Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2015

Details for Mechanism ID: 13065
Country/Region: Mozambique
Year: 2012
Main Partner: Columbia University
Main Partner Program: Mailman School of Public Health
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $465,500

The objective of these activities is to strengthen local capacity in strategic information (SI) of USG Implementing partners (IPs), including MOH. There are three main activities:1) Provide technical assistance (TA) to MOH to strengthen monitoring and evaluation (M&E) systems to improve the quality of services and of data; 2) Contracting TA to provide focused TA and capacity building in M&E and informatics3) Supporting provincial M&E Advisors in 2 provinces. These activities will build SI capacity in Mozambican institutions to ensure data are available to monitor the Partnership Framework (PF) and Global Health Initiative (GHI). Specifically, activities support the PFs Goals 2 and 3 (strengthening the multi-sectoral response to HIV and human resource capacity in SI, respectively). These activities also directly contribute to the M&E of Mozambiques GHI Strategy by strengthening Mozambican SI systems to provide accessible, quality information for monitoring and decision-making by Mozambique and USG. All activities are designed to strengthen national systems; however some activities (e.g. provincial TA) will be implemented in specific provinces. No specific costing or expenditure analysis has been done with SI partners. However over time, these activities should increase local ownership and capacity (and reduce overall costs). Additionally, USG works closely with other donors to coordinate and reduce potential duplication. This mechanism will build capacity within local partners to create and modify M&E and HIS, thus reducing reliance on USG TA over the long term.

Funding for Strategic Information (HVSI): $465,500

There are three main activities funded with HVSI funds1) Providing technical assistance (TA) to MOH in strengthening national monitoring and evaluation (M&E) systems to improve the quality of services and quality of data (continuing activity, $240,000)This is a continuing activity to support area 2 under the National Strategic Plan for Health Information Systems (2009-2014), focusing on the management of the HIS including quality of data. Supported activities will be developed in collaboration with the MOH to ensure alignment of proposed activities but may include assistance to enhance design of forms, databases and systems, development of national M&E related standards, policies, and systems and roll out of these components and/or training in information systems, M&E, data use and translation, and other areas in SI to build the capacity of MOH staff and counterparts in Mozambique2) Contracting TA requested by MOH Department of Information Systems (DIS) to provide focused assistance and capacity building (continuing activity, $150,000)This is a continuing activity to support area 2 under the National Strategic Plan for Health Information Systems (2009-2014), focusing on the management of the HIS including quality of data and is complementary to activity 1 described above. Funds for this activity have been used to support the salary and related expenses for a seconded international technical advisor sitting within MOHs DIS, to support activities outlined in Activity 1. MOH is currently reevaluating models of TA to ensure that mechanisms result in tangible capacity building of MOH staff and systems. Depending on the outcomes of this MOH review of TA, funds may be used to continue to support a model of seconded technical advisor or may be used for other types of TA in this area.3) Supporting provincial M&E Advisors requested by the Ministry of health in 2 provinces (continuing activity, $100,000)MOH has placed increasing focus on strengthening human and technical resources at the provincial level to improve the coordination and delivery of services in the province. In FY 2008, MOH developed a standard set of technical advisor positions to be placed at the Provincial level; these four positions included advisors in Clinical Care, Laboratory, Pharmacy, and Monitoring and Evaluation (M&E). USG was asked to assist with the funding and recruitment of these positions at the provincial level.Since 2008, funding for this TA has been provided via the primary clinical partner supporting that province. In COP 12, $50,000 is budgeted (HVSI) for each of the 11 provinces for TA in monitoring evaluation and health information systems and will continue to be funded through the lead clinical partner. This TA should be coordinated within the Provincial Department of Planning and Cooperation at the Provincial Directorate of Health. This funding will support M&E TA in Inhambane Province and Maputo City.While strengthening systems for M&E and Health Information Systems (HIS) remains a priority, the model of providing assistance is currently under review in a joint process by USG and MOH. During FY12, these discussions should provide updated guidance on the most effective model for providing TA that results in greater MOH ownership and capacity (e.g. via seconded technical advisor or another model of technical assistance.)