Democratic Republic of Congo

Democratic Republic of Congo - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Democratic Republic of Congo - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

The following narrative describes activities supported by the GHCS-State fund account, notified by the Office of the Global AIDS Coordinator.

Despite limited resources and a challenging country context, PEPFAR has developed a strong program that focuses on four high-prevalence and high-population urban settings. In particular, PEPFAR has supported strengthening and expanding the TB/HIV program, building on a strong existing national TB program, and implementing new approaches to screen TB patients for HIV and increase access to HIV services for those found to be HIV positive. In another major accomplishment, the USG helped implement the first Demographic and Health Survey to be conducted in DRC; these data are now being used to guide programs.

PEPFAR supports a broad range of services in DRC, including prevention, care and support, treatment, OVC, Human Resources for Health, and Health Systems Strengthening. Given the epidemiology of HIV in DRC, prevention activities are appropriately focused on prevention of sexual transmission, as well as PMTCT. In addition, there is ongoing support for counseling and testing services, with plans to scale up voluntary as well as provider-initiated services. Efforts are underway with the military to train master trainers and peer educators to provide HIV/AIDS prevention education and behavior change communication, and to provide equipment and training for VCT centers, including strengthening HIV laboratory diagnostic capacity to increase testing of military personnel. PEPFAR is providing support to programs and community groups that promote key prevention and testing messages, and supporting the development of a radio and television serial drama focused on the social issues around HIV prevention and testing.

In the area of Care and Support, PEPFAR funds basic care and support services, as well as programs for TB/HIV and for OVCs. In particular, PEPFAR is providing technical assistance to support family-centered HIV services, with support for those infected and affected by HIV. PEPFAR is also supporting the development of a uniform monitoring and evaluation system for all TB/HIV activities. In addition, PEPFAR is helping to strengthen and expand laboratory services in order to improve HIV care and treatment.

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