Mozambique – FY 2010 Approved Funding by Program Area, Agency and Funding Source*
*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.
A Partnership Framework was signed between the Government of Mozambique and the USG in August 2010 and is available at http://www.pepfar.gov/frameworks/mozambique/index.htm. Key activities include HSS, capacity- building of national systems and HIV service delivery; strengthening of multi-sectoral responses in prevention, care and treatment; and HRH.
As a result of the priorities identified in the PF, in FY 2010, PEPFAR will further increase focus on the priority areas of prevention, capacity-building, and HSS. Investments in these areas are vital now in order to address the critical constraints to control the epidemic in Mozambique and to achieve significant results in the future. Plans have already been put into place to require transition and sustainability plans from all partners, including their plans to expand the use of local personnel and reduce the number of expatriate staff. The investments identified in the FY 2010 COP lay the groundwork for realizing a vision of the future where the MOH and Mozambican non-governmental organizations (NGOs) transition to take greater ownership of efforts to fight the HIV epidemic.
Prevention programming focuses on the strengthening of M&E systems, evidence-based and cost-effective approaches, and capacity-building of local organizations including the MOH. Activities are targeted towards sexual transmission of HIV, PMTCT, expansion of HCT, VMMC, prevention of transmission through blood products, medical injections, and in the workplace. Prevention strategies utilize a combination prevention approach that integrates multi-level behavioral, biomedical and structural interventions focused on the general population as well as complementary interventions to address MARPs and geographic hot spots. Additionally, behavior change interventions are being directed at partner reduction, PwP, support for timely initiation of ART particularly for pregnant women and increasing access to VMMC. An evaluation of surgical capacity was recently completed and the MOH- approved five pilot VMMC sites which will be evaluated to determine strategies for VMMC scale-up and capacity to perform overall minor surgical procedures.
PEPFAR will support Mozambique’s treatment and prevention goals by supporting a more effective system for ensuring that both adults and children living with HIV have access to HCT, timely initiation of ART, prophylaxis to prevent OIs, diagnosis and treatment of STIs and TB. PEPFAR support will increase the use and quality of pre-ART management for PLWHA; strengthen laboratory support services for HIV diagnosis and management; strengthen referrals and the continuum of care for PLWHA; improve the capacity of the health care system to manage HIV and related diseases; provide technical leadership within the MOH and Ministry of Women and Social Welfare; and expand TB/HIV interventions.
Care activities include TA for quality of care and increased support to decentralized health systems at the provincial and district level health directorates. PEPFAR resources will support the increase and quality of OVC, PLWHA, and women’s access to essential care; will support protection services, strengthen the capacity of local institutions, and improve the policy and legal environment for the protection of OVC, women, and PLWHA. Moreover, PEPFAR support will strengthen linkages to health facilities through mapping of partnerships, training and development of standards, and clarifying roles between health facilities and community care providers.
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