This is a continuing activity under COP09.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Assistance to MMAS ($500,000)

MMAS is charged with developing and implementing programs related to social policies and programs for

women. MEASURE Evaluation Phase III will continue to support the M&E systems managed by MMAS in

order to contribute to improved reporting and use of information from key HIV/AIDS programs, such as

community-based home-based care (regulated by the Ministry of Health) and OVCs. MEASURE will also

reinforce community level information system for OVC as reliable national data from the Ministry is not

available.

Also, in order to continue to build the M&E capacity of MMAS, a full time M&E Advisor will assist the

Ministry to support national implementation of the MMAS M&E plan. This work would require close

involvement with provinces and all MMAS Directions to ensure that the M&E plan is implemented

appropriately, and tailored to fit the needs and limitations of each province. Activities include: 1) Working

with MMAS at the provincial and central levels to monitor and adapt the M&E Plan to meet its needs and

limitations; 2) Conducting regional M&E refresher workshops; Providing technical assistance at the

provinces through monitoring visits; continued support of the Database WWW (Who's doing What and

Where); Providing M&E TA through "On the Job Training" at provincial and central levels; Assessing the

current OVC and HBC information system, providing technical assistance to improve/reinforce the OVC and

HBC information system. There will be increased focus and training to provided to provincial and district

level MMAS. MEASURE will also offer its monitoring and evaluation short course to staff of local and

international implementers, building local capacity for M&E.

Forcas Armadas de Mocambique ($200,000)

MEASURE Evaluation has been requested by the Department of Defense to explore the feasibility

customizing an information system for the FADM to capture information related to OVC of their military

personnel. Save the Children has developed a children database for MMAS. MEASURE Evaluation will

assess this system and evaluate how feasible it is to adapt a mechanism that ensures that military OVC are

fed into MMAS database without duplication. An M&E Advisor / Information System expert will be

responsible for assisting DOD on the OVC information system. Activities include: 1) Assessing and adapting

current children database used by MMAS for FADM use; 2) Using the CLPIR (Community Level Program

Information Reporting for HIV/AIDS Programs), a MEASURE Evaluation tool to assess OVC data through

the Rapid Assessment 3) Evaluating and proposing a mechanism that ensures that military OVC are fed

into MMAS database without duplication.

The increase in funding to MMAS through various TA efforts will support more intensive interventions with

the Ministry to address institutional issues (i.e. structure, management capacity) that impact its ability to

fulfill its mandate.

This is the activity narrative for COP08.

This is a continuing activity that was initially funded in the SI program area in FY06 under the MEASURE

PHASE II Evaluation mechanism; no additional funding was provided in FY07. This activity, partially funded

under SI (16295.08) in COP08, allows USG to continue strengthening the monitoring and evaluation

capability of the Ministry of Women and Social Action (MMAS) whose mandate includes the care of orphans

and vulnerable children and people living with HIV and AIDS.

This TA and associated training will reinforce the ability of central, provincial and district level MMAS

systems and staff in 11 provinces to plan, coordinate, and monitor implementation, and oversee basic

quality control of services through standardized data collection tools , reporting cycles, and data analysis.

Systems developed will track USG-funded home-based palliative care and OVC activities as well as those

funded from other sources. The systems will be coordinated with those of the Ministry of Health and the

National AIDS Council, also supported with PEPFAR funds.

A fulltime, locally hired Resident Advisor has been placed in the Ministry of Women and Social Action to

ensure that the implementation of the MMAS M&E plan takes place nationwide. The Resident Advisor has

completed an assessment of MMAS strengths and weaknesses and is ready to move forward with

implementing recommendations to improve M&E systems.

MMAS is also charged with developing and implementing programs related to social policies and programs

for women. Strengthened M&E systems will contribute to improved reporting and use of information from

key HIV/AIDS programs which MMAS manages, including home-based care and OVCs. Components of this

activity are: 1) Working with MMAS at the provincial level to monitor and adapt the M&E Plan to meet its

needs and limitations; 2) M&E trainings and technical assistance at the provincial level; and 3) Guidance at

the provincial level in the implementation of the M&E plan, which includes setting up data collection

systems, such as tools and data quality control. OVC targets are not applicable to this activity because it is

technical assistance for M&E systems.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15805

Continued Associated Activity Information

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

System ID System ID

15805 15805.08 U.S. Agency for To Be Determined 7242 7242.08 USAID-TBD HQ

International -MEASURE III

Development

Table 3.3.13:

This is a continuing activity under COP09.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

1. Data Quality Management and M&E Assistance ($580,000)

MEASURE will help USG to develop its first data quality assessment and improvement program. This will

help to standardize the way data quality is assessed across all USG PEPFAR agencies and help to identify

cross-cutting themes and needs for additional data quality improvement.

In the first phase, USG will adapt recommended standardized tools for data verification (developed by

MEASURE Evaluation) for use in Mozambique and hold trainings for partners across agencies (CDC,

USAID, State, DOD, Peace Corps) in the use of these tools. USG recommends a pilot phase using one

indicator as a reference and expand the process to include all indicators reported in APR.

MEASURE Evaluation will provide technical assistance and training expertise related to data quality

assurance and management through two DQA Tools that have been developed and adapted including (1)

The Data Quality Audit Tool (DQA) which provides guidelines to be used by an external audit team to

assess a program and project's ability to report quality data; and (2) The Routine Data Quality Assessment

Tool (RDQA) which is a simplified version of the DQA for auditing that allows programs and projects to

internally assess the quality of their data and strengthen their data management and reporting systems. In

the context of HIV/AIDS, the DQA relates to component 12 (i.e. Supportive supervision and data auditing) of

the "Organizing Framework for a Functional National HIV M&E System". MEASURE Evaluation will consider

international expertise to introduce these tools in Country and work closely with a local training institution to

build their capacity for future DQA work.

Tasks may include:

- Country visit provided by MEASURE Evaluation international experts for initial planning;

- Conducting DQA and RDQA workshops for CDC, USAID, State and others;

- Conducting DQA and RDQA workshops for national stakeholders (MISAU, CNCS, MMAS and others);

- Advocate and promote the engagement of the National University of Mozambique on the Data Quality

Tools so they may be incorporated into the M&E national curricula

- Evaluation of the HIV/AIDS database system managed by CNCS (Data Quality and Data Use)

In the second phase, MEASURE will conduct data quality assessments with at least 6 USG partners

annually (starting in FY10). These assessments will utilize adapted tools mentioned above and build upon

the initial capacity building work that will be done in the first phase. These assessments will include a

variety of activities including self-assessment by the partners on their own data quality systems, data

verification exercises (to original source records), and assistance to partners to identify and prioritize action

steps to be taken to improve data quality within the partner.

Tasks may include:

- Providing training to partners on completion of data quality self-assessment

- Conduct of 6 data quality assessments, including meetings with partners, visits to sample of service

delivery points, review of original source records

- Assistance to partners to identify realistic action steps partners can take to improve data quality

- Development of summary report for each partner/data quality assessment conducted

2. Assistance to CNCS ($200,000)

MEASURE Evaluation will continue to provide technical assistance to CNCS in order to strengthen the

HIV/AIDS M&E system. The goals of the HIV/AIDS Database are to facilitate the systematic collection,

storage, retrieval and dissemination of information on Mozambique's response to the HIV/AIDS epidemic in

a manner that meets the needs of the country, its stakeholders and the partners involved in the national

response. The system will provide accurate, up-to-date information to decision makers and program

implementers on the status of the country's response to the epidemic and its outcomes. A full time M&E

Advisor / Information System expert will assist CNCS to ensure the use and functionality of the HIV/AIDS

database.

Tasks may include:

- Completion of the HIV/AIDS database development and installation;

- Monitoring and supporting the use of the HIV/AIDS database;

- Conducting on the job training at provincial and central levels;

- Conducting regional refresher trainings for data collection and database use;

- Conducting a DDIU meeting to reinforce indicator results to aid the decision making process.

OLDER narrative below:

Reprogramming August08: Funding increase $40,000. Measure III will provide M&E assistance to new

partners under three public-private partnerships (PPP) that will be implemented this year. Partners include

construction companies, private foundations and mining companies. Measure will support the development

of PPP-related indicators and will provide training to PPP partners in data collection, analysis and reporting.

Measure III will work in coordination with HPI as the latter will provide leadership and technical assistance to

those same PPP partners, using HVAB and HVOP funds, to establish workplace programs to prevent

HIV/AIDS.

This is the continuation of Measure/Evaluation II activities from FY2006 and FY2007. It has three

components: 1) Completion of the INCAM mortality survey; 2) Technical assistance to the Ministry of

Women and Social Action; 3) Technical assistance to the National AIDS Council (CNCS). This activity is

entered here as a new activity because it will be implemented through the follow-on Measure III project.

Activity Narrative: 1) INCAM ($125,000): The INCAM mortality survey is currently being carried out in the field (September,

2007). FY08 funding will be used to expand the scope of the data demand and activities planned for using

the information gathered. No target population was selected because this is a survey and data analysis

activity. The program narrative from activity 9121.07 is copied below in order to provide the background to

this "new" continuing activity.

The purpose of this activity is to strengthen Mozambique's national capacity to generate and use reliable

mortality statistics, with a focus on HIV/AIDS, using validated verbal autopsy procedures. Through the

provision of technical and field support by MEASURE and Bureau of Census, Mozambique will conduct a

mortality survey (called INCAM) in follow-up to the 2007 census. INCAM will determine the levels of HIV

mortality over the previous twelve months as initially reported during the census. A total population of

approximately 844,000 residents in all 11 provinces will be covered by the INCAM survey. This survey,

which will be implemented by the National Institute of Statistics (INE) with assistance from the Ministry of

Health (MoH) and the Manhiça DSS site, can also strengthen the country's overall health information

system by providing estimates of several additional mortality indicators (e.g. malaria mortality, TB mortality,

infant and child mortality, and maternal mortality). A pilot census and mortality survey also funded via

MEASURE and the Bureau of Census, through the FY06 COP, is being conducted in October-November

2006 to ensure logistic and economic feasibility.

To implement INCAM, MEASURE will support all aspects of the survey including trainings, field work, and

data collection, analysis, use and dissemination using the FY07 funds proposed here. One of the key

MEASURE activities of the INCAM is capacity building in mortality surveillance using validated verbal

autopsy methodology and cause of death certification/ ICD-10 coding using the WHO guidelines.

MEASURE has developed and translated materials and will train approximately 230 individuals nationwide

as verbal autopsy interviewers. MEASURE will also train an additional 55 individuals as verbal autopsy

fieldwork supervisors and will participate in the supervision support of the interviewers. A total of 15 MoH

doctors will also be trained in death certification and ICD-10 coding through technical assistance provided

by MEASURE.

An additional component of the INCAM will be a focus on data demand and information utilization.

MEASURE, in addition to Bureau of Census, is assisting INE to develop indicator packages and data use

calendars for national and sub-national use. These tools are based on the requirements of local, regional,

and national government, as well as the needs of development partners. Upon completion of the INCAM,

this activity will support INE and other stakeholders in staging workshops designed to help stakeholders

understand and use the HIV/AIDS (and other cause-specific) mortality information, and communicate their

findings to policymakers.

2) Technical Assistance to the MMAS ($200,000): This activity, partially funded under HKID (15805.08) in

COP08, allows USG to continue strengthening the monitoring and evaluation capability of the Ministry of

Women and Social Action (MMAS) whose mandate includes the care of orphans and vulnerable children

and people living with HIV and AIDS.

This TA and associated training will reinforce the ability of central, provincial and district level MMAS

systems and staff in 11 provinces to plan, coordinate, and monitor implementation, and oversee basic

quality control of services through standardized data collection tools , reporting cycles, and data analysis.

Systems developed will track USG-funded home-based palliative care and OVC activities as well as those

funded from other sources. The systems will be coordinated with those of the Ministry of Health and the

National AIDS Council, also supported with PEPFAR funds.

A fulltime, locally hired Resident Advisor has been placed in the Ministry of Women and Social Action to

ensure that the implementation of the MMAS M&E plan takes place nationwide. The Resident Advisor has

completed an assessment of MMAS strengths and weaknesses and is ready to move forward with

implementing recommendations to improve M&E systems.

MMAS is also charged with developing and implementing programs related to social policies and programs

for women. Strengthened M&E systems will contribute to improved reporting and use of information from

key HIV/AIDS programs which MMAS manages, including home-based care and OVCs. Components of this

activity are: 1) Working with MMAS at the provincial level to monitor and adapt the M&E Plan to meet its

needs and limitations; 2) M&E trainings and technical assistance at the provincial level; and 3) Guidance at

the provincial level in the implementation of the M&E plan, which includes setting up data collection

systems, such as tools and data quality control. OVC targets are not applicable to this activity because it is

technical assistance for M&E systems.

3) Technical Assistance to the CNCS ($200,000): Measure/Evaluation II has provided technical assistance

to the CNCS in response to specific requests. For the most part, this technical assistance has been

provided by US based staff. The current Measure/Evaluation II partner with FY06 funding continues to work

with the CNCS to define their needs and to provide the requested assistance. A Memorandum of

Understanding is being developed.

Funding was not included in FY07 for the technical assistance activities to MMAS and the CNCS because

there was a pipeline and because the needs for funding the INCAM were so great. However, in FY08 we

would like to assure continuity of technical assistance support to the MMAS and CNCS by providing funding

through the TBD Measure/Evaluation III.

The 4 organizations to be provided with technical assistance in M&E are the MOH, INE, MMAS and CNCS.

40 individuals trained represents 10 per organization.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16295

Continued Associated Activity Information

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

System ID System ID

16295 16295.08 U.S. Agency for University of North 7413 7413.08 MEASURE $815,000

International Carolina at Chapel Phase III

Development Hill, Carolina Evaluation

Population Center

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $150,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17: