Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013

Details for Mechanism ID: 14736
Country/Region: Mozambique
Year: 2013
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $69,832

In 2003, US President George W. Bush announced the President's Emergency Plan for AIDS Relief (PEPFAR). Mozambique was designated a focus country of the initiative and CDC GAP Mozambique became a part of this unified US Government effort to turn the tide against the epidemic. The CDC Global AIDS Program (GAP) Mozambique office opened in August 2000. Since then, CDC has been supporting the Mozambique Ministry of Health by pursuing a balance between addressing the immediate needs and building long-term capacity to mitigate the impact of the HIV/AIDS epidemic. This approach is being implemented in all 11 provinces. One of the Ministry of Healths priorities for 2012 is laboratory quality improvement through the implementation of Laboratory Quality Management Systems (QMS). With CDC Mozambique support, the Ministry of Health has adopted the WHO-AFRO Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) using SLMTA as a training and implementation tool.

Funding for Care: TB/HIV (HVTB): $0

With PEPFAR funds, in 2012, CDC will continue to provide Technical Assistance to the National TB Program (NTP) for both adult and children, which will include direct support from CDC country office and from Atlanta. Also short term consultants will be contracted to assist in the development/updating of national guidelines and recording and reporting tools, development of protocols and training of health workers

Part of the funds will be used for TA to the NTP in the development and implementation of MDR-TB data base and for the implementation of a national basic program evaluation of the National One Stop Model of care for TB patients co-infected with HIV.

Funding for Laboratory Infrastructure (HLAB): $39,832

Laboratory services are an integral component to support optimal care and treatment to HIV-infected patients. CDC-GAP Mozambique has been working together with laboratory and treatment partners to support the Ministry of Healths overall efforts to strengthen laboratory capacity in Mozambique. One of the Ministry of Healths priorities for 2012 is laboratory quality improvement through the implementation of Laboratory Quality Management Systems (QMS). With CDC Mozambique support, the Ministry of Health has adopted the WHO-AFRO Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) using SLMTA as a training and implementation tool. TA is received from CDC Atlanta for the successful implementation of this program.

In FY12, CDC post funds will support travel costs for TA visits from CDC Atlanta for the continued roll out and improvement of the SLMTA program to ensure sustainability in the long run. TA will include audit training and support for the local assessors, building and maintaining a local mentorship program and customizing the SLMTA program to support the implementation of National Standards for lower level laboratories.

In addition, funding will support translation and production of relevant training materials and manuals for distribution within the network.

Funding for Health Systems Strengthening (OHSS): $30,000

Funds will be used to support the travel and logistics for CDC subject matter experts in Atlanta to visit Mozambique and work with FELTP, development training modules, teach short courses, and provide technical support for strengthening FELTP in Mozambique.

Funding for Treatment: Adult Treatment (HTXS): $0

The CDC will conduct an evaluation of the national implementation of the Community Adherence and Support Group (CASG) strategy that is currently being rolled out in Mozambique. This strategy is designed to improve new enrolments, improve retention, decrease mortality and decrease the work overload currently crushing health facilities all over Mozambique.

Additionally, the CDC will conduct an evaluation of the implementation of a mobile unit strategy in Zambezia, Sofala and Gaza. This strategy is intended to contribute significantly to ART scale-up in these provinces as well as increase access to core public health services such as immunizations, family planning and antenatal care.