PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
ACTIVITY UNCHANGED FROM FY2008
This is a continuing activity under COP 09
The activities to be supported under the integrated RFA are expected to operate within the context of and
be coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI,
as well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and
health activities. The proposed activities should also fit within the context of the Government of
Mozambique's (GRM) policies, strategies and programs in health and agriculture, its Action Plan for the
Reduction of Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and
Nutrition Security Strategy.
Strategic linkages to other U.S. Government (USG) programs should be used wherever feasible to help
leverage programmatic results. The holistic approach encouraged in the RFA is also meant to improve
communication among key partners, empower our provincial and district-level government counterparts,
and provide more cost-effective approaches to achieving development results. Activities under the RFA
are expected to increase synergy across USAID/Mozambique's programs to amplify their collective impact
at provincial, district, and community levels. Opportunities to integrate at the community level are
particularly important. Activities are meant to complement current and future activities of Food for Peace
Title II Multi-Year Assistance Programs (MYAPs).
The Minister of Health has recently indicated that his staff, at all levels, are in need of management training.
While Forte Saude, a USAID health partner, has been working on this at central level, the RFA provides a
key opportunity to de-centralize management capacity building across Ministry of Health technical staff in
both Zambezia and Nampula. PMTCT interventions, as they are integrated within primary health care
services, are a key area of importance. Supervisory nurses working in the health care system as well as
the supervisors of health care facilities are the target population. Both of the target groups mentioned
above are of key importance given the somewhat overwhelming scope of work that nurses endure in
Mozambique; by also targeting directors of health care facilities, it is hoped that nurses, and their
supervisors, will be better able to undertake the clinical aspects of their position whilst streamlining the
management system and structure in which they operate in. It should be noted that district level health
directorates will also be targeted with management training, especially in regards to quality improvement
and quality management techniques that lead to better logistics and improved communication with both
provincial and central level directors within the Ministry of Health.
New/Continuing Activity: Continuing Activity
Continuing Activity: 21418
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
21418 21418.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV
International
Development
Table 3.3.01:
This is a continuing activity under COP09.
Reprogramming August08: This is a new activity.
These funds will provide "B" focused mass media, behavior change communication, IEC and interpersonal
communication activities for health and HIV behavior communication and social change to the USAID
integrated RFA. These funds are earmarked for MARPs and populations living in transport corridors and
other identified 'hot spots'. The new USAID integrated RFA will combine activities from health, HIV,
agriculture, Food for Peace and rural income growth. Award is expected in early calendar year 2009.
Continuing Activity: 21416
21416 21416.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV
Table 3.3.02:
These funds will provide C&OP focused mass media, BCC, IEC and interpersonal communication activities
for health and HIV behavior communication and social change to the USAID integrated RFA. These funds
are earmarked for MARPs and populations living in transport corridors and other identified 'hot spots'. The
new USAID integrated RFA will combine activities from health, HIV, agriculture, Food for Peace and rural
income growth. Award is expected in early calendar year 2009.
Continuing Activity: 21419
21419 21419.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV
Table 3.3.03:
THIS NARRATIVE REPLACES AUGUST 2008 REPROGRAMMING NARRATIVE
The U.S. Agency for International Development Mission to Mozambique (USAID/Mozambique) is issuing
this Request for Application (RFA) for two results-oriented projects that are expected to integrate health,
HIV/AIDS, water/sanitation, and rural enterprise program components to contribute to an overall objective of
strengthening communities in two provinces of Mozambique: Nampula and Zambézia. USAID/Mozambique
plans to award one cooperative agreement for each province by January 2009.
Adult Care and Support activities under this RFA will support community-based clinical, psychological,
spiritual, and social care for PLWHA. Activities will also support prevention services (such as positive
prevention, referral to counseling and testing, partner testing) for PLWHA.
Activities under this RFA will increase synergy across USAID/Mozambique's programs to amplify their
collective impact at provincial, district, and community levels. Opportunities to integrate at the community
level are particularly important. Activities are meant to complement current and future activities of Food for
Peace Title II Multi-Year Assistance Programs (MYAPs). No direct clinical services will be provided under
this RFA, including HIV/AIDS treatment services. Applicants will research current programs, present
methodologies for working together with existing programs, and will ensure that approaches are
complementary to, and not duplicative of, these programs. Strategic linkages to other U.S. Government
(USG) programs should be used wherever feasible to help leverage programmatic results. The holistic
approach encouraged in this RFA is also meant to improve communication among key partners, empower
our provincial and district-level government counterparts, and provide more cost-effective approaches to
achieving development results.
In order to cover the broad range of services that are to be integrated into each geographic area and
because of the range and depth of expertise that will be required to successfully implement the activities
identified under this RFA, all applicants are strongly encouraged to be a consortium. Primes are
encouraged to include the services of smaller, technically specialized organizations wherever possible.
This RFA describes USAID-funded activities within the country, which make up only part of the entire USG
response. Centers for Disease Control and Prevention (CDC), Department of Defense (DOD), Department
of State and Peace Corps also have on-going projects in support of the U.S. President's Emergency Plan
for AIDS Relief (PEPFAR) and the President's Malaria Initiative (PMI) in Mozambique. As
USAID/Mozambique strives to reach as many Mozambicans as possible in these provinces without
duplicating services of other actors, successful applicants to this RFA are required to collaborate with and
complement these USG projects.
