Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3673
Country/Region: Mozambique
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Treatment: Adult Treatment (HTXS): $0

Reprogramming August08: This activity was originally a TBD treatment partner. However, given the

shortfall in funds for pediatric treatment commodities, it was decided that the funds would be put to best use

to cover the shortfall in funding.

Although this activity appears as new, because no additional funding was added in FY2007, this is a

continuing activity from FY2006.

FY2008 funding will enable the new treatment services partner(s), who will receive initial funding through

COP06, to continue to deliver quality ART and related services into FY2008. The new partner(s) is (are)

slated to be selected through a limited competition RFA in early 2008. The coverage areas are not yet

known definitively but will coincide with the MOH scale up plan for treatment.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16311

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16311 16311.08 U.S. Agency for To Be Determined 6449 3673.08 USAID-TBD

International Local (USAID)-

Development GHAI-Local

Table 3.3.09:

Funding for Strategic Information (HVSI): $0

April09 Reprogramming: Reduced $80,525.

This is a new activity under COP09

The National Statistics Institute (INE) is planning a Demographic and Health Survey (DHS) in 2010. The

last DHS survey was conducted in 2002/3 and included behavioral questions designed to measure risk of

HIV infection but did not include a biomarker that would either allow population-based estimation of HIV

prevalence or comparison of infected and uninfected groups. Surveys are usually scheduled at 5 year

intervals, however due to competing priorities a 7 year delay is currently expected between DHS surveys in

Mozambique. A DHS survey with biomarker (DHS+) would target a nationally and provincially

representative sample of the adult and child population of Mozambique.

To date no national survey has included a biomarker to allow HIV prevalence estimation. An AIDS Indicator

Survey (AIS) including a biomarker is planned for early 2009 by the National Institute of Health (INS) and

will receive technical assistance from MACRO International with COP08 funding. Given that no such survey

has been completed to-date, and given the complexity of implanting national surveys with HIV testing,

technical assistance is currently required to ensure high quality results.

If INE decides to include a biomarker in the next DHS then this funding will be used to fund a partner

organization to provide technical assistance to INE to assist with all aspects of the survey related to

biomarker collection including ethics reviews, field staff training, sample collection, processing and

associated data processing, confidentiality protections and data analysis. It is highly likely that a biomarker

will not be collected during the 2010 DHS given that the AIS survey is planned for 2009. Possible reasons

why a biomarker would be collected, and hence why this funding would be required are a) if the AIS is not

completed, b) if the AIS does not achieve adequate test coverage to allow reliable estimates of HIV

prevalence, or c) due to a heavy survey calendar the DHS is delayed until 2011 or beyond, leading to a 2 or

more year gap between national serosurveys.

Inclusion of a biomarker in the survey would allow estimation of HIV and possibly other disease prevalence,

and possibly incidence, by sex, age group, province, and type of residence (urban/rural). It would also

create capacity at INE to handle biomarker-based surveys and integrate with the INS to manage sample

processing.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.17:

Funding for Strategic Information (HVSI): $0

This is a continuing activity under COP09.

ACTIVITY UNCHANGED FROM FY2008.

September 2008 Reprogramming: Funding reduced by $6300.

Reprogramming August08: Funding increase $500,000. USAID will identify a suitable partner to provide

M&E assistance to the Ministry of Women, Children and Social Action (MMAS), as the COP review

indicated that UNICEF does not have the institutional mandate or profile to provide the type of TA required

by MMAS. Funds will be kept as TBD until a new partner is identified.

April08 Reporgramming Change: Reduced $150,000.

This is a continuing activity in COP08.

In FY07, a local consultant was hired to assist USAID with data collection, data quality analysis and on-site

monitoring of partner performance and compliance. Although a promising start a more comprehensive and

systematized approach is needed to provide the level of oversight and monitoring of USG partners as

intended and desired. PEPFAR South Africa has worked with a local partner to develop a web-based data

collection system for monitoring of their partners. PEPFAR Mozambique has increased the level of funding

in this field monitoring activity to permit a contract with this local partner to develop and provide such a

system for Mozambique and to identify partners to assist the USG team, and particularly the USAID

Mission, in providing adequate oversight and monitoring of implementation. No target populations have

been selected, because this is a strategic information activity focused on systems development and data

quality, collection and reporting.

The narrative below from FY2007 has not been updated.

This activity is in support of the strategic information priorities to ensure the quality and accessibility of data

for PEPFAR planning and reporting purposes.

The USG SI team proposes to allocate funding for a yet to be determined partner to assist the USG team in

conducting Data Quality Auditing (DQA) among USG partners working in Mozambique, with emphasis on

those partners working on community-based programs. DQA is a validated tool in the monitoring and

evaluation (M&E) field that has been successfully adapted for use within USAID programs to monitor

partner performance. Most importantly, this activity will allow the USG to assure the quality of a specific

partner's data management practices as well as the data itself. Additionally, we see DQAs as a means for

building capacity among partners to improve data management and reporting systems. Because of this

latter reason, the USG team is prioritizing partners working on community-based programs, including home-

based care, orphans and vulnerable children and sexual prevention, which have systematically identified

reporting challenges owing to large turnovers of staff, a workforce consisting largely of unskilled volunteers,

and the challenge of collecting data in communities where M&E reporting is not routine.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13360

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13360 9219.08 U.S. Agency for To Be Determined 6449 3673.08 USAID-TBD

International Local (USAID)-

Development GHAI-Local

9219 9219.07 U.S. Agency for To Be Determined 5048 3673.07 USAID-TBD

International Local (USAID)-

Development GHAI-Local

Table 3.3.17: