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Populated Printable COP Excluding To Be Determined Partners 2007 Mozambique Country Contacts Contact Type First Name Last Name Title Email DOD In-Country Contact Antonio Langa HIV/AIDS Program Manager [email protected] DOD In-Country Contact John Roddy Defense and Army Attache [email protected] HHS/CDC In-Country Contact Bill Comeaux Deputy Director [email protected] HHS/CDC In-Country Contact Lisa Nelson Country Director [email protected] Peace Corps In-Country Contact David Bellama Director [email protected] Peace Corps In-Country Contact Jenelle Norin Associate Director Health jnorin@mz .peacecorps.gov USAID In-Country Contact Jay Knott Director jknott@usaid .gov USAID In-Country Contact Linda Lou Kelley HIV/AIDS Team Leader [email protected] U.S. Embassy In-Country Elizabeth Raspolic Charge d'Affaires, a.i. [email protected] Contact U.S. Embassy In-Country James Dudley Deputy Chief of Mission [email protected] Contact U.S. Embassy In-Country Kristin Kane Public Affairs Officer [email protected] Contact Populated Printable COP Country: Mozambique Fiscal Year: 2007 Page 2 of 513 Table 1: Country Program Strategic Overview Will you be submitting changes to your country ’s 5-Year Strategy this year? If so, please briefly describe the changes you will be submitting. Yes No Description : Populated Printable COP Country: Mozambique Fiscal Year: 2007 Page 3 of 513 A new strategic approach in the FY 07 COP will be to designate Zambezia and Sofala as focus provinces in order to accelerate treatment roll-out; strengthen the linkages between treatment, care and prevention; and develop more equitable access to treatment within Mozambique. The USG will continue to support activities in all 11 provinces of Mozambique, as described in the original Five-Year Strategic Plan, but will strive to allocate roughly 40% of the FY 07 field budget increase to Zambezia and Sofala. The Ministry of Health (MOH) and USG have agreed on this provincial focus for several reasons. First, treatment is now well established in Maputo, the provincial capitals, and many district hospitals, but these sites are at capacity . Meeting the rapidly growing need for ART will require decentralizing ART to urban satellite sites and rural health centers, as well as integrating ART into other clinical services, such as primary care, TB and STI services. Second, 50% of Mozambicans on ART live in the capital city or in the surrounding Maputo Province. To improve geographic equity, the MOH has established highly ambitious treatment targets for other provinces. Third, all the elements of a comprehensive HIV/AIDS program have been established, and it is time to focus on strengthening the quality and continuity of care. Strong referral and follow-up linkages are needed between treatment, care and prevention activities, particularly between health facilities and community level programs, and this can best be achieved by intensifying efforts at the provincial and district levels. The MOH and USG selected Zambezia and Sofala for three main reasons. First, these provinces are home to an estimated 30% of all PLWHA in Mozambique. Sofala has the highest prevalence rate (27%) and most mature HIV epidemic among all the provinces. Zambezia is the most populous province, and with a high HIV prevalence rate (18 %) that is still climbing. The MOH has more than doubled the treatment targets for these two provinces. Second, these provinces have very great infrastructure and human resource constraints, even by Mozambican standards, and further progress cannot be assured without addressing these basic requirements. Third, USG treatment, care and prevention partners are now well-established in the Zambezia and Sofala, and the MOH recognizes that the USG is well-positioned to help achieve rapid and effective scale-up under the challenging conditions present in these provinces. The USG will ramp up technical support to the Zambezia and Sofala Provincial Health Directorates and to the Provincial Offices of the National AIDS Council (NAC) and Ministry of Women and Social Action in order to strengthen leadership, coordination and quality of the HIV/AIDS response. To address MOH human resource constraints, the USG will support pre-service training outside of Maputo for nurses, medical technicians, laboratory staff, and pharmacists committed to serving in Zambezia and Sofala upon graduation and will also construct staff housing at rural health facilities. Space constraints for treatment and other HIV-related services will be addressed by construction and renovation of rural clinics. Information systems will be developed, strengthened or expanded to ensure quality and continuity of care, including patient tracking systems, HIV/QUAL and pharmaceutical and supplies management systems. The USG will increase HIV counseling and testing by establishing CT in additional clinics and services (including TB and STI services), piloting new approaches to community-based CT, and use of satellite CT sites. Strengthening local NGOS, CBOs, and FBOs and workplace programs will be a priority. Community resource centers will be piloted to provide space for PLWHA support groups, OVC day care, community CT, and wrap-around services. New approaches developed in the focus provinces will be extended to other provinces in future years. Populated Printable COP Country: Mozambique Fiscal Year: 2007 Page 4 of 513 Table 2: Prevention, Care, and Treatment Targets 2.1 Targets for Reporting Period Ending September 30 , 2007 National USG Downstream USG Upstream USG Total Target 2-7-10 (Direct) Target (Indirect) Target End FY2007 (Focus Country Only) End FY2007 End FY2007 Prevention End of Plan Goal: 506,379 Number of HIV-infected pregnant 20,704 13,750 34,454 women who received antiretroviral prophylaxis for PMTCT in a PMTCT setting Number of pregnant women who 235,844 110,000 345,844 received HIV counseling and testing for PMTCT and received their test results Care End of Plan Goal: 550,000 300,000 160,000 460,000 Total number of individuals 120,000 160,000 280,000 provided with HIV-related palliative care (including TB/HIV) Number of HIV-infected clients 6,000 0 6,000 attending HIV care/treatment services that are receiving treatment for TB disease (a subset of indicator 6.2) Number of OVC served by OVC 180,000 0 180,000 programs Number of individuals who 220,000 80,000 300,000 received counseling and testing for HIV and received their test results (including TB) Treatment End of Plan Goal: 110,000 36,990 57,000 93,990 Number of individuals receiving 36,990 57,000 93,990 antiretroviral therapy at the end of the reporting period Populated Printable COP Country: Mozambique Fiscal Year: 2007 Page 5 of 513 2.2 Targets for Reporting Period Ending September 30 , 2008 National USG Downstream USG Upstream USG Total Target 2-7-10 (Direct) Target (Indirect) Target End FY2008 (Focus Country Only) End FY2008 End FY2008 Prevention End of Plan Goal: 506,379 Number of HIV-infected pregnant 53,125 13,750 66,875 women who received antiretroviral prophylaxis for PMTCT in a PMTCT setting Number of pregnant women who 425,000 110,000 535,000 received HIV counseling and testing for PMTCT and received their test results Care End of Plan Goal: 550,000 416,552 160,000 576,552 Total number of individuals 216,552 160,000 376,552 provided with HIV-related palliative care (including TB/HIV) Number of HIV-infected clients 12,000 0 12,000 attending HIV care/treatment services that are receiving treatment for TB disease (a subset of indicator 6.2) Number of OVC served by OVC 200,000 0 200,000 programs Number of individuals who 500,000 80,000 580,000 received counseling and testing for HIV and received their test results (including TB) Treatment End of Plan Goal: 110,000 66,000 57,000 123,000 Number of individuals receiving 66,000 57,000 123,000 antiretroviral therapy at the end of the reporting period Populated Printable COP Country: Mozambique Fiscal Year: 2007 Page 6 of 513 Table 3.1: Funding Mechanisms and Source Mechanism Name: Follow-on to PHRplus Mechanism Type: HQ - Headquarters procured, country funded Mechanism ID: 5047 Planned Funding($): $ 375,000.00 Agency: U.S. Agency for International Development Funding Source: GHAI Prime Partner: ABT Associates New Partner: No Sub-Partner: Aga Khan Foundation Planned Funding: Funding is TO BE DETERMINED: Yes New Partner: No Associated Program Areas: OHPS - Other/Policy Analysis and Sys Strengthening Sub-Partner: Bearing Point's Emerging Markets Group Planned Funding: Funding is TO BE DETERMINED: Yes New Partner: Yes Associated Program Areas: OHPS - Other/Policy Analysis and Sys Strengthening Sub-Partner: Research Triangle Institute Planned Funding: Funding is TO BE DETERMINED: Yes New Partner: No Associated Program Areas: OHPS - Other/Policy Analysis and Sys Strengthening Sub-Partner: Forum One Communications Planned Funding: Funding is TO BE DETERMINED: Yes New Partner: Yes Associated Program Areas: OHPS - Other/Policy Analysis and Sys Strengthening Sub-Partner: Training Resources Group Planned Funding: Funding is TO BE DETERMINED: Yes New Partner: No Associated Program Areas: OHPS - Other/Policy Analysis and Sys Strengthening Sub-Partner: Tulane University' School of Public Health and Tropical Medicine Planned Funding: Funding is TO BE DETERMINED: Yes New Partner: No Associated Program Areas: OHPS - Other/Policy Analysis and Sys Strengthening Populated Printable COP Country: Mozambique Fiscal Year: 2007 Page 7 of 513 Mechanism Name: Capable Partners Program Mechanism Type: Local - Locally procured, country funded Mechanism ID: 5037 Planned Funding($): $ 3,677,067.00 Agency: U.S. Agency for International Development Funding Source: GHAI Prime Partner: Academy for Educational Development New Partner: No Early Funding Request: Yes Early Funding Request Amount: $ 990,000.00 Early Funding Request Narrative: In order to allow time for obligation of funds through the bilateral agreement with the Government of Mozambique and to avoid interruption of capacity building, particularly in improving quality of services, early funding is requested for a portion of the total FY 2007 amount for each program area.
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