Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 10969
Country/Region: Mozambique
Year: 2010
Main Partner: U.S. Department of State
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: enumerations.State/African Affairs
Total Funding: $1,365,280

The goal of the Small Grants Program is to deliver HIV prevention, care and support activities via grants made directly to small, entirely local organizations, while strengthening the technical and institutional capacity of these organizations. Small grant recipients will be chosen based upon their stated ability to achieve these goals through innovative, yet cost-effective approaches. The ultimate goal of the Small Grants Program is to continue moving towards the full "Mozambicanization" of the response to HIV in country.

The Small Grants Program will directly contribute to Goal 1 of the Partnership Framework by reducing new HIV infections in Mozambique through utilization of a multifaceted approach that addresses issues of peer education risk reduction, alcohol abuse reduction, male circumcision, condom distribution and promotion, positive prevention, discordant couples, counseling and testing, screening of STIs, multi-level behavioral strategies structural/policy interventions and linkages to clinical care and treatment.

Reduction of sexual transmission of HIV will be facilitated through comprehensive prevention interventions that increase knowledge and awareness of safer sexual practices. Targeted activities to prevent HIV infections in HIV positive persons and most-at-risk populations (e.g., commercial sex workers and mobile populations such as police, border guards, customs guard polices and other uniformed services) will be developed and implemented.

In alignment with the PMTCT, Counseling and Testing, and Other Prevention strategies activities for 2010, Small Grants Program will support the production of the second phase of N'Ntxuva-- a radio and television soap opera addressing HIV messages-- in order to: increase the number of women who receive comprehensive package of PMTCT, increase the number of women who receive both HIV care and family planning counseling and services, and implementing safe infant nutrition and education interventions. Prevention programs will also focus on promoting the importance for engagement of men in HIV testing in

PMTCT settings.

The Small Grants Program will address Goal 3 of the Partnership Framework by strengthening the Mozambican health system through the establishment of scholarship programs for medical students in country. These scholarships will help produce more doctors which will then be added to the healthcare infrastructure of Mozambique.

Goal 5 of the Partnership Framework will be addressed by the Small Grant Program through the funding of community-based groups and faith-based organizations that provide care and support to orphans and vulnerable children. We will consider projects that increase access to a continuum of HIV care services, including: psychosocial support, promotion of food and nutrition security among AIDS-affected households, providing high quality essential services to orphans and vulnerable children, promoting legal and social rights of PLHIV, OVC and other affected individuals, reducing HIV related stigma and discrimination, developing a number of activities related to greater empowerment of local organizations, extending the network of home care services and strengthening the income generation capacity of individuals, households, and communities affected by HIV-- particularly women.

The portfolio of the Small Grants Program follows the PEPFAR prevention strategy and encompasses a balanced strategy between general populations, bridge populations and MARPs, media and community and a dynamic mix of communication channels. It is carefully aligned with the priorities of the National Prevention Strategy, targeting the main drivers and populations of the epidemic and geographically vulnerable areas. The prevention strategy is tailored to the specific needs of each part of the country. In the South, the programs will be very intensive with high coverage targeting general populations, bridge populations, mobile populations, and CSW. In the Central area, small grant projects will focus on general populations found along high risk corridors and high prevalence areas and districts. Bridge populations, mobile populations, CSW in corridors and hot spots will also be addressed. In the North, small grant projects will be geographically focused (Nampula port, Niassa corridor, Pemba, etc.) on higher risk populations such as CSW. Activities with the Ministry of Education will be developed for delivering HIV/AIDS education in schools. There will be an increase in development and activity in male engagement in HIV interventions.

Cost efficiency strategies will include: direct funding of local organizations without having to pay the M & O costs of implementing partners; links with existing PEPFAR prime partners, USG and civil society organizations; and implementation of income generating activities for recipient organizations.

Monitoring and evaluation of Small Grants Programs will be accomplished through periodic field visits to each recipient and the preparation of semi-annual and annual progress reports.

All State activities were combined into one Mechanism System ID - 9876.

Funding for Care: Adult Care and Support (HBHC): $100,000

Small Grants Program will solicit proposals from local organizations providing a range of care and support services for HIV-affected households. Activities may include a range of interventions within

pyschological, social, spiritual, and prevention.. The interventions prioritized under this activity are social support (including economic strenghthening to improve food security) and prevention services. Social support activities proposed may include: vocational training, , social and legal protection, support for caregivers and reducing stigma and discrimination. Successful proposals will demonstate meaningful involvement of PLWH in activity implementation and design.

While proposals will be accepted nationally, proposals from Cabo Delgado and Northern Inhambane provinces will be prioritized; PEPFAR clinical parterns are providing services with little community-based care and support services to complement these interventions. These key local partners will facilitate the implementation of modest, yet sustainable interventions which respond appropriately to the commutnities' needs. Priority interventions are sustainable food and nutrition support and viable economic strengthening interventions.

Wherever feasable, this activity will link with Peace Corps Volunteers who may provide implementation, M&E, technical support to the grantee as well as facilitate linkages to other PEPFAR partners, and wraparound services such as malaria prevention, family planning, safe water and nutrition.. These key local partners will facilitate the implementation of modest, yet sustainable interventions which respond appropriately to the commutnities' needs

Small Grants program will work with organizations who have a proven record of accomplishments.. All grantees will receive capacity building support helping to ensure the grantee's sustainability beyond the end of the one-time grant.

Funding for Care: Orphans and Vulnerable Children (HKID): $100,000

Small Grants Program will solicit proposals from local organizations will focus on family/household strengthening. Small Grants will support activities which provide a range of care and support services for households with Orphans and Vulnerable Children (OVC). Activities implemented may include1)food and nutritional support 2) shelter and care 3) protection 4) health care, include prevention and care for HIV positive children 5) psychosocial support 6 educational and vocational training 7) economic opportunity/strengthening.

Succesful proposals will have clearly defined objectives and activities which are family-centered and that ensure the well-being of the OVC and family. Successful proposals will also be harmonized with the National Action Plan for OVC as well as with guidelines for the minimum service standards defined by the

Ministry of Welfare and Social Action. All proposals must also demonstate meaningful involvement of OVC, including HIV positive youth.

While proposals will be accepted nationally, proposals from Cabo Delgado and Northern Inhambane provinces will be prioritized; PEPFAR-supported clinical partners are providing services with little community-based care and support services to complement these interventions. Priority interventions are sustainable food and nutrition support and viable economic strengthening interventions.

Wherever feasable, this activity will link with Peace Corps Volunteers who may provide implementation, M&E, technical support to the grantee as well as facilitate linkages to other PEPFAR partners, and wraparound services such as malaria prevention, family planning, safe water and nutrition. These key local partners will facilitate the implementation of modest, yet sustainable interventions which respond appropriately to the commutnities' needs.

Small Grants program will work with organizations who have a proven record of accomplishments. All grantees will receive capacity building support helping to ensure the grantee's sustainability beyond the end of the one-time grant.

Funding for Testing: HIV Testing and Counseling (HVCT): $150,000

Expand access to confidential HIV counseling and testing through facility, workplace and community- based strategies in an effort to increase the percentage of Mozambicans who have ever received an HIV test and results to 50%.

Small Grants Program will partner with a local organization to produce the second phase of N'Txuva, a nationally televised, HIV/AIDS themed, soap opera. This collaborative effort (with the private sector and a national television station) will utilize local actors to address issues regarding HIV counseling and testing, pregnancy in adolescents/women and general healthcare based on cultural and local practices. The finished product will also be converted to radio format for broadcast on local stations. Through this radio and TV soap opera, it will be addressed the importance of HIV testing, condom use, STI's prevention and non-planned pregnancies. The soap opera will also discuss the importance of fidelity in married couples. Subsequent to each chapter's radio or TV broadcast, TV, community and school debates will be organized with involvement specialists, community leaders, teachers and civil society to talk about community experiences, best practices and to educate the community in general. The goal is to have a

product that delivers HIV/AIDS related messages that are adapted to Mozambican's culture, using their various verbal expressions, symbols and icons.

With this Small Grants intervention the counseling and testing demand will be increased all over the country. Activity will also strengthen referrals and linkages between counseling and testing and other health and HIV services, including community-based prevention, care and treatment.

Funding for Health Systems Strengthening (OHSS): $315,280

The system barrier this activity addresses is the weak institutional capacity of Small Grants Program

partners in program and financial management. These small local organizations receive grants to

implement work in prevention, care and support, but do not receive tailored capacity-building. A Request

for Applications will be launched to bring in a regional partner to provide capacity-building to promising of

small non-governmental and community-based organizations. This partner will liaise with capacity-

building efforts carried out by existing partners and programs. A capacity needs assessment will be

carried out with grantees to establish a tailored capacity-building plan that will include training and

mentoring. Likely areas of capacity-building are project design, project implementation, financial

management, monitoring, governance, and proposal- and report-writing. Capacity-building over a period

of time will allow the small grantees that grow successfully to graduate to the Capable Partners Program

or other mechanisms, where they can receive larger amounts of funding and expand their programs.

There will be positive spillover effects, since a stronger civil society will contribute more actively to the

overall health system.

Organize HIV/AIDS awareness activities for mission employees, their families including the guard force

working for the mission.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $300,000

The Small Grants Program will support innovative community-based interventions that are line with Mozambique's realigned prevention strategy. Activities funded by Small Grants will include sexual prevention interventions that use effective behavior change techniques and target young people and adults. Activities will focus on messaging to reduce multiple concurrent partnerships and correct and consistent condom use. Successful proposals will be innovative, culturally appropriate, and tailored for the specific needs of the target group (i.e. adults vs. sexually active older youth and high risk youth).

While the geographic scope of Small Grants is national, the focus of this activity will be the Mozambique transport corridors, to be in line with the Mission's new prevention strategy.

Wherever feasable, this activity will link with Peace Corps Volunteers to provide implementation, M&E and technical support to the grantee as well as faciliate linkages with other PEPFAR implemeting partners, and wraparound services such as malaria prevention, family planning, safe water and nutrition. These key local partners will facilitate the implementation of modest, yet sustainable interventions which respond appropriately to the commutnities' needs.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $200,000

The Small Grants Program will support innovative community-based interventions that are line with Mozambique's realigned prevention strategy. Activities funded by Small Grants will prioritize sexual prevention interventions that use effective behavior change techniques and target young people and adults. Activities will focus on messaging to reduce multiple concurrent partnerships and correct and consistent condom use.

Successful proposals will be innovative, culturally appropriate, and tailored to the specific needs of the target groups: alcohol users, at risk youth, individuals who practice transactional sex/prostitution

While the geographic scope of Small Grants is national, the focus of this activity will be the Mozambique transport corridors, to be in line with the Mission's new prevention strategy.

Wherever feasable, this activity will link with Peace Corps Volunteers to provide implementation, M&E and technical support to the grantee as well as faciliate linkages with other PEPFAR implemeting partners, and wraparound services such as malaria prevention, family planning, safe water and nutrition.. These key local partners will facilitate the implementation of modest, yet sustainable interventions which respond appropriately to the commutnities' needs.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $200,000

In alignnment with the PMTCT strategy activities for 2010, implement activities to increase number of women who receive comprehensive package of PMTCT; Develop activities to reduce HIV infections in adolescents pregnant women in rural communities; Promotion of PMTCT activities, pediatric, and

maternal and child health, including integration of family planning into national HIV prevention activities and implementing safe infant nutrition interventions.

Small Grants Program will partner with a local organization to produce the second phase of N'Txuva, a nationally televised, HIV/AIDS themed, soap opera. This collaborative effort (with the private sector and a national television station) will utilize local actors to address issues regarding HIV counseling and testing, pregnancy in adolescents/women and general healthcare based on cultural and local practices. The finished product will also be converted to radio format for broadcast on local stations. Through this radio and TV soap opera, it will be addressed the importance of HIV testing, condom use, STI's prevention and non-planned pregnancies. The soap opera will also discuss the importance of fidelity in married couples. Subsequent to each chapter's radio or TV broadcast, TV, community and school debates will be organized with involvement specialists, community leaders, teachers and civil society to talk about community experiences, best practices and to educate the community in general. The goal is to have a product that delivers HIV/AIDS related messages that are adapted to Mozambican's culture, using their various verbal expressions, symbols and icons.

Cross Cutting Budget Categories and Known Amounts Total: $165,000
Economic Strengthening $50,000
Education $50,000
Food and Nutrition: Policy, Tools, and Service Delivery $25,000
Gender: Gender Based Violence (GBV) $20,000
Water $20,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
End-of-Program Evaluation
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Mobile Populations
Family Planning