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: 2007 2008 2009
Summary and Background
Comprehensive PMTCT activities will be continued in all the 14 sites in 3 districts under CARE coverage in
FY08, with further expansion in FY09 to the district of Govuro as well as peripheral health facilities in
Inhassoro district. CARE will provide support to district-level ministry of health (DDS) in 3 districts through
capacity building of staff, on-the-job training, and technical assistance. FY09 activities will also include
assistance to the Centro De Formacao in Inhambane to increase the number of pre service trained health
workers.
Activity 1: Ongoing support and expansion to peripheral facilities within supported districts.
CARE will continue to support comprehensive PMTCT services in Vilanculos, with inclusion of the
peripheral health centers in the district and expansion within Mabote and Inhassoro in October. Support will
include capacity building for MOH staff (in provision of counseling and testing, STI screening and
treatment, ARV prophylaxis, monitoring and evaluation, etc.), minor renovation of PMTCT centers, and
hiring of additional district supervisors in the area of midwifery to oversee PMTCT activities in the 4 districts
supported by CARE. Refresher training on use of prophylaxis with cotrimoxazole for pregnant women and
newborn as well as diagnosis at infancy using PCR will be carried out in all the service centers. Creation
and training of psychosocial support groups, including mothers to mothers to be groups, will be continued in
FY09. This will serve as a linkage with communities and contribute to male and family involvement, as well
as support best practices for nutrition and infant feeding, including exclusive feeding for prevention of
MTCT. Dual protection among HIV+ women will continue to be promoted, and provider initiated testing and
counseling (PITC) has been implemented within Family Planning services. Delivery of PMTCT services will
be enabled through support for medical equipment, and distribution of insecticide treated bednets for
malaria prevention will be integrated into services in coordination with PMI.
Estimated budget: $320,000
Activity 2: Expansion into Govuro district.
Govuro is the last district in the north of Inhambane province and it shares a boundary with Sofala province,
which has HIV prevalence of about 23%. CARE plans to commence support for comprehensive PMTCT
activities in this district, which has never had a direct impact of PEPFAR assistance. Activities will include
training (new or refresher) for MOH staff on VCT for all pregnant women who are attending ANC; ARV and
cotrimoxazole prophylaxis provision; establishment of psychosocial support groups; minor renovations of
PMTCT facilities; coordination with SCMS for provision of medical supplies and consumables as required
for PTMCT services; coordination with PMI for provision of insecticide-treated bednets for malaria
prevention; support for transport of blood samples to the regional hospital for CD4 analysis; hiring and
capacity building for a district supervisor to oversee PMTCT activities; and training for MOH staff to support
a high quality package of PMTCT services.
Estimated budget: $ 100,000
Activity 3: Support for Human Resource for Health
Health institutions in Mozambique still lack adequate workforce to provide services for the growing number
of patients. CARE plans to give assistance to the Centro de Formacao in Inhambane, through partnership
with Columbia / ICAP, in training a class of 30 students in midwifery over a period of 30 months. Graduates
are expected to work solely in the province upon graduation. Minor rehabilitation of classrooms will also be
given adequate attention.
Estimated budget: $ 150,000
Activity 4: Expansion of AZT (Zidovudine) prophylaxis.
CARE will expand the coverage of AZT to more of its supported sites through training of health workers on
AZT administration based on MOH guidance, and purchase of haemoglobinometers to all units without an
automatic full blood count analyzer. The MOH is expected to take over the continuation of this activity upon
completion of project.
Estimated budget: $30,000
New/Continuing Activity: Continuing Activity
Continuing Activity: 13213
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13213 12222.08 HHS/Centers for CARE 6414 6124.08 CDC CARE $330,000
Disease Control & International INTL
Prevention
12222 12222.07 HHS/Centers for CARE 6124 6124.07 CDC CARE $309,375
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Malaria (PMI)
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $200,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
Support will be given to 5 sites and expansion into district of Govuro. This includes comprehensive
management of OIs including cotrimoxazole prophylaxis and pain relief includes supporting training as
needed, monitoring and evaluation, supervision, referral systems from clinical care to community care,
nutritional assessment and monitoring, linkages with organizations providing HBC, nutritional support, ITN,
safe water, adherence support and psycho-social support for patients and vulnerable family members
including OVC.
In addition, adult support groups will be created in each facility base center where there will be monthly
meetings to share experiences and provide mutual support.
Support will be provided to a group in each of the 4 district to care out home visits with a focus on healthy
living, referrals to health centers for key symptoms, adherence support and moral and psychological
encouragement.
Continuing Activity: 15786
15786 15786.08 HHS/Centers for CARE 6414 6124.08 CDC CARE $265,000
Table 3.3.08:
April09 Reprogramming: Increased $58,788.
This is a continuing activity from FY08 and the narrative replaces the FY08 narrative; it relates to CARE
International's activities that are funded in system strengthening, PMTCT, pediatrics care and support,
laboratory and infrastructure.
CARE's scale-up of treatment services is supported by USG and guided by Mozambique's national HIV
strategic plan. In collaboration with the Ministry of Health (MOH), CARE will continue support 3 care and
treatment sites and 2 mobile clinics in the northern part of Inhambane province.
In FY09, CARE plans to initiate support in one additional district (Govuro) to total 6 supported sites in 4
districts of Inhambane province reaching 2,140 adult patients on ART by the end of the fiscal year.
Expansion plans are in accordance with MoH policy and plans. Govuro district is the single non-NGO
partner supported district in northern Inhambane province.
The following activities will be undertaken during FY09:
? Finance, train and mentor MOH clinic staff per facility supported
? Provide equipment and supplies to maintain facility operations,
? Improve patient management, drug management and strategic information systems,
? Reinforce follow-up and referral systems,
? Strengthen linkages with organizations providing services for PLWHA, VCT outlets, TB clinics and pMTCT
centers
? Strengthen linkages with services to increase HIV case-finding (e.g. TB, pMTCT, Youth Centers)
? Finance mobile teams to provide technical support to the more remote CARE supported sites
Human Resources: Continue financing the salaries of MOH health-care providers to supplement existing
staff at health facilities. These providers include, doctors, medical technicians, nurses, counselors,
pharmacists, data technicians and administrative staff. This is part of a sustainability strategy with the final
objective being of DPS to incorporate these staff in the MoH system. Supported staff receives salaries in
accordance to the national salary grids.
Training and Mentoring: CARE International will maintain a clinical-support team to provide clinical
mentoring, technical assistance and logistical support to staff at the CARE supported HIV care and
treatment facilities and districts. Mentorship activities and formal training are carried out at site level (with
enhanced one on one skills transfer for clinical, M&E and pharmacy and administration) and formal training
at site and district level. Mentoring activities at facility level aims at building the capacity that will help
maintain the activities and services currently offered once a phase out of support is implemented. CARE
International will also work with the USG - Mozambique team to establish and standardize criteria and best
strategies for site graduation.
Adherence and psychosocial support: Activities aimed at improving adherence to therapy will continue and
reinforced during COP09. Activities will include site and district level trainings on adherence and
psychosocial support, training of peer educators, initiatives with PLWHA including positive prevention using
materials already developed through CDC support, and support for "positive teas".
Sub-agreement will be established with organizations working in the community to strengthen the defaulters
tracing, community linkages, and identification of new patients. The proposed sub agreements will work
through three complementary technical intervention areas: community mobilization for prevention and care
and treatment, improvement of quality of services through strengthening PLWHA support groups and
defaulter-tracing systems at HIV care and treatment and PMTCT services, and conducting Home Visits for
adherence support and defaulters tracking and return to care and treatment.
Linkages between services: CARE International will work on a "one partner per district approach" as per
USG and MoH guidance. This will include a process of transition of services between partners and will
result in CARE International supporting all clinical care and treatment services (Opportunistic Infections, TB,
ART), pMTCT and counseling and testing services in the 4 Northern Inhambane districts.
CARE will collaborate with other USG and non-USG partner organistions to enusre the provision of a basic
care package of services for patients in care and treatment.
Finally, nutritional support for severely malnourished patients (following MoH criteria) with Fortified Blended
Foods (FBF) as approved by the MoH, for an estimated 10% of HIV+ patients costing approximately $1.00
per day per patient or $120.00 per patient for a 4 month period, for 4-6 months as needed.
Health System Strengthening:
CARE international will collaborate with the lead PEPFAR partner of Inhambane province which is Columbia
University responsible for strengthening and coordination of HIV services in the province.
In addition, CARE will implement a district approach of support for ARV services and work more closely with
the District Health Management Teams for planning, budgeting, coordinating, supervising and monitoring
HIV programs within CU supported districts.
Sustainability plan:
CARE will work on a model to transfer knowledge and health management skills to the Mozambican
counterparts. In order to reach this objective, CARE international will support the District health Directorates
in order to create conditions that enhance programmatic capacities of Mozambican staff across various
intervention areas through participation in quality of care initiatives, in implementation of larger and broader
package of care, capacity building and mentoring. CARE will also continue to support infrastructure
renovations as needed and in accordance with CDC and PEPFAR regulations.
Continuing Activity: 15784
15784 15784.08 HHS/Centers for CARE 6414 6124.08 CDC CARE $663,000
* Child Survival Activities
* Family Planning
* Safe Motherhood
* TB
Estimated amount of funding that is planned for Human Capacity Development $250,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $50,000
and Service Delivery
Estimated amount of funding that is planned for Water $20,000
Table 3.3.09:
CARE currently provides pediatric HIV care services in 3 sites with 2 mobile clinics in north of Inhambane
province. During FY09 Care International will continue to support care and support services, and has
pllaned expansion to Govuro. Currentely 330 children were enrolled in care services. From these 100
initiated ART.
In an effort to improve the management of service delivery and improve efficiency and sustainability,
CAREF will work closely with the provincial and district level health authorities to develop workplans and
budgets based on identified gaps and needs and provide adeqaute resources and technical assistance to
achieve results, particularly preventing new pediatric HIV infections and increasing enrollment of pediatric
patients into care services and support.
Increasing access to care for HIV exposed and infected infants is inextricably tied to the optimal functioning
of PMTCT, CCR and basic child health services. CARE supervisors will work closely with the Diastrist
health providers to maximixe the entry points of HIV exposed infants( PMTCT, immunizations, well child
clinic), and link them with care and treatment. Efforts will be made to implement provider-initiated
counseling and testing (PITC) in pediatric wards and at other points of entry into the health facility to
increased the number of HIV-positive children identified. Once identified, these children are enrolled in
care.
Clinical monitoring, management of opportunistic infections including cotrimoxazol prophylaxis, infant
feeding counseling and support, psychosocial support are integral components of a comprehensive
approach to caring for HIV-infected children. To ensure that health staff is well-equipped to provide quality
palliative care to children, CARE will support formal refresher trainings, on job training and supervisions and
ensure that children promptly initiate ART. Further training on IMCI/HIV/AIDS, early infant diagnosis and
DNA-PCR will be provided.
Loss to follow-up, particularly of HIV exposed children continues to be a major challenge to ensuring
children living with HIV are enrolled in and retained in care. To address this, CARE will identify and train at
least one lay counselor and peer educator based at each health facility to focus on the counseling,
psychosocial support and active tracing of children and their caregivers who have abandoned care and/or
treatment.
CARE will support linkages between existing OVC care and support programs, working through community
-based organizations and other partners with programs targeting OVC and their families. Efforts to ensure
that OVC have access not only to HIV care and treatment as needed, but are also referred to psychosocial
support and food and economic assistance, where possible. In addition, collaboration with local
organizations and other PEPFAR partners to ensure access to LLIN and Certeza for children enrolled in
HIV care and treatment as well as food support.
Monitoring and evaluation:
The computer based patient tracking system (PTS) will be expanded to the 4 districts. This PTS facilitates
the monitoring of quality of care provided to patients, including children, in care and on ART, and provides
important information regarding the monitoring and retention of children in care, treatment adherence, and
occurrences of OIs.
Estimated amount of funding that is planned for Human Capacity Development $11,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $5,000
Estimated amount of funding that is planned for Water $500
Table 3.3.10:
April09 Reprogramming: Increased $4,381.
CARE currently provides pediatric ARV treatment in 3 sites with 2 mobile clinics in Northern of Inhambane
Province. Ongoing activity of follow up of about 330 children with HIV + of which 100 are on ARV treatment.
Activity will be scaled up to include at least 10% of patients on ART to be of pediatric age group and
expansion to Govuro District.
To increase access to pediatric treatment, CARE will focus on improving early identification of HIV infection
in children, building the capacity of health staff to provide pediatric treatment, ensuring provider initiated
counseling and testing at each entry point to enhance the identification of infants and children in need of
ART and improving linkages between PMTCT and other child health programs with care & treatment
services. CARE will support formal trainings in various areas including, EID, PITC, pediatric ART, pediatric
counseling and adherence support, counseling on nutrition and HIV and screening and treatment of
malnutrition, including the use of ready-to-use therapeutic food ( RUTF). Training of health staff at the
district level is planned as well as the training of tecnicos de medicina in pediatric ART followed by
mentoring and supportive supervision at supported sites. To complement these basic trainings, CARE
technical staff will provide on the job training, supervision and mentoring at the district level which will
include follow up and support in the implementation of revised pediatric care and treatment guidelines as
needed.
To improve PCR logistics, CARE will collaborate with the DPS and also liaise with a sister organization in
Inhambane (ICAP) on modalities of ensuring transportation of samples and quick return of results to the
sites.
CARE will provided districts with an electronic patient tracking system (PTS) and support data entry clerks.
CARE technical staff will work with district and their data entry staff to improve their skills in analysis,
interpretation and use of available data for performance assessment and improving capacity for monitoring
and evaluation at the district level. The PTS facilitates the monitoring of quality of ARV services provided
to patients. At global program level, data will be used for basic evaluation of pediatric care and treatmen
programs.
CARE will collaborate with the MoH on HIVQUAL program. The main objective is to build capacity to
support clinical data collection and analysis at the clinical level, linking these activities to building systems
that improve quality of care and treatment of HIV positive children. Quality of care in clinical settings will be
measured by defining core indicators based on findings that will come out of the on ongoing national
Pediatric ART program evaluation; abstracting charts from a randomized sample of patients; and using
performance data to identify with health staff quality improvement interventions and to identify priorities and
strategies followed by monitoring progress over time.
Faced with limited resources, to provide quality of services, due the lack of appropriate equipment and
supplies required to treat children, CARE will assist with the procurement of outpatient/ inpatient medical
equipment suitable for children, including pill boxes, scales, examination tables, etc.
CARE will establish partnerships with local CBOs and recruited peer educators and lay counselors to
provide psychosocial services for patients on ART, including active tracing of defaulting patients . CARE
will work with facilities to improve the identification of defaulting patients by improving filing system and
monitoring of planned consultations taking place, to ensure that defaulting patients care rapidly be tracked
and recuperated through the collaboration with local CBOs. Lay counselors will be trained specifcialy in
adherecne counseling and psychosocial support for children and their caregivers. Linkages with CBO
activities will also focus on the the creation of supports groups for HIV infected and affected children and
their caregivers with the intend to support and improve treatment adherence and conduct active tracing of
defaulters.
For nutritional support, CBOs will be supported and trained to identify malnourished children in communities
and refer them to health services for treatment or nutritional supplementation. CBOs will also be capacitated
to be involved in the follow-up of children receiving this community based treatment in between their regular
consultations in the health facility, and active tracing where needed.
Table 3.3.11:
Continuing Activity:
All PEPFAR clinical partners will support core TB/HIV collaborative activities in accordance with the WHO
Interim Policy (2004) in all districts and facilities that are supported for other clinical activities. This includes
(1) active participation in TB/HIV coordinating mechanisms at national, provincial, and local level, supporting
MOH TB/HIV planning and supervisory activities, and assisting with TB/HIV monitoring and evaluation
activities. In addition, clinical partners assist national TB programs with activities to reduce the burden of
TB in HIV-infected persons under their care through comprehensive and routine TB screening, isoniazid
preventive therapy (IPT) for those without symptoms or contraindications, and facility-level infection control
measures. Finally, all clinical partners support activities by the TB program to reduce the burden of HIV
through provider-initiated counseling and testing (PICT) for all TB patients (including children),
cotrimoxazole preventive therapy (CPT) (provided in TB clinics) for all TB patients, and referrals or on-site
provision of ART to coinfected patients. In accordance with new WHO guidance and with experience in
Mozambique that some activities (e.g. HIV-testing, CPT and ART) have advanced faster than others, all
partners will be encouraged to strengthen activities related to the 3 I's: intensified TB case finding, IPT, and
infection control. This includes support for routine (and WHO and NTP-recommended) contact tracing.
Partner-specific activities are described below.
CARE International is working in conjunction with the DDS in Vilanculos and Inhassoro, and has been able
to achieve improvement on integration of TB services to that of HIV clinics and expansion of these activities
to Mabote and Govuro is expected in the FY09 which include capacity building of MOH staff in area of
alliance between HIV and TB, early TB diagnosis and provision of adequate care and treatment, offering of
C&T to all pacientts suspected or confirmed to have TB disease, and referral all TB patient eligible for ART
to and to HIV for treatment. Training and hiring of TB layperson that will strengthen the link between the
community and hospital in educating people with chronic cough on treatment availability. Improvement on
use of cotrimoxazole in TB/IV patients will be reinforced as well promotion of use of Isoniazid Preventive
Therapy(IPT) to all HIV-positive patients with latent TB Infection(LTBI).
Estimated budget: $23,000
Strengthening of link between facility base and community will be given more attention through the use of
radio, community town criers, distribution of IEC materials, use of busca activas to support adherence and
follow up treatment defaulters. Support will be given to DDS mobile clinics in reaching out to congregate
settings (prisons, refugees/internally displaced persons)
Estimated budget: $43, 250
Another activity to receive attention is in the area of multi drug resistance TB. Follow up of patient will be
improved upon for early detection of MDR, CARE will work with the Laboratory at both district and provincial
levels to ensure sputum taking for culture to Maputo are followed up and results are received at the earliest
possible time. Also rehabilitation of TB units will be given adequate attention so as to have an isolation unit
for suspected MDRs. Additionally, CARE will support the development and implementation of the plan to
prevent the TB nosocomial infection in the health facilities.
Estimated budget: $31,974
Continuing Activity: 15785
15785 15785.08 HHS/Centers for CARE 6414 6124.08 CDC CARE $185,000
Estimated amount of funding that is planned for Human Capacity Development $23,000
Table 3.3.12:
CARE started providing comprehensive community counseling and testing in Vilanculos district in FY08
through training and provision of testing kits to 5 counselors. Activities were carried out to promote
counseling at testing through use of stand alone points, target populations like prisoners, motor parks and
construction workers. On job training, supervision and monitoring and evaluation of the activities of lays
counselors were provided through CARE district supervisors and MOH staff in order to ensure national
guidelines and standard are maintained in counseling and testing at the community level
For FY09 CARE project staff will continue to work with Inhambane Health Directorates at Provincial and
District levels to enable and support them to expand CT activities at the community level in 2 more districts
of north of Inhambane province ( Inhassoro and Mabote) which will go a long way in promoting positive
living, reducing stigmatization associated with facility based testing. Training workshops will be conducted
for project and clinical staff on CT, and to introduce the concept and the approaches used based on MOH
guidelines and experiences.
CARE will facilitate development of a community outreach CT schedule in collaboration with hospital based
services and as well as with local leaders to ensure coordination and mobilization of the population for the
CT services at the selected sites is well organized.
In order to increase access to CT within clinical contexts, CARE will use FY09 funds to revitalize Provider
Initiated Counseling and Testing in clinical settings through awareness campaigns including refreshing
trainings and supervison (4 districts). Additional efforts will be put in place to implement an integrated
approach for supervision in close colaboration with the DPS and the Provincial laboratory.
Training of lay counselors and Community Based Organizations will be achieved in the FY09 and these
people will serve as a link between the health facilities and the community in promotion of safe sex, and
other preventive measures as well to care and treatment.
Estimated budget: $56,000
In FY09 CARE will promote and support the establishment of HIV post- test clubs to promote positive living
and initiate activities for prevention through positive living. The project staff will train and carryout monthly
meetings to support and supervise work being carried out by HBC volunteer activists to form and/or
strengthen groups of people living with HIV and identify counselors to champion prevention with positives
activities with members of the post test clubs.
Estimated budget: $ 23,540
CARE will continue to provide materials and other equipment to be used in delivering CT services, like
disposable supplies, bicycles, furniture and testing kits. Funding will also support reproduction and
dissemination of nationally developed CT IEC materials to be used both at facility base and at community
level
Estimated budget: $ 20,460
Continuing Activity: 15783
15783 15783.08 HHS/Centers for CARE 6414 6124.08 CDC CARE $100,000
Table 3.3.14:
THIS IS A NEW ACTIVITY
Program Area: Laboratory Advisor
Prime Partner: CARE International
CARE provides support to 3 laboratories through purchase of equipment, training and capacity building of
lab technicians, infrastructural repairs, and transport of blood samples for CD4, biochemistry, and full blood
count analysis. However many errors are still found in most of the results given out by the labs, with this in
mind, CARE will hire a Laboratory Advisor who will oversee the overall activity of the laboratories under
CARE support with the following activities:
• Work closely with the laboratories to support CARE intervention policies and program support
• Monitor quality of results coming out of each laboratory, detect errors and give appropriate advice
• Provide on the job training for the lab technicians with input from national level laboratory partners
• Track needs for refresher trainings for lab technicians including organizing training workshop when CARE
purchase new equipment that require special training
• Liaison with DPS, SCMS and CARE in ensuring materials and other lab consumables are always available
and early notification when there will be scarcity
• Ensure appropriate and accurate data entering and collaborate with Provincial Laboratory Technical
Advisor to strengthen provincial level management and oversight of laboratory services.
Estimated budget: $ 85,000
New/Continuing Activity: New Activity
Estimated amount of funding that is planned for Human Capacity Development $42,500
Table 3.3.16:
April09 Reprogramming: Increased $94,341.
This is a new activity.
Activity 1:In COP09 will for the first time treat infrastructure development as a discrete rather than
embedded program area, with appropriate budgetary provision, and a program structure designed to
improve the speed, quality, and cost effectiveness of implementation. Two mechanisms will be employed to
deal with large- and medium-scale construction. Treatment partners will be relieved of the burden of having
to manage activities that are somewhat removed from their primary fields of excellence. However there will
still be cases where it is more efficient and appropriate for these partners to organize minor building repairs
and improvements locally rather than through a central mechanism. In FY09 CARE will continue in
improving health system through minor rehabilitation of health infrastructures including hospital
administrative buildings in all the four districts(Vilanculos, Mabote; Inhassoro and Govuro) in others to
achieve qualitative health delivery. CARE will continue to support and give appropriate advice on policy-
making both at the district and provincial levels to the DDS and DPS respectively to ensure better program
output. CARE at community level will support and assist in the formation of more CBOs and provide training
to these groups
Estimated budget: $ 90,000
Activity 2: In order to improve the human resources of the health sector, in FY09 CARE will support the DPS
Inhambane in contracting and paying of salary of 5-8 newly graduated pre service health staff of medium
cadre (nurses and tecnicos de medicina curative) who will be employed and paid using the MOH salary
structure. CARE will continue the payment of the salary while awaiting their full integration into the MOH
salary scheme. These new graduates who will be posted to districts where CARE provides interventions will
futher strenghten the health care delivery in these regions. In calendar year 2009, it is anticipated that the
MOH will institute salary reform and therefore raise salaries so the number of staff supported may change.
Estimated budget: $ 10,000
Activity 3: In FY09 CARE will provide and coordinate meetings among local NGOs working in area of
HIV/AIDS prevention and treatment programs to achieve better results and effective data sharing to
promote the ultimate goal of effective and qualitative health care delivery to the populace. CARE will
continue to support coordinated activities between facilities based centers and the community like support
to national programs like vaccination days, malaria days
Estimated budget: $ 24,748
Deliveables:
improved infrastructure via small project rehabilitation
salary support for new pre-service graduates
increased coodination among care and treatment partners
Estimated amount of funding that is planned for Human Capacity Development $34,748
Table 3.3.18:
