOSIDA), but the mechanism for this support will now be The Constella Group through the USAID HQ Project, the Health Policy Initiative (HPI). This activity will build upon activities such as the work initiated with the Dunavant Cotton Company in Zambezia province under COP06, and provide substantial TA to ECOSIDA. It will also provide for subgrants to workplaces as needed for program implementation, and in coordination with World Bank funding through Austral, and the Dutch Embassy support to ECOSIDA. However, the basic concept is to assist the private sector to carry out workplace programs as a sustainable, integral part of their business. Workplace programming is an effective way of reaching men, and therefore addressing gender issues of male norms and behaviors and gender based violence and coercion is an important feature of this activity. Main components of this activity include:

1. Subgrant to Dunavant approximately $50,000 for expansion of workplace activities into the community, working with families of Dunavant farmers 2. Subgrant to ECOSIDA approximately $100,000 to provide TA and policy implementation assistance with member businesses 3. Assist 15 businesses to put in place holistic prevention programs, and assure that condoms are available to workers and staff 4. Assist 15 businesses to provide holistic prevention programs that reach partners and family members of the employees 5. Incorporate gender activities which address male norms and behaviors and gender based violence and coercion, shifting norms in the workplace and in the communities towards gender equity and healthy sexual and reproductive health practices.

Targets have been set based on an estimated initial 15 workplace programs providing distribution of condoms; training at least 10 managers and/or peer educators at each business; and each of the 150 trained persons reaching 20 individuals for a total of 3000.

This is a workplace HIV/AIDS program activity so the main emphasis area is workplace programs. Policy and guidelines, and local organization capacity development are the minor emphasis areas as this activity seeks to build capacity of businesses to carry out workplace programs, and to develop and implement equitable and non-discriminatory HIV/AIDS policies.

This activity is linked with the Prevention for Positives program HTXS 8592; HVCT 9114 and with the project for Developing a new Recruitment Policy OHPS COP 06 activity 4894.

It is known that disclosure of HIV status (if a person is seropositive) is still a problem due to stigma and discrimination, especially in the military. Although the Military Hospital in Maputo is one of the largest HIV treatment centers in the country, the vast majority of patients are civilians. To reverse this situation, DOD will finance a partner through this USAID mechanism to work with police and military peer educators to disseminate the law 5/2002 regarding HIV/AIDS in all military bases and police squadrons and promote legal stand against stigma and discrimination. The targeted populations will know about this law which protects whoever is HIV positive against stigma and discrimination of any kind. One of the expected impacts of this activity will be an increase in the number of people deciding to be tested, disclose their status if found to be HIV positive and seek care and treatment. Such behavior will eventually slow down the epidemic.

During the implementation of these activities, the partner will provide a additional information regarding the importance of early detection of an HIV infection through voluntary counseling and testing which will enable a person to be observed by specialized medical personnel and receive treatment as early as it is found that he requires ARVs to improve the immune system.

With clear information about what surrounds HIV, the availability of treatment, and with the dissemination of the aforementioned law, the targeted populations will more easily accept their condition or visit VCTs to find out their status because they will know that there is a law that protects HIV infected people.

This activity will address stigma and discrimination, and in doing so, will reduce violence and coercion. Targets have not been set because although increasing the likelihood that military personnel will be tested and access treatment services, this activity will not directly result in increased numbers of military on ARV treatment. These numbers, however, will be captured by the treatment partner working with the Military facilities.

The Multisectoral Technical Group (MTG) is recognized by government and civil society as a forum for discussion and production of official sources of strategic information, including provincial, regional and national estimates of HIV prevalence rates and projections of impacts of HIV/AIDS. The MTG brings together the Ministry of Health, the National Statistics Institute, National AIDS Council, two departments of the Eduardo Mondlane University, and other line ministries. In addition, the central MTG stimulated the formation of provincial technical groups (PTG) in Niassa and Manica provinces; these PTGs are officially recognized by their respective provincial governors, include public and civil society members and receive assistance from the central MTG.

Constella Group will strengthen the capacity of national and provincial analysts to implement surveillance systems and population-based surveys, analyze and interpret results and apply findings to improve HIV/AIDS programs. Activities: • Provide training and refresher training to the MTG and PTG members on surveillance data and analysis, impact projections, and other methodologies • Support the participation of MTG members in strategic information fora and activities, including maintenance and analysis of sentinel surveillance, updating impact projections as needed, and national program monitoring • Provide local language material and training for their use by provincial, district and community leaders • Develop and apply new analytic tools to enhance the reliability of existing data sources

Indicators and Targets: Number of people trained in strategic information (50) Number of organizations provided with technical assistance (5)

Provincial Technical Groups (PTG) are officially recognized by their respective provincial governors and serve as a key entry point into both provincial and district directorates as well as into civil society networks and institutions. HPI TO1 will assist the existing provincial technical groups in Niassa and Manica provinces to establish new PTGs in Zambezia and Sofala, obtain official government recognition and strengthen their capacity to better analyze data and interpret results and apply strategic information to advocacy, program design and monitoring and evaluation. Because of geographic proximity and shared issues, it will be more cost-effective for the existing PTGs to work with the new groups than to implement these activities from Maputo.

Activities: • Provide technical assistance in recruiting members, establishing terms of reference, obtaining official government recognition and mobilizing financial resources including from the provincial nuclei of the National AIDS Council. • Provide training and technical assistance in the use of strategic information for advocacy and program planning and implementation

Indicators and Targets: Number of people trained in strategic information (50) Number of organizations provided with technical assistance (2 new groups)

Beginning in mid-COP06, the USG team has assigned a high priority to working with the private sector to build capacity and implement workplace programs. The Constella Group (formerly the Futures Group) has been selected as the partner best able to move this agenda forward. PEPFAR/Mozambique continues to support the Business Forum Against AIDS (ECOSIDA), but the mechanism for this support will now be The Constella Group through the USAID HQ Project, the Health Policy Initiative (HPI). This activity is linked to workplace activity USAID/HVOP/9151. This activity will build upon activities such as the work initiated with the Dunavant Cotton Company in Zambezia province under COP06, and provide substantial TA to ECOSIDA. It will also provide for subgrants to workplaces as needed for program implementation, and in coordination with World Bank funding through Austral, and the Dutch Embassy support to ECOSIDA. However, the basic concept is to assist the private sector to carry out workplace programs as a sustainable, integral part of their business. Workplace programming is an effective way of reaching men, and therefore addressing gender issues of male norms and behaviors and gender based violence and coercion is an important feature of this activity. At least $50,000 should go in to activities in Zambezia. Main components of this activity include:

1. Technical Assistance to ECOSIDA to develop tools for assisting member businesses to implement workplace programs; and direct TA to businesses setting up and implementing their own programs ($100,000)

2. Implementation of workplace programs and activities will be provided through organized activites and subgrants with businesses including Dunavant and ECOSIDA. It is anticipated that at least 15 businesses in addition to Dunavant and ECOSIDA will be able to carry out workplace programs as a result of this activity. In order to accomplish this, The Constella group may, but is not limited to, organize training sessions involving multiple businesses, provide materials, provide on-site consultations, engage outside consultants, facilitate local or regional conferences, establish systems for referrals and linkages for HIV/AIDS care and treatment. The Constella Group needs to coordinate and work with the MOH, CNCS and other interested public sector partners as well as the business community. This is particularly true with Provincial and District level health services which will need to linked to businesses. Because of the largely male character of management and the workforce in many businesses,it is important to address male norms and behaviors and gender based violence and coercion in order to shift norms in the workplace and in the communities towards gender equity and healthy sexual and reproductive health practices. ($300,000)

Targets reflect 15 businesses plus Dunavant and ECOSIDA for for 17 organizations provided with TA for policy development; TA for institutional capacity development; 34 individuals trained for institutional capacity development, or two per organization; and 170 trained in stigma and discrimination reduction, that is, 10 per organization.

Products from this activity will include: training materials for workplace activities; guide on how to access HIV/AIDS CT, PMTCT, care and treatment services specific to each business;