Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3692
Country/Region: Mozambique
Year: 2009
Main Partner: Academy for Educational Development
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $7,436,456

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $1,620,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of organizational capacity

development (OCD) TA. In FY 09 AED will absorb new NGO/CBO/FBO partners graduating from the State

Department's Quick Impact Program (QIP). AED will also launch the operations of an office in Nampula to

work with faith-based organizations, with a special focus on Christian and Muslim groups that represent the

2 predominant religious groups within the province to spur their networks activism and involvement in

HIV/AIDS in the community.

In addition, USAID will establish an Umbrella Grants Mechanism (UGM) component under CAP in FY 09 to

increase the number of Mozambican sub-partners in PEPFAR's portfolio and build their capacity to become

prime partners under individual or consortia-type arrangements. Through CAP, PEPFAR has provided OCD

assistance to local networks and organizations that provide services to OVC, home-based care clients,

youth in AB prevention programs, and PLWHA groups which together have national reach, to create

competent, results-oriented organizations eligible to compete for USG and other HIV/AIDS funding. OCD

components of PEPFAR-funded activities include organizational development to better plan, coordinate,

implement and monitor HIV/AIDS interventions; and grants management services to selected organizations

as a demonstration model of sound management practices. Organizations benefiting from the grants

management activity are being strengthened and will gain the fiscal experience to acquire smaller HIV

funding from NAC and other sources. The UGM component is being added as a major step towards an

OCD continuum where organizations graduate from the existing QIP into CAP, then into the UGM, and

further into the capacity of prime partners under individual or consortium type arrangements. The UGM is

expected to provide: (1) a forum for coordination, sharing lessons learned, training, and standardized

reporting; (2) quality assurance standards for the provision of specific services; (3) monitoring for adherence

to the delivery of quality services, supportive supervision, and corrective actions to address problem areas;

(4) a unified body of organizations to enter into policy dialogue at all levels; (5) a unified body of data that

can be tracked from baseline to endline; (6) more systematized M&E of partners receiving PEPFAR funds;

(7) manageable reporting on PEPFAR indicators; (8) TA and training for policy makers, government

officials, and the press to influence the debate on HIV/AIDS; and (9) assistance to PEPFAR partners in

legislative and policy issues.

Tasks of the UGM: 1) Grants Management: The UGM will award and administer grants to IPs selected

through the APS and other competitive processes, in addition to partners graduating from CAP. This

involves award and administration of grants, progress monitoring, meeting reporting requirements, grant

closeout, and adherence to USG financial regulations through provision of extensive TA on project design,

implementation, financial management, m&E, and reporting. Strengthening these functions will enable local

organizations to improve the quality of their activities, enhance positive outcomes, and bring activities to

scale.

2) Capacity building: The UGM will support institutional capacity building of local organizations to promote

more sustainable programs. Capacity-building is defined as activities that strengthen the skills of local

organizations to implement HIV/AIDS programs efficiently, with diminishing reliance on external technical

assistance and support. The UGM will support activities to improve the financial, program and

organizational management, governance, quality assurance, SI and reporting, and leadership and

coordination of partner organizations.

3) M&E: IPs will be required to closely link their activities to PEPFAR-funded treatment, care, and support

interventions. M&E support will include: measurement of program progress; feedback for accountability and

quality; surveillance; and MIS implementation. AED will provide supportive supervision, guidance,

monitoring, mentoring and oversight through site visits, TA, and performance evaluation. Data collected and

reported by AED and lessons learned will be shared in semi-annual partner meetings. Performance

monitoring will be a supportive and constructive approach to raising issues that need higher level attention

and action, possibly at the policy or legislative levels. This activity also standardizes and ensures better

quality control for reporting to the USG on PEPFAR indicators.

The FY 08 narrative below has not been updated.

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of ongoing organizational

development technical assistance. In FY 08 AED will add the province of Nampula to their roster of focus

provinces and will work closely with all faith-based organizations. A special focus will be working with

Christian and Muslim groups which represent the two predominant religious groups within the province in

order to spur their networks activism and involvement in HIV/AIDS in the community.

The narrative below from FY2007 has not been updated.

This activity has several components and COP07 funding represents a major scale-up of AED's current

program in NGO capacity building and grants management. AED will continue to work with Mozambican

networks and organizations that provide services to OVC, home based care clients, PLWHA groups and

association members which together have national reach. FY07 represents year 2 of a planned 3 year

activity that began with FY 05 funding. Special activities under COP07 will be focused in Sofala and

Zambezia Provinces.

Phase I , Year 1 began in March 2006 (with early FY06 funding), AED sub-granted with International Relief

and Development (IRD) to conduct assessments of some of the networks and associations especially at

national level and in Sofala province. In addition, IRD piloted a program in Inhambane Province to provide

small sub-grants to CBOs, adapt assessment tools for use with community groups and develop a

monitoring system to assist community groups to manage their program with the small grants they received.

AED only recently received the rest of their FY06 funding (Phase II) and are in the process of gearing up

Activity Narrative: their presence in Mozambique, selecting staff, assessing and selecting network NGO partners, etc. Based

on It is expected that AED work will rapidly escalate based on their pilot efforts under Phase I.

AED's major effort under COP07 will be to continue to strengthen the capacity of nascent 1) networks and

associations (such as MONASO, Rensida, CORUM, etc.) as well as 2) national and local organizations for

the ultimate purpose of eventually becoming self sufficient and able to acquire funding from sources other

than PEPFAR. This will include institutional strengthening as well as strengthening activities in

programmatic planning, implementation, monitoring and reporting. All organizations will be part of the

integrated health network system which focuses geographically on the catchment areas of USG-supported

clinical care and ARV treatment sites. Training for the all networks and non-governmental organizations will

focus on increasing their abilities to solicit, receive and account for funds, sub-granting to member

organizations and reporting results to donors. Additionally, the Foundation for Community Development will

become a major client of AED. AED capacity building for FDC will focus on financial and management

systems support assistance in order to meet USAID and other donors requirements. Capacity building

efforts will be tied, where appropriate, to direct service delivery in OVC and HBC and to activities and

services within the AB and C&OP program areas. During COP07 it is expected that direct targets will be

achieved, but virtually no indirect targets. (See below) Indirect targets will be expected in Year 3.

In addition to capacity building, AED will also provide a grants management service to selected

organizations, partly as a demonstration model to assist the NGO in learning better management practices

and partly as a support to USG where they find granting to small but strategic national NGO impossible to

grant directly.

AED will work with ANEMO (Mozambican Nurses Association), to strength their institutional capacity in two

areas: 1) the Training of Trainers section to be able to provide training services in a variety of clinic related

areas and 2) expansion of the service delivery section. Under a sub-grant, ANEMO will be able to maintain

their Master Trainers duties and responsibilities to continue to train trainers for improved HBC. Refresher

courses will be developed by MOH for the Master Trainers to roll out. In addition, OI and STI trainings can

be provided by these same Master Trainers who can train clinical staff as well as home-based care

providers. In collaboration with activity #5442, ANEMO will be able to develop their professional association

responsibilities.

Through yet another related activity #3692 ANEMO will be involved in treatment adherence for ARV and

TB. ANEMO will be assisted to develop mechanisms and curriculum for training and hiring retired and

unemployed treatment adherence care workers (TACW). The Master Trainers will expand their expertise

into treatment adherence and train and supervise the TACWs who will be based at clinic sites, and will refer

ART patients to community based care providers for continued support, follow-up and referrals. This

activity is expected to keep clients in the clinical system by monitoring their adherence and referring any

complications identified.

AED will also strengthen NGO that provide services for AB and OVC. Many small NGOs and faith-based

organizations are providing a variety of AB messages to selected community audiences, e.g. churches,

schools, etc. Most of these organizations are not eligible to receive direct funding from USG, but could be

strengthened to acquire funding from NAC and other sources. AED, along with activity # 5293 will provide a

major effort in working with NGOs/CBOs/FBOs that are providing AB messages at the community level in

an attempt change both normative and individual behavior.

Lastly, this activity will continue to provide strengthening and capacity building of NGOs/CBOs/FBOs to

improve services to OVC and Home-based Care clients. While clients directly reached under this joint

activity is relatively small (1,500 HBC and 4,000 OVC), it is anticipated that with strengthened institutional

and programmatic capacities, rapid roll-out of services to additional clients will occur in the out years.

Through this package of activities, 35 non-governmental organizations will receive institutional capacity

building and 175 individuals trained in institutional capacity and in community mobilization, and who take an

important leadership role in care and treatment. At least one individual from each of the 35 organizations

will also be trained in reduction of stigma and discrimination. Trainers will expand their expertise into

treatment adherence and train and supervise the TACWs who will be based at clinic sites, and will refer

ART patients to community based care providers for continued support, follow-up and referrals. This

activity is expected to keep clients in the clinical system by monitoring their adherence and referring any

complications identified.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13349

Continued Associated Activity Information

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

System ID System ID

13349 5293.08 U.S. Agency for Academy for 6448 3692.08 Capable $1,860,000

International Educational Partners

Development Development Program

9135 5293.07 U.S. Agency for Academy for 5037 3692.07 Capable $1,147,067

International Educational Partners

Development Development Program

5293 5293.06 U.S. Agency for Academy for 3692 3692.06 Capable $1,000,000

International Educational Partners

Development Development Program

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $816,456

This is a continuing activity in COP09.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of organizational capacity

development (OCD) TA. In FY 09 AED will absorb new NGO/CBO/FBO partners graduating from the State

Department's Quick Impact Program (QIP). AED will also launch the operations of an office in Nampula to

work with faith-based organizations, with a special focus on Christian and Muslim groups that represent the

2 predominant religious groups within the province to spur their networks activism and involvement in

HIV/AIDS in the community.

In addition, USAID will establish an Umbrella Grants Mechanism (UGM) component under CAP in FY 09 to

increase the number of Mozambican sub-partners in PEPFAR's portfolio and build their capacity to become

prime partners under individual or consortia-type arrangements. Through CAP, PEPFAR has provided OCD

assistance to local networks and organizations that provide services to OVC, home-based care clients,

youth in AB prevention programs, and PLWHA groups which together have national reach, to create

competent, results-oriented organizations eligible to compete for USG and other HIV/AIDS funding. OCD

components of PEPFAR-funded activities include organizational development to better plan, coordinate,

implement and monitor HIV/AIDS interventions; and grants management services to selected organizations

as a demonstration model of sound management practices. Organizations benefiting from the grants

management activity are being strengthened and will gain the fiscal experience to acquire smaller HIV

funding from NAC and other sources. The UGM component is being added as a major step towards an

OCD continuum where organizations graduate from the existing QIP into CAP, then into the UGM, and

further into the capacity of prime partners under individual or consortium type arrangements. The UGM is

expected to provide: (1) a forum for coordination, sharing lessons learned, training, and standardized

reporting; (2) quality assurance standards for the provision of specific services; (3) monitoring for adherence

to the delivery of quality services, supportive supervision, and corrective actions to address problem areas;

(4) a unified body of organizations to enter into policy dialogue at all levels; (5) a unified body of data that

can be tracked from baseline to endline; (6) more systematized M&E of partners receiving PEPFAR funds;

(7) manageable reporting on PEPFAR indicators; (8) TA and training for policy makers, government

officials, and the press to influence the debate on HIV/AIDS; and (9) assistance to PEPFAR partners in

legislative and policy issues.

Tasks of the UGM: 1) Grants Management: The UGM will award and administer grants to IPs selected

through the APS and other competitive processes, in addition to partners graduating from CAP. This

involves award and administration of grants, progress monitoring, meeting reporting requirements, grant

closeout, and adherence to USG financial regulations through provision of extensive TA on project design,

implementation, financial management, m&E, and reporting. Strengthening these functions will enable local

organizations to improve the quality of their activities, enhance positive outcomes, and bring activities to

scale.

2) Capacity building: The UGM will support institutional capacity building of local organizations to promote

more sustainable programs. Capacity-building is defined as activities that strengthen the skills of local

organizations to implement HIV/AIDS programs efficiently, with diminishing reliance on external technical

assistance and support. The UGM will support activities to improve the financial, program and

organizational management, governance, quality assurance, SI and reporting, and leadership and

coordination of partner organizations.

3) M&E: IPs will be required to closely link their activities to PEPFAR-funded treatment, care, and support

interventions. M&E support will include: measurement of program progress; feedback for accountability and

quality; surveillance; and MIS implementation. AED will provide supportive supervision, guidance,

monitoring, mentoring and oversight through site visits, TA, and performance evaluation. Data collected and

reported by AED and lessons learned will be shared in semi-annual partner meetings. Performance

monitoring will be a supportive and constructive approach to raising issues that need higher level attention

and action, possibly at the policy or legislative levels. This activity also standardizes and ensures better

quality control for reporting to the USG on PEPFAR indicators.

The FY 08 narrative below has not been updated.

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of ongoing organizational

development technical assistance. In FY 08 AED will add the province of Nampula to their roster of focus

provinces and will work closely with all faith-based organizations. A special focus will be working with

Christian and Muslim groups which represent the two predominant religious groups within the province in

order to spur their networks activism and involvement in HIV/AIDS in the community.

The narrative below from FY2007 has not been updated.

This activity has several components and COP07 funding represents a major scale-up of AED's current

program in NGO capacity building and grants management. AED will continue to work with Mozambican

networks and organizations that provide services to OVC, home based care clients, PLWHA groups and

association members which together have national reach. FY07 represents year 2 of a planned 3 year

activity that began with FY 05 funding. Special activities under COP07 will be focused in Sofala and

Zambezia Provinces.

Phase I , Year 1 began in March 2006 (with early FY06 funding), AED sub-granted with International Relief

and Development (IRD) to conduct assessments of some of the networks and associations especially at

national level and in Sofala province. In addition, IRD piloted a program in Inhambane Province to provide

small sub-grants to CBOs, adapt assessment tools for use with community groups and develop a

monitoring system to assist community groups to manage their program with the small grants they received.

Activity Narrative: AED only recently received the rest of their FY06 funding (Phase II) and are in the process of gearing up

their presence in Mozambique, selecting staff, assessing and selecting network NGO partners, etc. Based

on It is expected that AED work will rapidly escalate based on their pilot efforts under Phase I.

AED's major effort under COP07 will be to continue to strengthen the capacity of nascent 1) networks and

associations (such as MONASO, Rensida, CORUM, etc.) as well as 2) national and local organizations for

the ultimate purpose of eventually becoming self sufficient and able to acquire funding from sources other

than PEPFAR. This will include institutional strengthening as well as strengthening activities in

programmatic planning, implementation, monitoring and reporting. All organizations will be part of the

integrated health network system which focuses geographically on the catchment areas of USG-supported

clinical care and ARV treatment sites. Training for the all networks and non-governmental organizations will

focus on increasing their abilities to solicit, receive and account for funds, sub-granting to member

organizations and reporting results to donors. Additionally, the Foundation for Community Development will

become a major client of AED. AED capacity building for FDC will focus on financial and management

systems support assistance in order to meet USAID and other donors requirements. Capacity building

efforts will be tied, where appropriate, to direct service delivery in OVC and HBC and to activities and

services within the AB and C&OP program areas. During COP07 it is expected that direct targets will be

achieved, but virtually no indirect targets. (See below) Indirect targets will be expected in Year 3.

In addition to capacity building, AED will also provide a grants management service to selected

organizations, partly as a demonstration model to assist the NGO in learning better management practices

and partly as a support to USG where they find granting to small but strategic national NGO impossible to

grant directly.

AED will work with ANEMO (Mozambican Nurses Association), to strength their institutional capacity in two

areas: 1) the Training of Trainers section to be able to provide training services in a variety of clinic related

areas and 2) expansion of the service delivery section. Under a sub-grant, ANEMO will be able to maintain

their Master Trainers duties and responsibilities to continue to train trainers for improved HBC. Refresher

courses will be developed by MOH for the Master Trainers to roll out. In addition, OI and STI trainings can

be provided by these same Master Trainers who can train clinical staff as well as home-based care

providers. In collaboration with activity #5442, ANEMO will be able to develop their professional association

responsibilities.

Through yet another related activity #3692 ANEMO will be involved in treatment adherence for ARV and

TB. ANEMO will be assisted to develop mechanisms and curriculum for training and hiring retired and

unemployed treatment adherence care workers (TACW). The Master Trainers will expand their expertise

into treatment adherence and train and supervise the TACWs who will be based at clinic sites, and will refer

ART patients to community based care providers for continued support, follow-up and referrals. This

activity is expected to keep clients in the clinical system by monitoring their adherence and referring any

complications identified.

AED will also strengthen NGO that provide services for AB and OVC. Many small NGOs and faith-based

organizations are providing a variety of AB messages to selected community audiences, e.g. churches,

schools, etc. Most of these organizations are not eligible to receive direct funding from USG, but could be

strengthened to acquire funding from NAC and other sources. AED, along with activity # 5293 will provide a

major effort in working with NGOs/CBOs/FBOs that are providing AB messages at the community level in

an attempt change both normative and individual behavior.

Lastly, this activity will continue to provide strengthening and capacity building of NGOs/CBOs/FBOs to

improve services to OVC and Home-based Care clients. While clients directly reached under this joint

activity is relatively small (1,500 HBC and 4,000 OVC), it is anticipated that with strengthened institutional

and programmatic capacities, rapid roll-out of services to additional clients will occur in the out years.

Through this package of activities, 35 non-governmental organizations will receive institutional capacity

building and 175 individuals trained in institutional capacity and in community mobilization, and who take an

important leadership role in care and treatment. At least one individual from each of the 35 organizations

will also be trained in reduction of stigma and discrimination. Trainers will expand their expertise into

treatment adherence and train and supervise the TACWs who will be based at clinic sites, and will refer

ART patients to community based care providers for continued support, follow-up and referrals. This

activity is expected to keep clients in the clinical system by monitoring their adherence and referring any

complications identified.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13350

Continued Associated Activity Information

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

System ID System ID

13350 9154.08 U.S. Agency for Academy for 6448 3692.08 Capable $822,600

International Educational Partners

Development Development Program

9154 9154.07 U.S. Agency for Academy for 5037 3692.07 Capable $480,000

International Educational Partners

Development Development Program

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

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $350,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of organizational capacity

development (OCD) TA. In FY 09 AED will absorb new NGO/CBO/FBO partners graduating from the State

Department's Quick Impact Program (QIP). AED will also launch the operations of an office in Nampula to

work with faith-based organizations, with a special focus on Christian and Muslim groups that represent the

2 predominant religious groups within the province to spur their networks activism and involvement in

HIV/AIDS in the community.

While there is funding in FY09 across other program areas to establish a UGM, Adult Care and Support has

not allocated funding for the the UGM due to budget constraints.

Reprogramming August08: Funding decrease $300,000. Funds reprogrammed to support Mission RFA

(RFA funded across 3 SOs to ensure an integrated package of services, leveraging each SO's strengths.

This is a continuing activity under COP08.

AED will continue to work with Mozambican organizations to strengthen their technical and administrative

capacity in palliative care with a special emphasis on engaging fatih-based organizations. The additional

funds will be used to allow AED to expand to Nampula province, a new focal province, which represents a

new set of challenges in building up the capacity of civil society organizations and a coordinated response.

AED will use its unique positioning within the community to strengthen its ties with Muslim and Christian

organizations, which should enable them to be key leaders in community-based care for HIV infected and

affected populations.

The FY2007 narrative below has not been updated.

This activity is related to HKID 9147, HVAB 9135, HXTS 9109, and C&OP 9154.

All AED activities interlink with each other for the overall purpose of building capacity of local

NGO/CBO/FBO to stand on their own and for grants management under the Capable Partners Program

(CAP); some activities have specific components assigned to it. In COP07, AED has responsibilities for

several components which represent a major scale-up of AED current program in NGO capacity building

and grants management. AED will continue to work with Mozambican networks and organizations that

provide services to OVC, home based care clients, PLWHA groups and association members which

together have national reach. (see below for further details) FY07 represents year 2 of a planned 3 year

activity that began with FY 06 funding. Special activities will be focused in Sofala and Zambezia Provinces.

Through this palliative care activity , AED will continue to work with Mozambican networks and

organizations that provide home based pallative care and together have national reach. This support will

continue to strengthen the capacity of these nascent Mozambican support networks as well as national

organizations and provide additional support to their members to deliver essential services to home based

palliative care, focusing geographically on the catchment areas of USG-support clinical care and ARV

treatment sites. In FY07, NGOs will be required to link directly with clinics, with at least 50% of their HBC

clients who are also receiving clinical palliative care. Stronger monitoring and evaluation procedures will be

developed to assist HBC volunteers provide more effective services and report more efficiently. In another

related activity with SAVE/HACI, HBC volunteers will receive regular psychosocial training in order to better

support for their clients and to better understand their own reactions to working with the terminally ill.

In FY07, AED is scheduled to rapidly gear up their 06 activities, which have started rather slowly. Phase I ,

Year 1 began in March 2006 (with early FY06 funding), AED sub-granted with International Relief and

Development (IRD) to conduct assessments of some of the networks and associations especially at national

level and in Sofala province. In addition, IRD piloted a program in Inhambane Province to provide small sub-

grants to CBOs, adapt assessment tools for use with community groups and develop a monitoring system

to assist community groups to manage their program with the small grants they received.

AED only recently received the rest of their FY06 funding (Phase II) and are in the process of gearing up

their presence in Mozambique, selecting staff, assessing and selecting network NGO partners, etc. Based

on It is expected that AED work will rapidly escalate based on their pilot efforts under Phase I.

AED's major effort under COP07 will be to continue to strengthen the capacity of nascent 1) networks and

associations (such as MONASO, Rensida, CORUM, etc.) as well as 2) national and local organizations for

the ultimate purpose of eventually becoming self sufficient and able to acquire funding from sources other

than PEPFAR. This will include institutional strengthening as well as strengthening activities in

programmatic planning, implementation, monitoring and reporting. All organizations will be part of the

integrated health network system which focuses geographically on the catchment areas of USG-supported

clinical care and ARV treatment sites. Training for the all networks and non-governmental organizations will

focus on increasing their abilities to solicit, receive and account for funds, sub-granting to member

organizations and reporting results to donors. Additionally, the Foundation for Community Development will

become a major client of AED. AED capacity building for FDC will focus on financial and management

systems support assistance in order to meet USAID and other donors requirements. Capacity building

efforts will be tied, where appropriate, to direct service delivery in OVC and HBC and to activities and

services within the AB and C&OP program areas. During COP07 it is expected that direct targets will be

Activity Narrative: achieved, but virtually no indirect targets. (See below) Indirect targets will be expected in Year 3.

In addition to capacity building, AED will also provide a grants management service to selected

organizations, partly as a demonstration model to assist the NGO in learning better management practices

and partly as a support to USG where they find granting to small but strategic national NGO impossible to

grant directly.

AED will work with ANEMO, professional association of nurses, to strength their institutional capacity in two

areas: 1) the Training of Trainers section to be able to provide training services in a variety of clinic related

areas and 2) expansion of the service delivery section. Under a sub-grant, ANEMO will be able to maintain

their Master Trainers duties and responsibilities to continue to train trainers for improved HBC. Refresher

courses will be developed by MOH for the Master Trainers to roll out. In addition, OI and STI trainings can

be provided by these same Master Trainers who can train clinical staff as well as home-based care

providers. In collaboration with other activities, ANEMO will be able to develop their professional association

responsibilities.

Through yet another related activity USAID_HTXS_9109, ANEMO will be involved in treatment adherence

for ARV and TB. ANEMO will be assisted to develop mechanisms and curriculum for training and hiring

retired and unemployed treatment adherence care workers (TACW). The Master Trainers will expand their

expertise into treatment adherence and train and supervise the TACWs who will be based at clinic sites,

and will refer ART patients to community based care providers for continued support, follow-up and

referrals. This activity is expected to keep clients in the clinical system by monitoring their adherence and

referring any complications identified.

Lastly, AED will continue to provide strengthening and capacity building of NGOs/CBOs/FBOs to improve

services to OVC and Home-based Care clients. While clients directly reached under this joint activity is

relatively small (1,500 HBC and 4,000 OVC), it is anticipated that with strengthened institutional and

programmatic capacities, rapid roll-out of services to additional clients will occur in the out years.

Through this package of activities, 35 non-governmental organizations will receive institutional capacity

building and 175 individuals trained in institutional capacity and in community mobilization, and who take an

important leadership role in care and treatment. At least one individual from each of the 35 organizations

will also be trained in reduction of stigma and discrimination.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13351

Continued Associated Activity Information

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

System ID System ID

13351 9131.08 U.S. Agency for Academy for 6448 3692.08 Capable $560,000

International Educational Partners

Development Development Program

9131 9131.07 U.S. Agency for Academy for 5037 3692.07 Capable $500,000

International Educational Partners

Development Development Program

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* Malaria (PMI)

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $350,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.08:

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

This is a continuing activity under COP08.

AED will work with USG treatment partners nationwide to facilitate knowledge and best-practice transfer

across all treatment partners. AED will work in close collaboration with treatment partners as well as

Ministry of Health delegates to ensure broad participation in provincial level meetings and site exchange

visits between the treatment partners. Following consultation with partners, within the USG, and with the

OGAC adult treatment working group, it was decided to move towards a district level model. To that end,

AED will facilitate site exchange visits between treatment partners to more fully develop their understanding

of what a district support model entails. Treatment partners, with leadership from the Ministry of Health, will

also work towards standardizing a minimum package and AED's role is to facilitate open communication

through the creation of an enabling environment and a communication framework from which to work within.

The FY2007 narrative below has not been updated.

This activity is related to: OHPS 8800; HBHC 9131; HKID 9147; HVAB 9135; C&OP 9154; and OHPS

9212.

All AED activities interlink with each other for the overall purpose of building capacity of local

NGO/CBO/FBO to stand on their own and for grants management under the Capable Partners Program

(CAP); some activities have specific components assigned to it. In COP07, AED has responsibilities for

several component which represent a major scale-up of AED current program in NGO capacity building and

grants management. AED will continue to work with Mozambican networks and organizations that provide

services to OVC, home based care clients, PLWHA groups and association members which together have

national reach. FY07 represents year 2 of a planned 3 year activity that began with FY 06 funding. Special

activities will be focused in Sofala and Zambezia Provinces.

This activity addresses the treatment component of AED activities. Under this activity, supported by

USAID_HBHC_AED and USAID_OHPS_AED, ANEMO's involvement in treatment adherence for ARV and

TB will be strengthened. ANEMO will be assisted to develop mechanisms and curriculum for training and

hiring retired and unemployed treatment adherence care workers (TACW). The Master Trainers will expand

their expertise into treatment adherence and train and supervise the TACWs who will be based at clinic

sites, and will refer ART patients to community based care providers for continued support, follow-up and

referrals. This activity is expected to keep clients in the clinical system by monitoring their adherence and

referring any complications identified.

AED more general work with ANEMO, professional association of nurses, will be to strength their

institutional capacity in two areas: 1) the Training of Trainers section to be able to provide training services

in a variety of clinic related areas and 2) expansion of the service delivery section. Under a $300,000 sub-

grant, ANEMO will be able to maintain their Master Trainers duties and responsibilities to continue to train

trainers for improved HBC. Refresher courses will be developed by MOH for the Master Trainers to roll out.

In addition, OI and STI trainings can be provided by these same Master Trainers who can train clinical staff

as well as home-based care providers. In collaboration with activity USAID_OHPS_AED, ANEMO will be

able to develop their professional association responsibilities.

AED other activities also support and strengthen NGO/CBO/FBO what work in the programmatic areas of

AB, OVC and home-based palliative care. COP07 activities in treatment and TB adherence will train 94

NGO/CBO/FBO staff who in turn will reach 750 PLWHA.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13353

Continued Associated Activity Information

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

System ID System ID

13353 5282.08 U.S. Agency for Academy for 6448 3692.08 Capable $97,000

International Educational Partners

Development Development Program

9109 5282.07 U.S. Agency for Academy for 5037 3692.07 Capable $300,000

International Educational Partners

Development Development Program

5282 5282.06 U.S. Agency for Academy for 3692 3692.06 Capable $200,000

International Educational Partners

Development Development Program

Table 3.3.09:

Funding for Care: Orphans and Vulnerable Children (HKID): $2,000,000

THIS IS A CONTINUING ACTIVITY. THE NARRATIVE BELOW HAS BEEN UPDATED IN THE

FOLLOWING WAYS.

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of organizational capacity

development (OCD) TA. In FY 09 AED will absorb new NGO/CBO/FBO partners graduating from the State

Department's Quick Impact Program (QIP). AED will also launch the operations of an office in Nampula to

work with faith-based organizations, with a special focus on Christian and Muslim groups that represent the

2 predominant religious groups within the province to spur their networks activism and involvement in

HIV/AIDS in the community.

In addition, USAID will establish an Umbrella Grants Mechanism (UGM) component under CAP in FY 09 to

increase the number of Mozambican sub-partners in PEPFAR's portfolio and build their capacity to become

prime partners under individual or consortia-type arrangements. Through CAP, PEPFAR has provided OCD

assistance to local networks and organizations that provide services to OVC, home-based care clients,

youth in AB prevention programs, and PLWHA groups which together have national reach, to create

competent, results-oriented organizations eligible to compete for USG and other HIV/AIDS funding. OCD

components of PEPFAR-funded activities include organizational development to better plan, coordinate,

implement and monitor HIV/AIDS interventions; and grants management services to selected organizations

as a demonstration model of sound management practices. Organizations benefiting from the grants

management activity are being strengthened and will gain the fiscal experience to acquire smaller HIV

funding from NAC and other sources. The UGM component is being added as a major step towards an

OCD continuum where organizations graduate from the existing QIP into CAP, then into the UGM, and

further into the capacity of prime partners under individual or consortium type arrangements. The UGM is

expected to provide: (1) a forum for coordination, sharing lessons learned, training, and standardized

reporting; (2) quality assurance standards for the provision of specific services; (3) monitoring for adherence

to the delivery of quality services, supportive supervision, and corrective actions to address problem areas;

(4) a unified body of organizations to enter into policy dialogue at all levels; (5) a unified body of data that

can be tracked from baseline to endline; (6) more systematized M&E of partners receiving PEPFAR funds;

(7) manageable reporting on PEPFAR indicators; (8) TA and training for policy makers, government

officials, and the press to influence the debate on HIV/AIDS; and (9) assistance to PEPFAR partners in

legislative and policy issues.

Tasks of the UGM: 1) Grants Management: The UGM will award and administer grants to IPs selected

through the APS and other competitive processes, in addition to partners graduating from CAP. This

involves award and administration of grants, progress monitoring, meeting reporting requirements, grant

closeout, and adherence to USG financial regulations through provision of extensive TA on project design,

implementation, financial management, m&E, and reporting. Strengthening these functions will enable local

organizations to improve the quality of their activities, enhance positive outcomes, and bring activities to

scale.

2) Capacity building: The UGM will support institutional capacity building of local organizations to promote

more sustainable programs. Capacity-building is defined as activities that strengthen the skills of local

organizations to implement HIV/AIDS programs efficiently, with diminishing reliance on external technical

assistance and support. The UGM will support activities to improve the financial, program and

organizational management, governance, quality assurance, SI and reporting, and leadership and

coordination of partner organizations.

3) M&E: IPs will be required to closely link their activities to PEPFAR-funded treatment, care, and support

interventions. M&E support will include: measurement of program progress; feedback for accountability and

quality; surveillance; and MIS implementation. AED will provide supportive supervision, guidance,

monitoring, mentoring and oversight through site visits, TA, and performance evaluation. Data collected and

reported by AED and lessons learned will be shared in semi-annual partner meetings. Performance

monitoring will be a supportive and constructive approach to raising issues that need higher level attention

and action, possibly at the policy or legislative levels. This activity also standardizes and ensures better

quality control for reporting to the USG on PEPFAR indicators.

AED dot.Org

This activity is a new component to the AED Capable Partners program which will be implemented by AED

dot. Org. partnership with one or two Mozambican NGOs. The project will focus on recruiting USG and non

-USG supported OVC who reside in urban/peri-urban Beira, providing viable income-generation actvities for

older OVC (14

-17)

Based on interviews with OVC, local and international implementing partners and local businesses, the

following employability activities are proposed: 1) Data/Survey Specialist - Youth selecting this

specialization would learn to use PDAs, GPS, solar charging kits, computers, spreadsheets, Graduates with

this specialization would be able to provide data gathering and survey services to most, if not all, PEPFAR

supported projects and market research firms. 2) Micro-Lending Finance Advisors - Youth selecting this

specialization would learn to use PDAs, analog assessment tools, calculators, computers, spreadsheet

software, the Internet, solar charging kits, etc. Youth in this specialization would also spend time working

with loan officers at Opportunity International to understand the process of processing loans. Graduates

from this specialization would be able to provide advice to micro-loan recipients on how to optimize the

benefit of the loan. They would also be able help loan recipients make decisions about the use of the loan

using data and basic small business practices. Micro-enterprise projects would be the employment targets

for these graduates. 3) Household Nutrition & Health Advisors (i.e., nutrition and health extensions agents)

- Youth in this specialization would learn to use PDAs, cell phones (as data gathering tools, solar charging

kits, computers, the Internet, spreadsheet software, analog information tools, etc. Youth in this

specialization would participate in internships with PEPFAR community health and nutrition programs.

Graduates would be able to provide house hold level health advice and treatment tracking support for

projects delivering health services. 4) New Media Youth - Youth in this specialization would learn to use

Activity Narrative: digital cameras (still and video), editing software, power point, photo printers, solar charging kits, web

development tools, basic desktop publishing, audio recording software to create community radio & pod-

casting content (w/ health, learning and EO messages), etc. Youth in this specialization would intern with

behavior change and media projects to learn how digital and analog media is used in communication

campaigns. Graduates would be able to use digital tools to capture, manipulate and public digital content in

different formats. 5) Household micro Agra-Businesses - This specialization is directed toward youth who

would be primary care givers and therefore unable to be away from home for more than a few hours. Youth

in this specialization would learn a variety of technical skills ranging from growing and processing soya

beans to create nutritional supplements, growing and marketing vegetable seedlings, beekeeping for honey

and wax, building and operating a solar charging systems for the sale electricity to people needing to

charge phones and batteries for other electronic systems, the growing and marketing of tree seedlings, etc.

Four of the five learning streams have identified potential private sector partnerships - for later employment

for the youth or for support (equipment, mentorship), ensuring scale-up at a reasonable cost. Year 1 of this

activity will reach 60 adolescent OVC with supplemental direct services. Year 2 of this activity will reach at

least 120 youth with supplemental direct services. Scale up of this activity will be possible through

partnerships with private sector partners, such as STV (national TV and newspaper), Carr Foundation and

Vale Rio Doce, UNILEVER (to provide basic personal hygiene kits for youth).

August 2008 Reprogramming narrative has been deleted.

The FY2007 narrative below has not been updated.

This activity is related to: HBHC 9131; HVAB 9135; HTXS 9109; and OHPS 9212.

All AED activities interlink with each other for the overall purpose of building capacity of local

NGOs/CBOs/FBOs to stand on their own and for grants management under the Capable Partners Program

(CAP); some activities have specific components assigned to it. In COP07, AED has responsibilities for

several components which represent a major scale-up of AED current program in NGO capacity building

and grants management. AED will continue to work with Mozambican networks and organizations that

provide services to OVC, home based care clients, PLWHA groups and association members which

together have national reach. FY07 represents year 2 of a planned 3 year activity that began with FY 06

funding. Special activities will be focused in Sofala and Zambezia Provinces.

AED will continue to work with Mozambican networks and organizations that provide home based palliative

care and together have national reach. This support will continue to strengthen the capacity of these

nascent Mozambican support networks as well as national organizations and provide additional support to

their members to deliver 6 essential services to OVC, focusing geographically on the catchment areas of

USG-support clinical care and ARV treatment sites. In FY07, NGOs will be required to link directly with

clinics, with at least 50% of their HBC clients who are also receiving clinical palliative care. Stronger

monitoring and evaluation procedures will be developed to assist OVC volunteers providing more effective

services and reporting more efficiently. In another related activity with SAVE/HACI, OVC volunteers will

receive regular psychosocial training in order to better support for their clients and to better understand their

own reactions to working with very needy children.

While clients directly reached under this joint activity is relative small (4,000 OVC and 260 individual

trained), it is anticipated that with strengthened institutional and programmatic capacities, rapid roll-out of

services to additional clients will occur in the out years.

In FY07, AED is scheduled to rapidly gear up their FY06 activities, which have started rather slowly. In

phase 1, Year 1, which began in March 2006 (with early FY06 funding), AED sub-granted with international

Relief and Development (IRD) to conduct assessments of some of the networks and associations,

especially at national level and in Sofala province. In addition, IRD piloted a program in Inhambane

Province to provide small sub-grants to CBOs, adapted assessment tools for use with community groups

and developed a monitoring system to assist community groups to manage their program with the small

grants they received.

AED only recently received the rest of their FY06 funding (Phase II) and are in the process of gearing up

their presence in Mozambique, selecting staff, assessing and selecting network NGO partners, etc. It is

expected that AED's work will be rapidly launched based on their pilot efforts under Phase I.

AED's major effort under COP07 will be to continue to strengthen the capacity of nascent 1) networks and

associations (such as MONASO, Rensida, CORUM, etc.) as well as 2) national and local organizations for

the ultimate purpose of eventually becoming self sufficient and able to acquire funding from sources other

than PEPFAR. This will include institutional strengthening as well as strengthening activities in

programmatic planning, implementation, monitoring and reporting. All organizations will be part of the

integrated health network system which focuses geographically on the catchment areas of USG-supported

clinical care and ARV treatment sites. Training for the all networks and non-governmental organizations will

focus on increasing their abilities to solicit, receive and account for funds, sub-granting to member

organizations and reporting results to donors. Additionally, the Foundation for Community Development will

become a major client of AED. AED capacity building for FDC will focus on financial and management

systems support assistance in order to meet USAID and other donors' requirements. Capacity building

efforts will be tied, where appropriate, to direct service delivery in OVC and HBC and to activities and

services within the AB and C&OP program areas. During COP07 it is expected that direct targets will be

achieved, but virtually no indirect targets. Indirect targets will be expected in Year 3.

In addition to capacity building, AED will also provide a grants management service to selected

organizations, partly as a demonstration model to assist the NGO in learning better management practices

and partly as a support to USG where they find granting to small but strategic national NGOs difficult to

grant directly.

Activity Narrative: AED will also strengthen NGO that provide services for AB and OVC. Many small NGOs and faith-based

organizations are providing a variety of AB messages to selected community audiences, e.g. churches,

schools, etc. Most of these organizations are not eligible to receive direct funding from USG, but could be

strengthened to acquire funding from NAC and other sources. AED, along with activity AB # will provide a

major effort in working with NGOs/CBOs/FBOs that are providing AB messages at the community level in

an attempt change both normative and individual behavior.

A special emphasis in COP07 will be to coordinate and expand existing programs of non-governmental

organizations dealing with child protection and family support in close collaboration with the Child and

Family Initiative ($20,000).

Through this package of activities, 35 non-governmental organizations will receive institutional capacity

building and 175 individuals trained in institutional capacity and in community mobilization, and who take an

important leadership role in care and treatment. At least one individual from each of the 35 organizations

will also be trained in reduction of stigma and discrimination.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13352

Continued Associated Activity Information

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

System ID System ID

13352 5323.08 U.S. Agency for Academy for 6448 3692.08 Capable $1,676,441

International Educational Partners

Development Development Program

9147 5323.07 U.S. Agency for Academy for 5037 3692.07 Capable $350,000

International Educational Partners

Development Development Program

5323 5323.06 U.S. Agency for Academy for 3692 3692.06 Capable $504,280

International Educational Partners

Development Development Program

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Reducing violence and coercion

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

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $65,000

and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $65,000

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $350,000

Education

Estimated amount of funding that is planned for Education $200,000

Water

Estimated amount of funding that is planned for Water $0

Table 3.3.13:

Funding for Health Systems Strengthening (OHSS): $2,650,000

This is a continuing activity under COP09.

ACTIVITY MODIFIED IN THE FOLLOWING WAYS:

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of organizational capacity

development (OCD) TA. In FY 09 AED will absorb new NGO/CBO/FBO partners graduating from the State

Department's Quick Impact Program (QIP). AED will also launch the operations of an office in Nampula to

work with faith-based organizations, with a special focus on Christian and Muslim groups that represent the

2 predominant religious groups within the province to spur their networks activism and involvement in

HIV/AIDS in the community.

In addition, USAID will establish an Umbrella Grants Mechanism (UGM) component under CAP in FY 09 to

increase the number of Mozambican sub-partners in PEPFAR's portfolio and build their capacity to become

prime partners under individual or consortia-type arrangements. Through CAP, PEPFAR has provided OCD

assistance to local networks and organizations that provide services to OVC, home-based care clients,

youth in AB prevention programs, and PLWHA groups which together have national reach, to create

competent, results-oriented organizations eligible to compete for USG and other HIV/AIDS funding. OCD

components of PEPFAR-funded activities include organizational development to better plan, coordinate,

implement and monitor HIV/AIDS interventions; and grants management services to selected organizations

as a demonstration model of sound management practices. Organizations benefiting from the grants

management activity are being strengthened and will gain the fiscal experience to acquire smaller HIV

funding from NAC and other sources. The UGM component is being added as a major step towards an

OCD continuum where organizations graduate from the existing QIP into CAP, then into the UGM, and

further into the capacity of prime partners under individual or consortium type arrangements. The UGM is

expected to provide: (1) a forum for coordination, sharing lessons learned, training, and standardized

reporting; (2) quality assurance standards for the provision of specific services; (3) monitoring for adherence

to the delivery of quality services, supportive supervision, and corrective actions to address problem areas;

(4) a unified body of organizations to enter into policy dialogue at all levels; (5) a unified body of data that

can be tracked from baseline to endline; (6) more systematized M&E of partners receiving PEPFAR funds;

(7) manageable reporting on PEPFAR indicators; (8) TA and training for policy makers, government

officials, and the press to influence the debate on HIV/AIDS; and (9) assistance to PEPFAR partners in

legislative and policy issues.

Tasks of the UGM: 1) Grants Management: The UGM will award and administer grants to IPs selected

through the APS and other competitive processes, in addition to partners graduating from CAP. This

involves award and administration of grants, progress monitoring, meeting reporting requirements, grant

closeout, and adherence to USG financial regulations through provision of extensive TA on project design,

implementation, financial management, m&E, and reporting. Strengthening these functions will enable local

organizations to improve the quality of their activities, enhance positive outcomes, and bring activities to

scale.

2) Capacity building: The UGM will support institutional capacity building of local organizations to promote

more sustainable programs. Capacity-building is defined as activities that strengthen the skills of local

organizations to implement HIV/AIDS programs efficiently, with diminishing reliance on external technical

assistance and support. The UGM will support activities to improve the financial, program and

organizational management, governance, quality assurance, SI and reporting, and leadership and

coordination of partner organizations.

3) M&E: IPs will be required to closely link their activities to PEPFAR-funded treatment, care, and support

interventions. M&E support will include: measurement of program progress; feedback for accountability and

quality; surveillance; and MIS implementation. AED will provide supportive supervision, guidance,

monitoring, mentoring and oversight through site visits, TA, and performance evaluation. Data collected and

reported by AED and lessons learned will be shared in semi-annual partner meetings. Performance

monitoring will be a supportive and constructive approach to raising issues that need higher level attention

and action, possibly at the policy or legislative levels. This activity also standardizes and ensures better

quality control for reporting to the USG on PEPFAR indicators.

Deliverables/benchmarks:

- Organizational capacity of Mozambican organizations and networks improved;

- UGM established and absorbing graduating partners from QIP and CAP.

The FY 08 narrative below has not been updated.

AED will continue to increase the capacity of Mozambican organizations and networks to develop, manage,

and implement prevention, care and treatment services through the provision of ongoing organizational

development technical assistance. In FY 08 AED will add the province of Nampula to their roster of focus

provinces and will work closely with all faith-based organizations. A special focus will be working with

Christian and Muslim groups which represent the two predominant religious groups within the province in

order to spur their networks activism and involvement in HIV/AIDS in the community.

The narrative below from FY2007 has not been updated.

This activity has several components and COP07 funding represents a major scale-up of AED's current

program in NGO capacity building and grants management. AED will continue to work with Mozambican

networks and organizations that provide services to OVC, home based care clients, PLWHA groups and

association members which together have national reach. FY07 represents year 2 of a planned 3 year

activity that began with FY 05 funding. Special activities under COP07 will be focused in Sofala and

Zambezia Provinces.

Activity Narrative: Phase I , Year 1 began in March 2006 (with early FY06 funding), AED sub-granted with International Relief

and Development (IRD) to conduct assessments of some of the networks and associations especially at

national level and in Sofala province. In addition, IRD piloted a program in Inhambane Province to provide

small sub-grants to CBOs, adapt assessment tools for use with community groups and develop a

monitoring system to assist community groups to manage their program with the small grants they received.

AED only recently received the rest of their FY06 funding (Phase II) and are in the process of gearing up

their presence in Mozambique, selecting staff, assessing and selecting network NGO partners, etc. Based

on It is expected that AED work will rapidly escalate based on their pilot efforts under Phase I.

AED's major effort under COP07 will be to continue to strengthen the capacity of nascent 1) networks and

associations (such as MONASO, Rensida, CORUM, etc.) as well as 2) national and local organizations for

the ultimate purpose of eventually becoming self sufficient and able to acquire funding from sources other

than PEPFAR. This will include institutional strengthening as well as strengthening activities in

programmatic planning, implementation, monitoring and reporting. All organizations will be part of the

integrated health network system which focuses geographically on the catchment areas of USG-supported

clinical care and ARV treatment sites. Training for the all networks and non-governmental organizations will

focus on increasing their abilities to solicit, receive and account for funds, sub-granting to member

organizations and reporting results to donors. Additionally, the Foundation for Community Development will

become a major client of AED. AED capacity building for FDC will focus on financial and management

systems support assistance in order to meet USAID and other donors requirements. Capacity building

efforts will be tied, where appropriate, to direct service delivery in OVC and HBC and to activities and

services within the AB and C&OP program areas. During COP07 it is expected that direct targets will be

achieved, but virtually no indirect targets. (See below) Indirect targets will be expected in Year 3.

In addition to capacity building, AED will also provide a grants management service to selected

organizations, partly as a demonstration model to assist the NGO in learning better management practices

and partly as a support to USG where they find granting to small but strategic national NGO impossible to

grant directly.

AED will work with ANEMO (Mozambican Nurses Association), to strength their institutional capacity in two

areas: 1) the Training of Trainers section to be able to provide training services in a variety of clinic related

areas and 2) expansion of the service delivery section. Under a sub-grant, ANEMO will be able to maintain

their Master Trainers duties and responsibilities to continue to train trainers for improved HBC. Refresher

courses will be developed by MOH for the Master Trainers to roll out. In addition, OI and STI trainings can

be provided by these same Master Trainers who can train clinical staff as well as home-based care

providers. In collaboration with activity #5442, ANEMO will be able to develop their professional association

responsibilities.

Through yet another related activity #3692 ANEMO will be involved in treatment adherence for ARV and

TB. ANEMO will be assisted to develop mechanisms and curriculum for training and hiring retired and

unemployed treatment adherence care workers (TACW). The Master Trainers will expand their expertise

into treatment adherence and train and supervise the TACWs who will be based at clinic sites, and will refer

ART patients to community based care providers for continued support, follow-up and referrals. This

activity is expected to keep clients in the clinical system by monitoring their adherence and referring any

complications identified.

AED will also strengthen NGO that provide services for AB and OVC. Many small NGOs and faith-based

organizations are providing a variety of AB messages to selected community audiences, e.g. churches,

schools, etc. Most of these organizations are not eligible to receive direct funding from USG, but could be

strengthened to acquire funding from NAC and other sources. AED, along with activity # 5293 will provide a

major effort in working with NGOs/CBOs/FBOs that are providing AB messages at the community level in

an attempt change both normative and individual behavior.

Lastly, this activity will continue to provide strengthening and capacity building of NGOs/CBOs/FBOs to

improve services to OVC and Home-based Care clients. While clients directly reached under this joint

activity is relatively small (1,500 HBC and 4,000 OVC), it is anticipated that with strengthened institutional

and programmatic capacities, rapid roll-out of services to additional clients will occur in the out years.

Through this package of activities, 35 non-governmental organizations will receive institutional capacity

building and 175 individuals trained in institutional capacity and in community mobilization, and who take an

important leadership role in care and treatment. At least one individual from each of the 35 organizations

will also be trained in reduction of stigma and discrimination. Trainers will expand their expertise into

treatment adherence and train and supervise the TACWs who will be based at clinic sites, and will refer

ART patients to community based care providers for continued support, follow-up and referrals. This

activity is expected to keep clients in the clinical system by monitoring their adherence and referring any

complications identified.

Deliverables/benchmarks:

Organizational capacity of Mozambican organizations and networks improved

New/Continuing Activity: Continuing Activity

Continuing Activity: 13354

Continued Associated Activity Information

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

System ID System ID

13354 9212.08 U.S. Agency for Academy for 6448 3692.08 Capable $1,150,000

International Educational Partners

Development Development Program

9212 9212.07 U.S. Agency for Academy for 5037 3692.07 Capable $900,000

International Educational Partners

Development Development Program

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $2,000,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18:

Subpartners Total: $350,000
Mozambican National Nursing Association: $350,000
Cross Cutting Budget Categories and Known Amounts Total: $3,730,000
Human Resources for Health $350,000
Human Resources for Health $700,000
Food and Nutrition: Policy, Tools, and Service Delivery $65,000
Food and Nutrition: Commodities $65,000
Economic Strengthening $350,000
Education $200,000
Water $0
Human Resources for Health $2,000,000