Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 9312
Country/Region: Mozambique
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

This is a continuing activity under COP09.

ACTIVITY UNCHANGED FROM FY2008

Reprogramming August08: This is a new activity that is part of a TBD Public-Private-Partnership funded

with AB, C&OP, and OVC funds. These funds will provide mass media/IEC/BCC/IPC activities for health

and HIV behavior communication and social change to one or more new PPPs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21438

Continued Associated Activity Information

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

System ID System ID

21438 21438.08 U.S. Agency for To Be Determined 9312 9312.08 PPP

International

Development

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

This is a continuing activity under COP09.

Reprogramming August08: Funding increase $150,000. This is a new activity that is part of a TBD Public-

Private-Partnership funded with AB, C&OP, and OVC funds. These funds will provide C&OP focused mass

meida/IEC/BCC and interpersonal communication activities for health and HIV behavior communication

and social change to one or more new PPPs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21439

Continued Associated Activity Information

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

System ID System ID

21439 21439.08 U.S. Agency for To Be Determined 9312 9312.08 PPP

International

Development

Table 3.3.03:

Funding for Care: Orphans and Vulnerable Children (HKID): $0

This is a continuing activity under COP09.

ACTIVITY UNCHANGED FROM FY2008.

Reprogramming August08: Funds to support PPP with the Carr Foundation and will be allocated once an

implementing partner is confirmed.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21440

Continued Associated Activity Information

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

System ID System ID

21440 21440.08 U.S. Agency for To Be Determined 9312 9312.08 PPP

International

Development

Table 3.3.13:

Funding for Health Systems Strengthening (OHSS): $0

This is a new activity under OHSS in COP09.

PEPFAR/Mozambique will expand its public-private partnership (PPP) portfolio in FY09 in order to facilitate

the scale-up and promote the sustainability of many of its key HIV interventions. USG will collaborate with

key private sector entities in areas where a common vision is shared and where synergies exist between

each partner's key resources and expertise. In addition to leveraging additional resources, PPPs allows

USG to engage non-traditional partners to forge innovative linkages between program activities and to

reach target groups that are generally underserved in conventional programs. USG will collaborate with its

private sector partners from the earliest stages of program design, and will work closely with its resource

and implementing partners to develop appropriate systems for monitoring and evaluation to identify and

disseminate best practices for PPPs. In all activities USG and its private-sector partners will coordinate with

local health authorities (e.g. DPS/DDS) and other stakeholders supporting HIV services in the areas of

intervention.

Carr Foundation/Gorongosa National Park (Sofala Province):

In 2008, the Carr Foundation signed a twenty year lease with the Government of Mozambique to manage

the Gorongosa National Park (GNP). The area where GNP is located experiences some of the highest HIV

and poverty rates in the nation. Carr Foundation has recognized the interdependence of human and

ecological systems and is thus committed to promoting the human development of the 250,000 persons

living in and around the park. PEPFAR will add an HIV component to the existing global development

alliance (GDA) between USAID and Carr Foundation to integrate innovative HIV prevention and mitigation

services into the health, social and biodiversity activities in the catchment area. Carr Foundation is currently

conducting a thorough socio-economic survey of the area and is facilitating community planning activities in

the park's buffer zone. These initiatives will provide valuable information to best target HIV services and

can serve as a forum to promote community involvement and ownership. This partnership will ensure that

HIV prevention is incorporated into training for GNP staff (e.g. scouts, wardens) and biodiversity trainings

provided to nearby communities. GNP will also explore opportunities to include OVC and PLHIV into their

ongoing Community Economic Development activities (e.g. agro processing, small business development).

Carr Foundation is committed to building 25 health centers in areas around the park, and PEPFAR will

leverage the support of its clinical and community care partner for Sofala province to ensure that staff are

trained and a full range of HIV services are available. Lastly, GNP will partner with local community-based

organizations to educate youth though innovative activities (e.g. community soccer league) and to provide

community-support services (e.g. HBC, OVC support) that are currently lacking in the area.

