Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13598
Country/Region: Rwanda
Year: 2014
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USDOD
Total Funding: $550,000 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The overall goal is to strengthen the HIV/AIDS prevention capability within the Rwanda Defense Forces (RDF) through safe VMMC services. In order to align with GoR priorities to strengthen human resources for health, JHPIEGO helps to transfer VMMC skills and knowledge to the RDF. To mitigate the issues of staff turnover as well as promoting ownership and sustainability, JHPIEGO will work with the RDF to ensure staff retention and replacement planning through a variety of approaches like on-site training, mentorship, and supervision. Task-shifting/sharing will be encouraged as per national standards and international guidance.

The goal is to improve VMMC service provision and increase uptake at 2 military hospitals and 11 brigade clinics through the following: implement quality improvement and control measures and strengthen VMMC service delivery at all RDF facilities; increase the capacity of 100 RDF health providers to deliver safe VMMC services, including the use of new devices such as PrePex; improve HTC within the VMMC package and strengthen referral linkages to other HIV/AIDS and reproductive health services; generate demand for VMMC by reinforcing prevention messaging through counseling and dissemination of IEC materials; align M&E system and health management information for VMMC with the national M&E platform and HMIS; provide routine and outreach VMMC services to males; and ensure project sustainability through capacity building of the DMS and the training of Master Trainers. JHPIEGO will complement other USG IMs that work on VMMC. To promote VMMC, JHPIEGO will use cost effective models to optimize volume and efficiency at public health facilities and mobile VMMC clinics.

Mechanism Allocation by Budget Code for Selected Year
Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC) $550,000
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
VMMC_AE_DSD Number of males circumcised surgically or by medical device that experienced at least one moderate or severe adverse event(s) (AEs) 2015 250
VMMC_CIRC_DSD Number of males circumcised as part of the voluntary medical male circumcision (VMMC) for HIV prevention program within the reporting period 2015 25,000
Cross Cutting Budget Categories and Known Amounts Total: $20,000
Gender: Gender Equality $20,000
Equity in HIV prevention, care, treatment and support
Implementation
Capacity building
Monitoring and Evaluation
Changing harmful gender norms and promoting positive gender norms
Collection and Use of Gender-related Strategic Information
Key Issues Identified in Mechanism
Military Populations
Mobile Populations
Family Planning