Ghana – FY 2010 Approved Funding by Program Area, Agency and Funding Source*

Date: 2011 Description: FY 2010 Approved Funding by Program Area, Agency and Funding Source © PEPFAR

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

In the first five years of PEPFAR, the program in Ghana maximized its limited resources by concentrating on key programmatic gaps not addressed by the Government of Ghana (GOG) and other donors. PEPFAR, with GOG, donors, and civil society representatives, identified critical areas for productive collaboration in the Partnership Framework, a five-year joint strategic framework focused on service delivery, HIV/AIDS policy reform, and shared financial and/or in-kind commitment. This Framework was signed on November 30, 2009 and is now available at The Partnership Framework lays out the guiding principles and goals of the USG-GOG joint efforts to combat the AIDS epidemic. The goals of the Partnership Framework will be translated into action within the PFIP, which is in its final negotiations with the GOG.

Infections in the general population are, to a great extent, transmitted from core and bridging populations, such as male and female sex workers (MSW and FSW), their non-paying partners (NPP) and clients, and men who have sex with men (MSM). In FY2010, PEPFAR will provide TA to the Ghana AIDS Commission’s (GAC’s) MARP working group. PEPFAR will support prevention activities for FSW, their clients and NPPs, MSM, the Ghana Armed Forces, and PLWHA and their regular sexual partners, including referrals to MARP-friendly clinical care. These activities will be strengthened through structural interventions to reduce stigma and discrimination with the police, judiciary and prison services. PEPFAR will coordinate with the National AIDS Control Program (NACP) to review and adapt PMTCT supervision protocols and practices and update PMTCT-related modules in pre-service training. PEPFAR will also support the National Blood Transfusion Service, under the Ghana Health Service (GHS) to provide high-quality blood services in Ghana. PEPFAR will support the GOG to continue initiating new sites for PMTCT, while working to ensure the quality of and linkages between PMTCT and other services.

PEPFAR provides targeted TA that integrates community preparation and linkages, QA monitoring and mentoring, and ART and HIV test-kit logistics to sites supported by the Global Fund to Fight AIDS, TB and Malaria (Global Fund). To reinforce these QA activities, all facilities are linked with community support groups to ensure referral networks are in place. PEPFAR will also provide therapeutic nutritional supplementation to those newly initiating ART and HIV-infected mothers below a certain body-mass index.

In support of the Partnership Framework, PEPFAR will coordinate with other donors to implement Ghana’s National Plan of Action for OVC (2009 - 2011). PEPFAR will also provide direct support for identification of OVC, vocational training and economic strengthening for OVC, bolstering community structures for OVC care and support, and supporting best practices for institutional care.

PEPFAR is working closely with GHS to improve laboratory management and practices, develop laboratory information systems, support advanced laboratory testing capacity, and improve supply chain management. PEPFAR will assist the GOG to determine HIV incidence, HIV drug resistance, and to improve information/data harmonization, acquisition, analysis, and dissemination to support HIV/AIDS prevention and treatment services.

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