Summary Program Descriptions: Other PEPFAR Countries

Angola (Total GHCS-State: $882,000)
USAID (GHCS-State: $10,000): Through support to management and staffing, technical assistance will be provided or facilitated in the areas of Abstinence and Be Faithful (AB), condoms and other prevention, policy strengthening, prevention of vertical transmission, and strategic information.

HHS/CDC (GHCS-State: $492,000): HIV/Sexually Transmitted Infections surveillance activities include supporting a basic monitoring and evaluation course to build capacity of these activities within the Angolan Ministry of Health; improving voluntary counseling and testing reporting; consulting on the development of a strategic information plan for Angola; continuing antenatal clinic surveillance; and adding surveillance activities for Tuberculosis (TB)/HIV. Through support to management and staffing, technical assistance will be provided or facilitated in the areas of blood safety, TB/HIV and laboratory strengthening.

DOD (GHCS-State: $380,000): Provide technical assistance to conduct surveys on Knowledge, Attitudes and Practices among military personnel to increase evidence-based interventions for this high-risk population. Continue efforts to promote abstinence, fidelity and correct, consistent condom use through the training of activists within the Angolan forces, tailor educational materials and institutionalize a behavior change program for the military.

Cambodia (Total GHCS-State: $2,500,000)
USAID (GHCS-State: $1,525,000): Continue focusing on high risk groups by expanding targeted social marketing and behavior change communications activities in areas with high risk populations and documented high levels of HIV/AIDS prevalence; strengthen community outreach and venue-based ABC (Abstinence, Be faithful and the correct and consistent use of Condoms for populations engaged in high-risk behaviors) communications; education activities/messages aimed at increasing the demand for appropriate sexual health services, reducing stigma associated with their use; and changing male behavioral norms around multiple sexual partners and low condom use outside of stable relationships. In addition, funds will support the USG Strategic Information Advisor.

HHS/CDC (GHCS-State: $975,000): Continue working with the Ministry of Health (MOH) to expand laboratory capacity for HIV care and treatment and to improve its quality; to improve the ability of the MOH to collect information about the HIV epidemic and its HIV programs, and to work with the MOH to develop sound strategies and policies for HIV program activities. In addition, funds will be used for scale-up of Prevention of Mother-to-Child Transmission (PMTCT), tuberculosis (TB)/HIV, antiretroviral treatment (ART) 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 co-infected with TB and HIV.

Caribbean Regional (Total GHCS-State: $22,500)
DOS (GHCS-State: $22,500): The Ambassadors Quick Impact Prevention Program for US Embassies in the Caribbean enables in-country Ambassadors to raise the profile of HIV/AIDS issues. In particular, the Small Grants Program focuses on behavior change programs, stigma and discrimination, and HIV education. The Ambassador's Small Grants Program recipient in Trinidad and Tobago targets assistance to leaders of civil society organizations (CSO)engaged in HIV/AIDS. Through 4 day-long workshops, CSO leaders will learn how to design, develop, deliver, and evaluate efforts to better mobilize resources and raise funds.

China (Total GHCS-State: $2,000,000)
HHS/CDC (GHCS-State: $1,000,000): Support development of a comprehensive prevention program, including improvement of the provincial AIDS surveillance network with case-finding capacity, strengthening of linkages within the existing infrastructure to provide care, support and treatment for AIDS patients in China, with particular emphasis in rural settings.

USAID (GHCS-State: $1,000,000): Support the minimum package of services for the most-at-risk population, the comprehensive prevention model for positives, technical and organizational capacity building of local community-based and non-governmental organizations and advocacy and policy activities.

Democratic Republic of the Congo (Total GHCS-State: $2,385,000)
HHS/CDC (GHCS-State: $1,414,923): Provide technical assistance to support family-centered HIV services; the development of a uniform monitoring and evaluation system for all HIV/TB activities; provide assistance to expand laboratory support for increasing HIV care and treatment.

DOD (GHCS-State: $400,000): Provide training of master trainers and peer educators; “troop level” HIV/AIDS prevention education and behavior change communication; rehabilitation, equipment and training for VCT centers including reinforcing HIV laboratory diagnostic capabilities; and testing of military personnel.

DOS (GHCS-State: $570,077): Support programs and initiation of public dialogue on key prevention and testing messages; develop a robust HIV prevention curriculum for English teachers to deliver at all levels of ESL teaching in high schools; support community groups to implement preventive programs; develop a radio and television serial drama addressing HIV prevention and testing, building off the success of the Congolese musicians’ CD dedicated to HIV/AIDS prevention and testing.

Dominican Republic (Total GHCS-State: $1,500,000)
HHS/CDC (GHCS-State $ 1,065,115): Continue to coordinate and support implementation of two-year plan to gather strategic information and strengthen existing HIV/AIDS systems. Assess and improve HIV testing policies, procedures and guidelines (in both prenatal and general population settings) on a national level, as well as training of laboratory staff. Provide assistance to National AIDS Program regarding long-term national epidemiological surveillance plan, HIV/AIDS case reporting, and support for epidemiological and behavioral information gathering.

Peace Corps (GHCS-State: $137,885): Continue the successful Escojo strategy, with an emphasis on sustainability. Peace Corps volunteers and community-based NGOs operate on community, regional, and national levels, focusing on peer education, promoting healthy life choices by individual youths and the groups they form. Provide sexual and reproductive health training to peer educators, as well as education on correct, consistent condom use as appropriate. Bring sensitization and anti-discrimination messages to communities.

DOD (GHCS-State: $297,000): Continue to support the previously existing Dominican Armed Forces (DAF) HIV/AIDS program through prevention programs, and condom social marketing. Procure and distribute condoms within DAF. Enhance voluntary counseling and testing (VCT) programs within DAF. Procure CD4 machine, laboratory supplies and test kits for DAF labs, to support testing for HIV/AIDS and other sexually-transmitted diseases. Continue to support the Committee for the Prevention and Control of HIV/AIDS in the Armed Forces and National Police of Latin America and the Caribbean. Continue to support two Centers of Health in the Dominican Air Force for the management of STI/HIV/AIDS- and tuberculosis-related programs.

Ghana (Total GHCS-State: $2,000,000)
USAID (GHCS-State: $1,486,000): Support 22 clinics providing specialized services for most-at-risk populations; strengthen logistics systems nationwide to deliver antiretrovirals and test kits; and train and support local NGOs in best practices in HIV/AIDS prevention. Through the USAID/West Africa Regional Office, cross-border activities will be financed to target most-at-risk groups in urban centers in Togo and Burkina Faso.

Peace Corps (GHCS-State: $164,000): Train all Peace Corps Volunteers and their Ghanaian counterparts in prevention and home-based care activities. Develop a small grants fund for Volunteers and communities to implement prevention programs and provide basic support to bedridden People Living with HIV/AIDS (PLWHA) and assist them to access palliative care and antiretroviral treatment (ART).

DOD (GHCS-State: $150,000): Support the prevention program jointly developed by the Ghana Armed Forces and USG implementing partners, with an additional focus analysis of data generated by the program. Strengthen the counseling and testing program for the military, civil employees and family members through training and hiring of counselors.

HHS/CDC (GHCS-State: $150,000): Support to the Government of Ghana to develop in-country capacity in surveillance of HIV incidence.

DOS (GHCS-State: $50,000): Using the Ambassador's Self-Help Program as a model, focus on support for groups catering for Orphans and Vulnerable Children (OVC), including developing income generating activities and increasing access to palliative care and ART, and to support alternatives to prostitution for at-risk women through economic strengthening activities.

India (Total GHCS-State: $6,000,000)
USAID (GHCS-State: $1,131,895): Support the Government of India’s (GOI) national roll-out of services for Prevention of Mother-to-Child Transmission (PMTCT). Contribute to India’s program for antiretroviral treatment (ART) and care and support by a) training and technical assistance to build capacity in the State of Karnataka for high-quality antiretroviral (ARV) service delivery in 14 districts; and b) supporting home-based care and community-based programs for Orphans and Vulnerable Children (OVC) in Tamil Nadu and Maharashtra. Strengthen national and state systems through technical assistance to the National AIDS Control Organization (NACO) and the State AIDS Control Societies (SACS) to strengthen the monitoring and evaluation system. Supports staff (the Coordinator and Program Management Assistant) for PEPFAR.

