PEPFAR Community Led Monitoring – Mozambique | MAPUTO PCO FY23 01

Opportunity Information: Apply for MAPUTO PCO FY23 01

The PEPFAR Community Led Monitoring - Mozambique grant is an open-competition funding opportunity offered by the U.S. Department of State through the U.S. Mission to Mozambique (PEPFAR Coordination Office). It is designed to support independent, community-driven oversight of HIV services so that people receiving care, especially underserved groups and key populations, have a structured way to report what is working, what is not, and what needs to change. The program reflects PEPFAR guidance for FY23 (COP22), which treats routine community-led monitoring as a minimum requirement for ensuring continuous, high-quality, client-centered HIV services.

Funding is provided as a grant, with a typical annual funding level tied to the number of health units an organization proposes to cover. Applicants may select up to four PEPFAR-supported HIV treatment sites (AJUDA sites). A proposal covering four health units is eligible for up to USD 50,000 per year, while a proposal covering two health units is eligible for up to USD 25,000 per year. The overall award ceiling is USD 100,000, and the period of performance can be up to 24 months. The opportunity anticipated making around 12 awards. To avoid duplication and confusion at service delivery points, the funder states it will ensure that selected sites do not overlap with other organizations already supporting community-led monitoring activities in the same health facilities or communities.

Eligibility is focused on non-profit Mozambican community-based organizations. This includes community-based organizations (CBOs), faith-based organizations (FBOs), organizations and groups of people living with HIV (PLHIV) or affected by HIV, networks representing key populations, and organizations working with people with disabilities. The intent is to place leadership and implementation directly in the hands of community-led structures that have credibility with service users and the ability to elevate their experiences into practical recommendations and advocacy.

Geographically, the grant targets PEPFAR-supported HIV treatment sites across seven provinces: Maputo, Inhambane, Gaza, Nampula, Manica, Sofala, and Tete. While the provinces are pre-identified, applicants propose the specific districts and facilities during the application process, using a facility list posted on the U.S. Embassy website. The selection committee indicates an intention to fund organizations in each of the listed provinces where viable proposals are received; if proposals do not come from one province, PEPFAR may use discretion to select additional organizations elsewhere.

At the core of the program is Community-Led Monitoring (CLM), described as an accountability mechanism led and implemented by local community organizations, including PLHIV networks and key population groups. CLM involves gathering both quantitative and qualitative information on HIV service access and quality, using routine and systematic feedback from clinic users and other stakeholders. The emphasis is not just on collecting complaints, but on turning evidence into action by analyzing findings with communities, bringing issues to decision-makers, advocating for improvements, and tracking whether promised changes actually happen. The opportunity also notes that technical assistance will be provided to grantees, including training on CLM methods and tools and other support needed to implement the work.

The grant sets out four main objectives: educating PLHIV and key populations on their health-related rights and duties; listening to and monitoring patient barriers and concerns affecting access to services; improving patient literacy around stigma and discrimination; and conducting independent, evidence-based advocacy grounded in CLM findings. In practice, this means grantees are expected to create safe, routine channels for service users to describe obstacles such as long waiting times, confidentiality breaches, stock-outs, poor treatment by staff, discrimination, or access challenges faced by key populations and people with disabilities, then use that information to push for concrete improvements.

Expected results are framed around service quality and patient experience as well as HIV outcomes. The program aims to improve the quality of services provided at facilities, generate demand for more respectful and humane (humanized) services, reduce stigma and discrimination in affected communities, and ultimately increase retention of people living with HIV on antiretroviral therapy at supported facilities. The underlying theory is that when communities can identify systemic issues and health facilities respond, patients are more likely to stay in care and adhere to treatment.

The main required activities are structured around implementing five cycles of CLM. Each cycle includes: collecting information at the facility and community levels (through patient interviews, health provider interviews, and facility observations); analyzing and translating data into actionable insights; engaging and disseminating findings to facility leadership as well as national and funding decision-makers; advocating for policy or practice changes based on evidence; and monitoring whether the agreed changes are actually implemented. Beyond the monitoring cycles themselves, organizations are expected to run community education sessions on health rights (including for key populations), convene smaller groups to hear concerns and grievances about barriers to care, participate in community health and facility co-management committees to raise issues and follow up, and collaborate with health facility staff to present grievances and seek resolutions aligned with patient needs.

Performance measurement is anchored in a small set of required output indicators. Grantees must track (1) the number of unique patients reached with sessions at facilities and in communities, (2) the number of barriers or grievances identified through education sessions, facility observations, and provider interviews, and (3) the number of actions taken and the results achieved in response to those grievances. Additional indicators were expected to be aligned to national CLM guidance that was still being finalized at the time of the posting.

Key administrative details included the funding opportunity number (MAPUTO PCO FY23 01), CFDA number 19.029, and an original closing date of August 14, 2022, with a separate questions deadline listed as 11:59 PM on August 7, 2022. Overall, the opportunity is best understood as a practical, community-centered grant meant to turn patient experience into measurable improvements in HIV service delivery across selected PEPFAR-supported sites in Mozambique.

• The Department of State, U.S. Mission to Mozambique in the community development sector is offering a public funding opportunity titled "PEPFAR Community Led Monitoring – Mozambique" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 19.029.
• This funding opportunity was created on Jun 30, 2022.
• Applicants must submit their applications by Aug 14, 2022 45 days. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• Each selected applicant is eligible to receive up to $100,000.00 in funding.
• The number of recipients for this funding is limited to 12 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for MAPUTO PCO FY23 01

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