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

Cambodia - 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.

PEPFAR Cambodia is a model program for the USG's fight against HIV/AIDS in a country where the epidemic is driven by high risk groups. HIV prevalence has declined from 2% in 1998 to an estimated 0.8% in 2008 (UNAIDS/WHO), largely due to the creative prevention efforts by the PEPFAR country team. PEPFAR has achieved over 80% treatment coverage of antiretroviral drugs and doubled the uptake of PMTCT activities in the past year. The program successfully targets high-risk groups including border populations in collaboration/leverage with PEPFAR Vietnam. PEPFAR Cambodia excels in harmonizing activities and leveraging limited USG funds among donors.

In Cambodia, PEPFAR will continue focusing on high-risk groups by expanding behavior change communication activities and targeted social marketing in areas with high risk populations or documented high levels of HIV prevalence. PEPFAR Cambodia will continue to strengthen community outreach and venue-based ABC communications, promote education activities/messages aimed at increasing the demand for appropriate sexual health services, reduce stigma associated with the use of these services and change high-risk male behavioral norms regarding multiple sexual partners and inconsistent condom use outside of stable relationships.

PEPFAR Cambodia will continue working with the MOH to improve laboratory capacity and quality for HIV care and treatment, improve the ability of the MOH to collect information about the HIV epidemic and its HIV programs, and work with the MOH to develop sound strategies and policies for HIV program activities. In addition, PEPFAR will use funds for the scale-up of PMTCT, TB/HIV and antiretroviral drug services; laboratory services in support of HIV care and treatment; and program monitoring and evaluation in four provinces. Funding will also be used to continue the improvement of diagnosis and care for people infected with both TB and HIV to strengthen Cambodia's care and support program.

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