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.

Western Province which is predominantly rural will by 2012 have a population of 906,379 (Central Statistical Office) and 211 health facilities. The challenging terrain, compounded by low population density, low staffing levels, and insufficient infrastructure make health service provision difficult. Provincial HIV prevalence is 15.3% (ZDHS 2007). Key HIV drivers are vertical transmission from mother to child, multiple and concurrent sexual partners, low and inconsistent condom use, low levels of male circumcision, mobility and migration.

Western Provincial Health Office (WPHO)’s overall goal is to prevent new HIV infections and improve quality of life for people living with HIV/AIDS/TB. Target populations will include those living in high HIV and TB burden areas, pregnant women, children, PLWHA, and MARP.

Using the base funds, WPHO will increase access to services by scaling up, integrating services, and supporting outreach activities. WPHO will ensure quality of services in all technical areas through capacity building, mentoring, and adherence to quality assurance.

WPHO will support HIV prevention through implementation of PMTCT, Male Circumcision, education on risk reduction focusing on key HIV drivers with linkages to quality CTC, ART, and TB services that will be supported by quality laboratory services and strategic information.

WPHO will strengthen early infant diagnosis (EID), retention of mother baby pairs, Provider Initiated Testing and Counseling using family approach, and prevention among PLWHA and collaborate with other partners for nutrition assessment, counseling and support (NACS).

WPHO will develop a monitoring and evaluation plan for tracking progress and ensure adherence to USG financial regulations.

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.