The purpose of this program is to set the terms of reference requesting World Food Programme (WFP) to procure and distribute the supplementary food Corn-Soy Blended (CSB+) in selected health facilities sites in 5 provinces in Mozambique. This request is being made so that direct program support might be provided to the Nutrition Rehabilitation Program established by the Government of Mozambique. Within these terms of reference, WFP will be responsible for the process of planning, implementing, and controlling the efficient, effective flow and storage of CSB+ from point of purchase up to health facility. The procurement and distribution of supplementary food will support the treatment of MAM for children and adult clients in pre-ART (treatment for opportunistic infections and co-infections), ART and PMTCT programs, in accordance with WHO and the National Nutrition Rehabilitation Program. This product will be available in selected health facilities in five provinces in Mozambique Sofala, Manica, Zambezia, Nampula and Niassa.

The supplementary food for the nutritional rehabilitation will be provided in a monthly food supplement of 10 kg of CSB per beneficiary. For adults and children with MAM, the supplementary food will be provided for approximately 4 months after theyve achieved acceptable anthropometric status; and for pregnant and lactating women, the provision will occur until the infant reach 6 months of age. Based on the results of the commodity appraisal review, this food ration may need to be adjusted depending on cost efficiency, local availability and production and the feasibility of sustainable integration into health systems and services.

WFP new agreement is planned to start in March 2013. There is a total amount of $800,000 HKID funds composed by funds from FY10 and 11. For COP 13 HKID will add a total of $258,298 to complement the support on the treatment of moderate acute malnutrition in areas to be identified among the technical working group. WFP will provide food support in conjunction with HIV treatment and care services in order to strengthen the effectiveness and participation in these services and to improve clinical outcomes among OVC. Eligibility for supplementary food is based on nutrition status or nutritional vulnerability.

In collaboration with clinical partners, all beneficiaries will be linked to community-based peer support programs promoting adherence. Women will receive nutritional counseling and support (including education on preparing nutrient rich foods with locally available products, exclusive breastfeeding) at the facility level. The nutrition education and counseling messages received at the facility will be reinforced through community-based activities.

WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage to the point of distribution to beneficiaries.

WFP new agreement is planned to start in March 2013. There is a total amount of $3,500,000 PMTCT funds composed by funds from FY10 and 11. These total amounts will enable implementation of food and nutrition activities during fiscal year 12 and 13.

For COP13 MTCT will add a total of $ 221,398 to complement the support on the treatment of moderate acute malnutrition in areas to be identified among the technical working group. WFP will provide food support in conjunction with HIV treatment and care services in order to strengthen the effectiveness and participation in these services and to improve clinical outcomes among HIV+ pregnant women and newborns. Eligibility for supplementary food is based on nutrition status or nutritional vulnerability. Every month clients will receive 10 Kg of Fortified Blended Flour (FBF). The patient will be re-evaluated every three months to either exit (graduate) or continue on food support until up to six months after giving birth.

In collaboration with clinical partners, all beneficiaries will be linked to community-based peer support programs promoting adherence. Women will receive nutritional counseling and support (including education on preparing nutrient rich foods with locally available products, exclusive breastfeeding) at the facility level. The nutrition education and counseling messages received at the facility will be reinforced through community-based activities.

WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage to the point of distribution to beneficiaries.

For COP 13 PDTX will add a total of $258,298 to complement the support on the treatment of moderate acute malnutrition in areas to be identified among the technical working group. WFP will provide food support in conjunction with HIV treatment and care services in order to strengthen the effectiveness and participation in these services and to improve clinical outcomes among children under five with special attention for children under two years old. Eligibility for supplementary food is based on nutrition status or nutritional vulnerability.

In collaboration with clinical partners, all beneficiaries will be linked to community-based peer support programs promoting adherence. Women will receive nutritional counseling and support (including education on preparing nutrient rich foods with locally available products, exclusive breastfeeding) at the facility level. The nutrition education and counseling messages received at the facility will be reinforced through community-based activities.

WFP will train and monitor USG partners in storage, packaging and handling of products to ensure product quality and safety from the time of storage to the point of distribution to beneficiaries.