Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 9305
Country/Region: Mozambique
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $0

ACTIVITY UNCHANGED FROM FY2008

This is a continuing activity under COP 09

The activities to be supported under the integrated RFA are expected to operate within the context of and

be coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI,

as well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and

health activities. The proposed activities should also fit within the context of the Government of

Mozambique's (GRM) policies, strategies and programs in health and agriculture, its Action Plan for the

Reduction of Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and

Nutrition Security Strategy.

Strategic linkages to other U.S. Government (USG) programs should be used wherever feasible to help

leverage programmatic results. The holistic approach encouraged in the RFA is also meant to improve

communication among key partners, empower our provincial and district-level government counterparts,

and provide more cost-effective approaches to achieving development results. Activities under the RFA

are expected to increase synergy across USAID/Mozambique's programs to amplify their collective impact

at provincial, district, and community levels. Opportunities to integrate at the community level are

particularly important. Activities are meant to complement current and future activities of Food for Peace

Title II Multi-Year Assistance Programs (MYAPs).

The Minister of Health has recently indicated that his staff, at all levels, are in need of management training.

While Forte Saude, a USAID health partner, has been working on this at central level, the RFA provides a

key opportunity to de-centralize management capacity building across Ministry of Health technical staff in

both Zambezia and Nampula. PMTCT interventions, as they are integrated within primary health care

services, are a key area of importance. Supervisory nurses working in the health care system as well as

the supervisors of health care facilities are the target population. Both of the target groups mentioned

above are of key importance given the somewhat overwhelming scope of work that nurses endure in

Mozambique; by also targeting directors of health care facilities, it is hoped that nurses, and their

supervisors, will be better able to undertake the clinical aspects of their position whilst streamlining the

management system and structure in which they operate in. It should be noted that district level health

directorates will also be targeted with management training, especially in regards to quality improvement

and quality management techniques that lead to better logistics and improved communication with both

provincial and central level directors within the Ministry of Health.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21418

Continued Associated Activity Information

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

System ID System ID

21418 21418.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV

International

Development

Table 3.3.01:

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

This is a continuing activity under COP09.

ACTIVITY UNCHANGED FROM FY2008

Reprogramming August08: This is a new activity.

These funds will provide "B" focused mass media, behavior change communication, IEC and interpersonal

communication activities for health and HIV behavior communication and social change to the USAID

integrated RFA. These funds are earmarked for MARPs and populations living in transport corridors and

other identified 'hot spots'. The new USAID integrated RFA will combine activities from health, HIV,

agriculture, Food for Peace and rural income growth. Award is expected in early calendar year 2009.

The activities to be supported under the integrated RFA are expected to operate within the context of and

be coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI,

as well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and

health activities. The proposed activities should also fit within the context of the Government of

Mozambique's (GRM) policies, strategies and programs in health and agriculture, its Action Plan for the

Reduction of Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and

Nutrition Security Strategy.

Strategic linkages to other U.S. Government (USG) programs should be used wherever feasible to help

leverage programmatic results. The holistic approach encouraged in the RFA is also meant to improve

communication among key partners, empower our provincial and district-level government counterparts,

and provide more cost-effective approaches to achieving development results. Activities under the RFA

are expected to increase synergy across USAID/Mozambique's programs to amplify their collective impact

at provincial, district, and community levels. Opportunities to integrate at the community level are

particularly important. Activities are meant to complement current and future activities of Food for Peace

Title II Multi-Year Assistance Programs (MYAPs).

New/Continuing Activity: Continuing Activity

Continuing Activity: 21416

Continued Associated Activity Information

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

System ID System ID

21416 21416.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV

International

Development

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

This is a continuing activity under COP09.

These funds will provide C&OP focused mass media, BCC, IEC and interpersonal communication activities

for health and HIV behavior communication and social change to the USAID integrated RFA. These funds

are earmarked for MARPs and populations living in transport corridors and other identified 'hot spots'. The

new USAID integrated RFA will combine activities from health, HIV, agriculture, Food for Peace and rural

income growth. Award is expected in early calendar year 2009.

