In FY12, CLINIQUAL will provide TA and capacity building to GOM to implement an HIV QA/QI program. Activities align with the partnership framework goal of strengthening the Mozambican health system. The approach involves MOH staff from all levels of the system according to their specific responsibilities in the process of improvement.

Currently,140 health facilities across Mozambiques 11 provinces are implementing the CLINIQUAL program. Building on past success with adult care and treatment, there has been an expansion to PMTCT and pediatric services.

Key activities for FY12 are:

1) Training of 300 health care workers in 11 provinces, in data collection methodology to implement the CLINIQUAL program

2) Conduct fifth round of data collection for adults and third round of data collection for pediatric care and treatment services

3) Supervision visits to the health facilities implementing CLINIQUAL

4) Training 88 health care workers in 11 provinces, in data collection methodology to implement the PMTCT-related CLINIQUAL program

5) Conduct the second round of data collection for PMTCT and design QI projects based on findings;

6) Supervision visits to the QI/QA activities for PMTCT services at HF in 11 provinces

7) Share best practice

CLINIQUAL has a M&E system in place. They record all collected data and report results regularly to CDC

Expenditure analysis for CLINIQUAL was not done, but expenditures were considered and greater efficiencies were requested from the partner.

Partner Pipeline analysis showed this IM does not have a significant pipeline. Therefore we are requesting the full FY 2012 allocations to implement activities.

CLINIQUAL does not plan to purchase new vehicles in FY12

In FY 2012, the USG will continue to support the delivery of a robust adult care and treatment QA/QI program in Mozambique. The main objective is to improve the quality of HIV care and treatment services for HIV positive persons using evidence base data for programming and planning.

To attain this, USG will focus on building local capacity to support clinical data collection and analysis at the clinical level through:

1. Development of a harmonized National QI strategy to be implemented across the various implementing partners.

2. Integrate the CLINIQUAL software with QI indicators into the PTS (database) of the clinical partners;

3. Scale up the implementation of CLINIQUAL to PMTCT indicators at HF level;

4. Expand CLINIQUAL to counseling and testing and chronic diseases beyond HIV;

5. Increase frequency in which data collection is analyzed

6. Continue to provide technical assistance in the implementation of Quality Improvement activities, including coaching and mentoring.

7. Perform regional meetings for sharing the best practices on quality projects among the participating sites.

8. Update the software with QI harmonized indicators when they became approved by the MOH.

The following key activities will be conducted during the project period in FY12:

1) Training of 300 health care workers (medical doctors, medical technicians, data managers, etc) of 11 provinces, in data collection methodology to implement the CLINIQUAL program;

2) Perform the V round of data collection for adults and the III round of data collection for pediatric care and treatment services;

3) Supervision visits to the QI/QA activities CLINIQUAL adults and pediatric services at HF in 11 provinces

4) Training of at least 88 health care workers (medical doctors, medical technicians, MCH nurses, data managers, etc) of 11 provinces, in data collection methodology to implement the PMTCT related CLINIQUAL program ;

5) Perform the II round of data collection for PMTCT care and treatment services, and design the QI projects based on the PMTCT data collection findings;

6) Supervision visits to the QI/QA activities for PMTCT services at HF in 11 provinces

7) Perform Zambezia activities:

a. Regional meeting of Zambezia, Nampula, Cabo Delgado and Niassa provinces to share best practices

b. Supervision to 16 districts in Zambezia province, twice a year

8) Dissemination of the National QI strategy to be implemented across the various implementing partners.