Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 13160
Country/Region: Mozambique
Year: 2013
Main Partner: Provincial Directorate of Health, Zambezia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $195,402

The goal of this new IM is to initiate the handover of specific HIV care and treatment activities from international USG partner organizations to provincial governments in Mozambique. This transition needs to occur while sustaining and continuing to scale up care and treatment services for PLHIV without life-threatening disruptions of services. Activities towards achieving this goal will focus on the areas of (1) HIV care, support, and treatment; and (2) human resource capacity and infrastructure development, especially for disease surveillance and training. The key issues that will be addressed by these activities include; Strengthened DPS capacity to plan, oversee implementation and monitor HIV programs. As a result of increased DPS capacity to supervise and monitor programs, improved performance in TB, Malaria, PMTCT, Counseling and testing, pediatric Care and Treatment, Nutrition services will improve over time. The activities of this implementing mechanism are linked to Partnership Framework (PF) goal 3: Strengthen the Mozambican health system, including human resources for health and social welfare in key areas to support HIV care, prevention and treatment goals, and goal 4: improve access to quality HIV treatment services for adults and children. The benchmark for this goal is number of inhabitants per doctor and clinical technicians. Geographic coverage is the specific funded province and target groups are HIV infected children, women and men, and local government and non government organizations implementing HIV prevention care and treatment programs.

Funding for Strategic Information (HVSI): $0

This is a continuing activity to support provincial level monitoring and evaluation (M&E) and health information systems at the provincial level through direct financing mechanisms between USG and the Provincial Level Health Directorate; this is considered a complementary activity to other provincial level support (M&E technical assistance funded through clinical partners in all 11 provinces) and Central level support (through the Cooperative Agreement with MOH and other technical assistance at the Central level.)

As USG direct support to the provinces is a relatively new approach, in this initial phase, SI funds have been allocated for four provinces ($25,000 per province). Two of these are provinces where CDC has existing funding agreements with the Provincial Level Health Directorate; funding for an additional two provinces is also planned for two provinces where USAID plans to initiate direct funding agreements with the Provincial Level Health Directorates.

This narrative refers to direct support in provinces to be determined.

These funds are to ensure resources for capacity building at the provincial and sub-provincial level in strategic information. These funds will be used to develop, strengthen, and/or implement MOH HIV/AIDS data management and monitoring and evaluation systems by improving data collection, verification, analysis, use, and reporting. This may include strengthening of patient monitoring systems, capacity building in SI related human resources, harmonizing data collection and flow, support for data verification and other supportive supervision activities, and other cross-cutting strengthening SI support identified as a priority by the partner, USG, and MOH. Key measurable outcomes include :

80% of supported districts have data verified in at least one HIV-related service each year by a team from the provincial health directorate and/or supporting technical assistance partners

80% of supported districts in which data verification has occurred

80% of districts in which there was a DPS supervision visit focusing on HMIS/M&E (NEP to NED) at least two times/year

Funding for Health Systems Strengthening (OHSS): $195,402

This mechanism will make key contributions to health systems strengthening that include development of sustainable locally maintained health services through: training, supervision and mentoring of health workers in provision of quality HIV care and treatment services; and procurement and logistics management of health related commodities needed for operations of health facilities. Cross cutting programs within this new mechanism include logistics management of commodities that include lab, OI and antiretroviral drugs and medical equipment.

Key Issues Identified in Mechanism
enumerations.Impact/End-of-Program Evaluation
Increase gender equity in HIV prevention, care, treatment and support
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning