Other PEPFAR Countries
The funding amounts specified in the following program descriptions refer only to the amount of GHAI funding approved for each country and do not necessarily represent the entire Emergency Plan funding level for a given country. These descriptions cover countries that are receiving an increase in funding for HIV/AIDS as a result of the Emergency Plan.
Angola (Total GHAI: $1,200,000):
DOD (GHAI $500,000): These funds will support an existing program with the Angolan Armed Forces (FAA). This current and comprehensive program entails mass education, peer counseling, counseling and testing centers, sexually transmitted disease (STD) treatment, and the procurement and installation of HIV screening and diagnostic laboratory equipment, with associated training of FAA personnel. These funds will also assist DOD in further developing comprehensive monitoring and evaluation programs in partnership with the FAA.
HHS (GHAI $500,000): These funds will provide technical assistance to the Ministry of Health and non-governmental organizations (NGOs) in counseling and testing; health information systems; laboratory support and infrastructure development; surveillance; and monitoring and evaluation.
USAID (GHAI $200,000): The use of these funds will focus on high-risk groups by expanding counseling and testing centers in areas with high-risk populations and high levels of HIV/AIDS prevalence. This funding will be used to strengthen outreach activities around counseling and testing centers in order to reach the surrounding civilian population and strengthen behavior change programs implemented by the private sector. Additional resources will help to expand and strengthen Angola�s early efforts to introduce prevention of mother-to-child HIV transmission (PMTCT) by providing assistance to one or more of five pilot hospitals.
Cambodia (Total GHAI: $2,600,000):
HHS (GHAI $295,000): These funds will support expanded national capacity for collection, analysis and use of strategic information. This includes an HIV sero-prevalence survey, national AIDS program database development, and improved detection and referral of people co-infected with HIV and TB to appropriate services under the Continuum of Care (CoC) model.
USAID (GHAI $2,305,000): These funds will support the continued implementation and expansion of comprehensive CoC activities including the establishment of CoC services in referral hospitals. Community-level home-based care will be linked to facility-based CoC services, such as management of opportunistic infections and antiretroviral therapy (ART). Counseling and testing and PMTCT will be expanded in rural and remote areas. This funding will also support critical care and treatment of people living with HIV/AIDS (PLWHA) and mitigation for orphans and vulnerable children (OVC).
Central American Regional (Total GHAI $1,500,000):
HHS (GHAI $1,000,000): These funds will be used to support regional program operations, bilateral program operations in Honduras, the National AIDS Program in Belize, and the development of antiretroviral treatment surveillance programs for countries in the region. This funding will provide technical assistance in HIV and sexually transmitted infection (STI) prevention; laboratory support and infrastructure development; health information systems development; surveillance; and monitoring and evaluation. A significant portion of this funding will provide targeted TA to GFATM HIV/AIDS grants in the region.
USAID (GHAI $500,000): These funds will strengthen prevention programs to focus on interpersonal behavior change. Building upon lessons learned in working with most-at-risk populations, these programs will seek to improve interpersonal behavior change approaches and develop new ones. These funds will be used to integrate prevention programs with policy reform interventions and human rights and stigma reduction activities. Funding will strengthen surveillance, information dissemination and data for decision-making. It will be used to improve the comprehensive care and support provided to PLWHA in the region with an emphasis on the management of co-infection of HIV and TB. Additionally, these funds will provide complementary assistance to strengthening implementation of GFATM activities in the region. Because of the interdependence between the Emergency Plan and GFATM programs, such targeted TA will also significantly improve the effectiveness and efficiency of the Emergency Plan programs in the region.
China (Total GHAI $2,450,000):
HHS (GHAI $1,575,000): This funding will support the development of a comprehensive prevention program in two to three additional provinces and planning for the integration of the USG program in ten additional provinces. This includes the development of a provincial AIDS sentinel surveillance network with case-finding capacity and support for project management of all AIDS programs. This funding will also support the development of care and treatment operations in rural settings.
USAID (GHAI $875,000): This funding will supplement current activities. These include voluntary counseling and testing; prevention programs; comprehensive AIDS care, including treatment, drop-in information and wellness centers for injecting drug users and sex workers; home- and community-based care; advocacy for the rights of people living with HIV/AIDS to reduce stigma; and, HIV-related policy development, including training in best practices and models. Capacity building for health workers, peer educators, PLWHA and others will continue to be a core component in all activities.
Democratic Republic of the Congo (DRC) (Total GHAI $3,200,000):
DOD (GHAI $400,000): These funds will establish a new counseling and testing center, including laboratory support, with the DRC military.
HHS (GHAI $1,400,000): These funds will provide technical assistance to support family-centered PMTCT services. The use of these funds will help to develop a uniform monitoring and evaluation system for all HIV/TB activities, and provide assistance to expand laboratory support for increasing PMTCT, treatment, and blood safety services outside of Kinshasa.
STATE (GHAI $250,000): These funds will provide for innovative prevention programs through small grants to community groups. Funding will also improve the US Embassy website to provide useful HIV/AIDS information, and support visiting speakers in DRC who can address HIV/AIDS topics of interest to public health professionals and other local leaders.
USAID (GHAI $1,150,000): These funds will establish public-private partnerships with mining and transportation companies to provide technical assistance to create employee HIV/AIDS prevention, treatment, care, and support programs. Funding will also establish a national blood safety program and integrate family-centered PMTCT into USAID/DRC�s new child survival program.
Djibouti (Total GHAI $250,000):
DOD (GHAI $250,000): These funds will support surveillance capabilities with the Djiboutian military; conduct behavioral intervention surveys; assist in the training of physicians and health care providers in HIV prevention, care, and treatment; and initiate and monitor the effectiveness of peer-to-peer education efforts. Additionally, funding will increase HIV/STI testing services, develop infrastructure for mass awareness campaigns, and expand laboratory services.
Dominican Republic (Total GHAI $311,500):
DOD (GHAI $250,000): This funding will be used to strengthen HIV/AIDS education and training at the central Armed Forces training center; develop and implement an HIV/AIDS awareness and advocacy program to promote healthy living through behavioral changes and stigma reduction; provide training to master trainers, peer educators, counselors and military leadership on HIV/AIDS issues; strengthen the counseling and testing program through infrastructure improvement; and enhance the existing HIV/AIDS surveillance system. DOD will focus on integrating HIV/AIDS program activities into existing national, regional and international efforts.
Peace Corps (GHAI $61,500): This funding will be used to continue working in communities in the area of prevention education, using the training/resource HIV/AIDS manual that was developed in collaboration with Peace Corps Volunteers (PCV) in Haiti. The use of these funds will help to engage the youth population in HIV/AIDS issues by establishing sustainable peer education groups; holding a national youth HIV/AIDS prevention conference; carrying out three regional conferences in order to train peer educators and form networks between youth educators; and further facilitate shorter workshops during which peer educator groups share their work experiences. This funding will assist in increasing and improving PCVs� efforts in creating linkages between youth peer educators and dependable health care providers to encourage sensitivity to adolescent needs.
Ghana (Total GHAI $667,000):
DOD (GHAI $300,000): These funds will be used to support seven HIV/STD counseling and testing facilities that provide national military HIV diagnostic services; support ongoing training of laboratory personnel and antiretroviral (ARV) delivery to soldiers and families; and expand clinical care facilities.
USAID (GHAI $367,000): This funding will support strengthening targeted prevention interventions for the most-at-risk groups. This will include grants to local NGOs in those areas that are most affected by the epidemic. NGOs will carry out prevention activities including peer education, condom promotion and referrals to counseling and testing and PMTCT services. Additionally, NGOs will undergo rigorous training to build their capacity in program management and design, resource management and technical skill building.
Honduras (Total GHAI $750,000):
DOD (GHAI $250,000): These funds will help to strengthen the Honduran military HIV/AIDS program by building sustainable mass awareness and peer-to-peer education efforts. The funds will continue to support leadership training; establish an HIV/AIDS awareness and advocacy program; improve infrastructure that supports counseling and testing activities; and, establish an HIV/AIDS surveillance system. DOD will also work with the Honduran military to establish a regional HIV/AIDS �Center of Excellence� at its central Armed Forces technical school, stressing collaboration with existing national, regional and international efforts.
USAID (GHAI $500,000): The funds will support prevention and care programs for high-risk groups; private sector provision of condoms; mass media education programs; and HIV prevalence and behavior monitoring activities, with an emphasis on high-risk groups. In addition, a portion of this funding will be utilized to provide targeted TA to the GFATM HIV/AIDS grant. This funding for TA will serve to maintain a technical support team to assist the Country Coordinating Mechanism (CCM) in monitoring the implementation of the GFATM grant, to make required modifications to existing proposals, and to develop new proposals for future rounds of GFATM grants. The funds will also be used to provide TA to strengthen the leadership and management skills of the CCM, especially in its relationship to the Principal Recipient. Because of the interdependence between the Emergency Plan and GFATM programs, this targeted TA will significantly improve the effectiveness and efficiency of the Emergency Plan programs in the country.
India (Total GHAI $10,000,000):
DOD (GHAI $605,000): This funding will support continued relations with the Indian Armed Forces in HIV counseling and testing; HIV/AIDS education through training of trainers; treatment and care training; laboratory development; and, the procurement of essential test kits. This funding will also support a behavioral survey and develop HIV/AIDS training for troops in the Northeast border states, where the HIV prevalence rate is very high. This funding will also support the Indian Armed Forces in its development of a comprehensive HIV/AIDS program for service members and dependent families.
DOL (GHAI $80,000): These funds will support technical assistance for the development of workplace HIV programs in the states of Maharashtra and Tamil Nadu.
HHS (GHAI $3,480,000): These funds will expand support to strengthen the capacity to care for PLWHA and to prevent new HIV infections. Funding will be used to strengthen laboratory and patient information infrastructure in key government institutions providing care for PLWHA on ART; help develop standards for HIV diagnostic testing and accreditation of laboratories; strengthen capacity to roll out PMTCT and HIV care and treatment services in the public and private sectors in the states of Andhra Pradesh and Tamil Nadu; and develop a program to support the expansion of a network system in Maharashtra state.
USAID (GHAI $5,835,000): These funds will expand and strengthen support for critically needed community-based care and treatment services in the states of Maharashtra and Tamil Nadu. The use of these funds will provide support for OVC and for the national roll-out of PMTCT services; continue support for HIV prevention and counseling and testing services for high-risk populations in port cities in selected high prevalence states; expand training for the media; and strengthen the use of strategic information for decision-making. This funding will promote increased involvement of the private sector by leveraging resources for HIV/AIDS programs through the Indo-U.S. Corporate Fund and strengthened workplace HIV/AIDS policies and programs.
Indonesia (Total GHAI $300,000):
DOD (GHAI $300,000): These funds will enable DOD, in partnership with the Indonesian military, to initiate and monitor the effectiveness of peer-to-peer education efforts, mass awareness campaigns, health care worker training, expansion of laboratory services to support ARV services, surveillance and screening activities, and renovation of extant clinical facilities.
Liberia (Total GHAI $700,000):
USAID (GHAI $700,000): This use of this funding will focus on prevention. Prevention efforts will include partner reduction and consistent use of condoms aimed at high-risk groups (the military, ex-combatants, sex workers and youth) as part of a comprehensive Abstinence, Be Faithful, and correct and consistent use of Condoms (ABC) program as well as the expansion of counseling and testing services and support for community-based care for PLWHA, including palliative care.
Madagascar (Total GHAI $300,000):
USAID (GHAI $300,000): These funds will accelerate and increase prevention and care services. Funding will support greater involvement of faith-based organizations (FBOs); increase the engagement of local NGOs and associations; strengthen the capacity to carry out appropriate, high quality prevention and care programs; and provide referrals to treatment for PLWHA, including ARV therapy.
Malawi (Total GHAI $2,563,500):
DOD (GHAI $125,463): This funding will be used to develop and implement a targeted prevention program within the Malawi Defense Force (MDF), using specific ABC messages to affect permanent behavior change. This funding will also be used to continue to support the MDF�s home-based care program.
HHS (GHAI $1,308,500): These funds will be used to support a national center for training counselors in order to expand quality counseling and testing services; enhance the HIV National Reference Laboratory�s HIV care and treatment capacity; purchase lab equipment and supplies; and continue to increase capacity to improve strategic information.
