ICAP Mozambique

1. ICAP Mozambique Technical Support Meeting and Capacity Building Program Launch November 3rd, 2011

2. Summary • Health Systems Strengthening & Capacity-Building Approach Overview • MZ Portfolio Overview -Program Area Allocation -Provincial Strategies • Technical Assistance Award Goals & Objectives • ICB Award Goals & Objectives

3. Why Focus on Capacity Development Now? PEPFAR II mandate to build partner country capacity to lead and manage the response to HIV/AIDS over the long term To ensure long-term sustainability of HIV/AIDS response that is resilient to changes in external financing To support improved systematic approaches to capacity-building efforts in PEPFAR technical support areas To help better define the capacity outcomes required to sustain HIV/AIDS services

4. WHO Health System Framework Source: World Health Organization. Everybody’s Business: Strengthening health systems to improve health outcomes—WHO’s Framework for Action. Geneva: WHO, 2007, page 3.

5. improving [the] six health system building blocks and managing their interactions in ways that achieve more equitable and sustained improvements across health services and health outcomes What is Health Systems Strengthening? • Beyond a single disease • Beyond a single building block - harness the interactions between the building blocks • Beyond the life of the intervention - sustained improvements • Country ownership

6. Articulating a capacity building framework Improved health outcomes PERFORMANCE LEVELS Capac i t y Level s Independent Assisted Guided Dependent

7. ICAP Global Capacity-Building Approach Capacity-Building Conceptual Framework Capacity-Building Action Plan ODA tool DAT tool Implement Intervention Re- assessment Expectation Setting Identify priority needs Participatory Framework-based Align resources & Interventions to needs Based upon assessment findings ODA tool DAT tool Execute plan On-going monitoring

8. ICAP MZ Capacity-Building Program Objectives: National Level: ICB: TWG participation, National Assessment Participation, Secondment of Advisors to Central MOH SI: Provide technical assistance to the Department of Health Information (DIS), Ministry of Health to strengthen national HIV/AIDS health information systems.

9. ICAP MZ Capacity-Building Program Objectives: Provincial Level: ICB: GOAL #1: BUILDING CAPACITY OF DPSS AND SDSMASS (Planning, Program & Financial Management, Supervision of quality HIV clinical services) TA: GOAL #1: Strengthened, Expanded and Quality Comprehensive Provincial HIV Services. Support the DPS to ensure expansion and delivery of a comprehensive package of HIV services throughout all districts, a package that is effective, equitable, and of high quality. GOAL #2: Effective, Responsive Provincial Health Systems. (HSS Approach) • District Level: • ICB: GOAL #1: BUILDING CAPACITY OF DPSS AND SDSMASS Build the capacity of a total of five DPS and SDSMAS to plan, manage, and supervise quality HIV clinical services, as well as to manage USG awards. • TA: GOAL #1: Strengthened, Expanded and Quality Comprehensive Provincial HIV Services. Support the DPS to ensure expansion and delivery of a comprehensive package of HIV services throughout all districts, a package that is effective, equitable, and of high quality.

10. ICAP MZ Capacity-Building Program Objectives: NGO/Organizational Level: ICB: Goal #2: MOZAMBICAN TA PARTNER CAPACITY BUILDING (Support to CCS) Goal #3: NGO/CBO CAPACITY BUILDING (Support to CBOs-Community Care/Adherence activities) SI: GOAL #1: Provide financial and administrative support to the Multi-sectoral Group to Support the Fight Against HIV/AIDS in Mozambique (GTM) to disseminate results from the most recent HIV/AIDS surveillance data (INSIDA).

11. Center for Health Collaboration (CCS) Goals: • GOAL #1: Support Expansion of Quality Prevention, Care and Treatment Services Provide technical support and capacity building to MISAU district and health facility teams in areas including HIV/AIDS, MCH, TB, and service delivery implementation at the district level. (Health Facility level) • GOAL #2: Strengthening Health Systems Strengthen health systems, including education and training and recruitment of the health care work force. (Training of HCWs)

12. Portfolio Overview FY2011-2012

13. Geographic Overview FY2011-2012

14. Funding by COP Program Area

15. Programmatic Launch Timeline • Step 1: Consolidated Budget (Sept – Oct 2011) • Step 2: Workplanning (Nov – Dec 2011) • Step 3: Program Monitoring System (Dec-Jan. 2012)

16. Step 1: Consolidated Budget • Post-MCAP, Project Year/Budget Period same for all grants: September 30 – September 29 • Need to rationalize the 7 Separate Program Budgets for TA, ICB and SI • Consolidated Budget for 7 months post-MCAP (February 22, 2012 – September 29, 2012) • Staff effort allocated across all budgets. Needed to ensure full coverage. • Operating costs spread across all budgets. Needed to ensure necessary costs fully funded. • Ensure ICAP-MZ has a staffing size and structure it can afford.

17. Step 2: Work plan development • Development of Implementation Guide: A process‐based description of required minimum programming methods articulated as policies, tasks, and deliverables, for use in the effective planning and execution of capacity-building projects. • NY Technical Support Working Group (Programs, Clinical & M&E): Provide support and review of Guide and Work plan • Intensified Support Visits: (Nov. & Dec) -Programs Visit: (Cristiane, Tesmer) -Clinical Support Visit: (Bea, Bereket) -M&E Support Visit: (Deb, Molly) • Planning Workshop: Nov. 28th & 29th -Maputo

18. Step 3: Program Monitoring System • Integrated Grants Management Systems: -Donor Reporting Integration -Donor Communications Integration • Monitoring & Evaluation Framework

19. THANK YOU QUESTIONS?