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PEPFAR Community Grants
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PEPFAR Community Grants Program provides direct funding to Community-Based Organizations (CBOs) located in districts heavily affected by HIV in Mozambique.

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PEPFAR Community Grants Program provides direct funding to Community-Based Organizations (CBOs) located in districts heavily affected by HIV in Mozambique. Implemented in Mozambique since 2008, each year the program invites interested organizations to submit applications for funding. Since the beginning of its implementation, many organizations were founded, including REDES and JUNTOS. These organizations were PAS and PEPFAR partners for more than 10 years implementing HIV/AIDS prevention activities for girls in secondary schools.  They were crucial partners at the time as they were organized by regions, North, Centre and South, and they would choose one province to get all together for mass students activities, including science and health fairs in the schools. Both organizations were created and lead by Peace Corps Volunteers.

Currently, Community Grants Program is implemented by the United States Department of State through the PEPFAR Coordination Office (PCO).

Community grants program currently funds 19 community-based organizations, which receive up to 1.5 million meticais ($25,000) per organization to develop community-led monitoring activities. These are planned, coordinated, executed and monitored with the involvement of the Civil Society Platform for Health (PLASOC- M), which also is supported by the PEPFAR Community Grants Program for their capacity building.

The supported organizations carry out various activities at the community level, which include:

  • HIV counseling and testing
  • Supporting adherence to ART in the community
  • Promotion of campaigns to reduce stigma and discrimination and gender-based violence, among others.

The Community Grants Program is a critical component of PEPFAR because it reaches local communities, building the capacity of community-based and community-driven organizations, resulting in direct impact on the lives of those funded. For  COP 21, starting in October 2021,  PEPFAR Community Grants Program will cover six provinces, namely Maputo, Gaza, Inhambane, Sofala, Manica, and Nampula Nampula, corresponding to 44 districts.

Community-Led Monitoring   

Community-led Monitoring (CLM) is an accountability mechanism for the national HIV response, led and implemented by local community-led organizations of people living with HIV (PLHIV), networks of Key Populations (KPs), or other affected groups. In Mozambique the CLM began in COP 20 and the funded organizations documents the experiences of beneficiaries of HIV services in a routine and systematic manner, using data routinely collected from clinic users by trained, paid clinic monitors. These data focus on the accessibility and quality of HIV services. These data are analyzed by communities and used to develop community-led interventions at the facility, district, provincial and national levels to correct the problems uncovered by community-led monitoring, ultimately leading to improved HIV outcomes.

The President’s Emergency Plan for AIDS Relief (PEPFAR) guidance for the Country Operational Plan for FY22 (COP 21) states that it is a minimum program requirement that HIV affected populations are provided continuous, quality, client-centered services, and that independent, routine, national community-led monitoring efforts to improve the accessibility and quality of services are part of the HIV response. Towards this end,  PEPFAR Coordination Office finances Community-Based Organizations (CBOs) and other civil society groups to initiate, lead, and implement community-led monitoring (CLM). Technical assistance, including training on methods and tools as well as other needed support, are provided to all recipient organizations.

The main activities of the CLM includes:

  • Qualitative data collection (Observation at Health Facilities and patient interviews, focus group discussions, individual testimonies and door-to-door interviews);
  • Conduct community education sessions around the Health Rights of PLHIV;
  • Convene smaller groups to sound out concerns/claims regarding barriers to care and treatment;
  • Participate in health committees (community) and co-management committees (Health Unit);
  • Collaborate with Health Unit staff to ensure presentation/discussion of patient-reported complaints and seek resolution of complaints that meet the needs of patients and PLHIV.

COP23 NOFO Guidance (PDF 396 KB)