This partner has been identified for this TBD activity component.

This activity is comprised of a number of subactivities. These include:

1) TA to strengthen M&E capacity within USG program areas and prime partners

2) TA to build provincial-level M&E capacity

3) Develop a quality assurance (QA)/M&E system for male circumcision efforts

4) Develop plans to establish a Field Epi Training Program

5) Support integration of M&E into MPH program at local University

6) Triangulation and impact evaluation

7) Support training, supervision and logistics for Sentinel Surveillance

8) Support for an AIS+

1) TA to strengthen M&E capacity within USG program areas and prime partners ($280,000)

One priority for the USG SI Team in FY 2008 is to build monitoring and evaluation (M&E) capacity within the

USG PEPFAR program and technical teams and the USG prime partners, and at the national, provincial,

and community levels in Mozambique. TA provided will a) introduce the fundamentals of M&E for program

planning, management, and improvement to persons new to M&E, and b) orient program and project

managers to M&E for program management.

Specific activities in FY 2008 will include a) a preliminary site visit to assess M&E capacity at the staff,

organization, and system levels, b) tailoring several previously-developed M&E courses and their modules

to meet the needs of the USG PEPFAR program and technical teams working in the areas of prevention,

care, treatment, and laboratory, the USG prime partners, and M&E staff members at the national, provincial,

and community levels, and c) providing follow-up technical assistance to review action plans, draft tools or

materials, or help guide partners' M&E-related activities.

2) TA to build provincial-level M&E capacity in focus provinces ($75,000)

CDC is working to improve the analytic and program management capacity of provincial M&E staff in the

focus provinces of Zambezia and Sofala. In order to complement the addition of new staff to strengthen

provinical M&E of HIV programs, this activity will fund a partner (south to south through TA in Brazil) to

conduct regional or provincial M&E trainings based on materials developed with PEPFAR support by UCSF

in COP 2005.

4) Planning to establish a Field Epi Training Program ($50,000)

In order to address the lack of qualified human resources in the area of epidemiology and public health

program management, CDC proposes the creation of a Field Epidemiology Training Program (FETP) in

Mozambique. These funds will support a partner, ideally through a south to south collaboration with a

Brazilian partner, to develop plans for establishing an FETP in Mozambique in collaboration with MOH. This

activity will fund necessary travel and meetings for preliminary contacts and discussions with counterparts

at other FETP sites by MOH and/or CDC staff.

5) Support integration of M&E into MPH Program at Eduardo Mondlane University ($50,000)

This activity plans to expand M&E training capacity in Mozambique by formally integrating an M&E

component into the Master's in Public Health Program at the local Eduardo Mondlane University. The CDC

GAP Brazil office will offer expertise via south to south collaboration to develop curricula with key

Mozambican faculty. Funds will be used to facilitate information exchange between Brazil and Mozambique

(i.e., travel, meetings to discuss development of new courses and inclusion of new modules in existing

courses). This activity will complement the broader programmatic development planned in activity 8635.08

with a specific focus on epidemiology and M&E.

6) Triangulation and impact evaluation ($419,929)

This activity is part of the overall SI strategy of Mozambique to build capacity to assemble, analyze, and

better reutilize multiple sources of existing data to answer key program questions. Triangulation is a short-

hand term for synthesis and integrated analysis of data from multiple sources for program decision making.

The goal of this activity is threefold: to conduct the country-driven data triangulation process to answer key

questions prioritized by the country team; to specifically address the impact of the scale up of the national

response to the HIV epidemic from 2004-2008; and to build long-term in-country capacity of country

stakeholders to use data from multiple sources to provide an evidence base for decision-making.

The process will build on a triangulation activity planned for early 2008. It will be guided by the in-country

team, led by the NAC, in close collaboration with MOH and USG staff. An in-country task force will identify

priority questions and identify data available to answer the questions. The partner will then work with in-

country data analyst(s) to review, synthesize and analyze the data. Two workshops will be conducted with

the allocated funding; one workshop will address specific questions selected in the 2008 workshop; the

second workshop will specifically focus on the impact of the scale up of the national response to HIV/AIDS

in order to help evaluate the PEPFAR program in Mozambique.

Funds will be used for planning, facilitating and conducting the processes for the two rounds of triangulation

workshops. Funds may also be used to conduct follow-up analytic and capacity-building activities upon

request of the country team.

7) Training, supervision, and logistics for sentinel surveillance $60,000

This activity is associated with Mozambique's SI five year strategy to technically and financially support

surveillance to monitor HIV/AIDS-related illnesses, understand the behaviors that influence transmission,

improve access to and use of care and treatment services, strengthen the effectiveness of program

activities, and ensure a supportive environment for USG efforts.

MOH, in coordination with donor and technical assistant partners, began implementing routine HIV sentinel

surveillance among pregnant women in 1998 in 10 sites. Since 2001, CDC has provided complete financial

and technical support for sentinel surveillance activities in Mozambique. In 2007 during the latest round,

sentinel surveillance was conducted at 36 sites throughout the country and dry blood spot (DBS)

technology, BED incidence assays, and threshold ARV resistance monitoring were introduced.

Activity Narrative: In 2008, funds will be used to train survey personnel including maternal and child health nurses,

laboratorians, district and provincial supervisors, as well as prepare data collection instruments, move

supplies to and from surveillance sites, and conduct site assessments and supervision. This activity is

related to activities 15916.08 and 8639.08.

8) Support TA, fieldwork, supervision and logistics for an AIDS indicator survey with HIV testing $1,410,000

The only source of nationally-representative HIV indicator data in Mozambique to date was collected during

the 2003 DHS. In order to estimate the number of infections averted, a second HIV indicator data point is

required by mid 2009. In addition, as of yet no nationally-representative serosurvey has been performed in

Mozambique. While both of these needs could be met by performing another DHS, due to the recent

population census, upcoming elections, and competing survey priorities, the National Statistics Institute

(INE) has indicated that they will not conduct a DHS until at least 2010.

The National Institute of Health (INS) of the MOH has indicated that they wish to conduct National Survey

on HIV prevalence, risk behaviors, and information about HIV/AIDS in 2008. Sample design will cover

approximately 6,000 households and will include HIV testing of approximately 18,000 individuals including

children. The sample design will allow estimation of prevalence by province, sex, and age group. The

survey will include a social mobilization component prior to fieldwork to ensure adequate response rates.

This activity will fund a partner to provide a technical assistance, social mobilization, fieldwork, supervision,

and survey logistics. Procurement of sample collection and processing equipment and supplies will be

performed by a different partner and is described in a related activity. The budget will not fully fund the

survey and it is expected that other donors will also contribute to the full cost of the survey. This activity is

related to activity 15916.08.