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.

Bugando Medical Centre (BMC) is a faith based organization working with facilities on maternal and neonatal mortality reduction and scale up of HIV care and treatment services, PMTCT, HTC, and VMMC provision. Programs are linked by referrals, integration, and coordination to ensure synergy and efficient utilization of resources. The catchment regions are Mwanza, Shinyanga, Tabora, Kigoma, Kagera and Mara, reaching a population of 16 million. This is a high HIV burden area, with an aggregate prevalence of about 5%. The specific programmatic areas in which BMC will work are: strengthening quality of HIV care and treatment and PMTCT program services; increasing access to HIV testing in facilities for key populations; building capacity to provide VMMC services to men aged 10-29; and implementing a maternal mortality reduction program in 35 hospitals within the target regions. The goals are linked to NMSF, PF and GHI, and will help to achieve the framework targets. BMC’s activities will be implemented in a network model, linking district and regional stakeholders, to capitalize on synergy, foster cooperation, and leverage resources from other partners. By strengthening district health systems, promoting program ownership, and engaging in planning and budgeting for project activities, districts will be able to take over these programs. BMC will strengthen its M&E unit focusing on human capacity development to ensure data quality, analysis and evaluation. This will be achieved through on-site TA in the form of training and supportive supervision.

BMC’s FY 2013 EA DSP UEs were reviewed and found to be comparable to similar partners; expenditures reported were in line with programmatic priorities and approved budgets.

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.