This is a new activity which is split funded with the Health Policy Initiative (HPI) workplace activity C&0P

9151.

$100,000 was shifted from the HPI workplace activity to this new HVAB activity through the same

mechanism, in order to provide split funding for sexual prevention activities with ECOSIDA and workplace

partners. The HVAB activity in the workplace will focus on "B" behaviors. Targets in the AB program area

have not been set in order to avoid double counting. Because the messages will be expanded to a broader

ABC, the results will continue to be reported under the C&OP activity.

April08 Reporgramming Change: Reduced $100,000.

This is a continuing activity under COP08. $100,000 from this activity was shifted to a new HVAB activity

through this same mechanism, Health Policy Initiative (HPI), in order to provide split funding for sexual

prevention activities with ECOSIDA and workplace partners. The HVAB activity in the workplace will focus

on "B" behaviors. Targets are unchanged because the messages will be expanded to a broader ABC, but

the "C" component will not be reduced.

The FY2007 narrative below has not been changed.

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.

Reprogramming August08: Funding decrease $97,000. HPI has reached its ceiling and will not be able to

absorb all of the funds planned for FY 08. $97,000 in HTXS will be reprogrammed into SCMS in order to

maintain planned levels for this mechanism after adjustments to the HKID program area, from which funds

were inadequately planned for SCMS.

This is a continuing activity under COP08.

HPI will continue work with the military to disseminate the anti-discrimination law, but also expand the

program to other workplace settings. Additionally, HPI will look for ways to join ARV treatment services with

OHPS funds to address private sector needs. HPI will work with the private sector, (as well as the MOH,

CNCS, PEPFAR treatment partners, USG agencies) and other stakeholders to strengthen HIV/AIDS

workplace programs that promote treatment adherence, treatment literacy and increased uptake of

treatment services. The focus of these efforts will be in Zambezia and Sofala provinces where the USG-

supported treatment services are expanding, as well as in Nampula Province, the third focus province in

COP08.

The FY2007 narrative below has not been updated

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.

Reprogramming August08: Funding decrease $40,000. HPI has reached its ceiling and will not be able to

take all of the funds planned for FY 08. $40,000 in HVSI funds will be reprogrammed to Measure III for

M&E assistance to new partners under the public-private partnerships to be put in place in CY 08

April08 Reporgramming Change: Reduced $150,000.

This is a continuing activity under COP08, funded at the same level since FY05, which provides support to

the multisectoral working group and produces data analysis reports and summaries.

The FY2007 narrative below has not been updated.

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)

Reprogramming August08: $110,000 will be reprogrammed to Abt Associates for assistance to the MOH in

managing Global Fund funds

April08 Reporgramming Change: Reduced $100,000.

This is a continuing activity under COP08. HPI will continue to work with ECOSIDA and Dunavant Cotton

Company. It is expected that HPI will work with the same number of businesses, but that some from FY07

will be able to work without further assistance and some new businesses will be added in FY08.

The FY2007 narrative below has not been updated.

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;

Deliverables/benchmarks

• Training materials for workplace

• Guide on how to access HIV/AIDS CT, PMTCT, care and treatment services specific to each business