This PPP will provide a comprehensive package of HIV prevention services to workers & their families, resettled households, high-risk groups associated with mining/construction activities (i.e. construction workers, miners, transporters, sex workers) and the general population of Moatize. Moatize is situated along a major corridor, and transportation activities will increase once the rail line is complete and construction activities are well underway. This partnership will promote the reduction of HIV acquisition and transmission in these populations by increasing the adoption of safer sexual behaviors and changing social, economic and cultural factors that facilitate high risk of HIV. The USG and Vale Foundation (VF) will prioritize activities and approaches that strengthen the capacity of civil society to design and implement combination prevention programs. All activities will be developed and coordinated with provincial and district health and social welfare directorates (DPS and SDSMAS), and with the full participation of community members, target groups, and PLHIV.

Goal To capitalize on a unique relationship between Vale, local government and civil society to prevent HIV

infection along the Moatize Corridor

Objectives 1) To improve knowledge and practices regarding HIV transmission amongst the general population of Moatize 2) To increase access to HIV prevention and sexual reproductive health services for high risk groups (e.g. construction workers, miners, transporters, sex workers)

The Vale PPP will directly contribute to the following goals of the Partnership Framework: Goal 1: By reducing sexual transmission of HIV (Obj. 1.1) and increasing access to CT (Obj 1.3) along the Moatize corridor; Goal 2: By utilizing innovative approaches to mobilize additional resources (Obj 2.2) and to engage private-sector partners (Obj 2.3) for HIV services; Goal 5: By increasing access to a continuum of HIV care services through better community-facility linkages (Obj 5.1).

The Vale PPP will target the Moatize corridor in Tete Province, including Moatize town and the two Vale resettlement areas. Prevention activities will target Vale/Odebrech employees & their families, sex workers, long-distance truck drivers, and the general Moatize population.

The Initiative will strengthen health systems by improving facility-community linkages and by mobilizing additional resources for public health services. This partnership will address gender-specific barriers to HIV information and services. Vale will promote HIV education and proper health seeking behavior among men by specifically targeting its largely male workforce of construction workers and miners. Likewise, the Night Clinic supported by this target will increase access to basic HIV and reproductive health services for sex workers.

This PPP will use the following strategies to become more cost efficient over time: 1) Mobilizing significant private-sector resources for HIV service delivery. As part of the requirements for a PPP, Vale will provide at least a one-to-one match USG resources through its in-kind and/or cash contribution. This partnership will be sure to capitalize on its unique strategic advantages, including its staff, services, structures and unique, enduring relationships with communities; 2) Adapting promising practices and lessons learned from other initiatives in Mozambique and internationally, rather than "reinventing the wheel"; 3) Strengthening linkages with public health services and taking full advantage of the facility- and community-based services in the target area; 4) Integrating HIV service delivery into the long-term extraction activities of Vale to ensure scale-up and

sustainability of activities.

Vale, USG and implementing partners will develop a joint M&E plan that will monitor progress in relation to the HIV prevention objectives set above. The partnership will support a baseline study to understand how the start-up of construction/mining activities in Moatize is affecting the dynamics of the community in relation to HIV, which will also help tailor HIV prevention activities. Vale and USG will ensure that reporting systems feed into the national system and avoid duplication to the greatest extent possible.

This PPP will increase access to and use of effective and quality combination HIV prevention services through a combination of mass media/IEC/BCC/IPC activities for health and HIV behavior communication and social change. Vale and USG will coordinate closely with local stakeholders (e.g. SDSMAS, local CBOs) to optimize the use of available resources, for example, staff and volunteers (activistas) with the

requisite knowledge, skills and experience in interpersonal communication in communities. This activity will expand HIV counseling & testing to the community and the workplace, and ensure that a full range of HIV prevention services (e.g. IEC materials, peer counseling, HIV testing) are available to the 4000 construction workers of the Odebrecht company contracted by Vale. This activity will also promote community mobilization through existing groups and interpersonal communications for behavior change, both collective and individual, with primary emphasis on reducing the practice of multiple and concurrent partnerships (MCPs), increasing the perception of associated risks among individuals and communities and reaffirming the benefits of mutual fidelity of HIV negative partners. Particular emphasis will be given to changing the male-dominated norms and attitudes that perpetuate the practice of MCP. Communications for behavior change will link formally to clinical HIV and related services, all of which have information, education and/or counseling components that address specific risk and prevention behaviors.

Relevant data from mapping exercises, socio-cultural assessments (including the extensive assessment conducted by Vale), program monitoring and other data needed for planning programs in these areas will inform evidenced-based HIV prevention strategies.

The comprehensive package of MARP services will include targeted promotion and distribution of condoms/lubricants, peer education & outreach among MARPs, and risk reduction activities & counseling. HIV counseling and testing services will be extended to the community and in the workplace. Vale will strenghten linkages to other health services, including reproductive health and family planning, primary health care, HIV care & support, and psychosocial support.

Vale and USAID will support the Night Clinic currently operating near the truck stop in Moatize. The Night Clinic's services include STI screening & treatment in accordance with national guidelines, free distrubition of condoms, information, education and communication (IEC) on sexual and reproductive health, HIV counseling & testing. Approximately 75% of its clients are sex workers or long-distance transporters and the number of clients is increasing (currently at 250/month). The SDSMAS of Moatize currently manages the Clinic and provides staff and materials (i.e. medical supplies, drugs, basic IEC materials), and the Municipality provides the containers in which the container is located. PEPFAR resources will be used to expand the opening hours and service package provided. In addition, USG resources will support a team of trained peer educators to promote clinic attendance, expand IEC activies and ensure a good liaison with the targeted populations. The Clinic will also expand its qualitative

research activities to gain better understanding of gaps and needs in service provision as the most at risk populations (MARPs) landscape changes as Vale's activites come to scale.

Relevant data from mapping exercises, socio-cultural assessments (including the extensive assessment conducted by Vale), program monitoring and other data needed for planning programs in these areas will inform evidenced-based HIV prevention strategies.