Democratic Republic of Congo – FY 2010 Approved Funding by Program Area, Agency and Funding Source*
*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.
To promote country ownership and sustainability PEPFAR will work directly with the Government of the Democratic Republic of Congo (GDRC) to build capacity and sustainability while simultaneously supporting communities to set and meet HIV/AIDS objectives. In 2009, PEPFAR and the GDRC developed their Partnership Framework, which was signed by the Prime Minister and Foreign Minister, as well as Assistant Secretary Johnnie Carson. Both PEPFAR and the GDRC are significantly invested in using the Partnership Framework to create a favorable policy environment, expand access to services, and improve efforts against gender-based violence. The five-year implementation plan is in development and will create a steering committee to jointly monitor and manage activities as well as hold signatories accountable for the agreed interventions. In FY 2010, the USG will continue to prioritize targeted, comprehensive prevention programs among persons engaging in high-risk behavior while also addressing risks for youth and the general population. Programs will aim to increase personal risk perception and improve access to condoms among high risk groups, military personnel and their families in conjunction with HCT scale-up efforts. Behavior change messaging will continue with in school youth and through HIV mass media campaigns.
In 2010, PMTCT will be strengthened and expanded to increase the uptake and referral of pregnant women eligible for ART services provided by the Global Fund. PEPFAR will mobilize state-of-the-art PMTCT technical assistance to ensure HCT within the context of quality antenatal care (ANC), safe delivery, postnatal care, including STI and cervical screening, and linkages to family planning.
Reducing biomedical transmission will focus on three strategic areas: testing of all donated blood for transfusion-transmissible infections, blood group and compatibility; ensuring the availability and accessibility of safe blood to all patients requiring transfusion in 80-100 health zones. Injection safety activities will focus on institutionalizing improved waste management practices at the rural health zone level.
PEPFAR, the GDRC and other stakeholders have identified the following areas for comprehensive care and treatment support; HCT, home-based care, income generating activities, staging for ART where appropriate, cotrimoxazole prophylaxis, TB screening, nutritional support, and PwP activities, expanding access to services for the management of opportunistic infections, laboratory support services for HIV diagnosis and disease monitoring.
PEPFAR’s OVC program is focused on increasing access to a minimum package of OVC interventions, increasing community mobilization to prevent and support OVC, and ensuring a political and institutional environment that enables protection as well as the provision of holistic OVC care through a coordinated response.
In FY 2010, PEPFAR will continue to promote strategic information as a foundation for planning and coordinating the national HIV response by identifying epidemiologic priorities through targeted studies and the DHS survey and monitoring and evaluating quality and coverage of HIV service delivery via a national reporting system.
Regarding health systems strengthening PEPFAR will develop laboratory systems for service delivery; strengthen strategic information capabilities; support logistics and pharmaceutical management; develop human and institutional capacity; and support sustainable financing for the GDRC health system.
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