Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 10980
Country/Region: Mozambique
Year: 2010
Main Partner: World Food Program
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: USAID
Total Funding: $4,002,648

The overall goal of this activity is to improve food support services provided to eligible ART patients and short-term food support to households with OVC.

WFP supports the national response to HIV by assisting moderately malnourished HIV positive patients for nutritional recovery and drug adherence in seven provinces. The WFP food assistance works closely with the MOH and within the existing public health delivery system. WFP works closely with the MOH in designing and disseminating policy and tools related to food and nutrition.

The target populations are adults and pediatric patients in care and treatment programs (pre and post ART), women and infants in PMTCT programs, and OVC, especially those under-five.

The geographic focus for WFP activities will be in Sofala and Manica for Care and Treatment, in Gaza for OVC, and at a national level for PMTCT programs. WFP will coordinate activities closely with PEPFAR partners within the different geographic areas. WFP will offer technical support, training and guidance to governmental and non-governmental partners in the implementation of food assistance for treatment of

moderate malnutrition of PLHIV and pregnant and lactating women.

Other USG-supported activities will complement WFP activities that seek to address the longer-term food security and nutrition needs of these vulnerable households.

This program will contribute to Partnership Framework Goal 5 by supporting the community care and HBC guidelines of the MOH, providing assistance for a nutrition assessment, and coordinating food and nutrition support through civil society organizations working with PLHIV and OVC

WFP will create a monitoring and evaluation plan that will include systems to collect and report on next generation indicators on a semi-annual and annual basis, as well as other project-related indicators, both qualitative and quantitative.

Funding for Care: Adult Care and Support (HBHC): $652,648

In conjunction with funding from HTXS, the WFP will provide Corn Soy Blend (CSB) to clinical partners to manage and correct clinical malnutrition among PLHIV in Maputo, Gaza, Inhambane, Sofala, Manica and Tete. CSB is provided, typically monthly, as a take-home ration for the individual patients, not their household. The supplementary food consists of 10 Kg of CSB for a period of four to six months. CSB

recipients are counseled that this is "Food as Medicine", and it is important that beneficiaries are adherent in consuming the CSB, in addition to their medications, e.g. cotrimoxizole and ARVs. At the community level, WFP will collaborate with the FANTA project as it works with ANEMO, the national Mozambican Nurses Association, to revise the nutrition component of the HBC manual and will train ANEMO trainers to strengthen their community-based nutrition interventions and counseling with ART and pre-ART patients.

In addition, WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage at the time of distribution to beneficiaries. WFP will also provided support to partners in making adequate projections for CSB needs.

Funding for Care: Orphans and Vulnerable Children (HKID): $800,000

The WFP will target food support to households with OVC under the age of five. Provinces for distribution will be negotiated based on geographic priorities defined by the Ministry of Women and Social Action and the presence of a PEPFAR implementing partner with the capacity to manage CSB distribution effectively. While PEPFAR guidance does not restrict food support for OVC (i.e. there are no anthropometric criteria), food support will target the most vulnerable OVC with short-term (6 months) emergency food support. OVC will be identified by community-based care implementing partners and the household will be able access economic strenghtening and food support activities which address the longer term needs of the household. The community-based care implementing partner will also be able to link the OVC household to government-supported social services, to ensure continued support beyond the 6-month period, if necessary. The monthly household food assistance will consist of 2 Kg of CSB, 10Kg of cereal and 1.2 Kg of pulses/beans.

In addition, WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage to the point of distribution to beneficiaries.

Funding for Treatment: Adult Treatment (HTXS): $750,000

The WFP will provide Corn Soy Blend (CSB) to clinical partners to manage and correct clinical malnutrition among PLHIV in Maputo, Gaza, Inhambane, Sofala, Manica and Tete. CSB is provided, typically monthly, as a take-home ration for the individual patients, not their household. The supplementary food consists of 10 Kg of CSB for a period of four to six months. CSB recipients are

counseled that this is "Food as Medicine", and it is important that beneficiaries are adherent in consuming the CSB, in addition to their medications, e.g. cotrimoxizole and ARVs.

In addition, WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage at the time of distribution to beneficiaries. WFP will also provided support to partners in making adequate projections for CSB needs.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,800,000

Under the PMTCT program, the WFP will provide food support in conjunction with HIV treatment and care services in order to strengthen the effectiveness and participation in these services and to improve clinical outcomes among HIV+ pregnant women and newborns. Eligibility for supplementary food is based on nutrition status or nutritional vulnerability. Every month clients will receive 10 Kg of Fortified Blended Flour (FBF). The patient will be re-evaluated every three months to either exit ("graduate") or continue on food support until up to six months after giving birth.

In collaboration with clinical partners, all beneficiaries will be linked to community-based peer support programs promoting adherence. Women will receive nutritional counseling and support (including education on preparing nutrient rich foods with locally available products, exclusive breastfeeding) at the facility level. The nutrition education and counsleing messages received at the facility will be reinforced through community-based activities. The community-based care implementing partner will link the pregnant and lactating woman to government-supported social services and OVC servcices to ensure continued support beyond the 6-month post-partum period, if necessary. Community-based care partners will also engage the households of pregnant and lactating women in economic strenghtening and food support activities which address the longer term needs of the household.

WFP will also collaborate with the Infant and Young Child Nutrition project that will provide specific technical assistance to the MOH concerning infant feeding and nutrition for newborns and to implementing partners to strengthen and ensure consistency of nutrition messages for this target group.

In addition, WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage to the point of distribution to beneficiaries. WFP will also provided support to partners in making adequate projections for CSB needs.

Cross Cutting Budget Categories and Known Amounts Total: $3,802,648
Food and Nutrition: Commodities $3,802,648