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
Continuing activity: Activtiy has been modified
This activity is linked to technical assistance activites by AABB and to technical assistance activities by
SCMS
To strengthen the blood supply and ensure blood safety in Mozambique, the Mozambique Ministry of Health
(MoH) National Blood Transfusion Program (NBTP) is proposing to conduct the following activities in FY09
1) The NBTP will assist the MoH in the review process of the National Blood Bank Policy. An
implementation plan will be developed as soon as the final document is approved with the TA from AABB.
2) The NBTP will develop a strategy to implement the National Blood Bank Standards developed in
conjunction with the AABB TA provider team.
3) Continue to monitor and assist in the construction process of the new area for the NBTS and the National
Reference Blood Bank.
4) For FY09 the NBTP will collaborate with SCMS to conduct and improve the procurement process for
critical equipment and supplies and NBTP will make efforts to improve processes for the installation,
operation, maintenance, calibration, and repair of critical equipment.
5) NBTP will implement a newly developed data collection form in key national centers. This new paper-
based system will collect data that will be used to strengthen Monitoring and Evaluation (M&E) and Quality
Management of the National Blood Transfusion Services Program.
6) Conduct baseline Knowledge Attitudes and Perceptions (KAP) survey with the TA from the AABB. The
protocol has been approved by the US IRB and the Mozambique Bioethics Committee. Implementation of
the study will follow immediately after administrative approval of the MoH.
7) Roll out training-of-the-trainers (ToT) sessions on donor services, donor evaluation, donor
registration/identification, and infectious disease testing using materials that have been prepared by AABB
in FY08. Training materials are in Portuguese and sessions are conducted in Portuguese.
8) Conduct ToT sessions on immunohematology and component preparation. These materials will be
prepared by AABB with the NBTP supervision and support. Training materials and sessions will be
conducted in Portuguese.
9) Continue supervision visits conducted by central level NBTP staff to blood banks at central, provincial
and rural hospitals. Efforts will be made to strengthen the supervision activity by having an AABB staff
during some of the supervisions' visit.
10) To continue and extend the mentoring program (on-the-job-training) initiated in FY08 in Beira and
Nampula to other provincial blood banks in the country. Three programs of 6 months each will be conducted
in FY09.
11) Develop Information Education Communication (IEC) materials to educate donors and promote
voluntary blood donation and develop consistently applied donor notification policy regarding test results.
12) Support donor recruitment training in Brazil. Training will have 1 month duration and will be facilitated by
Brazilian partners in Portuguese.
13) Implement a national screening assay for detection of anti-HCV antibodies in the country. This
implementation will follow the assessment of available regional anti-HCV assays that will be conducted in
partnership with the Immunology Department of the National Health Institute (DI-INS).
14) Cooperate with the DI-INS in the effort to increase the number of blood banks participating in the
National External Quality Assessment (EQA) program for HIV and HBV serology. NBTP will facilitate the DI-
INS obtaining negative and positive plasma units from regional the Hospital Central de Maputo BB.
15) Recruit and train key NBTP personnel on quality management systems (QMS) and help this
professional to develop and pilot QMS in a target blood bank in Mozambique.
16) Conduct a selection process together with the TA from AABB for the procurement of a Computer
System Blood Bank Software to be implemented nationally.
17) The new Blood bank facility in Maputo is expected to be completed in 2009. In preparation for its
operation, the NBTP is searching for training sites outside the country to train selected Mozambican
professionals. Identification of training sites will depend on language skills of the trainee and will be assisted
by AABB staff. NBTP will also assist MoH with job descriptions and term of reference for each position in
the new facility.
18) With the TA from AABB the NBTP will revise the "Mozambican Guidelines of Blood Transfusion" and will
conduct a workshop to disseminate the new guidelines to Mozambican physicians.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12925
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12925 5154.08 HHS/Centers for Ministry of Health, 6341 3630.08 Track 1 Blood $800,000
Disease Control & Mozambique Safety
Prevention
8196 5154.07 HHS/Centers for Ministry of Health, 4766 3630.07 Track 1 Blood $200,000
5154 5154.06 HHS/Centers for Ministry of Health, 3630 3630.06 Track 1 Blood $1,000,000
Emphasis Areas
Construction/Renovation
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $700,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.04:
This PHE activity, "Knowledge, attitudes and practices study regarding blood donations in Mozambique",
was approved for inclusion in the COP. The PHE tracking ID associated with this activity is MZ.08.0091.
COP09 Activity ID #15722 (PHE)
Title: Knowledge, attitudes and practices (KAP) study regarding blood donations in Mozambique
Time and money summary:
FY06 allocations: AABB $20,000; MOH $55,175
FY07 allocations: AABB $75,000; MOH $20,000
FY08 allocations: $0
Mechanism: Track 1 funding
No additional funding is requested for completion of this study in FY09. It is expected that implementation of
the study will be completed before the end of FY 09.
Local Co-investigators:
Evelina Chambo, Director of the National Blood Transfusion Services (NBTS), MOH Mozambique
Dina Ibrahimo, National Donor Recruitment Coordinator, NBTS, MOH Mozambique
Project Description:
This study is being implemented by the MOH NBTP, with technical assistance (TA) provided by the AABB
team. The study will help identify the level of knowledge among the general public on blood donation;
beliefs, perceptions, attitude and experiences about blood donation; barriers that may limit blood donation;
factors that motivate some people to donate blood; and the most effective communication methods to reach
and motivate the target audience to become regular blood donors for the national blood program of
Mozambique.
It has been recognized that voluntary, non -remunerated, low risk and repeat blood donors are safest in
comparison to those who give their blood only when a member of their family requires it (i.e., family
replacement donors). In Mozambique, despite efforts to improve blood donor recruitment since the
beginning of USG support in 2004, the percentage of blood donations coming from replacement donors has
remained relatively high, and the NBTS remain dependent on family replacement donors whilst the demand
is greater than the current blood supply. Motivating the public to donate blood will require information about
current and potential blood donors, particularly in relation to current knowledge, attitudes, and practices
regarding blood donation-information provided by this study. Study findings will inform and enable the NBTS
staff to further improve blood donor recruitment efforts and to increase the number of blood donors, educate
blood donors on blood donation and reduction of risk behaviors to reduce or prevent risk of HIV
transmission.
Convenience sampling and two data collection techniques - personal interviews and focus group
discussions (FGDs) - will be utilized for implementation of this study. Standardized tools have been
developed for both interviews and FGDs. Approximately one week will be spent in each of six locations, with
at least 200 interviews and 1 FGD conducted in each location. Interviews will be conducted with both
donors and non-donors.
Status of the Study:
A working group composed of MOH NBTS staff, including the Program Director and the Blood Donor
Recruitment Coordinators, a Researcher from the MOH national Health Institute as well as AABB and CDC
technical staff has been established. The study protocol and tools have been developed and the study
protocol and instruments were approved by the Mozambique Bioethics Committee and the appropriate US
authorities. However, the study has not yet received Administrative Approval which is granted only by the
Minister of Health. It is for this reason that the study has not been implemented. Recent discussions with
the Minister of Health revealed that unrelated issues which have caused delays in the construction of the
new National Blood Transfusion Services Reference Center are the reason he is denying approval of this
study and other Blood Safety capacity building activities. It is anticipated that the ground breaking of the
new Blood Transfusion Reference Center will begin January 2009 and we expect this KAP study to be
approved for implementation by first quarter 2009 so that results will be available in June/July 2009 and will
be used to inform planning for further NBTS recruitment activities for FY09.
Planned FY08 Activities:
Pending Administrative Approval of KAP study protocol, preparation for implementation can take place in
January/February 2009, data collection from March to May 2009, data entry and analysis in June 2009, and
report-writing and dissemination in July 2009.
A team of twelve staff and field researchers will be trained from the NBTS staff. AABB will provide a full-time
study coordinator, who will assist with training and supervision for the duration of the study. MOH NBTS,
AABB and CDC staff will collaborate for final data analysis, and preparation of the report and dissemination
event.
Budget Justification:
As mentioned above, no new funds are requested for FY09, and funding provided in FY06/07 will be used
for completion of this study.
The budget breakdown for funds provided from previous years will be:
Salaries/fringe benefits: not applicable
Accommodation and per diems for data collectors and supervisors: $55,000
Equipment (Recorders, computers etc.): $10,000
Supplies (Stationary, batteries etc.): $6,500
Reproduction of tools and study report: $7,000
Activity Narrative: Training: $6,000
Travel for study personnel in-country: $17,000
Travel (incl. return flight from the US), accommodation and per diems for the TA provider: $30,000
Short-term consultancy contracts for data entry and data analysis: $16,000
Translations and transcripts: $9,500
Final dissemination workshop: $3,000
Other: $10,175
Total $170,175
Continuing Activity: 15722
15722 15722.08 HHS/Centers for Ministry of Health, 6341 3630.08 Track 1 Blood $0
