Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12173
Country/Region: Mozambique
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

The USG Mozambique Epidemiology and Strategic Information team supports the GOM and the USG team to develop and maintain HIV-related information and reporting systems, monitor and evaluate HIV

prevention, care, and treatment initiatives, strengthen in-country capacity to conduct HIV surveillance, and performs epidemiologic investigations. Compilation, synthesis, and dissemination of relevant information from multiple sources is imperative to strategic planning, program development, accountability, and allocation of resources in support of the national HIV response. This activity directly supports Goals II and III of the Partnership Framework by strengthening the multi-sectoral response and harmonizing national M&E systems.

In previous years, all administrative and logistical support for in-country surveys and technical assistance activities had been done through the General Services Office (GSO). The volume of these purchase orders (PO) has increased drastically in the last year and these POs have become increasingly complex and complicated for award through the GSO. The purpose of this contract is to provide technical, logistical and administrative support for USG-funded global HIV activities and programs with respect to training, capacity building, civil society development, surveillance, monitoring and evaluation (M&E), public health evaluation, and HMIS.

Services provided under this contract consist of a) assessing, analyzing, and reporting on the performance of SI teams, projects, and systems supported by USG in Mozambique; b) providing technical, logistical and/or administrative assistance for USG-funded surveys and other activities; c) providing capacity building, technical assistance, and other administrative assistance for USG-supported activities; d) providing translation services, as needed, in the context of survey implementation, training materials, and report development.

Many activities under the PEPFAR mandate involve strategic partnerships with partners and other bilateral and multi-lateral international donors. For example, in 2009 the USG will enter into a Trilateral Agreement with the Governments of Brazil and GOM with objectives including training in monitoring and evaluation, training and capacity building in health sector commodities logistics, development of national plans and strategies for key program areas, and strengthening of civil society. Additionally, in 2010 the USG will continue to work with South-to-South providers to develop and strengthen the capacity of our Mozambican counterparts to conduct assessments and evaluations to better understand their HIV epidemic. USG Mozambique will contract services related to technical content and logistics of these activities.

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

Many of the factors driving HIV infections and contributing to behavioral risk in Mozambique are poorly understood and typically not very well defined. Efforts to clearly understand the context of HIV infection in the country are complicated by the fact that there is provincial and regional variation with quite different HIV prevalence rates and, as a result, infection patterns and reported risk behaviors.

The focus of these funds is to support routine evaluations and exploratory assessments to understand factors that contribute to HIV risk and infection. In FY 2010, one of the primary areas of exploration will be to continue support for small and medium scale social and behavioral science projects and to support training in appropriate methodologies for local investigators. Areas of exploration will include: studies that evaluate innovative approaches for reaching key populations at risk for HIV; anthropological studies of unique cultural practices and beliefs that impact HIV prevention and service delivery; process evaluation of public health interventions and HIV service delivery; developing novel methods for detecting and investigating risk behaviors and at risk populations; and studies related to public health programs, law, or policies (i.e., structural approaches).

Another important area of focus in FY 2010 is the finalization and dissemination of results from two previously funded assessments. The first addresses the role of men who have sex with men (MSM) on the HIV epidemic and the second explores the degree to which alcohol use and abuse contributes to sexual risk behavior.

Finally, these funds will be used to initiate a new activity to comprehensively assess the lives of PLHIV. The findings from this assessment will guide prevention with positives program activities, which have as a

primary goal to reduce the transmission of HIV from PLHIV to their sexual partners. Data from this activity will also contribute information that can be used to tailor care and treatment services.