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Integrated legal empowerment framework to improve patient rights and access to quality services for HIV affected populations in Mozambique - Right to Health Program

Award Number: NU2GGH002480
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Integrated legal empowerment framework to improve patient rights and access to quality services for HIV affected populations in Mozambique - Right to Health Program - Access to health care isn’t just about physical proximity, improving technology and clinical training, and abolishing user fees. It’s also a justice problem, stemming from imbalances of power between people and the healthcare system, and between health workers and the institutions that employ them. How patients experience the healthcare system matters profoundly to health-seeking behavior and health outcomes. When patients receive test results without respect for privacy, or when people are mistreated, they lose trust, and many opt to stay away. Building on a decade of experience pioneering grassroots health justice work in Mozambique, Namati will address key social, legal and health systems barriers that contribute to health inequities in Mozambique. During the five-year project period, we will strengthen accountability of the healthcare system by (1) empowering patients and communities to raise their voices and (2) strengthening supply-side factors including humanization training for government health and justice providers and effective systems of grievance redress across the country. We don’t prescribe solutions. Instead of “we will solve this for you” health advocates’ message is “we'll solve this together, and in the process we will both grow.” By engaging marginalized communities and frontline health providers as agents of change, we will unlock invaluable learning about where systemic change is most needed and unleash the leadership of people who have a personal stake in achieving such change. Namati will deploy a network of health advocates, or defensores de saúde, to work in 82 health facilities and their respective catchment communities across four provinces (Maputo City and Inhambane, Zambézia, and Maputo Provinces). Health advocates will generate bottom-up improvements by raising awareness of health rights so that patients can more effectively advocate for themselves; supporting people to take on and resolve violations of their rights; and strengthening participatory governance of health facilities to make the health system more accountable to the communities it serves. We will target our efforts to vulnerable groups, including newly initiated ART patients and patients who have defaulted or abandoned treatment and key populations. In addition to supporting health system users, Namati will work alongside the Ministry of Health to provide in-service training to health workers around human rights and ethics, stigma and discrimination, and humanized interpersonal communication. We will also establish new partnerships with the Ministry of Justice, the Ministry of Interior, and the Inspector General for Health to train community judges, legal assistants, police and health inspectors. Namati will gather data on every case health advocates take on and every community-facility dialogue they facilitate. In the aggregate, this data provides government and civil society invaluable insight into how health policy is working in practice. As we have demonstrated, this feedback can then be a powerful lever for system-wide change at district, provincial and national levels. Aside from direct implementation, Namati will offer ongoing coaching and technical assistance to community-based organizations (CBOs) to support scale-up of community-led monitoring (CLM) across Mozambique. We will provide intensive training and mentoring to up to 45 CBOs each year. Namati will also work with PEPFAR implementing partners on the ground, including mothers2mothers, Centro de Colaboração em Saúde (CCS), Ariel Foundation, EGPAF, Friends of Global Health (FGH), ICAP and I-TECH, to address human rights barriers to care. This will include training staff, building capacity of mother mentors, working with clinical partners to incorporate a patients’ rights component into routine monitoring and supervision, and regular joint analysis of grievance data including substantive discussion to address barriers that impact treatment uptake and retention.


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: 2025 ( Subtotal = $818,322 )
2025	2025	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	08	2	3/13/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$818,322
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	04	2	12/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	08	2	3/13/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	01	2	10/2/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	07	2	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	05	2	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	03	2	12/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	06	2	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	02	2	12/9/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	01	2	10/2/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $818,322

Issue Date FY: 2024 ( Subtotal = $828,322 )
2024	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	06	1	4/30/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	00	2	8/1/2024	NON-COMPETING CONTINUATION	$818,322
2024	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	05	1	3/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	04	1	3/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$10,000
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	province			MOZ	Global AIDS	03	1	11/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	04	1	3/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	05	1	3/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	00	2	8/1/2024	NON-COMPETING CONTINUATION	$0
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	province			MOZ	Global AIDS	02	1	11/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	province			MOZ	Global AIDS	01	1	10/4/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	MAPUTO			MOZ	Global AIDS	06	1	4/30/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $828,322

Issue Date FY: 2023 ( Subtotal = $1,235,000 )
2023	2023	NAMATI MOCAMBIQUE	AVENIDA DO ZIMBABWE NR 1140	MAPUTO	province			MOZ	Global AIDS	00	1	8/31/2023	NEW	$1,235,000
														Subtotal = $1,235,000

Grand Total All Awards = $2,881,644

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Integrated legal empowerment framework to improve patient rights and access to quality services for HIV affected populations in Mozambique - Right to Health Program

Award Number: NU2GGH002480

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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