Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 13692
Country/Region: Zimbabwe
Year: 2013
Main Partner: Organisation for Public Health Interventions and Development
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $5,800,000

This service provision mechanism will be focused on the direct implementation of activities in supported health facilities (in-service training, support and supervision etc) and is a follow-on to an expiring mechanism. The PMTCT program is a key component of Zimbabwes HIV/AIDS prevention strategy. Zimbabwes PMTCT program has made significant strides in increasing coverage and quality. The program recently adopted a pediatric HIV elimination agenda in which they aim to reduce HIV transmission to babies from the current estimated rate of 10 - 12% to less than 5% nationwide. The program is thus at a critical turning point in its commitment to rapid expansion toward full national coverage. It remains essential for the USG to continue to support PMTCT and for this support to be harmonized with MOHCW goals and priorities. The follow-on program will build on the strong links already established in order for the pediatric HIV elimination agenda to come to fruition. The overall activities and targets of these mechanisms have also been articulated in the FY 2012 PMTCT Acceleration Plan. Based on the current national PMTCT program status, four key areas of support have been proposed for the new five year cooperative agreement and for the USG 2012/2013 PMTCT funding cycle: Comprehensive PMTCT services, Pediatric support, care and treatment, Community support strengthening, Monitoring, evaluation and implementation research. VEHICLES - Planned vehicle purchases are unknown at this time.

Funding for Care: Pediatric Care and Support (PDCS): $580,000

In FY 12 the new mechanism will be expected to continue to support the early identification of HIV exposed and infected children and getting them into care.

Major activities will include

- Strenghtening early diagnosis (through EID/PITC) and enrollment into care and treatment.

- Strengthen provision of prophylaxis/follow up.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $3,799,000

In FY12 the USG, through the new mechanism, will continue to expand geographic coverage and to support the provision of quality comprehensive PMTCT services in the new sites. Please reference the FY2012 Zimbabwe PMTCT Acceleration Plan for more details.

Major areas of support will include:

- Support to the MOHCW for the implementation of the 2010 guidelines in all USG supported facilities

- Strengthen the integration of PMTCT with ART, MNCH, RH and other family health delivery systems

- Strengthen monitoring and evaluation/data quality assessments at site level

- PMTCT demand creation activities

Funding for Treatment: Adult Treatment (HTXS): $521,000

The new mechanism will be expected to continue to prioritze the treatment of HIV positive pregnant women who require ARVs for their own health.

Major areas of support will include

- Increasing availability of MCH/PMTCT/ART integrated sites

- Strengthening referrals between PMTCT/MCH and ART

- Increasing access to CD4 testing for HIV positive pregnant women

Funding for Treatment: Pediatric Treatment (PDTX): $900,000

The new mechanism will continue to support and strenghten pediatric ART care and treatment. Major area of support will include

- Support for the implementation of the pediatric HIV/AIDS care and treatment strategy nationwide.

Subpartners Total: $0
To Be Determined: NA
Cross Cutting Budget Categories and Known Amounts Total: $2,450,000
Food and Nutrition: Policy, Tools, and Service Delivery $250,000
Human Resources for Health $2,200,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection
Child Survival Activities
Safe Motherhood
Workplace Programs
Family Planning