Avante Saude: Strengthening Government of Mozambique Capacity to Reach and Sustain Epidemic Control in…

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Avante Saude: Strengthening Government of Mozambique Capacity to Reach and Sustain Epidemic Control in Zambezia Province in Addition to Strengthening National Health Information Systems - Associação Centro Pela Saúde Global (C-Saúde) Proposes the Avante Saúde Program to Transform Central Level Health Information Systems (His) Support and Pepfar-Supported Epidemic Control Efforts in Zambézia Province to a Government of Mozambique (GM)-Led and GM-Delivered Program. Avante Saúde Will Capitalize on C-Saúde’s Team Experience in Supporting His Solutions and Field Experience and Presence in Zambézia Province to Ensure the Uninterrupted Enhancement of His Solutions and Epidemic Control Efforts. Avante Saúde Will Implement Two Strategies: I) Support the Ministry of Health (MOH) to Optimize and Scale His Solutions to Improve Service Delivery and Evidence-Based Decision Making. C-Saúde Will Employ the CDC-Approved Project Management Methodology to Design, Develop, Test, Deploy and Maintain His, While Security Aspects and Use of Open Standards Will Be Included in the Design and Implementation of His Solutions. C-Saúde Will Enhance the Electronic Patient Tracking System Used Nationwide, Incorporating Novel Approaches, Such as the Use of Machine Learning and Big Data Analytics, Addressing MOH and Pepfar Requests, and Ensuring Integration with Laboratory, Pharmacy and Community His Solutions. C-Saúde Will Support MOH to Strengthen Its Sector-Wide Leadership, Through the Development of Policies and Guidelines Produced by the MOH-Led His Technical Working Group, and Through the Capacity Building of MOH Staff, Enabling the Transition of Pepfar-Supported His Solutions to the Gm. II) Transition and Sustainment of Pepfar Programming to GM Entities. Avante Saúde Will Use the Successes and Lessons Learned from the C-Saúde Supported Transition Pilot in Zambézia in FY24. At Graduated Sites, Provincial Health Services Will Be Responsible for Activities That Can Be Operationalized Following GM Rules and Regulations, While C-Saúde Will Initially Continue to Support Cadres That GM Cannot Yet Integrate (I.e., Lay Staff, Data Clerks and Volunteers). C-Saúde Will Build the Capacity of Provincial and District Health Authorities in Zambézia Province to Manage US Government-Funded Programs, While C-Saúde Provincial and District Teams Will Build the Technical Capacity of District Health Authorities to Support the Graduated Sites. Avante Saúde’s Evaluation and Performance Measurement Plan Will Be Based on Program Documents and a Data Workflow Already Operationalized by C-Saúde. Aggregate Site-Level Data Will Enable Data Reviews at Graduated Sites, District, Provincial and National Level, Triggering Program Adjustments, as Needed, with C-Saúde’s Teams Technical Support. C-Saúde Is a Mozambican Association Established in 2020 with Assistance from Vanderbilt University Medical Center (Vumc) and Its Affiliate Entity Friends in Global Health (Fgh). Vumc Is Gradually Transitioning All FGH Staff, Resources and Systems Employed in the Implementation of Vumc’s Programs in Mozambique to C-Saúde. This Transition Began in FY23 and, Through a Sub-Agreement from Fgh, C-Saúde Has Been a Pepfar His Central Support Partner, Integrating Disparate Data Systems for Streamlined Data Collection, Leading the Centralization Process and Enabling the Use of Site-Level Program Data to Inform Program Decision Making and Continuous Program Improvement. Since FY24, C-Saúde Has Also Been Providing Technical Assistance in Zambézia Province, Accruing Significant Experience in Site-Level Staff Management for Direct Hiv Service Delivery (125 Counselors and Data Clerks; 239 Volunteers), and Collaborating Closely with Government Authorities. AS the Vumc Activity Transition from FGH to C-Saúde Will Be Completed in FY25, C-Saúde Is Uniquely Positioned to Implement the Avante Saúde Program. C-Saúde Will Engage Vumc Through a Sub-Agreement for the Provision of Targeted Technical and Managerial Assistance. The C-Saúde/Vumc Team Will Strengthen Localization and Program Sustainability Efforts, While Optimizing His Solutions and Transitioning Pepfar Programming to GM in Zambézia Province.

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