Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 12168
Country/Region: Mozambique
Year: 2012
Main Partner: Pathfinder International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $607,000

HIV presents a significant public health concern for prison and public health authorities as preventive measures, health promotion and risk reduction activities are rarely provided in these settings. The risk of contracting infections in prison settings is augmented due to risky sexual behaviors, high level of alcohol and drug abuse, frequency of consensual sexual intercourse among males, sexual coercion, lack of information and HIV testing services. Key activities include adaptation and implementation of an individual risk reduction package, counseling, training of peer educators and health providers as CT counselors, and linking to other HIV services. Gender based violence will be incorporating in program activities as a cross-cutting issue in all 10 prisons, through inclusion of GBV modules in training sessions for PE, in Change Fairs and in the prevention activities developed by PE. Because of the nature of this project, men will be preferentially involved and the opportunity to share gender and GBV-related interventions will be maximized, nevertheless there is smaller female population that can also benefit from interventions, both as inmate PE or as prison staff. In FY 2012, Pathfinder International will implement a comprehensive HIV/STI intervention package in 10 prisons in 5 provinces in Mozambique. Expenditure analysis methodology has not yet been established on a unit basis for this technical area. Pathfinder has developed a data collecting system that will allow for estimates on prevalence of HIV and STI and identification of risk behaviors among FSW and other MARP groups. M&E will be through routine S/APR and quarterly reports. Key activities related to system strengthening will include implementation of patient files in designated health facilities.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $607,000

FY 2012, PI will implement a comprehensive HIV/STI intervention package in 10 prisons in 5 provinces in Mozambique which will include: adaptation and implementation of an individual risk reduction package and train PEs on Pathways to Change methodologies and delivery of behavior change activities, training of health providers as CT counselors at selected sites and scale up access to HIV CT ensuring linkages to care and treatment including STI and TB treatment, hold 10 sessions of Change, hold fairs promote campaigns and disseminate messages on harm reduction and methodologies on alcohol and drug abuse in prison settings. In addition, PI will also train health providers to manage a STI syndrome approach in prison facilities where there is a health unit and prison personnel and PEs to early detection of TB and other OIs. Implementation of the data collection/surveillance system will include the training of health providers on new instruments, data collecting, monitoring, surveillance systems and planning of health programs. This activity will be conducted in selected health facilities within ethical and confidential protocol as approved by the ministry of health. A major activity will also involve advocacy for introduction of specific guidelines to ensure effective health provision for MARPS within the health sector.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Mobile Populations