This activity will scale up provision of positive prevention (PP) services to reduce onward transmission of HIV and improve well-being of people living with HIV (PLHIV). These activities are linked to Partnership Framework goal 1. Each province will have a focal person / technical counterpart for PP activities to coordinate and ensure successful implementation and monitoring of PP activities. Cross-cutting gender focus, including status disclosure and GBC concerns, are embedded in this project.

Geographic focus is national in scope. Target population is PLHIV. UCSF will ensure that 95% of PEPFAR-supported care and treatment facility staff receive PP training.

Expenditure analysis methodology has not yet been developed for PP.

This project contributes to system strengthening through development and capacity-building of a cross-cutting national technical working group. Training activities contribute to front-line staff capacity. The PP program will improve the quality of care to the HIV patients in Pre-ART and ART. The Provincial and District Ministry of Health capacity will increase through PP training, supportive supervision, technical and managerial support; and improving HIV services integration.

National M&E systems are being developed for PP through this project, further contributing to system strengthening. The M&E plan for this area is still under development. The national PP technical working group headed by MOH has been tasked to develop this M&E plan and a national PP strategy which will include clear guidance on how to roll-out PP intervention at facility and community levels. In FY12 the first round of complete data for PP activities is expected.

Pipeline analysis results showed normal pipeline within established parameters.

No vehicles are requested.

Positive Prevention (PP) intervention will target PLHIV in ART and Pre-ART at health facility level and therefore will need to train healthcare providers at health facility level to deliver the PP interventions in a systematic and harmonized way. The activity is The Pre ART/PP integration.

Main activities for PP/Pre-ART are: (i) Three Regional TOTs for healthcare workers (clinicians, técnicos de medicina, counselors, nurses) to deliver PP interventions and messages: South, Center and Northern Provinces, including the PP/Pre-ART package ($60,000); (ii) Printing training materials, job aides, posters and PP tools ($80,000) (iii) Dissemination meetings of integration of Pre-ART package in PP ($30,000)-in process of integration in the development of the National PP strategy

Official approved PP strategy and roll-out plan: Support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out Main activities are: #1: Support Ministry of Health to develop and implement a national PP strategy / guidance on positive prevention in Mozambique; #2: Train more healthcare professionals to deliver PP interventions and messages; #3: National scale up of PP interventions in existing PEPFAR platforms: Facility-based services for PLHIV and community-based services for PLHIV; and #4: Strengthen engagement of PLH in prevention programming. Coverage of activities is aligned with clinical service partners scope of work.

PEPFAR Mozambique partners are currently focused on scaling up PP in clinical service settings in a fully integrated manner and will implement the PP activities in all provinces and will target PLHIV in Pre-ART and ART. Six percent of the target population enrolled in care will be reached with minimum package of PP interventions, both for clinical and community level FY 2012. The provinces with high and medium prevalence areas will be prioritized.

The main activities are: (i)Official approved PP strategy and roll-out plan: Support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out plan in Mozambique; (ii) National scale up of PP intervention in existing PEPFAR platforms: Facility-based services for PLHIV; (iii) Reinforcing behavioral interventions for TasP. TA partner will support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out plan in Mozambique. Three regional seminar will be organized to disseminate the official approved PP strategy and roll-out plan, with 25 participants each.

Besides, the emphasis also will be given for the training of healthcare workers at the national level, by organizing at least two trainings of 3 days per province with 30 health providers each either men or women.

The facilitators will have training materials, job aids, posters.

After the training, it will be organized a follow-up supportive supervision by the TA partner to ensure quality of care to patients HIV infected as well as the delivery of PP full package of PP interventions..

The PP interventions is a cross cutting activity and will be integrated in all HIV services at facility level (Antenatal care, Pre-Art and Art services, Counseling and Testing, Psychosocial support services, HBC and others).

Official approved PP strategy and roll-out plan: Support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out Main activities are: #1: Support Ministry of Health to develop and implement a national PP strategy / guidance on positive prevention in Mozambique; #2: Train more healthcare professionals to deliver PP interventions and messages; #3: National scale up of PP interventions in existing PEPFAR platforms: Facility-based services for PLHIV and community-based services for PLHIV; and #4: Strengthen engagement of PLH in prevention programming. Coverage of activities is aligned with clinical service partners scope of work.

PEPFAR Mozambique partners are currently focused on scaling up PP in clinical service settings in a fully integrated manner and will implement the PP activities in all provinces and will target PLHIV in Pre-ART and ART. Six percent of the target population enrolled in care will be reached with minimum package of PP interventions, both for clinical and community level FY 2012. The provinces with high and medium prevalence areas will be prioritized.

The main activities are: (i)Official approved PP strategy and roll-out plan: Support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out plan in Mozambique; (ii) National scale up of PP intervention in existing PEPFAR platforms: Facility-based services for PLHIV; (iii) Reinforcing behavioral interventions for TasP. TA partner will support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out plan in Mozambique. Three regional seminar will be organized to disseminate the official approved PP strategy and roll-out plan, with 25 participants each.

Besides, the emphasis also will be given for the training of healthcare workers at the national level, by organizing at least two trainings of 3 days per province with 30 health providers each either men or women.

The facilitators will have training materials, job aids, posters.

After the training, it will be organized a follow-up supportive supervision by the TA partner to ensure quality of care to patients HIV infected as well as the delivery of PP full package of PP interventions..

The PP interventions is a cross cutting activity and will be integrated in all HIV services at facility level (Antenatal care, Pre-Art and Art services, Counseling and Testing, Psychosocial support services, HBC and others).

Positive Prevention (PP) intervention will target PLHIV in ART and Pre-ART at health facility level and therefore will need to train healthcare providers at health facility level to deliver the PP interventions in a systematic and harmonized way. The activity is Train more healthcare professionals to deliver PP interventions and messages. The emphasis for the training is will be given to the national level, by organizing one training of 3 days per province with 25 health providers each either men or women.

The facilitators will have training materials, job aids, posters.

After the training, it will be organized a follow-up supportive supervision by the TA partner to ensure quality of care to patients HIV infected as well as the delivery of PP full package of PP interventions.

The PP interventions is a cross cutting activity and will be integrated in all HIV services at facility level (Antenatal care, Pre-Art and Art services, Counseling and Testing, Psychosocial support services, HBC and others).

The M&A plan for PP activities is not yet in place

Official approved PP strategy and roll-out plan: Support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out Main activities are: #1: Support Ministry of Health to develop and implement a national PP strategy / guidance on positive prevention in Mozambique; #2: Train more healthcare professionals to deliver PP interventions and messages; #3: National scale up of PP interventions in existing PEPFAR platforms: Facility-based services for PLHIV and community-based services for PLHIV; and #4: Strengthen engagement of PLH in prevention programming. Coverage of activities is aligned with clinical service partners scope of work.

PEPFAR Mozambique partners are currently focused on scaling up PP in clinical service settings in a fully integrated manner and will implement the PP activities in all provinces and will target PLHIV in Pre-ART and ART. Six percent of the target population enrolled in care will be reached with minimum package of PP interventions, both for clinical and community level FY 2012. The provinces with high and medium prevalence areas will be prioritized.

The main activities are: (i)Official approved PP strategy and roll-out plan: Support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out plan in Mozambique; (ii) National scale up of PP intervention in existing PEPFAR platforms: Facility-based services for PLHIV; (iii) Reinforcing behavioral interventions for TasP. TA partner will support Ministry of Health to develop and disseminate the official approved national PP strategy and roll-out plan in Mozambique. Three regional seminar will be organized to disseminate the official approved PP strategy and roll-out plan, with 25 participants each.

Besides, the emphasis also will be given for the training of healthcare workers at the national level, by organizing at least two trainings of 3 days per province with 30 health providers each either men or women.

The facilitators will have training materials, job aids, posters.

After the training, it will be organized a follow-up supportive supervision by the TA partner to ensure quality of care to patients HIV infected as well as the delivery of PP full package of PP interventions..

The PP interventions is a cross cutting activity and will be integrated in all HIV services at facility level (Antenatal care, Pre-Art and Art services, Counseling and Testing, Psychosocial support services, HBC and others).

The M&A plan for PP activities is not yet in place.

The budget from this program area will give emphasis on Positive Prevention and Family Planning TA: training healthcare workers in PP, follow-up of training, reproduction of training materials, TA for M&E of PP. Main activities for PP/Pre-ART and ART will cover: (i)Three Regional PP TOTs for healthcare workers (clinicians, técnicos de medicina, counselors, nurses) to deliver PP interventions and messages: South, Center and Northern Provinces, including the PP/Pre-ART package; (ii) Printing training materials, job aides, posters and PP tools; (iii) Dissemination meetings of integration of Pre-ART package in PP.

Positive Prevention (PP) intervention will target PLHIV in ART and Pre-ART at health facility level and therefore will need to train healthcare providers at health facility level to deliver the PP interventions in a systematic and harmonized way. The activity is the Training of health professionals in PP, follow-up and reproduction of training material, job aides, poster, PP tools and TA. This means to recruit a dedicated person to ensure the implementation of PP intervention at provincial level, through organizing training of health providers, supervision and monitoring of PP intervention at all facility level. Ensure one training with 25 participants by province, providing training materials, job aids and posters.