The activities to be supported under the integrated RFA are expected to operate within the context of and

be coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI,

as well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and

health activities. The proposed activities should also fit within the context of the Government of

Mozambique's (GRM) policies, strategies and programs in health and agriculture, its Action Plan for the

Reduction of Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and

Nutrition Security Strategy.

Strategic linkages to other U.S. Government (USG) programs should be used wherever feasible to help

leverage programmatic results. The holistic approach encouraged in the RFA is also meant to improve

communication among key partners, empower our provincial and district-level government counterparts,

and provide more cost-effective approaches to achieving development results. Activities under the RFA

are expected to increase synergy across USAID/Mozambique's programs to amplify their collective impact

at provincial, district, and community levels. Opportunities to integrate at the community level are

particularly important. Activities are meant to complement current and future activities of Food for Peace

Title II Multi-Year Assistance Programs (MYAPs).

New/Continuing Activity: Continuing Activity

Continuing Activity: 21419

Continued Associated Activity Information

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

System ID System ID

21419 21419.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV

International

Development

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $0

This is a continuing activity under COP09.

THIS NARRATIVE REPLACES AUGUST 2008 REPROGRAMMING NARRATIVE

The U.S. Agency for International Development Mission to Mozambique (USAID/Mozambique) is issuing

this Request for Application (RFA) for two results-oriented projects that are expected to integrate health,

HIV/AIDS, water/sanitation, and rural enterprise program components to contribute to an overall objective of

strengthening communities in two provinces of Mozambique: Nampula and Zambézia. USAID/Mozambique

plans to award one cooperative agreement for each province by January 2009.

Adult Care and Support activities under this RFA will support community-based clinical, psychological,

spiritual, and social care for PLWHA. Activities will also support prevention services (such as positive

prevention, referral to counseling and testing, partner testing) for PLWHA.

Activities under this RFA will increase synergy across USAID/Mozambique's programs to amplify their

collective impact at provincial, district, and community levels. Opportunities to integrate at the community

level are particularly important. Activities are meant to complement current and future activities of Food for

Peace Title II Multi-Year Assistance Programs (MYAPs). No direct clinical services will be provided under

this RFA, including HIV/AIDS treatment services. Applicants will research current programs, present

methodologies for working together with existing programs, and will ensure that approaches are

complementary to, and not duplicative of, these programs. Strategic linkages to other U.S. Government

(USG) programs should be used wherever feasible to help leverage programmatic results. The holistic

approach encouraged in this RFA is also meant to improve communication among key partners, empower

our provincial and district-level government counterparts, and provide more cost-effective approaches to

achieving development results.

In order to cover the broad range of services that are to be integrated into each geographic area and

because of the range and depth of expertise that will be required to successfully implement the activities

identified under this RFA, all applicants are strongly encouraged to be a consortium. Primes are

encouraged to include the services of smaller, technically specialized organizations wherever possible.

This RFA describes USAID-funded activities within the country, which make up only part of the entire USG

response. Centers for Disease Control and Prevention (CDC), Department of Defense (DOD), Department

of State and Peace Corps also have on-going projects in support of the U.S. President's Emergency Plan

for AIDS Relief (PEPFAR) and the President's Malaria Initiative (PMI) in Mozambique. As

USAID/Mozambique strives to reach as many Mozambicans as possible in these provinces without

duplicating services of other actors, successful applicants to this RFA are required to collaborate with and

complement these USG projects.

The activities to be supported under this RFA are expected to operate within the context of and be

coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI, as

well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and health

activities. The proposed activities should also fit within the context of the Government of Mozambique's

(GRM) policies, strategies and programs in health and agriculture, its Action Plan for the Reduction of

Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and Nutrition

Security Strategy.

This activity will contribute substantively to USG and GRM goals in health, HIV/AIDS, water/sanitation, and

rural enterprise. It also responds to three Mission Strategic Objectives , which are:

a. Rapid rural income growth sustained in target areas,

b. Increased use of child survival and reproductive health services in target areas, and

c. Transmission of HIV reduced and the impact of the epidemic mitigated.

