PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
ACTIVITY UNCHANGED FROM FY2008.
Proposed funding under this activity supports the salary and benefits package of the CDC PMTCT
Technical Advisor's position. The CDC PMTCT Technical Advisor works directly with the MoH HIV/AIDS
Program Directors, the Director of the Community Health Department, the Reproductive Health/PMTCT
Program Director, and PMTCT Program staff on the development and review of National PMTCT program
policies, guidelines and training materials, co-facilitates training of trainers, and provides on-the-job
mentoring to MOH PMTCT program staff.
The PMTCT Advisor also co-chairs, with the USAID CT&PMTCT CTO, the USG PMTCT Partners' working
group, that meets every two months, to exchange information and PMTCT materials developed by
individual partners, to discuss PMTCT implementation challenges encountered across partners, to develop
plans and provide recommendations as to overcome these challenges. The PMTCT Advisor facilitates
linkages between the MOH PMTCT team and the USG PMTCT implementing partners.
While the M&E Advisor is not funded through this activity, the PMTCT and M&E Advisors work together to
provide technical assistance and inputs relevant to M&E aspects of the PMTCT program, including
improvements in regards to PMTCT data compilation, analysis, and use of PMTCT data, improvement of
PMTCT M&E registers and tools.
FY07:
This activity is linked to 8588, 8605, 8617, and 8638 activity sheets.
Proposed FY07 funding in this activity will pay 100% of the salary and benefits package of the CDC PMTCT
Technical Advisor's position, which is currently vacant. This staff person will provide technical assistance
directly to Ministry of Health (MoH) PMTCT program personnel as well as assists the MoH PMTCT team
with coordination and guidance provided to USG and non-USG funded NGOs, CBOs and FBOs involved in
PMTCT interventions.
The CDC PMTCT Technical Advisor works directly with the MoH HIV/AIDS Program Directors, the Director
of the Community Health Department, the Reproductive Health/PMTCT Program Director and PMTCT
Program staff on the development and review of National PMTCT program policies, guidelines and training
materials, co-facilitates training of trainers, and provides on-the-job mentoring to MOH PMTCT program
staff.
This activity also includes funding for short-term technical assistance and travel expenditures for CDC
Atlanta PMTCT technical staff during FY07 to assist with the first National PMTCT program evaluation,
PMTCT service implementation at maternities, improvement of infant follow-up, and development of
activities for increased community and Traditional Birth Attendants' involvement.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12932
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12932 5257.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $133,948
Disease Control & Disease Control
Prevention and Prevention
8630 5257.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $178,047
5257 5257.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $200,341
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
ACTIVITY UNCHANGED FROM FY2008
Continuing activity: This activity is to support Blood Safety staff travel to attend Annual AABB Conference,
travel to visit blood transfusion services in one other country in the region (suggested: South Africa or
Kenya); in-country travel for supervision, facilitation of tarining and technical assistance to blood banks.
This activity also provides salary and benefit support to a Blood Safety Specialist within the PEPFAR-
Mozambique team to assist, strengthen, manage, and monitor the Blood Safety capacity building activities.
Continuing Activity: 12933
12933 5142.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $10,000
8626 5142.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $15,000
5142 5142.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $71,012
Table 3.3.04:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Removed TA and salary related costs and for GAP6:
TASK 4: Removed from this activity sheet per OGAC guidance on PHEs.
This is a continuing activity from FY06 with no additional monies to be added. A no-cost extension until
March 31, 2009 is in the process of being approved. The following provides an update on remaining
activities.
TASK 1: Survey of HBC practices (completed)
FHI provided technical assistance in questionnaire revision, modified ANEMO's sub-contract and provided
the organization with technical and financial assistance for this evaluation, expanded per FHI's proposal to
include other topics related to quality of community care. In addition, FHI trained ANEMO supervisors in
data collection and data analysis. FHI and ANEMO have finalized data collection and data analysis. At
present, the first and second drafts of the survey report have been developed and submitted to CDC, and
upon approval will present findings to the MOH.
TASK 2: Create an evaluation tool for NGOs HBC Programs
For the adaptation of the NGO HBC Program Evaluation tool, FHI has initiated the process for directly hiring
a consultant to assist in the development of these tools in coordination with the HBC Technical Group at the
MOH. The consultant will lead a working group composed of representatives of four NGOs that implement
HBC to develop and/or adapt self-evaluation tools for various aspects of HBC, including basic clinical care,
prevention, psychosocial support, social and spiritual support.
TASK 3: Develop documents detailing palliative care approaches that are appropriate to the Mozambican
context
This task is pending completion of the Public Health Evaluation under Task 1, as it will use findings detailed
in the Final Survey Report as the basis for developing and/or adapting documents on palliative care
approaches. The following sub-tasks will be completed during this extension period:
Task 3a: Develop operational and policy recommendations around strengthening of referral systems, both
to health services, other sectoral services and informal services
Task 3b: Develop clear entry and exit criteria for HBC programs
Task 3c: Develop a training module around community triage for a fair distribution of the HBC client
workload within programs to improve quality services.
TASK 5: Update the Portuguese version of the "Where There is No Doctor" manual
FHI has completed the translation, revision and adaptation of all chapters of the Where There is No Doctor
Manual. The remaining steps to accomplish on this task include: finalizing illustrations, printing, distribution
and launches in selected provinces.
FHI projects that these tasks will be completed by the end of March 2009
FY08: Additional funds available through the plus-up will be used in collaboration with CDC Atlanta and the
Mozambique Ministry of Health, department of clinical laboratory services and the Mozambique Institute of
Health, to develop and implement surveillance of Cryptococcus disease amongst persons infected with
HIV. This will contribute to improved treatment and management of Cryptococcosis including Cryptococcus
meningitis amongst PLWHA.
This activity contributes to partial salary and benefits for the CDC Medical Epidemiologist and the full salary
and benefit support for the CDC Home-based Care Technical Advisor.
The Medical Epidemiologist will provide leadership in activities related to Opportunistic Infections and
TB/HIV program managment, participate in MOH, Inter-Agency, and TB/HIV Task Force meetings,
supervise TB/OI and Home-based care activities (including supervising 3 staff who work closely with MOH
on these issues), supervise cooperative agreement with Mozambique's Ministry of Women and Social
Action and lead the development and implementation of public health evaluation activities related to care
and treatment.
The Home-based Care Technical Advisor oversees and coordinates Home-based Care activities in the
MOH, Integrated Care and Support activities with MMAS and provides technical inputs to ANEMO's
(Mozambican Nurses Association) palliative care related activities and related public health evaluations and
systems development activities being carried out by various partners.
This activity sheet is also linked to activity sheets 8587, 8570 and 8637.
This FY07 funding request will support technical assistance visits from CDC for final analysis and
presentation of findings from assesmments of the feasibility of integrating 1) STI diagnoses and treatment
and 2) improved partner services into routine HIV outpatient clinical care.
Part of this request is also to continue an existing GAP 6 mechanism that, at this time, is still being finalized.
Funding will be used to develop activities related to a "Best Practices in Integrated Care and Support"
Activity Narrative: document. These best practices were identified in the National Home and Community Care Task Force
meeting that took place in August 2006 through the participation of all the major Home Based Care
implementing partners and umbrella organizations for implementing CBOs. Some of the policy issues
identified included: improved referral systems to multisectoral services, sustainable food security activities,
mechanisms for free access to OI treatment, improved monitoring and supervision systems, improved
transport systems, caring for carers to prevent burnout, and training for appropriate interaction with
community committees. This will incorporate activities related to Traditional Medicine as well.
In addition, funding from this activity will pay 100% of the salary and benefits package of the Home Based
Care Specialist and partially fund the Senior Care and Treatment Specialist.
Continuing Activity: 12934
12934 5200.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $233,115
5200 5200.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $33,292
Table 3.3.08:
1. ETR program manager is no longer funded here
2. Funding for the Treatment/lab/M&E officer is now included
3. Funding for the Medical Epidemiologist is now included
Funding under this activity will be used to support partial funding for staff positions that contribute part of
their time in supporting the treatment program as follows:
ART Site Coordinator: Works to oversee all aspects of care and treatment scale-up at site level, this
involves frequent travel and close linkages with staff from partner organizations in the field including
supporting activities to improve quality of treatment scale-up (e.g. HIVQUAL). The position holder is
responsible to coordinate monthly USG Treatment Partner's Meeting; oversees all USG-funded renovation
and construction activities and supervises the ART site assistant
Senior Treatment Coordinator: Is responsible for USG-supported HIV treatment scale-up, chairs the USG
Interagency Treatment Working Group, is the main liaison with SCMS (Supply Chain Mgmt. System) for
ARV drug related issues, oversees COP planning related to HIV treatment activities, provides technical
leadership to MOH, USG and partners on treatment issues and supervises the Pediatric Treatment position
(to be recruited)
Treatment/Lab/M&E officer :Works within the treatment team to support ART and lab related program
monitoring activities including: evaluating progress in program implementation, compiling, maintaining and
reporting on data records related to partner reports and proposal submissions; data compilation needed for
routine program monitoring, COP preparation and semi-annual and annual reports
Medical Epidemiologist: Will provide leadership in activities related to Opportunistic Infections and TB/HIV
program managment, participate in MOH, Inter-Agency, and TB/HIV Task Force meetings, supervise TB/OI
and Home-based care activities (including supervising 3 staff who work closely with MOH on these issues),
supervise cooperative agreement with Mozambique's Ministry of Women and Social Action and lead the
development and implementation of public health evaluation activities related to care and treatment.
Continuing Activity: 15812
15812 15812.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $215,869
Table 3.3.09:
No new funding in FY09
This PHE activity, "Evaluation of HIV Viral Load and Prevalence of HIV Drug Resistance in HIV-infected
Children Receiving ART in Mozambique", was approved for inclusion in the COP. The PHE tracking ID
associated with this activity is MZ.07.0197. This PHE was proposed and approved during the plus-up cycle
in FY07, but there was no activity created for it in COP 08. Its PHE tracking number was assigned later.
Therefore, it is labeled as a "new" activity, but in reality it is continuing from FY07.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.10:
Funding for this activity will support the partial salary and benefits of the Medical Epidemiologist who will
provide leadership in activities related to Opportunistic Infections and TB/HIV program managment,
participate in MOH, Inter-Agency, and TB/HIV Task Force meetings, supervise TB/OI and Home-based care
activities (including supervising 3 staff who work closely with MOH on these issues), supervise cooperative
agreement with Mozambique's Ministry of Women and Social Action and lead the development and
implementation of public health evaluation activities related to care and treatment.
Continuing Activity: 12935
12935 5226.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $35,345
8629 5226.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $160,305
5226 5226.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $200,000
Table 3.3.12:
Proposed funding under this activity supports the salary and benefits package of the CDC HVCT Technical
Advisor's position. The CDC CT Technical Advisor works directly with the MoH HIV/AIDS Program
Directors, CT Program staff on the development and review of National CT program policies, guidelines and
training materials, co-facilitates training of trainers, and provides on-the-job
mentoring to MOH CT program staff.
The CT Advisor also co-chairs the CT Task Force of the National Prevention Reference Group, chairs the
USG CT Partners' working
group, that meets periodically to exchange information to discuss implementation challenges encountered
across partners, to develop
plans and provide recommendations as to overcome these challenges. The CT Advisor facilitates linkages
between the MOH PMTCT team and the USG CT implementing partners.
The CT and M&E Advisors work together to provide technical assistance and inputs relevant to M&E
aspects of the PMTCT program, including improvements in regards to CT data compilation, analysis, use
and improvement of
CT M&E registers and tools.
Continuing Activity: 12936
12936 5210.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $205,410
8620 5210.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $211,738
5210 5210.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $118,606
Table 3.3.14:
Funding in this activity supports the partial salaries and benefits for two positions: The senior treatment
Coordinator and the ART site Coordinator.
The Senior treatment coordinator: Is responsible for USG-supported HIV treatment scale-up, chairs the
USG Interagency Treatment Working Group, is the main liaison with SCMS (Supply Chain Mgmt. System)
for ARV drug related issues, oversees COP planning related to HIV treatment activities, provides technical
The ART site coordinator: Works to support all aspects of care and treatment scale-up at site level, this
Continuing Activity: 12937
12937 8621.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $116,307
8621 8621.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $49,948
Table 3.3.15:
Funding in this activity will be used to pay partial salary and benefits packages for the Treatment and Lab
Monitoring and Evaluation Officer (50%) and the full salary and benefits package of the Sr. Laboratory
Specialist. Each of these positions provides significant support to the Laboratory Infrastructure program,
one of the key PEPFAR programs.
CDC - GHAI-HQ-Salary Distribution: Senior laboratorian (100%)
CDC - GHAI-HQ-Contract Distribution: Treatment /lab M and E officer (50%)
Continuing Activity: 12939
12939 5268.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $240,942
8623 5268.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $201,275
5268 5268.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $40,000
Table 3.3.16:
This is a continuation of activity 4993.08.
This activity provides funding for the salary, benefits packages, and program-related travel for five positions
- (1) Sr. SI Specialist (2) Surveillance/Surveys Officer, (3) Associate Director of Science, (4) Informatics
Advisor and (5) M&E Advisor.
1) Sr SI Specialist/Medical Epidemiologist (Sr. Strategic Information Coordinator) (USDH): The incumbent is
the team lead for the CDC SI team (USDH) and is an integral member of all SI-related activities in PEPFAR.
She is responsible for the principle management and oversight of the collaborative program design,
implementation, monitoring and evaluation of primary prevention activities, analyzing program data through
statistical methods, and disseminating study results through scientific journals, periodic reports and public
presentations. The Sr. SI Coordinator also supports SI activities at the Ministry of Health and other partner
organizations. These activities include HIV-related surveillance and surveys, informatics, Public Health
Evaluations and M&E.
(2) The Surveillance/Surveys Officer oversees technical assistance provided for surveillance activities and
surveys which CDC supports, including sentinel surveillance, and national seroprevalence and behavioral
surveys. The Surveillance/Surveys Officer provides technical assistance to the MOH to assist with
development of its surveillance program and its ability to conduct national surveys. Finally, the
surveillance/surveys officer will be the primary point of contact with multisectoral bodies such as the
Multisectoral Working Group, coordinating CDC participation in and support of data triangulation activities
with the NAC and UNAIDS. This position is currently filled.
(3) Associate Director of Science (ADS) The main duties of the ADS Advisor are to plan, initiate, conduct,
evaluate, and coordinate public health evaluations and other complex HIV/AIDS applied empidemiologic
research, surveillance, monitoring, evaluation, epidemiological response, and program activities in
Mozambique concerned with the reduction of HIV transmission and mitigating the impact of HIV and AIDS.
The ADS assists and provides oversight in the design and implementation of epidemiological studies,
public health evaluation, and basic program evaluation activities in Mozambique. The ADS is also
responsible for building capacity among USG partners in developing and implementing PHE and operations
research projects and protocols, ensuring ethical standards are met, and tracking IRB and other ethical
approval submissions. This position is currently filled.
(4) Informatics Advisor. Under the guidance of the CDC Country Director and the Senior Technical Advisor
for Strategic Information (SI), the Informatics Advisor will play a critical role in strengthening capacity and
systems for informatics in the Government of Mozambique's Ministry of Health to measure the national
response to HIV/AIDS in Mozambique. This position serves as a technical expert and consultant in the
areas of informatics, data analysis, software analysis, design, development, electronic communications
(including the Internet) and computer hardware support. Within the SI team, this advisor helps to establish
the direction and scope of the technical informatics activities of CDC/Mozambique and provides consultation
on the information resources and technologies needed to perform program activities. Finally, this advisor
provide technical leadership and oversight in directing, managing, planning, developing, coordinating and
evaluating public health informatics programs and activities in support of the Ministry of Health (MOH). This
position is not currently filled but this position should be advertised by the end of CY 08.
(5) M&E Advisor. Under the guidance of the CDC Country Director and the Senior Technical Advisor for
Strategic Information (SI), the Monitoring and Evaluation (M&E) Advisor plays a critical role in strengthening
capacity and systems for M&E in the Government of Mozambique's Ministry of Health to measure the
national response to HIV/AIDS in Mozambique. As well, the M&E specialist works with USG partners at
both implementer and national levels to quantify progress towards targets set for PEPFAR. The M&E
Specialist advises the CDC Senior Technical Advisor for SI on all matters related to the development and
strengthening of routine HIV/AIDS related program reporting systems in Mozambique. Specifically, the M&E
Specialist works to strengthen systems and staff capacity at the MOH to collect, manage, and use quality
M&E data to inform programs and policies in the national response to HIV and AIDS. The M&E Specialist
also has responsibility for assisting the PEPFAR team in measuring the USG contribution toward achieving
the Emergency Plan targets through MOH reporting systems, and to adapt PEPFAR-supported M&E and
other Strategic Information tools to improve Emergency Plan programming and service delivery. This
position is currently filled.This is a continuation of activity 4993.08 in COP 08.
Continuing Activity: 12940
12940 4993.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $1,273,549
8632 4993.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $1,395,805
4993 4993.06 HHS/Centers for US Centers for 3526 3526.06 GHAI_CDC_HQ $600,500
Table 3.3.17:
ACTIVITY UNCHANGED FROM FY2008: (No new funds for FY09)
The activity is continuing and is in the data analysis phase.
Title: HIV Risk in Sex Workers and Drug-Using Populations in Maputo, Beira, and Nacala Porto,
Mozambique: An International Rapid Assessment, Response and Evaluation (I-RARE)
Project Description:
The I-RARE assessment and training package will provide Mozambican health professionals and
researchers with the skills to conduct qualitative assessments for vulnerable populations, including drug
users, commercial sex workers and MSM. These groups frequently engage in illegal or socially stigmatised
behaviours and have less access to HIV/AIDS services than the general population.
Evaluation Question:
This evaluation intends to answer the following questions:
1. Can vulnerable and hidden high risk populations be reached in order to implement HIV prevention
interventions?
2. Can these populations be provided with risk reduction information and supplies to assist them in
preventing HIV, and can they be linked to counseling and testing, HIV/AIDS care and treatment services,
including diagnosis and treatment for opportunistic and sexually transmitted infections where needed?
3. Will these populations reduce their risk upon access to these interventions, including both drug-using and
sexual behaviors?
4. Will these populations utilize the services they are referred to?
The protocol had approval from the ethical reviews in the US and the Bioethics Committee in Mozambique.
Data from the rapid evaluation will be used to inform the scale-up of programs in the following years.
Planed use of findings:
Results of the assessment will be used to strengthen community outreach to vulnerable groups and
systems for referrals to HIV prevention, care and treatment services. The major emphasis will be the
development of networks, linkages, and referral systems between outreach workers, NGO/CBOs and health
care service providers.
PROGRESS REPORT
During FY08, I-RARE data collection was conducted and analysis began in line with the approved protocol
from FY07. Training was provided by CDC Atlanta to the field teams on I-RARE methodology and to the
University of Eduardo Mondlane data analysis team on qualitative data analysis. Field teams conducted
data collection from November - December 2007 in Maputo, Beira, and Nacala Porto.
Data collection included: a) key informant and focus group interviews with sex workers, drug users, clients
of sex workers, service providers, and policy makers; b) demographic surveys from sex workers, drug
users, and clients of sex workers; and c) voluntary HIV and Syphilis (Maputo-only) testing and counseling
for sex workers, drug users, and clients of sex workers. The study aimed at collecting 100 key informant
interviews from sex workers, drug users, clients of sex workers, service providers, and policy makers and
10 focus groups with drug users, sex workers, and service providers in each site. In total from all three
sites, 302 key informant and 30 focus groups were conducted.
Key informant interviews, demographic surveys, and HIV and Syphilis testing results were sent to CDC
Mozambique from Maputo, Beira, and Nacala Porto field teams in January and February of 2008. The data
was complied and reviewed at CDC Mozambique then sent to the University of Eduardo Mondlane for
analysis.
To date, the University of Eduardo Mondlane team has completed analysis of the demographic surveys and
are transcribing and analyzing the key informant and focus group interviews. Data analysis should be
completed by the end of 2008 with a report and dissemination meeting in 2009.
Personnel Changes:
Rich Needle, PI from CDC-Atlanta was replaced by Karen Kroeger from CDC Atlanta as PI.
Obstacles:
A delay occurred in beginning data analysis because of contractual issues between CDC and the University
of Eduardo Mondlane, which have been resolved allowing data analysis to begin.
Budget justification for FY09:
Completion of project will be done using budgeted funds for FY08; no additional funding is being requested
for FY09.high-risk group members.
Continuing Activity: 15890
15890 15890.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $0
April09 Reprogramming: Reduced $100,000.
THIS IS A NEW ACTIVITY
This is a new activity in that it is organized as its own separate activity, but is a continuation of the
subactivity listed as Activity 4993.08 in COP 08.
Mozambique has not yet implemented a round of Behavioral Surveillance. A pre-formative project was
conducted in FY08 to help the Government of Mozambique and other stakeholders to identify and prioritize
key risk groups (Phase 1). Current groups proposed for inclusion in BSS include female commercial sex
workers, young women involved in transactional sex, miners and their partners, and long distance truck
drivers. This will be followed by the formative phase to develop plans and protocol for BSS+
implementation (Phase 2). Ultimately 3-4 groups will be included in the BSS; final selection of these groups
will be dependent on Phase 2 activities including an assessment of feasibility of inclusion of each group.
Phase 2 will be followed by Phase 3, the survey implementation phase. Currently it is planned that the
survey will include a biomarker to estimate HIV prevalence for these groups. Funds will be used for
technical assistance needed to plan and implement Phase III, required commodities and lab supplies for
BSS implementation, contracting of local field teams for data collection and entry, and technical assistance
for data analysis and dissemination.
Some funds were allocated for BSS with 07 Plus-up monies ($422,000) and COP 08 monies ($578,000).
However, based on the experiences of other countries implementing BSS (including Angola), and that fact
that some characteristics of Mozambique including limited physical infrastructure compounded with the
need to coordinate a complex survey in Portuguese, we anticipate that a minimum of $2.225 million will be
needed to implement a survey that includes four groups.
$1,000,000 is requested in CDC HQ-based funds to support costs related to field implementation of the
study (BSS). This will complement the $25,000 being requested in COP 09 through the SI Program area
(local) and the $200,000 being requested in COP 09 through the Other Prevention program area.
Until vacancies on the Strategic Information team are filled, the Strategic Information Team remains reliant
on short term technical assistance including that of EIS officers, Presidential Management Fellows (PMF),
and other TDYs. The SI team also uses short-term assistance such as those listed above to complete
projects and activities that require skill sets that are not already part of the SI staff or to carry out small
projects that require focused time and attention. In past years, monies for this type of assistance have not
been budgeted for. The SI team is budgeting these funds so that needed assistance can be accessed for
activities including but not limited to:
*adaptation of the PEPFAR COP and APR database to reflect PEFPAR 2 needs
*assistance with standardizing geographic information and generating priority maps for PEPFAR and/or
Government of Mozambique planning
*in-depth data analysis of COP, APR/SAPR, or other programmatic data
*TDY support to develop and implement basic program evaluation activities
Although PEPFAR Mozambique continues its aggressive efforts to fill vacancies within the USG SI team,
until these positions are filled, USG in the short-term remains dependent on TDY assistance for many areas
within SI.
This is a new activity. Here in COP 09, this is listed as its own (new) activity, but initial start-up funding for
this activity was funded through activity 19910.08 in COP 08.
As noted in other sections in this COP, a key focus for COP 09 is increasing SI capacity, specifically
building a cadre of Mozambicans with appropriate and adequate skills to carry out necessary strategic
information activities in Mozambique. The USG team is using a variety of shorter- and longer-term
strategies and activities to support this capacity. While some other SI capacity building activities (e.g. M&E
Fellowship) will be expected to increase the number of and skills of Mozambicans in Strategic Information in
the short term, several activities are being supported to increase epidemiology and other SI related skills
among Mozambicans in the long term (2 -3 year timeframe)
One of these longer term activities is CDC's Field Epidemiology Training Program (FETP) that has the goals
of providing epidemiological services to the public health system, developing self-sustaining institutionalized
capacity to train public health leaders in field epidemiology, and to strengthen the public health, information
system and laboratory (if needed). Typically trainees in the FETP participate for 2 years where 25% of their
time is in the classroom and 75% is in the field. Trainees are usually already working in MOH positions
providing epidemiological services. Trainees are closely supervised and recieve either a certificate or
degree upon completion of the program. This program has been instituted in many countries around the
world and is developing a network of Africa based FETPs, some of which have the laboratory component.
While the program has core components, it is also tailored to the needs of the country.
The Minister of Health has requested the establishment of a FETP in Mozambique. Using FY 08 funds, a
pre-assesment team will be coming in late November consisting of representatives from CDC Atlanta, CDC
Brazil and the Ministry of Health Brazil to meet with stakeholders here to initially ascertain the needs and
resources in Mozambique for the FETP. Discussions will include whether the FETP will include a laboratory
component. FY09 funds will be used to conduct a more in-depth assessment and begin the establishment
of the program, including hiring a resident advisor. Through close collaboration with CDC Brazil and the
Brazilian FETP, Mozambique can take advantage of Lusophone technical assistance providers and
curriculum materials for the FETP. FY 09 funds will be used to conduct a more in-depth assessment, hire a
resident advisor, and to advance the work of developing 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.
Estimated amount of funding that is planned for Education $100,000
Table 3.3.18:
ACTIVITY UNCHANGED FROM FY08.
Salary
The Training Advisor provides technical assistance directly to the Ministry of Health's Training Department
on all MOH specific projects such as the development of the Training Information System, development of
the yearly plan and budget, assisting implementing partners in their work with the MOH, co-facilitating
trainings, and advising CDC technical staff on training and human resource priorities for the MOH. The
Senior Training Specialist supervises the two CDC-based training advisors and works directly with PEPFAR
funded partners and technical staff at CDC and USAID around training and Human Capacity Development
planning and implementation. Senior Training Specialist acts as the lead training/HCD staff person and in
that capacity leads the development of the COP and all other strategic planning.FYO9 funds ($308,000) will
be used to continually support salary and benefits for the Senior Training Specialist and Training Advisor.
Operational Manual
MoH decided to adapt the operational manual developed by WHO-Geneva, CDC Atlanta and USAID
Washington to the Mozambican National Health Service settings. This operational manual has recently
been finalized. It is a complementary manual to the IMAI generic set of training material on the prevention,
care and HIV treatment for health care workers. In 2008, CDC, USAID and WHO Mozambique began a
synergistic effort to help implementing the operational manual in the country. WHO Mozambique hired a
national project officer, who is responsible to coordinate the adaptation process in collaboration with the
MOH staff. In 2009, PEPFAR funds ($25,000) will contribute to hire a short term consultant to further assist
the MOH staff in the adaptation process. Funds will also be available for in-country travel.
Products/Deliverables:
Support the adaptation process of Operational Manual
Continuing Activity: 15682
15682 15682.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $280,812
Estimated amount of funding that is planned for Human Capacity Development $75,000
The CDC office currently has sixty-two (62) approved positions under various mechanisms - including eight
(8) direct hires, forty (40) locally employed staff, including two (2) Eligible Family Member (EFM), and
fourteen (14) contracted staff (COMFORCE, PSC). Thirty-nine (39) positions are currently filled, and twenty
-three (23) positions are currently vacant, but will be filled in the near future. Recruiting and hiring in
Mozambique has proven to be difficult on many fronts due to a lack of available hiring mechanisms
(Comforce is no longer available for overseas hires), DIRE/visa issues with the local government and
severe shortage of local human resources. Even with these tremendous challenges, CDC has been able to
fill many of the vacant positions and is on line to fill the outstanding vacancies during this next fiscal year.
Of the twenty-three (23) CDC vacant positions, selections have been made already for five (5) positions and
are only awaiting final clearances. Of these five (5) positions, two (2) are interagency in nature.
Additionally, three (3) of the 23 positions are in the final stage of the selection process, with placement
expected shortly. The remaining fifteen (15) positions are at various stages of the recruitment process, from
finalizing position descriptions to advertising positions to interviewing candidates.
Most of the costs included in the M&S budget cover expenses related to supporting the CDC staff and office
expenses. Some technical staff salaries are included in the M&S budget per COP Guidance.
This activity contains funding for various administrative activities:
- Contractual staff salaries and benefits (PSC, COMFORCE) - Sr. Prevention Coordinator
(existing),PEPFAR Coordinator - Medical Officer, Technical PHA, Senior Prevention Coordinator ($570,605)
- Shipment of things by Atlanta held Funds ($235,000)
-ITSO ($145,000)
Continuing Activity: 12941
12941 8624.08 HHS/Centers for US Centers for 6345 3526.08 GHAI_CDC_HQ $554,743
8624 8624.07 HHS/Centers for US Centers for 4865 3526.07 GHAI_CDC_HQ $947,504
Table 3.3.19:
