Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 10980
Country/Region: Mozambique
Year: 2012
Main Partner: World Food Program
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: USAID
Total Funding: $0

The overall goal of this activity is to support the national PRN (Nutritional Rehabilitation Program). This activity aims to focus its support on two main áreas of interventions: (1) Nutrition support for moderate acute malnutrition people enrolled in treatment programs (pre-ART, ART, TB); (2) Nutrition support for moderate acute malnourished women and children under 2 enrolled in Prevention of Mother to Child Transmission (PMTCT) program. WFP will support the governments and partnerscapacity to implement, monitor and evaluate the nutrition rehabilitation program. More specifically WFP will: 1. Provide a nutrition supplement (CSB+) for treatment of moderate acute malnourished people in ART and PMTCT programs through strong coordination with the Government and PEPFAR partners; 2. Improve the national nutrition rehabilitation program and integration with PEPFAR partners to guarantee a comprehensive nutrition support program aligned with national protocols; 3. Develop capacity among Government and PEPFAR partners in the implementation of programs following the national protocol for nutritional treatment and rehabilitation program. The geographic focus for WFP activities will be in Gaza, Sofala, and Nampula, Zambezia and Niassa for Care and Treatment and PMTCT. The reasons for these áreas are: a) Gaza, Sofala and Zambezia are the focus área under COP 12; b)Zambezia and Nampula are the focus área under FtF; c) those are province where the malnutrition rate are high. This program will contribute to Partnership Framework Goal 5 by supporting the community care and HBC guidelines of the MOH by providing assistance for a nutrition assessment, and coordinating food and nutrition support through civil society organizations working with PLHIV and OVC. No vehicles purchased.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $0

For the COP 12, there is no need to request funds for the implementation of food and nutrition activities. The main reason for this is the current pipeline, a total of $3,500,000 composed by funds from FY10 and 11. These total amounts will enable implementation of food and nutrition activities during fiscal year 12. During the FY09, WFP was not able to complete the activities as proposed because PEPFAR changed its clinical partner and geographical focus just after the program began, necessitating a revised training and logistical plan for the food support program. The decision to change the clinical partner and geographical area was the result of lengthy discussions of the PEPFAR Technical Working Group, which did not realize that its actions would impact WFPs ability to implement the program within the proposed timeframe.

USAID will collect data on number of people reached to follow the procurement and distribution of supplementary food; for clinical partners, the number of people that receive supplementary or therapeutic food will collected through the APR/SAPR process. The total amount of goods procured will also be collected.

From the total amount available in the current pipeline, 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 counseling messages received at the facility will be reinforced through community-based activities.

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): $0

For COP 12, there is no need to request funds for the implementation of food and nutrition activities. The main reason for this is the current pipeline,a total of $ 750,000 funds from FY10. This total amount will enable implementation of food and nutrition activities during FY12. During the FY09, WFP was not able to complete the activities as proposed because PEPFAR changed its clinical partner and geographical focus just after the program began, necessitating a revised training and logistical plan for the food support program. The decision to change the clinical partner and geographical area was the result of lengthy discussions of the PEPFAR Technical Working Group, which did not realize that its actions would impact WFPs ability to implement the program within the proposed timeframe.

From the total amount available in this pipeline WFP will provide Corn Soy Blend (CSB+) to clinical partners to manage and correct clinical moderate malnourished among people living with HIV/AIDS. CSB+ is provided, typycally montlhy, 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 local government and USG partner 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.