Lack of access to quality health services and behavior change messages and activities is a serious barrier

to achieving GRM objectives in health and nutrition for the Mozambican population in general and, in

particular, for the populations of Zambézia and Nampula. The health needs of the Mozambican population,

as well as the challenges to health program implementation, access and coverage, form the basis for the

anticipated results outlined in the health and HIV/AIDS component of this RFA.

Specifically, by increasing the quality and availability of goods, services, and information, increasing

demand for goods and services as quality and availability improve, improving the accountability of health

services and community structures to the people they serve, and increasing the social infrastructure to

support communities, the populations of Zambézia and Nampula will increase their use of quality health

services, health/HIV and nutrition knowledge and appropriate health practices, which in turn will help reduce

the burden of disease.

Current statistics show that only 26 percent of the rural population has access to improved drinking water.

To date, USAID and its partners have been putting emphasis on hygiene education and the development of

behavior change interventions focused on appropriate hygiene practices, including correct water handling

and storage, effective hand washing, safe feces disposal and use of latrines. However, findings from

several evaluations, however, indicate that promotion of increased knowledge of better hygiene practices is

not a sufficient response. While hygiene education might succeed in increasing people's knowledge about

good hygiene practices, education alone will not translate into behavior change in the absence of better

access to potable water and improved sanitation facilities. One would expect the combination of increased

access to potable water and improved sanitation and hygiene behaviors to result in a reduction in diarrhea

and, ultimately, in a reduction in child malnutrition.

Conservation agriculture, also known as perma-culture, is designed to achieve sustainable and profitable

agriculture and improve farmer household livelihoods. The techniques applied in conservation agriculture

Activity Narrative: have potential for all farm sizes but are most urgently required by smallholder farmers, especially those

facing acute labor shortages, such as those affected by HIV/AIDS. Conservation agriculture has been

demonstrated to work in a variety of agro-ecological zones and farming systems.

The specific conservation agriculture techniques to be introduced include: leaving more ground cover

(requires less work), starting field preparation months in advance of the planting season (work is spread out

over a longer period of time as opposed to the present intensive work requirement at the beginning of the

rainy season), and rotating crops (reduces costs and labor for control of weeds and pests and improves

water infiltration). All agriculture techniques that are introduced will reduce labor requirements, which

especially benefits PLHIV, OVC and their family members. Farmer Association members will also be

encouraged to adopt these new techniques given their proven capacity to increase crop yields. Farmer

Associations are already planting highly nutritious crops (orange-fleshed sweet potato, sesame) and income

generating crops (sesame, peanuts, corn). It is expected that the majority of HIV-affected households in the

targeted communities will benefit from these activities and the resulting increased crop yields.

PLHIV and OVC households will be targeted in the program through existing PEPFAR PLHIV and OVC

support groups, and through referrals by health staff in PEPFAR-supported HIV care and treatment clinics,

community leaders, community health council members, health volunteers and leader farmers.

Economic growth is the key to reducing widespread poverty in Nampula and Zambézia and must originate

in the agricultural sector, especially if it is to benefit the poor and food insecure in the rural areas. The trend

toward more market integration on the part of small land holders is essential to the reduction of the high

levels of poverty in these two provinces because it will lead to increases in market sales. Households can

use the additional income from these sales to purchase inputs such as improved seeds and fertilizers,

which can help them increase the productivity of their food and cash crops. Farmers in Nampula and

Zambézia are dependent on rainfall and the drought prone environment in which most of them operate is a

key constraint to increasing their agricultural production and household incomes. Helping small farmers

increase their access to water for agricultural purposes throughout the year can make a tremendous

difference to rural households by reducing their vulnerability to droughts, expanding the number of harvests

and making the adoption of new crops and improved agricultural practices more feasible. These activities

will improve the quantity and quality of foods available, which will contribute to improved food security and

to the reduction of the high rates of chronic child malnutrition.

Collective improvements in the areas described above will lead to healthier, stronger families that are less

vulnerable to disease and that will contribute more effectively to increased economic productivity. Ensuring

that the activities targeted to the wider community include people living with HIV/AIDS, orphans and other

vulnerable children (OVC) is important for sustaining impact on the population as a whole and decreasing

potential for marginalization based on classification as part of certain sub-population. Although this work will

be extremely challenging, it presents an opportunity to develop innovative and integrated approaches to

improving families' health and economic status at the community level.

New/Continuing Activity: Continuing Activity

Continuing Activity: 21420

Continued Associated Activity Information

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

System ID System ID

21420 21420.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV

International

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Increasing women's legal rights

* Reducing violence and coercion

Health-related Wraparound Programs

* Family Planning

* Malaria (PMI)

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools

and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening

Education

Estimated amount of funding that is planned for Education

Water

Estimated amount of funding that is planned for Water

Table 3.3.08:

Funding for Care: Orphans and Vulnerable Children (HKID): $0

THIS IS A NEW ACTIVITY IN COP 09.

The U.S. Agency for International Development Mission to Mozambique (USAID/Mozambique) is issuing

this Request for Application (RFA) for two results-oriented projects that are expected to integrate health,

HIV/AIDS, water/sanitation, and rural enterprise program components to contribute to an overall objective of

strengthening communities in two provinces of Mozambique: Nampula and Zambézia. USAID/Mozambique

plans to award one cooperative agreement for each province by January 2009.

Activities under this RFA are expected to increase synergy across USAID/Mozambique's programs to

amplify their collective impact at provincial, district, and community levels. Opportunities to integrate at the

community level are particularly important. Activities are meant to complement current and future activities

of Food for Peace Title II Multi-Year Assistance Programs (MYAPs). No direct clinical services are to be

provided under this RFA, including HIV/AIDS treatment services. Applicants are thus expected to research

current programs, present methodologies for working together with existing programs, and explain how

approaches are complementary to, and not duplicative of, these programs. Strategic linkages to other U.S.

Government (USG) programs should be used wherever feasible to help leverage programmatic results.

The holistic approach encouraged in this RFA is also meant to improve communication among key partners,

empower our provincial and district-level government counterparts, and provide more cost-effective

approaches to achieving development results.

In order to cover the broad range of services that are to be integrated into each geographic area and

because of the range and depth of expertise that will be required to successfully implement the activities

identified under this RFA, all applicants are strongly encouraged to be a consortium. Primes are

encouraged to include the services of smaller, technically specialized organizations wherever possible.

USAID's programs are designed within the context of larger USG efforts in Mozambique. This RFA

describes USAID-funded activities within the country, which make up only part of the entire USG response.

Centers for Disease Control and Prevention (CDC), Department of Defense (DOD), Department of State

and Peace Corps also have on-going projects in support of the U.S. President's Emergency Plan for AIDS

Relief (PEPFAR) and the President's Malaria Initiative (PMI) in Mozambique. As USAID/Mozambique

strives to reach as many Mozambicans as possible in these provinces without duplicating services of other

actors, successful applicants to this RFA are required to collaborate with and complement these USG

projects.

As the food crisis increases the vulnerability of HIV/AIDS patients and their families, including OVC

providing increased nutritional support to OVC is critical. Strengthening linkages with existing initiatives is

one way to address long term food security for vulnerable households.

(USAID/Mozambique) is issuing a Request for Application (RFA) for two projects that are expected to

integrate health, HIV/AIDS, water/sanitation, and rural enterprise program components to contribute to an

overall objective of strengthening communities in two provinces of Mozambique: Nampula and Zambézia.

USAID/Mozambique plans to award one cooperative agreement for each province by January 2009.

Activities under this RFA are expected to increase synergy across USAID/Mozambique's programs to

amplify their collective impact at provincial, district, and community levels. Opportunities to integrate at the

community level are particularly important. Activities are meant to complement current and future activities

of Food for Peace Title II Multi-Year Assistance Programs (MYAPs).

In order to cover the broad range of services that are to be integrated into each geographic area and

because of the range and depth of expertise that will be required to successfully implement the activities

identified under this RFA, all applicants are strongly encouraged to be a consortium. Primes are

encouraged to include the services of smaller, technically specialized organizations wherever possible.

Present approaches to providing food security to people living with HIV/AIDS in order to improve their

nutritional intake as well as generate income are not covering enough of those affected, have high

beneficiary cost rations and not sustainable. For example, kitchen gardens/vegetable gardens have not

been found to be maintained beyond a year or two. Income generating activities such as training for

entrepreneurial activities can often deliver too many people offering the same service in the same locale.

This activity will ensure that OVC and PWLHA are included in activities for rural communities which address

nutrition and increase incomes.

USAID is already present in districts throughout Zambezia and Nampula provinces. These programs

specifically target rural communities and assist them with better nutrition behavior change, as well as

improved agricultural techniques. The programs help the communities organize themselves so that they

are better positioned to access health services from the nearest health clinic as well as negotiate better

prices for crops harvested. These programs can easily absorb target groups in rural communities, such as

those living with HIV/AIDS, caregivers and vulnerable children.

Specifically, perma-culture (alternatively known as conservation farming) will be added to the program

already in place in Zambezia and Nampula. This program would be implemented in conjunction with Peace

Corps to help introduce the new concepts and techniques with PCV as trainers. The PCV will assist in the

introduction of the new techniques and work to induce behavior changes in the agricultural sector.

The techniques to be introduced would include: encouraging farmers to leave more ground cover (requires

less work) and starting preparation of fields months in advance of the planting season (work is spread out

over a longer period of time as opposed to the present intensive work requirement at the beginning of the

rainy season). The introduction of these interventions is designed to reduce the labor requirements,

improve quality of the crop yield and nutrition for those living with HIV/AIDS and older OVC who are

caregivers.

Activity Narrative: This activity will not target orphan based on orphan-hood alone. All members of the Farmers Association

would be encouraged to adopt these new techniques, as they have proved to increase crop yields. Farmers

Associations already are planting crops that are highly nutritious (orange-flesh sweet potato, sesame) and

income generating (sesame, peanuts, corn). Therefore, everyone in the rural community affected by

HIV/AIDS (or other chronic illnesses) and OVC would benefit by activities designed to increase crop yields -

in addition to reducing labor requirements to produce nutritious crops with high income generation

possibilities.

These community-based activities will be closely linked to clinical and community based prevention

services. The activities to be supported under this RFA are expected to operate within the context of and

be coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI,

as well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and

health activities. The proposed activities should also fit within the context of the Government of

Mozambique's (GRM) policies, strategies and programs in health and agriculture, its Action Plan for the

Reduction of Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and

Nutrition Security Strategy.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Increasing women's legal rights

* Reducing violence and coercion

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools

and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening

Education

Estimated amount of funding that is planned for Education

Water

Estimated amount of funding that is planned for Water

Table 3.3.13:

Funding for Testing: HIV Testing and Counseling (HVCT): $0

This is a continuing activity in COP09, but at zero funding.

Reprogramming August08: The new USAID integrated RFA will combine activities from health, HIV,

agriculture, Food for Peace and rural income growth. Award is expected in early calendar year 2009.

The activities to be supported under the integrated RFA are expected to operate within the context of and

be coordinated with other USG-supported activities underway in Mozambique, including PEPFAR and PMI,

as well as USAID-supported activities such as the Title II Food for Peace program, other agricultural and

health activities. The proposed activities should also fit within the context of the Government of

Mozambique's (GRM) policies, strategies and programs in health and agriculture, its Action Plan for the

Reduction of Absolute Poverty (PARPA), its Strategic Plan for the Health Sector (PESS) and its Food and

Nutrition Security Strategy.

Strategic linkages to other U.S. Government (USG) programs should be used wherever feasible to help

leverage programmatic results. The holistic approach encouraged in the RFA is also meant to improve

communication among key partners, empower our provincial and district-level government counterparts,

and provide more cost-effective approaches to achieving development results. Activities under the RFA

are expected to increase synergy across USAID/Mozambique's programs to amplify their collective impact

at provincial, district, and community levels. Opportunities to integrate at the community level are

particularly important. Activities are meant to complement current and future activities of Food for Peace

Title II Multi-Year Assistance Programs (MYAPs).

New/Continuing Activity: Continuing Activity

Continuing Activity: 21422

Continued Associated Activity Information

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

System ID System ID

21422 21422.08 U.S. Agency for To Be Determined 9305 9305.08 RFA H/HIV

International

Development

Table 3.3.14: