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Ensuring High Quality in Mentor Mother Strategy Implementation: Helping Mothers Eliminate Pediatric HIV in Mozambique under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002199
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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mothers2mothers (m2m) is pleased to present our proposal in response to the Centers for Disease Control (CDC) Notice of Funding Opportunity (NOFO) CDC-RFA-GH19-1903, Ensuring High Quality in Mentor Mother Strategy Implementation: Helping Mother Eliminate Pediatric HIV in Mozambique under the President’s Emergency Plan for AIDS Relief (PEPFAR). m2m has been at the forefront of designing and implementing prevention of mother-to-child transmission of HIV (PMTCT) programs across sub-Saharan Africa, growing from a single site in South Africa in 2001, to an international organization that works across eight countries. Our proven, scalable, high-impact Mentor Mother Model (MMM) has been recognized globally for its contribution by UNICEF and UNAIDS, and was included in the Global Plan to end new HIV infections amongst children. Through this application, m2m aims to support the reduction in vertical transmission of HIV nationally in Mozambique, improve pediatric antiretroviral therapy (ART) retention through a technical assistance (TA) model, and achieve near elimination of vertical transmission of HIV through direct service delivery (DSD). m2m will provide TA over a five-year period to the national-level Ministry of Health (Ministério da Saúde or MISAU), Provincial Health Directorates and PEPFAR Implementing Partners (IPs) for the national scaling of the revised Mentor Mother Strategy to improve the quality of service delivery and implementation of peer support provided to HIV positive pregnant and breastfeeding women (PBFW), HIV exposed infants and HIV positive children under five years of age. In addition, m2m will provide DSD in high volume sites in Nampula and Zambezia Provinces, which will serve as demonstration and teaching sites for high-fidelity implementation of the national strategy. The project outcomes are aligned with PEPFAR priorities, UNAIDS “fast track” targets, and Sustainable Development Goal 3: Achieve Health and Wellbeing at All Ages. A key component of m2m’s success has been strong partnerships with Ministries of Health, USAID’s Regional HIV/AIDS Program and PEPFAR teams to support efforts to strengthen national health systems and improve the capacity of PEPFAR Implementing Partners. m2m has an excellent track record in providing technical assistance (TA) and capacity building to governments to integrate the MMM into national health systems as an integral part of PMTCT interventions aimed at ending pediatric HIV. In Kenya and South Africa, m2m has successfully scaled up the MMM through phased government adoption and ownership. In Mozambique, with funding from the CDC and USAID, m2m currently provides TA to MISAU, capacity building support for IPs, and DSD at 36 high-volume health facilities across five provinces – Cabo Delgado, Maputo, Nampula, Sofala and Zambezia, enrolling 10,771 PBFW and 6,512 HIV exposed infants since January 2018. With 17 years of programmatic and management experience managing multiple U.S. Government and other large-scale awards on key regional and national projects, underpinned by sound financial management and governance processes, m2m has the requisite systems, staff and program management services in place to ensure continuity and achieve the project outcomes. The activities proposed leverage m2m’s country-specific experience, geographic footprint, staff expertise and relationships with key stakeholders in Mozambique. m2m Mozambique has a robust team of well-qualified national and provincial programmatic, technical and support staff in place, and employs 387 Mentor Mothers in the field at health facilities and in surrounding communities. m2m in-country staff will oversee and deliver all programmatic activities on the ground, with support from m2m South Africa (Head Office) including financial system management, human resource management, and technical support in program design, delivery, training and monitoring and evaluation.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	08	3	6/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	08	3	6/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	08	3	6/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	08	3	6/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $2,690,055 )
2022	2022	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	05	3	3/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	04	3	3/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$348,384
2022	2022	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	06	3	5/24/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	03	3	2/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	07	3	9/19/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	02	3	12/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,341,671
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	05	3	3/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	06	3	5/24/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	07	3	9/19/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	02	3	12/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	04	3	3/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	03	3	2/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	01	3	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	01	3	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	03	3	2/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	04	3	3/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	06	3	5/24/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	05	3	3/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	02	3	12/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	MOTHERS2MOTHERS SOUTH AFRICA	5TH FLOOR 33 MARTIN HAMMERSCHLAG	CAPE TOWN	province			ZAF	Global AIDS	07	3	9/19/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,690,055

Issue Date FY: 2021 ( Subtotal = $2,434,183 )
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 Martin Hammerschlag Way, 5 Floor	Foreshore, Cape Town				ZAF	Global AIDS	05	2	4/20/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$527,831
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	10	2	7/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$227,194
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	02	2	2/26/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$705,828
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	09	2	7/9/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	03	2	3/2/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	07	2	5/21/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	08	2	5/27/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	00	3	9/7/2021	NON-COMPETING CONTINUATION	$973,330
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	11	2	8/3/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	04	2	3/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	06	2	4/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	06	2	4/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	10	2	7/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN	province			ZAF	Global AIDS	02	2	2/26/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	03	2	3/2/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	01	2	11/23/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	09	2	7/9/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	00	3	9/7/2021	NON-COMPETING CONTINUATION	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 Martin Hammerschlag Way, 5 Floor	Foreshore, Cape Town				ZAF	Global AIDS	05	2	4/20/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	08	2	5/27/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	07	2	5/21/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	11	2	8/3/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	MOTHERS2MOTHERS SOUTH AFRICA	33 MARTIN HAMMERSCHLAG WAY, 5 FLOOR	FORESHORE, CAPE TOWN				ZAF	Global AIDS	04	2	3/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,434,183

Grand Total All Awards = $10,360,657

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Ensuring High Quality in Mentor Mother Strategy Implementation: Helping Mothers Eliminate Pediatric HIV in Mozambique under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002199

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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