Mozambique Case Study

Making Aid Work for NACS - A Study in Effective Integrated Programming

Jim Hazen, USAID/GH/HIDNAmie Heap, USAID/GH/OHA

Undernutrition Situation

416, 737 children < 5

183, 026 children < 5

138, 085

357, 922 children < 5

Prevalence of HIV by Sex and Province

(15-49 years of age)

HIV Prevalence

< 10 %10.1 % to 15%15.1% to 20%> 20%

Gaza

Niassa

Maputo City

Manica

Tete

Zambézia

Cabo Delgado

Nampula

Sofala

Inhambane

Maputo

High population provincesat ~ 3.7 million

Community

(CLC/CSC)

Health Facility

(GoM / CP)

Growth

Monitoring

and

Promotion

Nutrition Group

(Mother’s/Father’

s Group)

Home Visits –

Volunteers/APEs

(HBC/OVC)

WASH Activities

(Sanitation and

Hygiene

Promotion)

Agriculture

Extensionistas /

(Farmers

Associations /

Value Chains)

Livelihood /FS

Jr. Farmers

Association /

Value Chains

Referral for treatment of childhood illnesses referral to PRN

Referral to community-based activities, follow-up

NACS

MCH/PMTCT

Improved quality

pre-post natal

services-training

and supervision

Micronutrients

Supplementation

(Vitamin A, IFA,

zinc)

Immunization

Deworming

Treatment of

childhood

Illnesses

Possible Linkages Between the Health Facility And Community

1. Expansion of PEPFAR Clinical partners NACS programs to FtF target areas

2. Strengthening of community/ facility links explicitly in Feed the Future and PEPFAR programming—specifically referral systems

Other potential areas of collaboration:

• Joint SBCC strategy across HIV, nutrition and other health areas (i.e. hygiene, malaria)

• Monitoring systems• Reporting • Joint supervision• Technical discussions amongst partners (i.e.

complementary feeding, income generation opportunities, etc.)

• Direct TA to the provincial level on nutrition under PEPFAR and FtF Initiatives.

Key ConsiderationsTo donors: •Nutrition is nutrition (bring different sectors together)

•Inclusive design process lends to better chance of integrated program

•The more you work together, often the more area you can cover (leveraging other resources)

•Listen to partners, understand the gaps and identify practical ways to address them

To partners: •We do want comprehensive programs, but need to understand gaps – help us identify what can be done

•Provide evidence, including potential positive/negative consequences of integrated/non-integrated platforms