Vale de Rio Doce (Tete Province):

Vale is the second largest aluminum smelting company in the world. After investing nearly $1.4 billion in

technical, social and economic studies, Vale has committed itself to a long term investment to extract and

export coal in Tete province. The initial construction phase, which is expected to be completed in 2011 and

will include the renovation of the railway connecting the site to the coast, will attract 2,000 workers and their

families to the area, in addition to those involved in transportation and associated services. Vale recognized

the potential impact an undertaking of this size will have on a remote community and has already invested

over $6 million in health and development infrastructure, including the renovation of the provincial hospital.

USG will partner with Vale to ensure that HIV prevention and mitigation services are available to all of its

staff, their families, transportation workers and neighboring communities. Vale and USG will coordinate with

the Provincial Health Directorate (DPS) to target the renovation of health facilities and accommodation for

health care workers. USG will leverage the experience of its PEPFAR partners to mobilize communities to

provide HIV education and support services and to engage the youth in activities that promote positive

behavior change. Prevention activities will target most at risk populations (MARPs) including commercial

sex workers and long distance transporters. USG and Vale will also support the University of Ghent to

provide a night clinic across from a truck stop in Moatize District to provide HIV testing, education and

clinical services for these groups. The huge demand for semi-skilled labor throughout the construction

phase will also provide the opportunity to train OVC in construction skills. USG will collaborate with Vale,

the Tete DPS and its existing health partners working in the provinice to develop a joint plan and a MOU to

clearly define the roles/contribution of each partner.

CETA (Pilot in Cabo Delgado, with potential expansion nationally):

CETA is a Mozambican construction company that builds roads, hospitals and schools throughout the

country. While they employ 500 permanent employees, at any given time they employ an additional 2,000

short-term workers. CETA offers the opportunity, and the challenge, of covering the entire nation as they

bid on various construction contracts. These contracts entail that they must mobilize a large workforce

within a couple of weeks for a project that can last from 12-18 months.

CETA has demonstrated its commitment to combating HIV in Mozambique. Its CEO is the founding

member of Ecosida, an organization that joins the forces of over 40 private companies to respond to HIV in

the workplace. Since 1999 CETA has been implementing an HIV testing and peer education program for all

of its permanent and short-term workers as well as the workers of the smaller companies it contracts with.

CETA has partnered with NGOs such as PSI to increase access to HIV prevention and care services for its

employees, their families, and the communities they work in. CETA has conducted various studies of the

HIV knowledge and behavior of construction staff. CETA also facilitates forums for the wives of its

employees to engage in women empowerment activities (e.g. income generating activities).

Due to the challenging nature of its work, CETA and USG have decided to initiate a pilot project to scale-up

HIV services at a recently awarded contact in Cabo Delgado. This twelve-month pilot may include the

renovation of health facilities, as well as HIV prevention and awareness services for its employees. CETA

is also willing to train older OVC in basic construction trades (e.g. carpentry, masonry) and to link trainees

with employment opportunities. CETA and USG are also exploring opportunities to link its employees and

women groups with income-generating and food security projects. USG and CETA are engaged in joint

planning process to identify specific program activities and to clarify the roles and contributions of each

partner. Based on the experiences of this pilot initiative, USG and CETA will discuss the possibility of a

larger-scale PPP for future years.

Activity Narrative: In addition to the funds requested specifically for PPPs, USG will explore opportunities where certain

proposed FY09 activities, including the various RFAs, can contribute to the support provide by PEPFAR as

part of its public sector match. For example, language can be added to RFAs that cover a province where a

PPP exists to encourage prospective applicants to work with those private sector entities and/or the target

groups associated with their business (e.g. construction workers).

Deliverables:

- 3 Memoranda of Understanding negotiated and signed for PPP start-up;

- Pilot program with CETA operational in Cabo Delgado.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Increasing women's access to income and productive resources

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

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening

Education

Water

Table 3.3.18: