Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 10810
Country/Region: Mozambique
Year: 2009
Main Partner: QED Group, LLC
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $424,844

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $300,000

This is a continuing activity under COP09.

ACTIVITY UNCHANGED FROM FY2008

The community health worker program in Mozambique, known as the Agente Polivalente Extraordianaria

(APE), is being re-vitalized. The Minister of Health and the Prime Minister of Mozambique have both been

quoted on record regarding the intense need for community involvement and community solutions to

community issues. With only 30-32% of Mozambicans living in urban areas, the real opportunity is

providing community-based prevention and basic care to more rural populations (approximately seven

million people).

The APE program began years ago with a scope of work and modus operandi, which seemed to be

doomed from the start. The community was to pay the APE through the setting of a fee schedule as well as

enjoying a small profit off the medicines in the kit provided by the Ministry of Health. However, in actuality,

the APE's were rarely paid for their work and this resulted in a distortion of their use of the medications in

their kits. The APE's are still active in a few areas of Mozambique, normally supported by NGO partners

working in the community. The Government of Mozambique's new commitment to this program is

particularly extraordinary given the Minister of Health's felt aversion to clinical work being undertaken at the

community level.

The APE program, is in the initial stages of review, and is being implemented in the three northern

provinces of Mozambique (Niassa, Cabo Delgado, and Nampula) through the World Bank. The first activity

will be to review the existing interventions utilizing APE's and to document current practice in country across

donors and implementing partners. More thought will need to be invested into the revision of the

curriculum and the operational details, which will ultimately heavily influence its success. USAID, directly

and through her partners, seeks to provide technical assistance to the Department of Community Health, to

ensure a proper curriculum and thoughtful roll-out of the operational plan. In its entirety, it is estimated that

Mozambique will train approximately 5,000-6,000 community health workers.

This re-programming is timely and important to be responsive to the Ministry of Health's request. It is also

an opportunity for South-to-South collaboration with Brazil. Brazil enjoys a fertile, productive, and efficient

community health worker program. The funds attributed to GH-Tech will be utilized to hire Brazilian

consultants to work with their Mozambican counterparts. Given Brazil's vast experience in this area and

their Lusophone capability, it is thought that this type of cooperation is ideal.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21244

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

21244 21244.08 U.S. Agency for QED Group, LLC 7238 7238.08 Global Health $193,327

International Technical

Development Assistance

Project (GH

Tech)

Table 3.3.01:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $124,844

ACTIVITY UNCHANGED FROM FY2008

This is a continuing activity under COP09.

August 08 Reprogramming: Funding increase $130K.

April08 Reporgramming Change: Reduced $60,000.

This is a new activity under COP08.

This funding will allow the GH Tech Project of The QED Group to provide technical assistance and general

support to the Mission. Tasks may include assessments, evaluations, program design, technical reviews,

workshop support, and short/medium term staff assistance. AB specific technical assistance needs may

include providing SOTA updates in behavior change, epidemiology, and regional issues and initiatives to

USG and implementing partners.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15895

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15895 15895.08 U.S. Agency for QED Group, LLC 7238 7238.08 Global Health $236,458

International Technical

Development Assistance

Project (GH

Tech)

Table 3.3.02:

Funding for Treatment: Adult Treatment (HTXS): $0

This is a new activity under COP08.

This funding will allow the GH Tech Project of The QED Group to provide technical assistance and general

support to the Mission. Tasks may include assessments, evaluations, program design, technical reviews,

workshop support, and short/medium term staff assistance. Adult and pediatric treatment specific technical

assistance needs could include an overall program assessment across USG partners, pertinent quality

improvement approaches to a comprehensive program, exploring strategic wrap arounds that more fully

respond to the needs of patients on treatment, and standardizing a comprehensive treatment model, which

ensures a continuum of care that is consistent with international and national standards . Particularly

pertinent to pediatric treatment is the need for specific technical assistance on how to better recognize and

respond to loss to follow up and assisting partners in putting systems in place that address this critical

issue.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15998

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15998 15998.08 U.S. Agency for QED Group, LLC 7238 7238.08 Global Health $75,000

International Technical

Development Assistance

Project (GH

Tech)

Table 3.3.09: