Cameroon (Total GHCS-State: $1,250,000)

HHS/CDC ($850,000): The FY 2010 GHCS-State funds for CDC will continue to support ongoing programs, leveraging additional resources from PEPFAR’s GAP fund account in Cameroon. The funds will be used in four program areas: blood safety, prevention of-mother-to-child transmission (PMTCT), strategic information (SI), and management and staffing. CDC will issue a cooperative agreement with the National AIDS Coordinating Committee (NACC) to provide funding to the Ministry of Public Health (MOPH) to expand upon current HIV/AIDS programs, strengthen blood safety activities related to blood transfusion, and develop a national voluntary blood donor system. PMTCT activities will include technical assistance, monitoring, and supervision for the ongoing early infant diagnosis (EID) program. Strategic Information (SI) activities will include support for a study of men who have sex with men (MSM) to better understand how to target this most-at-risk population (MARP) group. Funding is also allocated for staff development and training, providing technical assistance to the MOPH, purchasing equipment, and for the renovation and other costs associated with moving the CDC-Cameroon office to Yaoundé, as coordinated with CDC Atlanta.

Peace Corps ($25,000): The FY 2010 PEPFAR funding for Peace Corps Cameroon will build upon existing pre-service and in-service trainings to strengthen host country national and Peace Corps volunteer knowledge and skills, specifically in the area of behavior change communication (BCC). Primary intervention areas include: training, Volunteer Activities Support and Training (VAST) grants, and material production and dissemination. Host country nationals and Peace Corps volunteers will receive training in project design and management, with an emphasis on monitoring and evaluation (M&E) activities for improved data collection and reporting. VAST grants are available to both Peace Corps volunteers and host country nationals to support HIV/AIDS-related interventions and activities for community-initiated, executed, and evaluated interventions and activities generated from the behavior change communication (BCC) and compassion training workshops. Peace Corps Cameroon will also produce and purchase support materials for use by VAST grant recipients to improve effective community HIV/AIDS BCC and compassion interventions on a broader scale.

USAID ($375,000): This FY 2010 funding is from CDC-Cameroon to support the Supply Chain Management Systems (SCMS) contract administered by USAID. The funding will be used by SCMS to procure supplies, materials, and equipment to support the CDC blood safety and PMTCT activities in Cameroon.

Djibouti (Total GHCS-State: $150,000)

DoD ($150,000): The FY 2010 GHCS-State funds will be used to support the following activities, in partnership with the Djibouti Ministry of Defense (MOD): conducting an HIV sero-prevalence survey to get an updated HIV prevalence rate among the Djibouti Armed Forces and plan for prevention policies accordingly; creating a mobile voluntary counseling and testing (VCT) unit; training laboratory technicians and nurses on blood safety and best laboratory practices; purchasing medical (diagnostic) material to improve clinical capability of treating infected people; convening workshops and female peer education sessions for cadets and military wives; and mobilizing BCC campaigns.

Liberia (Total GHCS-State: $800,000)

USAID ($450,000): USAID plans to buy into an existing program that will focus on vulnerable children identified by community or government departments, including children affected by or infected with HIV/AIDS. With FY 2010 PEPFAR funds, the program will solicit and manage one or more sub-awards to several innovative international and national NGOs to implement activities focusing on women, youth, and orphans and vulnerable children (OVC), as well as to provide technical assistance for other organizations working in Liberia. Planned activities include: strengthening families with children at risk; identifying and providing services like HCT, education, shelter, and placement in non-institutional settings to street children and non-orphans; supporting advocacy to fight stigma and promote social cohesion on prevention, care, and treatment; networking among HIV/AIDS providers and stakeholders; interacting with government officials in support of women’s health advocacy; and promoting effective participation in government social programs. The program will also provide technical support to community-based organizations (CBOs) and faith-based organizations (FBOs) to improve the quality and accessibility of HCT and other outreach services; increase integration of HIV/AIDS and reproductive health into general child welfare interventions; improve capacity of CBOs to monitor performance and document interventions; and to sustain progress and conform with Liberian law and social policy. The program will also support the training and supervision of social workers to acquire case management skills and fully implement the National Social Welfare Policy.

DoD ($350,000): The FY2010 funds will be used to launch an extension phase of the DoD HIV/AIDS Prevention, Care and Treatment Program for the Armed Forces of Liberia (AFL) to include communities densely populated by soldiers’ spouses and adolescent children. The expanded program aims to strengthen the AFL’s capacity by providing technical assistance and training to peer educators to promote positive sexual behavior and address stigma and discrimination, enhance the local capacity and ownership of the program, and affect positive and long-term sexual behavior change. The program will also promote positive behavior change through a drama club and a periodic radio talk show that will highlight program activities and create public awareness of the program. With FY 2010 funds, partnership and collaboration between local and international NGOs will be enhanced, community outreach strengthened, and the capacity of laboratory technicians improved through training, provision of equipment, and expansion of the existing clinic facility to include an HIV counseling and testing (HCT) unit.

Madagascar (Total GHCS-State: $500,000)

USAID ($500,000): The goal of USAID’s HIV/AIDS assistance to Madagascar is to help keep the HIV prevalence below one percent in the general adult population, and below two percent in high risk populations. With this FY 2010 GHCS-State funding, USAID will work with international NGOs in Madagascar to continue scale-up of innovative and successful evidence-based HIV/AIDS behavior-change interventions. These interventions are aimed at the specific populations with appropriately tailored HIV prevention messages. Target audiences include MARPs, such as peri-urban youth, mobile men, commercial sex workers (CSW), and MSM. The program will also work to expand a network of franchised private clinics providing quality youth-friendly services including HIV testing, peer education, and mass media campaigns, to a total of nine vulnerable cities. Finally, two innovative new communication campaigns targeting MSM and CSW that include interpersonal tools and mass media supports will be launched, including an HIV film for high-risk men and the distribution of condom brochures in high-risk spots such as bars, brothels, and video parlors. The programs described provide services entirely through non-governmental channels, as per Section 7008 of the Department of State, Foreign Operations, and Related Programs Appropriations Act of 2009 in the case of assistance to Madagascar.

Mali (Total GHCS-State: $1,500,000)

HHS/CDC ($1,500,000): In Mali, PEPFAR funding through CDC will be used to continue health and social service activities including: sexual prevention; laboratory strengthening and capacity-building; establishment and validation of a laboratory quality control algorithm for VCT. Funding will also be used to identify additional high-risk groups for HIV/AIDS, such as MSM, incarcerated populations, and injecting drug users (IDUs), and to conduct appropriate surveys and operational research to better develop preventive programs to address the needs of these high-risk populations. Funding will also be used to support the management and staffing costs of field support and technical officers, as well as necessary travel and training expenses and International Cooperative Administrative Support Services (ICASS) costs.

Senegal (Total GHCS-State: $1,768,000)

USAID ($1,168,607): USAID will use these PEPFAR FY 2010 GHCS-State funds to complement prevention programs targeting MARPs and comprehensive care and support interventions for people living with HIV/AIDS (PLWHA). Planned activities include a comprehensive BCC program through non-governmental organizations (NGOs) and community-based organizations (CBOs) targeting the general population in the highest-prevalence southern regions of the country. The BCC program will work to increase knowledge of risk factors and prevention methods, including abstinence, fidelity, and condom use, and also improve care-seeking behavior for sexually-transmitted infections, seeking to reach at least 60,000 individuals with FY 2010 funds. USAID will also continue to support three stand-alone VCT centers, including the integration of VCT services into district health centers, communications to promote use of the services, establishment of quality assurance programs for VCT centers, and establishment of a broad-based network linking testing facilities to basic care and support services. Funds will support technical assistance to networks of PLWHA by reinforcing their institutional capacity and advocacy role to decrease stigmatization and discrimination. USAID will support activities aimed at facilitating, developing and implementing advocacy and communication strategies to improve the environment for activities targeting high risk groups, in particular MSM. Finally, USAID, with additional funding from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and the World Bank, will provide financial and technical assistance for the implementation of the third combined biological and behavioral survey among high-risk and vulnerable groups, to monitor prevalence rates and behavior related to the risk of HIV infection.

HHS/CDC ($299,393): With FY 2010 GHCS-State funds, CDC will build upon the 2009 national sentinel survey and will fund a local Senegalese partner to strengthen HIV SI in the country, through the design and implementation of a national HIV case reporting system and other surveillance activities. This funding will allow for the expansion of existing HIV surveillance activities in Senegal, as well as enhanced data management and analytic support for the National HIV Strategic Information Program within the National AIDS Control Program (CNLS). FY 2010 GHCS-State funding will also strengthen the overall HIV strategic information system in Senegal, moving them towards a standards-compliant, internationally-developed scheme. Additional FY 2010 funding would support the development and implementation of a comprehensive country-wide laboratory-based HIV reporting case system that incorporates data from voluntary counseling and testing services, including testing programs located at ANC facilities as part of PMTCT programs, TB clinics, hospital and health centers, and other community based organizations.

DoD ($300,000): DHAPP plans to continue its support of Senegalese Armed Forces (SAF) with the help of FY 2010 GHCS-State funds. DHAPP and SAF will continue their work with military personnel and their dependents at the national level and in regional level. The areas of designated action will focus on: military intervention and peer-education, accidental and involuntary biological exposure, VCT, PMTCT, prevention and care, support and care of PLWHA as well as those affected by HIV/AIDS, and management capacity-building. These activities will reinforce structured planning and evaluation of the national objectives and goals for the program.

The USG, through the various agencies, will continue to support the Government of Senegal in achieving its goal of maintaining a national HIV prevalence below two percent. Coordination with Global Fund projects will be reinforced for a rational use of resources. These combined efforts will significantly contribute to overall family health and directly support USG foreign assistance priorities for FY 2010.

Sierra Leone (Total GHCS-State: $500,000)

HHS/CDC ($500,000): FY 2010 GHCS-State funds will provide technical and financial assistance to the establishment and expansion of a national infectious disease surveillance system that includes HIV/AIDS. CDC will provide technical assistance to the Sierra Leonean Ministry of Health and Sanitation (MOHS) to facilitate the establishment of a national laboratory policy and strategic plan, improve HIV laboratory services, integrate HIV case reporting into the surveillance system, and establish a technical work group to direct and oversee an evaluation of the surveillance system. With the findings of the evaluation, the technical work group will guide the development of a national surveillance strategic plan in order to better identify and allocate resources to develop a cadre of laboratory technicians and health professionals. In addition, CDC will provide technical assistance to ensure the MOHS has the appropriate laboratory equipment, infrastructure, quality assurance systems, and human resource capacity necessary to support testing for early infant diagnosis (EID) of HIV. CDC will also provide technical assistance to link PMTCT and pediatric antiretroviral therapy (ART) programs with laboratory activities. Lastly, CDC will develop a pre-service training curriculum in quality management at a local educational institution for laboratory technicians and technologists.

Southern Africa Regional (Total GHCS-State: $1,800,000)

USAID ($1,800,000): Funding will support the USAID/Regional HIV/AIDS Program (RHAP). PEPFAR funding for the RHAP will support activities in ten southern African countries and regional organizations, providing regional expertise to strengthen the quality and impact of HIV/AIDS programs in the region; strengthen the indigenous regional response and offer economies of scale; and allow for the sharing, adaptation, and replication of evidenced-based approaches. Funding will support human resource capacity, technical assistance within the region, and critical operations costs.

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