The activities to be supported under this RFA are expected to operate within the context of and be
coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI, as
well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and health
activities. The proposed activities should also fit within the context of the Government of Mozambique's
(GRM) policies, strategies and programs in health and agriculture, its Action Plan for the Reduction of
Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and Nutrition
Security Strategy.
This activity will contribute substantively to USG and GRM goals in health, HIV/AIDS, water/sanitation, and
rural enterprise. It also responds to three Mission Strategic Objectives , which are:
a. Rapid rural income growth sustained in target areas,
b. Increased use of child survival and reproductive health services in target areas, and
c. Transmission of HIV reduced and the impact of the epidemic mitigated.
Lack of access to quality health services and behavior change messages and activities is a serious barrier
to achieving GRM objectives in health and nutrition for the Mozambican population in general and, in
particular, for the populations of Zambézia and Nampula. The health needs of the Mozambican population,
as well as the challenges to health program implementation, access and coverage, form the basis for the
anticipated results outlined in the health and HIV/AIDS component of this RFA.
Specifically, by increasing the quality and availability of goods, services, and information, increasing
demand for goods and services as quality and availability improve, improving the accountability of health
services and community structures to the people they serve, and increasing the social infrastructure to
support communities, the populations of Zambézia and Nampula will increase their use of quality health
services, health/HIV and nutrition knowledge and appropriate health practices, which in turn will help reduce
the burden of disease.
Current statistics show that only 26 percent of the rural population has access to improved drinking water.
To date, USAID and its partners have been putting emphasis on hygiene education and the development of
behavior change interventions focused on appropriate hygiene practices, including correct water handling
and storage, effective hand washing, safe feces disposal and use of latrines. However, findings from
several evaluations, however, indicate that promotion of increased knowledge of better hygiene practices is
not a sufficient response. While hygiene education might succeed in increasing people's knowledge about
good hygiene practices, education alone will not translate into behavior change in the absence of better
access to potable water and improved sanitation facilities. One would expect the combination of increased
access to potable water and improved sanitation and hygiene behaviors to result in a reduction in diarrhea
and, ultimately, in a reduction in child malnutrition.
Conservation agriculture, also known as perma-culture, is designed to achieve sustainable and profitable
agriculture and improve farmer household livelihoods. The techniques applied in conservation agriculture
Activity Narrative: have potential for all farm sizes but are most urgently required by smallholder farmers, especially those
facing acute labor shortages, such as those affected by HIV/AIDS. Conservation agriculture has been
demonstrated to work in a variety of agro-ecological zones and farming systems.
The specific conservation agriculture techniques to be introduced include: leaving more ground cover
(requires less work), starting field preparation months in advance of the planting season (work is spread out
over a longer period of time as opposed to the present intensive work requirement at the beginning of the
rainy season), and rotating crops (reduces costs and labor for control of weeds and pests and improves
water infiltration). All agriculture techniques that are introduced will reduce labor requirements, which
especially benefits PLHIV, OVC and their family members. Farmer Association members will also be
encouraged to adopt these new techniques given their proven capacity to increase crop yields. Farmer
Associations are already planting highly nutritious crops (orange-fleshed sweet potato, sesame) and income
generating crops (sesame, peanuts, corn). It is expected that the majority of HIV-affected households in the
targeted communities will benefit from these activities and the resulting increased crop yields.
PLHIV and OVC households will be targeted in the program through existing PEPFAR PLHIV and OVC
support groups, and through referrals by health staff in PEPFAR-supported HIV care and treatment clinics,
community leaders, community health council members, health volunteers and leader farmers.
Economic growth is the key to reducing widespread poverty in Nampula and Zambézia and must originate
in the agricultural sector, especially if it is to benefit the poor and food insecure in the rural areas. The trend
toward more market integration on the part of small land holders is essential to the reduction of the high
levels of poverty in these two provinces because it will lead to increases in market sales. Households can
use the additional income from these sales to purchase inputs such as improved seeds and fertilizers,
which can help them increase the productivity of their food and cash crops. Farmers in Nampula and
Zambézia are dependent on rainfall and the drought prone environment in which most of them operate is a
key constraint to increasing their agricultural production and household incomes. Helping small farmers
increase their access to water for agricultural purposes throughout the year can make a tremendous
difference to rural households by reducing their vulnerability to droughts, expanding the number of harvests
and making the adoption of new crops and improved agricultural practices more feasible. These activities
will improve the quantity and quality of foods available, which will contribute to improved food security and
to the reduction of the high rates of chronic child malnutrition.
Collective improvements in the areas described above will lead to healthier, stronger families that are less
vulnerable to disease and that will contribute more effectively to increased economic productivity. Ensuring
that the activities targeted to the wider community include people living with HIV/AIDS, orphans and other
vulnerable children (OVC) is important for sustaining impact on the population as a whole and decreasing
potential for marginalization based on classification as part of certain sub-population. Although this work will
be extremely challenging, it presents an opportunity to develop innovative and integrated approaches to
improving families' health and economic status at the community level.
Continuing Activity: 21420
21420 21420.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV
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
Health-related Wraparound Programs
* Family Planning
* Malaria (PMI)
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools
and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities
Economic Strengthening
Estimated amount of funding that is planned for Economic Strengthening
Education
Estimated amount of funding that is planned for Education
Water
Estimated amount of funding that is planned for Water
Table 3.3.08:
THIS IS A NEW ACTIVITY IN COP 09.
Activities under this RFA are expected to increase synergy across USAID/Mozambique's programs to
amplify their collective impact at provincial, district, and community levels. Opportunities to integrate at the
community level are particularly important. Activities are meant to complement current and future activities
of Food for Peace Title II Multi-Year Assistance Programs (MYAPs). No direct clinical services are to be
provided under this RFA, including HIV/AIDS treatment services. Applicants are thus expected to research
current programs, present methodologies for working together with existing programs, and explain how
approaches are complementary to, and not duplicative of, these programs. Strategic linkages to other U.S.
Government (USG) programs should be used wherever feasible to help leverage programmatic results.
The holistic approach encouraged in this RFA is also meant to improve communication among key partners,
empower our provincial and district-level government counterparts, and provide more cost-effective
approaches to achieving development results.
USAID's programs are designed within the context of larger USG efforts in Mozambique. This RFA
describes USAID-funded activities within the country, which make up only part of the entire USG response.
Centers for Disease Control and Prevention (CDC), Department of Defense (DOD), Department of State
and Peace Corps also have on-going projects in support of the U.S. President's Emergency Plan for AIDS
Relief (PEPFAR) and the President's Malaria Initiative (PMI) in Mozambique. As USAID/Mozambique
strives to reach as many Mozambicans as possible in these provinces without duplicating services of other
actors, successful applicants to this RFA are required to collaborate with and complement these USG
projects.
As the food crisis increases the vulnerability of HIV/AIDS patients and their families, including OVC
providing increased nutritional support to OVC is critical. Strengthening linkages with existing initiatives is
one way to address long term food security for vulnerable households.
(USAID/Mozambique) is issuing a Request for Application (RFA) for two projects that are expected to
integrate health, HIV/AIDS, water/sanitation, and rural enterprise program components to contribute to an
overall objective of strengthening communities in two provinces of Mozambique: Nampula and Zambézia.
USAID/Mozambique plans to award one cooperative agreement for each province by January 2009.
of Food for Peace Title II Multi-Year Assistance Programs (MYAPs).
Present approaches to providing food security to people living with HIV/AIDS in order to improve their
nutritional intake as well as generate income are not covering enough of those affected, have high
beneficiary cost rations and not sustainable. For example, kitchen gardens/vegetable gardens have not
been found to be maintained beyond a year or two. Income generating activities such as training for
entrepreneurial activities can often deliver too many people offering the same service in the same locale.
This activity will ensure that OVC and PWLHA are included in activities for rural communities which address
nutrition and increase incomes.
USAID is already present in districts throughout Zambezia and Nampula provinces. These programs
specifically target rural communities and assist them with better nutrition behavior change, as well as
improved agricultural techniques. The programs help the communities organize themselves so that they
are better positioned to access health services from the nearest health clinic as well as negotiate better
prices for crops harvested. These programs can easily absorb target groups in rural communities, such as
those living with HIV/AIDS, caregivers and vulnerable children.
Specifically, perma-culture (alternatively known as conservation farming) will be added to the program
already in place in Zambezia and Nampula. This program would be implemented in conjunction with Peace
Corps to help introduce the new concepts and techniques with PCV as trainers. The PCV will assist in the
introduction of the new techniques and work to induce behavior changes in the agricultural sector.
The techniques to be introduced would include: encouraging farmers to leave more ground cover (requires
less work) and starting preparation of fields months in advance of the planting season (work is spread out
rainy season). The introduction of these interventions is designed to reduce the labor requirements,
improve quality of the crop yield and nutrition for those living with HIV/AIDS and older OVC who are
caregivers.
Activity Narrative: This activity will not target orphan based on orphan-hood alone. All members of the Farmers Association
would be encouraged to adopt these new techniques, as they have proved to increase crop yields. Farmers
Associations already are planting crops that are highly nutritious (orange-flesh sweet potato, sesame) and
income generating (sesame, peanuts, corn). Therefore, everyone in the rural community affected by
HIV/AIDS (or other chronic illnesses) and OVC would benefit by activities designed to increase crop yields -
in addition to reducing labor requirements to produce nutritious crops with high income generation
possibilities.
These community-based activities will be closely linked to clinical and community based prevention
services. The activities to be supported under this RFA are expected to operate within the context of and
New/Continuing Activity: New Activity
Continuing Activity:
* Child Survival Activities
Table 3.3.13:
This is a continuing activity in COP09, but at zero funding.
Reprogramming August08: The new USAID integrated RFA will combine activities from health, HIV,
Continuing Activity: 21422
21422 21422.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV
Table 3.3.14:
