Ghana - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Ghana - 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.

Ghana has a concentrated HIV epidemic in MARPs. The majority of PEPFAR resources are focused on prevention with persons engaged in high-risk behavior, although the Ghanaian government or other donors have historically been hesitant to support programs for these populations. In recent years, the PEPFAR Ghana team's advocacy has led to government and other donors' better aligning programs to epidemiologic data, including a Round 8 Global Fund proposal focusing on prevention among MARPs.

PEPFAR Ghana's key strategic priorities include prevention of HIV in persons engaged in high-risk behaviors; reducing HIV transmission from most-at-risk populations to the general population; and providing comprehensive prevention, care, and access to treatment for those infected, their partners, and their families. The USG team in Ghana concentrates its efforts in 30 of Ghana's 165 districts, whose selection is based on statistically high concentration of MARPs and the presence of other donor activities, such as the Global Fund. Other prevention interventions focus on partner reduction, condom use, clinical services, and an anti-stigma campaign for health staff, which is expected to increase the uptake of CT.

PEPFAR Ghana will work with high-risk groups such as cocoa farmers and the Ghana Armed Forces on prevention and will develop public-private sector partnerships with cocoa-buying companies to reduce high-risk behaviors during the cocoa season. PEPFAR will also support Ghana Armed Forces' prevention program, following new United Nations guidelines concerning sexual exploitation regulations during peacekeeping operations. Additionally, PEPFAR provides grassroots support for volunteers and communities to implement prevention programs.

PEPFAR Ghana will also provide nutritional support for PLWHA, including individuals starting ART and for children born to HIV-positive mothers. PEPFAR will support OVC through military wives' clubs and through the Ambassador's Small Grants program. The Ambassador's Small Grants program also funds activities that support vulnerable women, including developing income-generating activities and providing prevention counseling. PEPFAR will also provide training and support for caregivers, and will work with the military to upgrade safety procedures in the military's laboratories.

PEPFAR Ghana will support health system strengthening activities, with an emphasis on the national logistics system, which delivers ARV drugs, HIV test kits, TB drugs, and other laboratory supplies, as well as Ghana's strategic information systems. Increasing public diplomacy efforts will inform Ghanaians about U.S. achievements.

A Partnership Framework between the Governments of Ghana and the United States has been signed and the document is now available at FY 2009 PEPFAR funds will be used to support expanding service delivery, as outlined in the Partnership Framework. Specifically, funds will be provided to extend prevention services for MARPs, including FSW and MSM. PEPFAR/Ghana will provide technical assistance to the newly initiated national MARP working group and to the government in the areas of clinical and laboratory services, resource use, and strategic information. PEPFAR/Ghana will also provide technical assistance and quality assurance services to programs funded by the Global Fund to Fight Tuberculosis, Malaria, and HIV/AIDS, which is the largest funder of clinical services to PLWHA, to maximize these services and ensure efficiencies and the use of best practices. FY 2009 resources will also lay the groundwork for other goals established in the Partnership Framework, including HIV/AIDS policy reform and increased responsibility on the part of the Government of Ghana for financing Ghana's HIV/AIDS response.

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