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 FY08
This activity relates to Peace Corps activities HVMS 21521, HVOP 21516, HKID 21518, HTXS 21519 and
HBHC 21517.
Peace Corps/Mozambique (PC/MZ) will continue HVAB activities from the FY 08 COP, including the
placement and support of three PEPFAR-funded Volunteers, funding for an Education Coordinator position
(currently filled); and support and expansion of Volunteers' community- focused AB prevention activities
through training of Volunteers and their counterparts, materials development and a small grants program.
Approximately 40 Health and 80 Education Volunteers will be engaged in a range of AB activities with their
colleagues, communities and institutions/organizations in nine provinces of the country outside of Maputo
City.
PC/MZ will continue to support a small grants program for capacity-building projects among CBOs, FBOs,
NGOs, schools and community groups working on AB-focused prevention activities. Peace Corps
Volunteers will work with the organizations to build their capacity in project design, proposal development,
funds management, and monitoring and evaluation. With PEPFAR funds in FY09, PC/MZ will also support
the successful JOMA and REDES boys and girls HIV prevention and life skills activities conducted in their
communities previously funded by the Public Affairs Office.
PC/MZ Volunteers in the education sector will continue to create specific lesson plans on AB prevention for
their English and Science curricula and teacher training, as well as develop and support extra-curricular HIV
-related activities.
PEPFAR-funded Health Volunteers will be assigned to NGOs, CBOs and FBOs in Zambezia, Inhambane
and Gaza provinces. All Health Volunteers will support local organizations, schools and community groups
in the design and implementation of school and community projects, activities, trainings and events; peer
education and counseling; school/community linkage; special activities for in- and out-of-school youths;
local media and theater productions; and organizational capacity-building.
Peace Corps is continuing the same activities from the FY '07 COP. The amount from '07 has increased to
support: the new PEPFAR Education Coordinator described in the last paragraph below; the increase in
Volunteers in the Mozambique program; and the expanding scope of AB activities, including the boys and
girls club projects and the science/HIV & AIDS awareness fairs and theater competitions, among others. It
will also provide Volunteers with the opportunity to apply for Volunteer Activities Support & Training (VAST)
grants used to support small-scale, capacity-building projects among CBOs, FBOs, and/or NGOs that work
with or provide services to, local communities to fight HIV/AIDS.
This activity relates to Peace Corps activities HVOP 9464, HVMS 9465, HKID 9467, HTXS 9472 and the
new HBHC activity. During FY 2008 approximately 40 Health Volunteers and 90 Education Volunteers will
engage in a range of A/B Prevention activities with their colleagues, communities and
institutions/organizations in all 10 provinces of the country outside of Maputo city. During this time, Peace
Corps will be expanding geographically and in Volunteer numbers (3 additional Health Volunteers will be
funded with PEPFAR funds under the A/B programming area and the general numbers of both Education
and Health Volunteers in the country will increase), which will allow for greater expansion of A/B outreach in
terms of individuals reached, persons trained, and institutions and communities technically strengthened.
During the COP '08, Peace Corps Education Volunteers will serve as English and Science teachers and
Teacher Trainers in approximately 55 secondary schools, technical institutions and teacher training
institutes, and Health Volunteers will be providing capacity building assistance to approximately 100
communities and organizations in HIV/AIDS AB prevention support. Together, they will directly reach
approximately 12,000 individuals with AB prevention messages and train 150 individuals to train others on
AB prevention. Because of their two-year commitments of living and working with Mozambicans in their
communities, Peace Corps Volunteers are uniquely placed to effect real behavior change through the
development and provision of culturally appropriate messaging, materials, and personal support. As
educated and qualified young Americans placed as secondary school teachers, Education Volunteers serve
as vital role models for both teachers and young Mozambican men and women in a country where such role
models are exceedingly few.
In FY 08, the Education Volunteers will integrate information and create specific lesson plans on A/B
prevention into their English and Science teaching and teacher training, as well as develop and support
extra-curricular HIV-related activities. Through successive COPs, the strategy for the Education Volunteers
has been to continue to strengthen Volunteers' and counterparts' skills and knowledge. In the COP '04,
PEPFAR funds covered the development of a HIV/AIDS teaching manual for PC/M education volunteers,
which was based on successful practices of HIV integration in the classroom and extracurricular activities.
The manual continues to be updated and modified and is a major teaching and training tool for the
Volunteers and their colleagues. Subsequent PEPFAR funds have been used for additional materials such
as the printing of Mozambique's first Life Skills Manual in Portuguese, Choosing a Future, and other
valuable tools. The COP '08 funds will continue to support the production of creative, updated, and accurate
A/B materials. Additionally, the COP '08 will build on previous years' best practices for continuing to
strengthen the A/B training component in pre- and in-service trainings for Education Volunteers and their
counterparts. Topics and materials that Education Volunteers incorporate into their A/B teaching and
training with students, colleagues, and community members include: updated and accurate information on
HIV transmission; information on locally available services, including the importance of HIV testing and how
and where it is done; HIV stigma reduction through PLWA & home based care provider presenters; skills for
analyzing traditional gender norms, practices, behaviors and rights; and contextually and culturally-specific
life skills training for youth.
In the Health-HIV/AIDS project, the COP '08 will enable PC/Mozambique to continue its planned strategy of
expansion of the Health Volunteers, geographically and numerically. Emphasis will be placed on
assignments to the PEPFAR priority provinces of Sofala, Zambezia and Nampula. The Health Volunteers
Activity Narrative: will support Mozambican NGOs, CBOs, FBOs, schools and other organizations in a range of A/B activities
and materials development, including design and implementation of school and community projects,
activities, trainings and events; peer education and counseling; school/community linkage; special activities
for in- and out-of-school youths; local media and theater productions; and organizational capacity-building.
In addition to supporting the above, the PEPFAR funds will be used for training and support enhancements
so that Volunteers can be placed in less-served areas, and so that they will be more effective in their
communities and organizations. The enhancements will also include the provision of housing and necessary
security upgrades, where ordinarily communities and organizations could not house Volunteers according to
PC's security requirements.
Across both the Health and Education sectors, the FY 08 proposed budget for A/B prevention will fund
Volunteer training and materials enhancements to facilitate maximum Volunteer effectiveness in providing
quality A/B instruction and support. The budget will cover: technical staff, materials, and training activities
for A/B-related pre-service training; costs associated with A/B-related in-service trainings and planning
meetings, including language and technical trainers, and support for Volunteers, counterparts and
students/community members to participate in and benefit from these training activities; project exchange
visits, allowing Volunteers, counterparts, and student leaders to visit each other's schools and projects to
share best practices; support for special community and school activities, such as the national Boys and
Girls Conferences; boys and girls clubs and other school and community projects; science fairs, theater
competitions, and other community events and trainings with A/B related components; an all-Volunteer
conference on HIV-AIDS; A/B materials development and reproduction, including the development and
printing of an organizational development and capacity building toolkit for Health and Education Volunteers
and their colleagues, and the continued translation and printing of relevant manuals and materials to
Volunteer and counterpart activities in support of A/B; in-field technical support by PC/M staff, including staff
and Volunteer travel and associated costs; PC/M staff capacity building through in-service activities,
including post exchanges and conferences; and staff and office supplies to facilitate the above initiatives.
PEPFAR resources will also be used for special school or community events and projects related to AB.
($120,000) New for FY '08 is a PEPFAR Education Coordinator, this person will be the main coordinator of
HIV/AIDS activities in the Education Sector for Volunteers. In collaboration with the Country Director (CD),
APCDs and PC PEPFAR team, the coordinator will be responsible for working with the Mozambique
Ministry of Education and Culture, donors, and partners to support the expansion of boys and girls Clubs in
schools around Mozambique. Peace Corps Volunteers throughout Mozambique are involved in these clubs
-JOMA (Young Men for Change and Action) and REDES (Girls in Development for Health and Education).
The position will also promote sexual health and HIV/AIDS education curricula (developed by the Ministry of
Education), support gender-related training and activities, promote efforts to reduce exploitation of girls and
cross-generational sex; and coordinate activities with other partners in achieving Ministry goals in all these
areas. The FY 08 funding mentioned above will support the salary and benefits for the position, as well as
necessary office space creation anad remodeling, equipment, travel, and supplies.
Per Agency instructions, approximately 15% of the budgeted amount will be directed to PC/HQ to cover
overhead costs for supporting PC PEPFAR activities in this program area.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12956
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12956 5011.08 Peace Corps US Peace Corps 6349 3528.08 Peace Corps- $620,000
Peace Corps-
GHAI-Local
9466 5011.07 Peace Corps US Peace Corps 5198 3528.07 Peace Corps- $458,560
5011 5011.06 Peace Corps US Peace Corps 3528 3528.06 $237,800
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
* Increasing women's legal rights
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Estimated amount of funding that is planned for Education $200,000
Water
Table 3.3.02:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS: Added Pathways to Prevention and RAMP
prevention training and activities
This activity relates to Peace Corps activities HVMS 21521, HVAB 21515, HKID 21518, HTXS 21519, and
In FY2009, Peace Corps/Mozambique (PC/MZ) will continue Other Sexual Prevention (OSP) activities from
FY08, including the placement and support of two PEPFAR-funded Volunteers for 27-month of service,
training for 40 Health Volunteers and 80 Education Volunteers and their counterparts in OSP, and grants for
small community-initiated projects focused on other sexual prevention.
Volunteers will target older students engaged in high-risk behavior through extra-curricular activities and
anti-AIDS groups at schools and in communities and provide technical assistance to organizations that work
with high-risk populations (e.g., commercial sex workers, migrant workers and their spouses, and sero-
discordant couples). Volunteers will address traditional gender norms and women's rights as part of
prevention efforts, and stigma to encourage HIV testing, and foster linkages with local health facilities.
PC/MZ will collaborate with CDC and other PEPFAR-funded partners to incorporate the 'Pathways to
Change' and RAMP (group-based decision making and change) approaches and tools to promote behavior
change.
support the growth in the number of Volunteers in FY 08 and the expanding scope of ABC activities,
including the boys and girls club projects, the science and HIV & AIDS awareness fairs and theater
competitions, among others. It will also provide Volunteers with the opportunity to apply for Volunteer
Activities Support & Training (VAST) grants used to support small-scale, capacity-building projects among
CBOs, FBOs, and/or NGOs that work with or provide services to, local communities to fight HIV/AIDS.
This activity relates to Peace Corps activities HVMS 9465, HVAB 9466, HKID 9467, HTXS 9472 and the
new HBHC Peace Corps activity.
During FY 2008, approximately 40 Health Volunteers and 90 Education Volunteers will be engaged in a
range of C&OP activities with their colleagues, communities and institutions/organizations in all 10
provinces of the country outside of Maputo City. During this time, Peace Corps will be expanding
geographically and in Volunteer numbers (2 additional Health Volunteers will be funded with PEPFAR funds
under the C&OP programming area and the general numbers of bothb Education and Health Volunteers in
the country will increase), which will allow for greater expansion of C&OP outreach in terms of individuals
reached, persons trained, and institutions and communities technically strengthened. During the FY '08
period, 90 Education and 40 Health Peace Corps Volunteers combined will expect to reach 5000 high-risk
individuals with Other Prevention messaging, and train 50 trainers in all the provinces of Mozambique. The
Education Volunteers, who teach in secondary schools, will target OP messaging for older students who are
engaged in high-risk behavior (a significant number of secondary school students are over 20 years old;
many have children) and through extra-curricular activities and anti-AIDS groups at schools and in
communities. The Health Volunteers will provide technical assistance in OP targeted messaging to
organizations who work with high risk populations (commercial sex workers, migrant workers and their
spouses, sero-discordant couples, etc.). Both sectors of Volunteers will address traditional gender norms
and women's rights as part of the prevention sessions, aim at reducing stigma to encourage HIV testing,
and foster linkages with local health facilities. Because of their two-year commitments of living and working
with Mozambicans in their communities, Peace Corps Volunteers are uniquely placed to effect real behavior
change through the development and provision of culturally appropriate messaging, materials, and personal
support in schools and communities.
In the Health-HIV/AIDS project, the FY '08 funding will enable PC/Mozambique to continue its planned
strategy of expansion of the Health Volunteers, geographically and numerically. Emphasis will be placed on
will support Mozambican NGOs, CBOs, FBOs, schools and other organizations in a range of Other
Prevention activities and materials development, including design and implementation of school and
community projects, activities, trainings and events; peer education and counseling; school/community
linkage; special activities for in- and out-of-school youths; local media and theater productions; and
organizational capacity-building. In addition to supporting the above, the PEPFAR funds will be used for
training and support enhancements so that Volunteers can be placed in less-served areas, and so that they
will be more effective in their communities and organizations. The enhancements will also include the
provision of housing and necessary security upgrades, where ordinarily communities and organizations
could not house Volunteers according to PC's security requirements.
Across both the Health and Education sectors, the FY'08 proposed budget for Other Prevention will fund
quality instruction and support. The budget will cover: technical staff, materials, and training activities for
Other Prevention-related pre-service training; costs associated with Other Prevention-related in-service
trainings and planning meetings, including language and technical trainers, and support for Volunteers,
counterparts and students/community members to participate in and benefit from these training activities;
project exchange visits, allowing Volunteers, counterparts, and student leaders to visit each other's schools
and projects to share best practices; support for special community and school activities, such as the
national Boys and Girls Conferences; boys and girls clubs and school and community projects; science
fairs, theater competitions, and other community events and trainings with Other Prevention related
components; an all-Volunteer conference on HIV-AIDS; Other Prevention materials development and
reproduction, including the development and printing of an organizational development and capacity
building toolkit for Health and Education Volunteers and their colleagues, and the continued translation and
printing of relevant manuals and materials to Volunteer and counterpart activities in support of Other
Activity Narrative: Prevention; in-field technical support by PC/M staff, including staff and Volunteer travel and associated
costs; PC/M staff capacity building through in-service activities, including post exchanges and conferences;
and staff and office supplies to facilitate the above initiatives.
The FY '08 Other Prevention funds will be used for training and support enhancements so that all
Volunteers will be more effective in their communities and organizations. The enhancements will include
Volunteer housing and security upgrades; enhanced pre and in-service trainings to include other prevention
knowledge and skills; in-field technical support by PC/M staff; materials development and reproduction; and
the financing of organizational exchange visits, allowing Volunteers and their counterparts to visit each
other's projects to share best practices and lessons learned. PEPFAR resources will also be used for
special school or community events and projects related to Other Prevention.
Continuing Activity: 12957
12957 4921.08 Peace Corps US Peace Corps 6349 3528.08 Peace Corps- $300,000
9464 4921.07 Peace Corps US Peace Corps 5198 3528.07 Peace Corps- $182,600
4921 4921.06 Peace Corps US Peace Corps 3528 3528.06 $10,000
Estimated amount of funding that is planned for Education $125,000
Table 3.3.03:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS: Funding only for PC small grants in
support of adult care community projects.
HVOP 21516.
This is a continued activity from FY 08. In FY09, Peace Corps/Mozambique (PC/MZ) will use HBHC funds
to support Volunteers' capacity-building activities among CBOs, FBOs, NGOs, schools and community
groups that work with or provide care and support services to PLWHA. Volunteers will work with these
organizations to build their capacity in project design, proposal development, funds management, and
monitoring and evaluation.
Volunteers also provide technical support to international NGOs, national NGOs and local CBOs in their
efforts to mobilize communities and train local volunteers and health care providers on community-based
palliative care for PLWHA and their families. Volunteers provide 1) nutritional training 2) training on home
garden food production, specifically to ensure food security for those on ART and resource savings (e.g.,
time, money, water) for caregivers; 3) psychosocial support for PLWA and their families; and 4) training of
trainers on the above.
Volunteers and their counterparts will continue to have access to small grants for the activities described
above.
With the concurrence of the USG PEPFAR team, PC/MZ does not report targets in this program area
because the Ministry of Health requires specific palliative care training for those organizations reporting
under this area. Volunteers assist other PEPFAR-funded partners in meeting their HBHC targets.
This is a new program area for Peace Corps in FY '08. It was not included in the FY '07 COP, but has been
included in previous years.
PC/Mozambique is unable to report targets in this program area because the Ministry of Health requires
specific palliative care training for those organizations reporting under this area.
Peace Corps Volunteers will provide technical support to international NGOs, national NGOs and local
CBOs in their efforts to mobilize communities and train local volunteers and health care providers on
community-based palliative care for PLWHAs and their families.
Volunteers will provide 1) HIV-specific nutritional training for improved immune system response in HIV+
individuals; 2) training on home garden food production specifically for resource poor households to ensure
food security for those on ART and to ensure resource savings (time, money, water) for caregivers of HIV+
individuals so that more resources can be dedicated to the individual's care; 3) psychosocial support for
HIV+ individuals and their families; and 4) training of trainers on the above.
The COP '08 proposed budget for palliative care will allow PC/M to continue its planned strategy of
expansion of the Volunteers, geographically and numerically, focusing on less-served areas, and providing
enhancements to their training and support to ensure improved output. The budget will be used for
materials development and reproduction; pre-service and in-service training enhancements for improved
skills and knowledge; accommodation rentals and security enhancements for the Volunteers so that they
can be placed with organizations that, otherwise, could not afford to house them; organizational exchange
visits, allowing Health Volunteers and their counterparts to visit each other's projects to share best
practices; PC/M staff office supplies, communications and travel enhancements for efficient and effective
support of the Health Volunteers; and PC/M staff capacity building in PEPFAR and HIV/AIDS through post
exchanges and conferences. PEPFAR resources will also be used for special school or community events
and projects and activities related to palliative care and support.
Continuing Activity: 14346
14346 14346.08 Peace Corps US Peace Corps 6349 3528.08 Peace Corps- $100,000
Estimated amount of funding that is planned for Human Capacity Development $10,000
Table 3.3.08:
ACTIVITY UNCHANGED FROM FY2008
This activity relates to Peace Corps activities HVMS 21521, HVAB 21515, HKID 21518, HBHC 21517, and
In FY09, Peace Corps/Mozambique (PC/MZ) will continue HTXS activities from the FY '08 COP. As in
FY08, PC/MZ will use FY09 funds to place and support five Volunteers with PEPFAR-funded organizations
to build their organizational and programmatic capacity, and develop networks and linkages to improve the
quality of care and treatment services (e.g. psychosocial and adherence support, patient follow up and
treatment literacy). Volunteers will help develop processes that strengthen networks between treatment
sites and communities and linkages between government facilities and civil society organizations.