Peace Corps (GHAI $173,000): These funds will be used to expand Volunteer activities in the promotion and outreach of prevention and care services, such as PMTCT and counseling and testing. Funding will also be used to expand Volunteer Activity Support and Training activities designed to build the capacity of community based organizations (CBOs), NGOs and FBOs to deliver services to high-risk populations.
State (GHAI $306,537): This funding will provide for a HIV/AIDS country team coordinator, who is responsible for organizing the USG interagency HIV country team, coordinating communication between Washington and the country team, and administering the Ambassador�s HIV/AIDS Small Grant fund.
USAID (GHAI $650,000): These funds will be used to reduce the transmission and impact of HIV/AIDS through abstinence and be faithful-focused media and community programs for youth; combat mother-to-child HIV transmission; support and provide training for HIV counseling and testing sites; provide food, shelter, first aid, and psychological care for adults and OVC affected by AIDS; provide assistance to the Ministry of Health for HIV treatment; and subsidize the sale of condoms for high risk groups.
Russia (Total GHAI $2,930,000):
DOD (GHAI $565,000): The Military HIV Training Program emphasizes training, consultation and operational support for epidemiological surveillance, laboratory diagnosis, prevention, and management of HIV and its complications. It seeks to train key foreign military clinical physicians in state-of-the-art HIV prevention and clinical management and diagnosis and treatment with the expectation that those trained will transfer information into operational use in country. Additionally, a pilot program for HIV prevention in a high prevalence area will be developed to identify target high-risk groups and behaviors via knowledge, attitudes and practice survey. Prevention of alcohol abuse and the link between alcohol, sexual risk behaviors, and gender-based violence will be a focus of the peer education trainings and information, education and communication materials, as will ABC messages.
HHS (GHAI $1,935,000): These funds will support expanded national capacity for the collection, analysis, and use of strategic information via support of a senior World Health Organization (WHO) epidemiologist in Russia to work with the Government of Russia in developing and implementing a unified federal strategic information (SI) system. This funding will be used to pilot a unified SI system in two to three oblasts in concert with UNAIDS, the Government of Russia and NGOs and to conduct an analysis that will identify ways to improve the coordination, effectiveness and efficiency of existing routine HIV surveillance. Additional funds will be used for evaluating and identifying appropriate infant diagnostics. Also, of this amount, $500,000 will be used by the National Institutes of Health to support pilot interventions addressing alcohol and illicit substance use and HIV, including support for any necessary advocacy and policy change.
USAID (GHAI $430,000): These funds will support the implementation of a wraparound program on social adaptation for high-risk youth and orphanage alumni in vocational schools. Using HIV funds, this program will strengthen counseling and testing services and will provide HIV prevention messages to include ABC.
Senegal (Total GHAI $500,000):
DOD (GHAI $500,000): These funds will continue to develop a comprehensive HIV prevention program with the Senegalese military. By including all levels of the military in sensitization efforts, the use of these funds will make testing services easily accessible, train a cadre of peer educators to accompany peacekeeping missions and develop infrastructure to support HIV positive persons within the military, including women and children. This program will also work with the Senegalese military to create a system for collecting strategic information and enable members of the military to effectively utilize data for future planning as well as monitoring and evaluating purposes.
South East Asia Regional (Total GHAI: $409,000):
Cambodia, China, India, Laos and Thailand
HHS (GHAI $409,000): This funding will provide technical assistance in human capacity development through training and twinning activities; support programming for vulnerable populations; and provide cross-border programming. Additional activities include supporting ARV resistance surveillance programs and treatment and prevention programs that include HIV counseling and testing, HIV testing of TB patients, and linkage of TB patients with HIV care.
Southern Africa Regional (Lesotho and Swaziland) (Total GHAI $8,902,000):
Lesotho (Total GHAI $4,251,000):
DOD (GHAI $420,000): This funding will support the expansion of HIV/AIDS prevention, care and treatment services for the Lesotho Defence Force (LDF). Although no military-specific HIV prevalence study has been done, the LDF is assumed to have an HIV prevalence rate equal to or higher than that of the civilian sector (30%). The use of these funds will focus on HIV prevention for active duty members and their families; prevention for positives; increased infrastructure for treatment; expansion of counseling and testing through mobile testing; support for care and treatment through mobile facilities; training for nurses and physicians; and support for monitoring and evaluation, systems strengthening, and management and staffing.
