Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 16625
Country/Region: Malawi
Year: 2014
Main Partner: U.S. Department of State
Main Partner Program: Regional Procurement Support Office - Frankfurt
Organizational Type: Other USG Agency
Funding Agency: enumerations.State/African Affairs
Total Funding: $1,805,000 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.

Integration of services is at the core of health service delivery in Malawi. However Malawi health facilities lack the necessary infrastructure to accommodate expansion of service delivery. ART facilities, obstetrics skills laboratories, pharmacies & ART drug stores were carefully selected as construction projects to support current needs. ART facilities & drug stores will be built at high volume sites serving 4000 or more patients. Obstetric skills laboratories will be built to support pre-service trainings of nurses & clinicians in a site implementing a package of emergency obstetric training & continuum of care for HIV positive women in line with Option B+ & PMTCT prong 3 and 4 to prevent HIV transmission from mother to fetus/neonate through safe obstetric practices and provide appropriate treatment, care & support to HIV positive women. Bwaila Hospital is the highest volume maternity unit in Malawi with over 14,000 deliveries/year. It also serves as a referral center for Lilongwe district urban health centers. There is need for adequate infrastructure to provide routine clinical services in line with the national HIV treatment guidelines which include the provision of provider initiated HIV testing & counselling, routine TB screening, management of opportunistic infections & a continuum of ART/TB treatment during incarceration. St Annies was closed. It’ now seeking accreditation from nurses council to restart. It requires extensive renovations to turn old hospital into hostels/classrooms/offices. Renovations will increase intake to the proposed 500 CMTS & new cohort NMTs. At Holy Family, conversion of one hostel into Male Hostel will increase intake of male students population from 40 to 150 and building 2 classrooms will increase intake from 108 to target of 200.

Mechanism Allocation by Budget Code for Selected Year
Health Systems Strengthening (OHSS) $1,805,000
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.

This mechanism has no published performance targets or indicators.

Cross Cutting Budget Categories and Known Amounts Total: $1,805,000
Construction $1,555,000
Renovation $250,000
Key Issues Identified in Mechanism
Child Survival Activities
Safe Motherhood
Tuberculosis