Volunteers will work to improve site-level monitoring and evaluation systems; coordination with Provincial
and District bodies of the National AIDS Council through development of planning and activity
implementation systems; establishment of community linkages to referral systems at district levels; and
development of information systems that relate to treatment. PEPFAR-funded Volunteers will be assigned
to work with treatment providers, NGOs, CBOs, and FBOs in the Zambezia, Inhambane, Gaza, and
Nampula provinces.
PEPFAR resources will be used for special school and community events and projects related to Treatment.
In addition, all Volunteers and their counterparts will continue to have access to small grants to fund
treatment-related projects.
support the growth in the number of Volunteers in FY '08. It will also provide Volunteers with the opportunity
to apply for Volunteer Activities Support & Training (VAST) grants used to support small-scale, capacity-
building projects among CBOs, FBOs, and/or NGOs that work with or provide services to, local communities
to fight HIV/AIDS.
Volunteers will be placed at PEPFAR-funded organizations that already report to PEPFAR.
In FY '08 Peace Corps Mozambique will provide the services of 5 Peace Corps Volunteers to work with
USG funded organizations and community organizations in the development of the organizational, human
and programmatic capacity and systems necessary to improve quality of care and treatment services,
including psychosocial and adherence support, patient follow up and treatment literacy. These Volunteers
will be placed in the three Emergency plan focus provinces of Zambezia, Sofala, and Nampula where they
will work with the relevant treatment and community based organizations that provide care and treatment
service.
Working closely with these organizations both at treatment site and community level, the Peace Corps
Volunteers will work to improve program planning and development processes with respect to the following
interventions: supporting the delivery of quality care and treatment services, and improving the networking
and referral mechanisms between ARV treatment sites and NGOs, Community Based Organizations
(CBOs), Faith Based Organizations (FBOs), and government departments/institutions. The Volunteers will
also, as needed, assist with improving site level monitoring and evaluation systems; improve coordination
with Provincial and District bodies of the National AIDS Council through development of planning and
activity implementation systems; establish community linkages to referral systems at district levels;
develop/improve information systems that relate to treatment; and assist treatment partners in the
organization of community networks.
With this additional Peace Corps support, it is envisaged that 5 ART sites in Zambezia, Sofala and Nampula
provinces will have increased support and referral resources and enhanced capacity for monitoring,
reporting and evaluation. Additionally, Peace Corps plans to facilitate the training of at least 100 individuals
in adherence support and treatment literacy.
In support of the above activities, and those of other Peace Corps Volunteers working in treatment-related
areas, the COP '08 proposed budget for Treatment will cover: technical staff, materials, and training
activities for pre-service training; costs associated with in-service trainings and planning meetings, including
language and technical trainers, and support for Volunteers, counterparts, and community members to
participate in and benefit from these training activities; project exchange visits, allowing Volunteers and their
counterparts to visit each other's programs and activities to share best practices; support for special
community projects, trainings, events, and activities with components intended to improve treatment
success; an all-Volunteer conference on HIV-AIDS; materials development, translation, and reproduction,
including the development and printing of an organizational development and capacity building toolkit for
Health Volunteers and their colleagues; in-field technical support by PC/M staff, including staff and
Volunteer travel and associated costs; PC/M staff capacity building through in-service activities, including
post exchanges and conferences; and staff and office supplies to facilitate the above activities. Finally,
PEPFAR funds will be used for enhancements so that Volunteers can be placed in less-served areas,
primarily through the provision of housing where ordinarily, communities and organizations could not afford
to house Volunteers according to PC's security standards. PEPFAR resources will also be used for special
school or community events and projects related to Treatment.
Continuing Activity: 12959
12959 9472.08 Peace Corps US Peace Corps 6349 3528.08 Peace Corps- $550,000
9472 9472.07 Peace Corps US Peace Corps 5198 3528.07 Peace Corps- $448,960
Table 3.3.09:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS: Addition of permaculture training and
community projects
This activity relates to Peace Corps activities HVMS 21521, HVAB 21515, HBHC 21517, HTXS 21519, and
In FY09, Peace Corps/Mozambique (PC/MZ) will continue and expand its OVC activities. Funds will be
used for technical training for Volunteers, staff, and counterparts, and to cover costs associated with placing
and supporting Volunteers working with organizations that provide OVC support services.
Funds will also be used to support small-scale, capacity-building projects among CBOs, FBOs, NGOs,
schools and community groups that work with or provide care and support services to OVC and their
caretakers. Peace Corps Volunteers will work with the organizations to build their capacity in project design,
proposal development, funds management, and monitoring and evaluation.
Volunteers will be placed with small Mozambican NGOs and CBOs and international and national umbrella
NGOs that provide assistance to Mozambican OVC organizations. Volunteers will assist these
organizations to establish systems, policies and practices that ensure the delivery of adequate standards of
care and services; and develop programs that prepare OVC for adulthood and independence, such as
educational and life skills programs, skills for income generating activities, and various forms of counseling
and therapy that aid children in overcoming trauma.
At the community level, Volunteers will assist communities and organizations to conduct household and
community vulnerability studies, develop community-wide OVC support networks, coordinate basic services
for OVC, and provide training to communities on a range of health topics, such as nutrition and nutritional
gardening, and basic health and hygiene. Volunteer activities with communities will aim to reduce stigma
and discrimination against OVC, as well as address traditional gender roles and social norms that create
discrimination and put males and females at risk of HIV infection.
The USG team has identified food and nutrition as an area to strengthen to address Mozambique's
significant food security challenges, which disproportionately affect OVC and PLWHA. PC/MZ will provide
technical training to Volunteers and counterparts in "permaculture" techniques, a low-labor, low-cost
agricultural approach that promotes the use of local resources and sustainable gardening to improve the
nutrition and food security of OVC and their families, and provide OVC with income-generating skills and
opportunities.
PC/MZ will continue to administer a PEPFAR-funded small grants program that is available to Volunteers
and their counterparts for community-initiated projects designed to benefit OVC.
With the concurrence of the USG PEPFAR team, PC/MZ will not report specific targets in this program area
as Volunteers primarily support other PEPFAR-funded organizations and groups providing support to OVC.
support: the increase in Volunteers in the Mozambique program, and the expanding scope of OVC
activities, including the boys and girls club projects, among others. It will also provide Volunteers with the
opportunity to apply for Volunteer Activities Support & Training (VAST) grants used to support small-scale,
capacity-building projects among CBOs, FBOs, and/or NGOs that work with or provide services to, local
communities to fight HIV/AIDS.
This activity relates to Peace Corps activities HVOP 9464, HVMS 9465, HVAB 9466, HTXS 9472 and the
This activity serves in providing wrap around services for communities that support OVC and with partner
NGOs/CBOs/FBOs and therefore, no specific targets are listed for "reaching" OVC.
During the period of the 2008 COP, Health Peace Corps Volunteers will be assisting organizations and
communities to support orphans and vulnerable children (OVCs). They will assist in service provision for
OVCs, and in the training of caretakers or service providers. Volunteers will be placed either directly with
small Mozambican NGOs or CBOs, or in international or national umbrella NGOs that provide assistance to
Mozambican OVC organizations. At the community level, Volunteers will be active in assisting communities
and organizations in conducting household and community vulnerability studies and planning for community
responses to ensure an adequate level of health and welfare for those children identified as vulnerable.
Volunteers will assist communities and organizations in the provision and coordination of OVC basic
services, including access to health services, education, shelter, legal rights, income generating activities,
and food and nutritional support, as well as providing training to communities on a range of health topics,
such as nutrition and nutritional gardening, and basic health and hygiene. Their activities with communities
will aim to reduce stigma and discrimination against OVCs, as well as address traditional gender roles and
biases that create discrimination and put males and females at risk of HIV infection.
In addition to their work in communities, Volunteers will provide technical assistance to organizations and
personnel operating OVC centers. Their support activities will include the establishment of systems, policies
and practices that ensure the delivery of adequate standards of care and services, as well as developing
programs that prepare OVCs for adulthood and independence, such as educational and life skills programs,
skills for income generating activities, and various forms of counseling and therapy that aid children in
overcoming trauma.
The COP '08 proposed budget for OVC support will allow PC/M to continue its planned strategy of
enhancements to their training and support to ensure improved output. The budget will support both Health
PCVs and Education PCVs working in OVC-related activities. It will be used for OVC materials development
Activity Narrative: and reproduction; pre-service and in-service training enhancements for improved OVC skills and
knowledge; accommodation rentals and security enhancements for the Volunteers so that they can be
placed with organizations that, otherwise, could not afford to house them; organizational exchange visits,
allowing Volunteers and their counterparts to visit each other's projects to share best practices; PC/M staff
office supplies, communications and travel enhancements for efficient and effective support of the Health
Volunteers; and PC/M staff capacity building in PEPFAR and HIV/AIDS through post exchanges and
conferences. PEPFAR resources will also be used for special school or community events and projects and
activities related to OVCs and OVC programs.
Continuing Activity: 12958
12958 5062.08 Peace Corps US Peace Corps 6349 3528.08 Peace Corps- $100,000
9467 5062.07 Peace Corps US Peace Corps 5198 3528.07 Peace Corps- $45,000
5062 5062.06 Peace Corps US Peace Corps 3528 3528.06 $86,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $10,000
and Service Delivery
Program Budget Code: 14 - HVCT Prevention: Counseling and Testing
Total Planned Funding for Program Budget Code: $7,854,581
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
The HIV prevalence among pregnant women aged 15-49 is calculated at 16%, based on ANC surveillance data, and 1.6 million
people are living with HIV/AIDS. It is estimated that 160,000 new infections occur each year. Provision of Counseling and
Testing (CT) services began at four sites in Mozambique in 2000. Access to CT services is one of the crucial elements of the HIV
service scale-up in Mozambique; Mozambique is currently providing CT services through three strategies: (1) Provider-Initiated
CT (PICT) in clinical settings; (2) Community-based CT (CCT); and (3) Voluntary Counseling and Testing (VCT), which was
nationally adapted into CT in Health (CTH).
In FY08, PEPFAR Mozambique provided CT services (individuals who received counseling and testing for HIV and received their
test results, including TB) to 391,776 individuals in 235 counseling and testing sites. In FY09, PEPFAR hopes to provide CT
services in 326 sites and target 521,768 people.
The MOH has taken a clear leadership role in defining CT models, and the approach throughout the country tends to be uniform.
USG and partners have assisted the MOH in revising CT data collection and routine monitoring tools during FY08. One key area
of concentration for the USG in FY09 will be to assess and correct how partners are reporting PICT numbers, as anecdotal
evidence suggests that partners are not reporting PICT data in a systematic manner or are reporting as CTH data. This may
underestimate PICT services that are being provided. A new CT register, aiming at standardizing HIV testing registers, was
proposed and piloted in FY08 and it is now ready for national roll out. For FY09, a new data system will be put in place and it is
expected that it will enhance MOH capacity to collect quality data and make proper use of it for program monitoring and design of
interventions.
The PEPFAR team has undergone a clinical partner rationalization exercise which will streamline support to cover all clinical
services in a whole district by one clinical partner. For FY09, clinical partners will receive budget allocations to cover facility-
based counseling and testing interventions (PICT and CTH). As clinical partners currently work in all eleven provinces of
Mozambique, the coverage and scale up of PICT and CTH will increase during COP09. This harmonization is expected to
enhance the collaboration between implementing partners and MOH at district, provincial, and national levels. The USG expects
the new approach to be more responsive to the Government of Mozambique needs. This model is more efficient than the current
system, and will also prove to be more cost effective as the harmonization will prevent duplicate services being offered by more
than one partner in a district or facility.
The overarching CT themes during FY09 will be: Quality Assurance (QA), Quality Improvement (QI), and transition to greater
integration with both HIV and non-HIV health services. For a successful CT expansion and scale-up it is imperative to ensure that
these critical factors are functioning to their fullest potential so as to provide better service to the population.
PICT, CTH and CCT implementation has been achieved in collaboration with PEPFAR and its implementing partners, as well as
other donors. Training materials were improved, adapted or developed to help implement CT services. However, the country still
lacks one unified national guideline document defining CT service standards. Following recommendations of the CT Task Force
of the National Prevention Reference Group and the June OGAC CT TA team visit, a National Committee for Accreditation of
Services will be established in 2009 with the participation of USG, implementing partners, MOH, National AIDS Council and civil
society organizations (CSO). A national guideline will be developed in order to define the minimum standards for all CT services. It
will include clear operational definitions regarding confidentiality, consent and counseling as well as quality definitions for both
counseling and testing. Clear policies surrounding certification and site supervision will also be established within this framework.
Finally, the national guidelines will reflect the training and educational requirements of counseling staff and define the role of lay
counselors in CT settings. With the goal of rapidly expanding services across all CT strategies in the near future, it is essential
that the quality of all services are enhanced and assured with a set of minimum standards required to be met for all programs and
services before replicating and scaling-up. These minimum standards will be required for all existing CT sites as well as all newly
registered sites.
Having one national guideline will also be the basis for and first step in development of a systematic approach to quality
assurance (QA) for HIV testing. The current proficiency panel for quality of testing needs to encompass all CT sites. The lack of
QA across most sites leads to poor quality of testing. In FY09 QA measures will also be maximized through the collaboration of
the National Immunology Reference Laboratory and the MOH CT program. The existing QA program, which has documented
testing issues in some service delivery sites and programs, will be expanded in FY09. The USG team hopes to include regular
proficiency panel testing, the use of dried blood spots, as well as onsite monitoring by a trained laboratory supervisor in each
province. USG clinical care partners will assist in counseling and testing and lab supervision during FY09. Finally, PEPFAR
Mozambique will strive to ensure that lab log books are used to record and make use of appropriate information.
Quality improvement for the Information Education Communication (IEC)/Behavioral Change Communication (BCC) strategy, as
an interface between HIV prevention and CT, is critical for FY09. More access to these materials, particularly in the facility-based
setting, will strengthen the role of CT as a necessary and useful prevention tool to reinforce risk perceptions to better understand
behavior; this will also be relevant for a specific focus on discordant couples. Strengthening the quality of both pre- and post-test
counseling with a particular emphasis on positive prevention, will be reinforced throughout FY09. Additionally, educational
messaging to reinforce individualized counseling with risk-reduction strategies will be effectively put into place across partners. In
FY09, CT program will also support the development of materials and interventions to increase CT uptake and partners
counseling among health workers. In FY09 the CT program in Mozambique has proposed to participate in the multi-country public
health evaluation (PHE) to identify methods to increase partner uptake of CT and maximize the prevention effectiveness of HIV
CT among high risk individuals who test negative for HIV.
Provision of PICT in the clinical context will be particularly strengthened during FY09. An ongoing assessment of PICT
implementation in each region will further support the expansion and implementation of PICT in all health settings.
After approval of the Counseling and Testing strategy by the Minister of Health in late 2007, Community based Counseling and
Testing (CCT) is being widely expanded in Mozambique. In FY08 one USG-funded partner developed a mechanism for selection
of national Civil Society Organizations in order to include national partners in the CCT rollout and increase access of rural
population to these services. Six organizations were selected and had community counselors trained. FY09 funds will support ten
organizations distributed among provinces, and it is expected that an additional 200,000 people will access CT services. Scaling-
up quality community-based mobile programs will complement facility-based CT and also ensure greater access to rural
communities, high-risk populations, families, and children. A new Sexual Transmission Prevention-focused RFA for COP09
includes CT funding to support PICT, CCT, CTH, and establishment of the national CT QA program.
Plans for 2009 place a stronger emphasis on the targeting and reaching of Most At Risk Populations (MARP) and youth through a
greater expansion of current activities and building greater peer-educator networks in particular risky populations, including sex
workers.
The proposal for FY09 includes continuation of South-to-South collaboration with Brazil to assist MOH CT program staff in the
expansion of CTH, as well as support implementation of trainings, develop monitoring tools, introduce the integrated supervision
system, and continue activities with blood transfusion program staff on the introduction of CT and blood donor notification in blood
banks.
Another focus of FY09 will include a USG and MOH orchestrated approach to further support human capacity development of all
the partners. The development of Terms of Reference for "Multi-Task" Counselors and a National Curriculum for training trainers
on PICT, CTH and CCT with a system of accreditation is planned for wide adoption. A decentralized approach of supporting the
provincial level staff to become trained trainers and supervisors in the Provinces will create an opportunity to rapidly expand the
healthcare workforce for PICT and monitor the quality of services provision.
Emphasis in trainings for couples and children CT is also planned, so that counselors can better encourage and facilitate
disclosure among couples and provide psychosocial support to children and parents. CT partners in both community and clinical
settings will provide couples and children's counseling and testing in a concerted manner in FY09.
Linkages with other program areas will be reinforced in FY09. CT will be closely coordinated with care and treatment (adult and
pediatric) as well as PMTCT as a gateway to services; CT will also be linked to male circumcision as an essential component for
safe MC activities. Adults and children who test positive will also be linked to OVC and HBC care programs for additional support.
All rapid test kits are procured through Supply Chain Management System (SCMS) while partners are allocated a small amount of
funds to cover buffer stocks. Recent site supervision visits have documented the use of expired test kits and failure to implement
the National Rapid Test Algorithm. The USG is already working with the Ministry of Health to clarify issues around the use of
expired test kits and the need to follow the national algorithm to all health providers involved in CT activities. Further efforts in
FY09 will also be invested in test kit purchases, as well in addressing the storage, transportation and supply chain system to
ensure adequate conditions for expansion and scale up.
Table 3.3.14:
In FY09, Peace Corps/Mozambique (PC/MZ) will use Management and Staffing funds to continue to
support an Project Assistant, a driver, and an Administrative Assistant; staff training; and part time technical
assistance in monitoring and reporting.
The PC/M COP '08 budget portion for Management and Staffing will be used in the support of the following
functions:(a) three full-time continuing PEPFAR staff positions for efficient technical and administrative
HIV/AIDS-related support to PC/M staff and Volunteers: 1 PEPFAR Project Assistant, 1 PEPFAR driver, 1
PEPFAR Admin Assistant; (b) staff participation in-service PEPFAR conferences and training; and (c) part
time technical assistance in monitoring and reporting. The sub-total for the above functions will be $70,000.
The remaining $30,000 will be directed to PC/HQ to cover overhead costs for PC PEPFAR management
and staffing. This figure is reduced from the prior year ('07) M&S budget: per agency policy, HQ overhead
costs for each program area are to be taken from that program area budget, not all from M&S, as before.
Continuing Activity: 12960
12960 5009.08 Peace Corps US Peace Corps 6349 3528.08 Peace Corps- $100,000
9465 5009.07 Peace Corps US Peace Corps 5198 3528.07 Peace Corps- $184,600
5009 5009.06 Peace Corps US Peace Corps 3528 3528.06 $114,400
Table 3.3.19:
