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 JHPIEGO MMC program's goal is to build the sustainable capacity of DOH to deliver comprehensive MMC services with provision of high quality, high-volume, integrated adult MMC services; collaboration with circumcising communities and leaders to offer MMC as a component of traditional initiation rites; work in partnership with local workplaces and unions to generate demand for MMC services; and collaboration with other HIV partners in the district to ensure the continuum of care, and the promotion and referral of clients to MMC. JHPIEGO will enter year 3 of an intensive MMC program in 23 sites, in 4 districts, and with roving services to outreach sites. This program directly supports the prevention goal of PEPFAR, including addressing female vulnerability to HIV and other STI infections. It is also supportive of the NSP goal to reduce new HIV infections by 50%. Providers of HCT and other health services will be oriented to MMC and provided with tools to refer HIV-negative men for MMC. This, and regular follow ups from JHPIEGO, will strengthen bi-directional referrals and linkages between MMC and other services. Mentoring, knowledge development, and transfer to healthcare workers from feeder clinics will increase cost efficiencies by reducing JHPIEGO’s follow up burden. Bulk procurement of MMC consumables will ultimately reduce costs as well. The project will build sustainable local capacity, with a cadre of trained professionals and equipped facilities for transition to SAG management at the end of project period. JHPIEGO will work with SAG and other partners to implement a quality assurance program per national guidelines. JHPIEGO plans to purchase one mobile clinic vehicle with COP 2014 funds.

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.