Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5049
Country/Region: Mozambique
Year: 2007
Main Partner: University of North Carolina
Main Partner Program: Carolina Population Center
Organizational Type: University
Funding Agency: USAID
Total Funding: $1,200,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

The original partner identified for this activity cannot receive FY07 funds due to having reached its funding ceiling. A temporary narrative has been added. Please see the new reprogramming sheet for the AB TBD (UNC) Activity.

This activity is related to USAID_HVSI_UNC MEASURE_Activity # 9121. In July 2006, MEASURE Evaluation carried out a process evaluation of Track One ABY partners in Inhambane province. This evaluation has provided useful information on promising practices which can be used to improve the effectiveness of these programs. The USG Mozambique PEPFAR team would like for MEASURE Evaluation to to conduct a similar process evaluation to look at locally funded ABY partners and activities. This study would include USAID bilateral AB partners, the US Embassy Quick Impact projects, PAO and Peace Corps ABY activities in the schools and communities. The objectives of this evaluation include:

1. identify promising practices in the Mozambican context 2. provide feedback on programs which program managers in the respective agencies can use to modify workplans and activities 3. assess gender strengths and gaps in partner programs and ABY activities

MEASURE/Evaluation will need to work with the Interagency Working Group to identify funded programs and activities to include in the sample, and jointly develop a schedule for visits. In the best of all worlds, the timing for the study would coincide with one of the PAO-Peace Corps Boys and Girls Conferences or other promising practice activities on the ground.

Funding for Strategic Information (HVSI): $1,200,000

This activity is linked to HVSI 9123.

The purpose of this activity is to strengthen Mozambique's national capacity to generate and use reliable mortality statistics, with a focus on HIV/AIDS, using validated verbal autopsy procedures.

Through the provision of technical and field support by MEASURE and Bureau of Census, Mozambique will conduct a mortality survey (called INCAM) in follow-up to the 2007 census. INCAM will determine the levels of HIV mortality over the previous twelve months as initially reported during the census. A total population of approximately 844,000 residents in all 11 provinces will be covered by the INCAM survey. This survey, which will be implemented by the National Institue of Statistics (INE) with assistance from the Ministry of Health (MoH) and the Manhiça DSS site, can also strengthen the country's overall health information system by providing estimates of several additional mortality indicators (e.g. malaria mortality, TB mortality, infant and child mortality, and maternal mortality). A pilot census and mortality survey, also funded via MEASURE and the Bureau of Census, through the FY06 COP, is being conducted in October-November 2006 to ensure logistic and economic feasibility.

To implement INCAM, MEASURE will support all aspects of the survey including trainings, field work, and data collection, analysis, use and dissemination using the FY07 funds proposed here. One of the key MEASURE activities of the INCAM is capacity building in mortality surveillance using validated verbal autopsy methodology and cause of death certification/ ICD-10 coding using the WHO guidelines. MEASURE has developed and translated materials and will train approximately 230 individuals nationwide as verbal autopsy interviewers. MEASURE will also train an additional 55 individuals as verbal autopsy fieldwork supervisors and will participate in the supervision support of the interviewers. A total of 15 MoH doctors will also be trained in death certification and ICD-10 coding through technical assistance provided by MEASURE.

An additional component of the INCAM will be a focus on data demand and information utilization. MEASURE, in addition to Bureau of Census, is assisting INE to develop indicator packages and data use calendars for national and sub-national use. These tools are based on the requirements of local, regional, and national government, as well as the needs of development partners. Upon completion of the INCAM, this activity will support INE and other stakeholders in staging workshops designed to help stakeholders understand and use the HIV/AIDS (and other cause-specific) mortality information, and communicate their findings to policymakers.