HHS (GHAI $1,444,000): These funds will help support significant scale-up of prevention/behavior change, counseling and testing, palliative care, HIV and TB integration, and AIDS treatment services. This funding will assist public and private sector program expansion in the areas of provider-initiated HIV counseling and testing (at TB, STI, and antenatal care clinics) and client-initiated counseling and testing (at walk-in and mobile units). Funding will support upgrades in national HIV/AIDS/TB laboratory infrastructure; establish sustainable laboratory quality assurance protocols; and expand the skilled human resource base for the planned decentralized HIV/AIDS/TB laboratory system, in line with HIV/AIDS/TB service expansion plans. Funding will also provide for significant technical assistance to strengthen planning and implementation by the Ministry of Health and Social Welfare (MOHSW), the National AIDS Secretariat, and the GFATM in HIV counseling and testing. Finally, funds will support the integration of an HIV/AIDS resident advisor into the National TB program, assist in the gathering of strategic information, pilot the standardization of PMTCT training curricula, and provide laboratory quality assurance for HIV/AIDS diagnostics and treatment monitoring.
Peace Corps (GHAI $72,000): This funding will provide technical training to strengthen services for OVC; expand community-based palliative care and prevention activities; and support and train CBO, NGO, and FBO service providers to develop appropriate AIDS prevention, care and support educational materials.
USAID (GHAI $2,315,000): These funds will support a significant scale-up of prevention/behavior change, counseling and testing, palliative care, HIV and TB integration, and AIDS treatment services. Funding will help build capacity for local NGOs, CBOs, and FBOs; increase HIV/AIDS advocacy strategies involving traditional leadership, churches, traditional healers, and other key opinion leaders; assist in the planning, coordination and implementation of GFATM grants; and provide technical assistance to the Government of Lesotho. This funding will also support human capacity development, including the training and mobilization of a new cadre of health personnel and the strengthening of the country�s HIV/AIDS and public health system�s human resource management and human resource information system. Additionally, the funding will support USG collaborative work in providing targeted project support in order to improve the quality, availability, and use of strategic information.
Swaziland (Total GHAI $4,651,000):
DOD (GHAI $420,000): This funding will support the Umbutfo Swaziland Defence Force. These funds will support training for PMTCT; peer education; prevention for positives, TB/HIV; mobile counseling and testing and integration of these services into clinical settings; laboratory infrastructure; monitoring and evaluation; policy support; and management and staffing.
HHS (GHAI $1,430,000): These funds will support both public and private sector program expansion in the areas of provider-initiated and client-initiated HIV counseling and testing. This funding will support the upgrades of national HIV/AIDS/TB laboratory infrastructure; establish and make sustainable quality assurance protocols; and expand the skilled human resource base for planned decentralized HIV/AIDS/TB laboratory system, in line with HIV/AIDS/TB service expansion plans. This funding will also provide significant technical assistance to strengthen planning and implementation of HIV counseling and testing. These funds will support the integration of an HIV/AIDS resident advisor into the National TB program (NTP) and fund the collection of strategic information; adaptation and pilot of standardized PMTCT training curricula; and assurance of laboratory quality for HIV/AIDS diagnostics and treatment monitoring.
Peace Corps (GHAI $ 101,000): This funding will provide support and training for nation-wide FBOs (e.g., Anglican Church pastors and congregations) in HIV/AIDS prevention activities. Funding will be used for mentoring and scholarships for OVCs and in-school/out-of-school girls, as well as for enhanced technical training for Volunteers, Host Country counterparts and community members in HIV/AIDS prevention and mitigation.
USAID (GHAI $ 2,700,000): The use of these funds will support a significant scale-up of prevention/behavior change, counseling and testing, palliative care, and treatment services. These funds will strengthen capacity building for local NGOs, CBOs, and FBOs; increase HIV/AIDS advocacy strategies involving traditional leadership, churches, traditional healers, and other key opinion leaders; facilitate involvement of indigenous networks of PLWHA in all aspects of the program; assist in the planning and coordination of GFATM grants; and provide technical assistance to the Government of Swaziland. Funding will also help develop new career management structures and schemes of service within the national HIV/AIDS/TB laboratory infrastructure. Funds will be used to assess the training requirements for staff in the sector, for pre-service to in-service training coordination, and to mobilize new staff into the workforce. The funds will support the national-level system for National Program Reporting, including a specific GFATM component that reports through the principal recipient, the National Emergency Response Committee on HIV/AIDS.
Sudan (Total GHAI $2,900,000):
HHS (GHAI $808,000): These funds will provide technical assistance in HIV counseling and testing services; laboratory support and infrastructure development; care and treatment; PMTCT; and preparation and dissemination of blood and injection safety guidelines.
USAID (GHAI $2,092,000): These funds will continue to strengthen national and local capacity; expand service delivery for prevention through targeted behavior change communication programs, and support appropriate message and materials development for at-risk populations.
Thailand (Total GHAI $150,000):
Peace Corps (GHAI $150,000): These funds will be used to expand training resource materials; disseminate information and tools to Volunteers and their community counterparts; assist staff with training sessions; and focus on increasing networking opportunities with international and local organizations in order to gather information and resources on community activities in which Volunteers and their partners can link with and become resources for awareness and prevention. In addition, these funds will support PLWHA groups to learn, develop or improve income-generating projects; provide outreach, care and stigma-reduction strategies for orphans and children of parents impacted by HIV, as well as assist with home visits and programs for the children; and collaborate with local NGOs and public health stations to provide HIV/AIDS education and awareness for students and community members.
Ukraine (Total GHAI $625,000):
Peace Corps (GHAI $125,000): This funding will help to continue to foster partnerships among community stakeholders to develop locally appropriate and targeted HIV prevention programs. The use of these funds will continue to assist Ukraine�s Ministry of Education in identifying Ukrainian and/or Russian language HIV/AIDS educational materials and approaches that the Ministry of Education and the Ministry of Family, Youth and Sports might incorporate into their Secondary School Curricular and Extracurricular Program.
USAID (GHAI $500,000): HIV prevention interventions especially PMTCT services have been ramped up to address stigma and discrimination and to address poor quality treatment and care especially among HIV-affected children. In addition, funds will be programmed to address HIV/TB co-infection through our on-going TB projects with WHO and the Program for Appropriate Technology in Health. In Ukraine between 10 and 15% of new TB cases are found in HIV positive individuals and 70% of HIV/AIDS patients are con-infected with TB, with up to 30% mortality due to TB. Emphasis will be on systems to manage HIV/TB co-infected individuals across multiple health care programs and reinforcement of ongoing screening of HIV-infected individual for active TB and strengthening of HIV counseling for TB patients, especially among marginalized sub-populations.
Zimbabwe (Total GHAI $5,500,000):
DOD (GHAI $250,000): These funds will provide structures, equipment, training aids and rapid test kits for counseling and testing centers for military personnel and their families. Funding will also be used to train military personnel in peer leadership, HIV symptom management, and ART.
HHS (GHAI $ 2,849,352): These funds will support operational evaluations and improve prevention programs. This funding will help increase the number of primary care counselors; support private sector ARV training, laboratory services, and public and private sector partnerships; implement a national monitoring and evaluation system; and expand HIV counseling and testing. These funds will also support the development of a system for child health care and PMTCT follow-up, as well as electronically manage health care records, to allow tracking of opportunistic infections and ARV treatment.
USAID (GHAI $ 2,400,648): These funds will support the continued rollout of the national PMTCT program, focusing on building quality comprehensive services, increasing the uptake for ART among pregnant women, and exploring a routine testing policy for counseling and testing pregnant women. Funding will also expand the ARV program by funding ART for additional patients, providing training in ART provision and management for health workers, and supporting logistics management. Additionally, this funding will procure the services of a Strategic Information Officer to support strategic information needs and requirements for all USG agencies implementing Emergency Plan activities in Zimbabwe.
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