Reprogramming August08: Funding increase $40,000. Measure III will provide M&E assistance to new

partners under three public-private partnerships (PPP) that will be implemented this year. Partners include

construction companies, private foundations and mining companies. Measure will support the development

of PPP-related indicators and will provide training to PPP partners in data collection, analysis and reporting.

Measure III will work in coordination with HPI as the latter will provide leadership and technical assistance to

those same PPP partners, using HVAB and HVOP funds, to establish workplace programs to prevent

HIV/AIDS.

This is the continuation of Measure/Evaluation II activities from FY2006 and FY2007. It has three

components: 1) Completion of the INCAM mortality survey; 2) Technical assistance to the Ministry of

Women and Social Action; 3) Technical assistance to the National AIDS Council (CNCS). This activity is

entered here as a new activity because it will be implemented through the follow-on Measure III project.

1) INCAM ($125,000): The INCAM mortality survey is currently being carried out in the field (September,

2007). FY08 funding will be used to expand the scope of the data demand and activities planned for using

the information gathered. No target population was selected because this is a survey and data analysis

activity. The program narrative from activity 9121.07 is copied below in order to provide the background to

this "new" continuing activity.

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 Institute 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.

2) Technical Assistance to the MMAS ($200,000): This activity, partially funded under HKID (15805.08) in

COP08, allows USG to continue strengthening the monitoring and evaluation capability of the Ministry of

Women and Social Action (MMAS) whose mandate includes the care of orphans and vulnerable children

and people living with HIV and AIDS.

This TA and associated training will reinforce the ability of central, provincial and district level MMAS

systems and staff in 11 provinces to plan, coordinate, and monitor implementation, and oversee basic

quality control of services through standardized data collection tools , reporting cycles, and data analysis.

Systems developed will track USG-funded home-based palliative care and OVC activities as well as those

funded from other sources. The systems will be coordinated with those of the Ministry of Health and the

National AIDS Council, also supported with PEPFAR funds.

A fulltime, locally hired Resident Advisor has been placed in the Ministry of Women and Social Action to

ensure that the implementation of the MMAS M&E plan takes place nationwide. The Resident Advisor has

completed an assessment of MMAS strengths and weaknesses and is ready to move forward with

implementing recommendations to improve M&E systems.

MMAS is also charged with developing and implementing programs related to social policies and programs

for women. Strengthened M&E systems will contribute to improved reporting and use of information from

key HIV/AIDS programs which MMAS manages, including home-based care and OVCs. Components of this

activity are: 1) Working with MMAS at the provincial level to monitor and adapt the M&E Plan to meet its

needs and limitations; 2) M&E trainings and technical assistance at the provincial level; and 3) Guidance at

the provincial level in the implementation of the M&E plan, which includes setting up data collection

systems, such as tools and data quality control. OVC targets are not applicable to this activity because it is

technical assistance for M&E systems.

3) Technical Assistance to the CNCS ($200,000): Measure/Evaluation II has provided technical assistance

to the CNCS in response to specific requests. For the most part, this technical assistance has been

provided by US based staff. The current Measure/Evaluation II partner with FY06 funding continues to work

with the CNCS to define their needs and to provide the requested assistance. A Memorandum of

Understanding is being developed.

Funding was not included in FY07 for the technical assistance activities to MMAS and the CNCS because

there was a pipeline and because the needs for funding the INCAM were so great. However, in FY08 we

Activity Narrative: would like to assure continuity of technical assistance support to the MMAS and CNCS by providing funding

through the TBD Measure/Evaluation III.

The 4 organizations to be provided with technical assistance in M&E are the MOH, INE, MMAS and CNCS.

40 individuals trained represents 10 per organization.