Expanding Supportive Supervision and Training to Improve HIV/AIDS Care and Treatment

Speeches Shim

Government-to-Government Program at Sub-National Level Helps to Strengthen Provincial Oversight and District-Level Processes


In 2019, the Government of the Republic of Mozambique (GRM) and USAID established a government-togovernment (G2G) agreement called The Institutional Strengthening for HIV/AIDS Response Project to strengthen provincial healthcare systems for the HIV/AIDS response and to transition PEPFAR implementing partner responsibilities to provincial systems. The G2G agreement actively champions USAID’s Journey to Self-Reliance and PEPFAR local partner transition goals by strengthening the capacity of the GRM to better manage their HIV response and control efforts. Under the agreement, USAID directly disburses funds to the GRM to achieve program results using the government’s own financial management,
procurement, and other systems. USAID selected the Provincial Health Directorate in Tete (DPS Tete) as the implementing partner for the project’s pilot thanks to Tete province’s technical capabilities, relatively low fiduciary risk, and strong provincial staff.
The first iteration of the G2G agreement ran from April 2019 through January 2020 and focused around five objectives. This case study highlights successes from the objectives listed below:

  1. Improving DPS’ capacity for coordination and evidence-based decision-making;
  2. Strengthening DPS’ technical capacity;
  3. Improving provincial HIV/AIDS performance indicators;
  4. Increasing HIV service provision; and
  5. Disseminating integrated services to victims of gender-based violence (GBV).

Due to the success of the first agreement, USAID awarded a one-year extension in February 2020 to expand the scope of the project and provided additional funds for operational research, management of medicines, production of medical articles, and procurement of surgical medical equipment (MAM).

Issuing Country 
Monday, April 5, 2021 - 7:45am

Last updated: April 05, 2021