Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 6127
Country/Region: Mozambique
Year: 2007
Main Partner: Vanderbilt University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $4,845,000

Funding for Care: Adult Care and Support (HBHC): $915,000

These resources will be provided to Friends in Global Health (Vanderbilt University), to develop activities related to provincial coordination mechanisms and the creation of sustainable and replicable community based referral systems with activities to strengthen adherence to Cotrimoxazole prophlaxis, treatment of OIs, ART and TB medicines, as well as default tracing and case finding (TB, HIV).

Reprogramming of an additional $615,000 to this activity in October 2007 allows for resources to support various activities related to technical support of MOH, MMAS and CNCS in systems strengthening (coordination and referral systems, materials development, M&E, supervision tools, policy development etc). TA to MISAU and MMAS will directly train 189 Central, Provincial and District level staff. 120 will be trained in their management role (coordination, supervision, monitoring and evaluation), and 69 as trainers of community based "para social workers". TA staff will then accompany training of 660 community supervisors and volunteers as needed. This also includes support for Twinning the National Organization of Mozambican Women (OMM) care, support and training center with a South African counterpart, and developing a plan of activities.

Targets

Target Target Value Not Applicable Number of individuals trained to monitor and evaluate home-based  and community-based palliative care services. Total number of service outlets providing HIV-related palliative care  (excluding TB/HIV) Total number of individuals provided with HIV-related palliative care 189  (excluding TB/HIV) Total number of individuals trained to provide HIV-related palliative  care (excluding TB/HIV)

Table 3.3.06:

Funding for Treatment: Adult Treatment (HTXS): $195,000

This activity is related to activity # 8547 under funding mechanism number 4879 whose prime partner was listed as TBD. The main focus of this activity is to provide technical assistance to the provincial Health Authorities of Zambezia province (focus activity) in pediatric HIV care and Treatment in the province. Funding will support the position of a Technical advisor, transportation for supportive supervision visits, and provincial level trainings. The Pediatric Treatment Technical Advisor will function in the interest of the province and Emergency plan (EP) and as such will have the additional responsibility of working closely with the EP Interagency Treatment Team.

Funding for Treatment: Adult Treatment (HTXS): $3,735,000

07/07; no sheet no info

This activity is linked to Activity 8593 in ARV Treatment Services. Proposed funding would cover some activities initiated in FY06 and currently supported through a sub-agreement of EGPAF with Vanderbilt University as well as new activities described below.

Zambezia province is the most populated of Mozambique's 11 provinces and also has the most number of PLWHAs (est: 211,703). The provincial staff working in Zambezia are also said to face one of the biggest challenges in delivering quality health services owing to deficient infrastructure and human resources even by Mozambican standards.

The USG, with its new provinicial focus strategy, will identify one or two implementing treatment partners to support ongoing ARV treatment activities in Zambezia at 3 existing facilities and to expand services to 6 new sites, thereby reaching 1040 persons on ARV in 9 sites total. Support to these sites will include infrastructure development through renovation of treatment sites, recruitment and training of staff in the provision of quality HIV care and treatments service, and provision of clinical advisors for supervision and mentoring of clinic staff. In addition to offering ARV treatment services, the partner(s) will support training and human capacity development and also assist in improving the health information system and routine program monitoring at the MoH Provincial Health Office.

In addition to site-level support for ARV service delivery, funding will be provided for pre-service training of nurses, medical technicians, laboratory assistants and pharmacy assistants in Zambezia Province to build human capacity necessary for the scale up of ARV treatment and related HIV services in the province. The partner(s) will also be expected to develop formal links with community-based groups in Zambezia to provide adherence and psychosocial support. Finally, communication radios will be procured to improve communication between provincial and district hospitals with smaller health centres that provide follow up care for patients receiving care and treatment services and that function as down referral sites.