HHS (GHCS-State:$4,040,805; CDC $2,940,805 HRSA $1,100,000): Continue to provide intense technical assistance in policy and program implementation to support the GOI and the State governments in the national roll-out of ARV, Integrated Counseling and Testing, and care and support services. Provide training, guidance for curriculum development and operational guidelines, and ongoing supervision for delivery of HIV/AIDS services through the public and private sector; support consultants to NACO and the SACS to provide technical assistance for PMTCT, communication, counseling and testing, ARV, care and support and monitoring and evaluation, including support for State-based epidemiologists. HHS/CDC will continue to support the Center of Excellence for HIV/AIDS treatment and care at the Government Hospital for Thoracic Medicine (GHTM), Chennai, Tamil Nadu. HHS/HRSA will provide support for capacity building in HIV/AIDS treatment and care, delivered through a comprehensive training program at the National Training Center based at GHTM, which trains health care providers at a national level, including a Fellowship Program in HIV/AIDS.

DOD (GHCS-State: $627,300): Continue to support the program with the Armed Forces Medical Services (AFMS) to deliver HIV prevention, care and treatment services. Focus on upgrading AFMS laboratory services through procuring equipment and test kits (CD4 and PCR), and supporting training workshops for peer educators and health care providers. Fund the participation of key military personnel in training programs and international exchanges.

DOL (GHCS-State: $200,000): Support technical assistance and policy development at the national and state level on workplace programs, working with NACO, industry associations, corporate management, and unions.

Indonesia (Total GHCS-State: $250,000)
DOD (GHCS-State: $250,000): Funds will support an ongoing program with military counterparts, including procurement of commodities for HIV screening supplies as well as training of health care providers to improve delivery of HIV services.

Lesotho (Total GHCS-State: $3,150,000)
DOD (GHCS-State: $600,000): Support the Lesotho Defense Forces, their dependents, civilian employees, and surrounding civilian communities, including training in Prevention of Mother-to- Child Transmission (PMTCT), support for infant feeding, prevention activities to military at all bases, provision of equipment and supplies for tuberculosis(TB)/HIV palliative care services, supplies and technical support for a mobile health care clinic, support for health management information systems, provision of antiretroviral (ARV) therapy management training, training for laboratory personnel, and support for strategic information collection and management and staffing. Conduct an HIV bio-behavioral survey as well as a small survey of current practices in male circumcision in Lesotho.

USAID (GHCS-State: $341,000): Improve access to TB diagnosis, quality patient-centered care, and integration of TB and HIV services through social mobilization and community participation. Second a Personal Services Contractor to the Department of State to act as the PEPFAR Coordinator for the Lesotho PEPFAR Team. Contribute to Lesotho’s HIV/AIDS national strategy by facilitating a coordinated USG HIV/AIDS response in collaboration with other donor groups and implementing partners in country.

DOL (GHCS-State: $280,000): Continue building on the existing HIV/AIDS workplace education program by utilizing existing collaborative arrangements with the Ministry of Labor and Employment, the employers and workers’ organizations, and the network of nongovernmental organizations to expand policy development to overcome HIV/AIDS employment-related stigma and discrimination and promote prevention through behavior change education and referral of workers to voluntary counseling and testing and treatment services in new target enterprises, as well as employees in the supply chain of those enterprises.

DOS (GHCS-State: $403,836): Provide office space and equipment for eight staff whose offices will be in the US Embassy and housing-related support for five staff who will either be direct hires, personnel services contractors or institutional contractors. Cover the International Cooperative Administrative Support Services (ICASS) and local non-ICASS support costs of the Coordinator, and the ICASS costs of State-hired Locally Employed Staff. Provide grant money to the Embassy’s Special Self-Help Project for grass roots HIV-related efforts. Support for the PEPFAR Secretariat to cover costs of PEPFAR-initiated conferences, workshops, as well as travel costs for staff and local counterparts to selected conferences.

HHS (GHCS-State: $1,431,364; CDC $1,331,364 HRSA $100,000): Provide continued support and technical assistance for broad based laboratory strengthening and quality assurance, development of comprehensive strategic information systems and integrated tuberculosis (TB)//HIV activities including the development and implementation of a multi-drug resistant TB survey. Expansion and improvement of voluntary counseling and testing services, improved quality assurance and increased provider initiated services.

Peace Corps (GHCS-State: $93,800): Provide Community Initiative HIV/AIDS Small Grants for prevention, care and support activities that volunteers can access on behalf of their communities, provide capacity training for volunteers and counterparts to acquire knowledge and skills to work with traditional leaders, orphaned and vulnerable children, and support groups for people living with HIV/AIDS, continue to provide printed materials to support the Ministry of Education’s pilot of a Life Skills Curriculum targeting primary and secondary school students.

Malawi (Total GHCS-State: $3,948,000.00)
USAID (GHCS-State: $198,000): Support capacity building to strengthen Malawi’s Country Coordinating Mechanism to provide oversight to Global Fund grants for AIDS, Tuberculosis (TB) and Malaria.

HHS (GHCS-State:$2,910,000; CDC $1,710,000 HRSA $1,200,000): Provide technical assistance and support for surveillance, health information systems, laboratory, and HIV counseling and testing activities to the Ministry of Health, the National AIDS Commission, and non-governmental organizations (NGOs). Support a national Strategic Information (SI) Technical Advisor, a national HIV Counseling and Testing Technical Advisor and national training centers for providers of counseling and testing, care, and treatment services. Strengthen blood safety, support alcohol and HIV prevention policy development and support the national public health reference lab and HIV surveillance activities. Support a center of excellence in care and treatment for pregnant mothers and infants and include a lab-based pediatric diagnosis and care program. Support strengthening of a decentralized monitoring and evaluation system for HIV/AIDS.

Peace Corps (GHCS-State: $460,000): Continue supporting technical assistance for life skills in promoting Abstinence and Be Faithful (AB) messaging, and home-based care activities and trainings. Continue and expand capacity and system strengthening for district level government and community based organizations via technical assistance from Peace Corps Response Volunteers (formerly known as Crisis Corps Volunteers). Continue funding an HIV/AIDS Coordinator. Support for a community-initiated small grants funding program (VAST: Volunteer Activity Support and Training) in areas of AB and basic health care and support. Support a vehicle, full-time driver and part-time program assistant for the Coordinator.

DOD (GHCS-State: $150,000): Continue supporting the targeted prevention program jointly developed by the Malawi Defense Force (MDF) and USG Malawi, which focuses on AB behavior change messages and C (the correct and consistent use of Condoms for populations engaged in high-risk behaviors) education and uptake, among military families. Also continue training programs focused on increasing the effectiveness of the MDF's health programs by training MDF health workers in Prevention of Mother-to-Child Transmission and SI skills.

DOS (GHCS-State: $230,000): Support for the Ambassadors Small Grants Fund for HIV/AIDS through PEPFAR for community-led initiatives to prevent the spread of HIV/AIDS particularly among orphans and vulnerable children. Continue to support salary, benefits and travel costs for the HIV/AIDS Country Coordinator who coordinates the implementation of Malawi's PEPFAR program across all US agencies. Support a part-time program assistant for the Coordinator.

Russia (Total GHCS-State: $3,500,000):
USAID (GHCS-State: $2,495,000):
Continue work to support outreach to Injecting Drug Users (IDUs), persons in prostitution and their clients, prisoners and at-risk youth; to engage nongovernmental organizations in other prevention activities and strengthening the capacity of religious organizations to deliver appropriate prevention messages and address stigma and discrimination; and to support the Russian Orthodox Church program of compassionate palliative care for People Living With AIDS (PLWAs).

HHS/CDC (GHCS-State: $750,000):
Support for developing a more unified strategic information system which includes integrated biologic and behavioral studies among persons engaged in high-risk behaviors and HIV incidence testing; expanding national capacity for collection, analysis and use of strategic information; continuing a collaboration with UNAIDS to establish the “Three Ones” in Russia (one national plan, one national coordinating authority, one national monitoring and evaluation system in each of the host countries in which organizations work); and twinning with US experts to advance antiretroviral treatment services, tuberculosis and palliative care, including an assessment of achievements to date.

DOD (GHCS-State: $255,000):
Funds will be used to expand the military HIV prevention program to reach several additional regions; convene an annual military conference on HIV prevention to develop resource commitments, logistics plans, and target estimates.

Sudan (Total GHCS-State: $2,536,000)
HHS/CDC (GHCS-State: $2,536,000): Provide technical assistance in HIV surveillance to both the Government of Southern Sudan and Government of National Unity. Provide technical assistance for laboratory and HIV counseling and testing activities to the South Sudan Ministry of Health and the South Sudan AIDS Committee and non-governmental organizations, and strengthen the antenatal sentinel surveillance in Sudan. Provide technical assistance to Prevention of Mother-to-Child Transmission (PMTCT) activities.

Swaziland (Total GHCS-State: $3,200,000)
HHS (GHCS-State: $1,875,887; CDC $1,775,887 HRSA $100,000 ): Continued support for both client-initiated counseling and testing (CT), while providing a higher level of technical assistance and funding to increased emphasis on health provider-initiated CT. Provide technical assistance and funding to strengthen integration of Tuberculosis (TB) and HIV program activities. Support implementation of a national laboratory strategy and provide technical assistance towards improved lab infrastructure, management and quality assurance systems in and across the program areas of Prevention of Mother-to-Child Transmission (PMTCT), CT, Antiretroviral Treatment (ART) and TB. Support multiple program monitoring and evaluation activities and improve epidemic tracking and monitoring of National, PEPFAR, and Global Fund programs. Funding will also support and enhance the role of nurses in HIV/AIDS care as part of the human capacity development program in Swaziland, through Georgetown University’s Nursing Capacity Building Program.

DOS (GHCS-State: $536,113):
Support office-related costs for all seven PEPFAR-funded staff, salary and benefits costs for two Foreign Service Nationals (FSNs) (a Program Assistant and an Administrative Assistant), International Cooperative Administrative Support Services (ICASS), capital security costs and other local support costs for the Coordinator and FSNs. Cover design and implementation of security and other structural upgrades to PEPFAR office building.

DOD (GHCS-State: $444,000): Program support to the Umbutfo Swaziland Defense Force (USDF), their dependents, civilian employees and surrounding civilian communities. This includes prevention activities to the military at all bases, provision of a facility for HIV palliative care services, provision and support of a mobile health care clinic, provision of ART management training, training for laboratory personnel, support for strategic information and management and staffing. Salary, benefits and local support for a DOD program specialist who will be based at the USDF HQ.

DOL (GHCS-State: $200,000): Build on the foundation already established by the DOL Workplace Education Project. Develop comprehensive workplace-based prevention and education programs addressing behavior change and promote, offer, or refer for counseling and testing and care and support services.

Peace Corps (GHCS-State: $144,000): Continue to work with traditional leadership in rural areas in HIV/AIDS prevention, mitigation, and support by fostering improved communication and understanding of community challenges regarding HIV. Continue to work on abstinence-focused programs for youth. Volunteer Activity Support Training (VAST) funds help Peace Corps Volunteers support HIV-prevention activities at youth camps, workshops and community gatherings. Continue working with the Anglican Church to facilitate parish-level trainings on HIV prevention, with emphasis on abstinence and fidelity and stigma reduction.

Thailand (Total GHCS-State: $500,000)
HHS/CDC (GHCS-State: $250,000): Strengthen technical support for a continuum of prevention and care model targeting Men who Have Sex with Men (MSM) in four provinces with high HIV burden in MSM populations. Closely coordinate with USAID in expanding the comprehensive prevention model for positives.

USAID (GHCS-State: $250,000): Expand the comprehensive prevention model for positives, develop a curriculum for the prevention for positive Injecting Drug Users pilot, and expand technical and organizational capacity building support to most-at-risk outreach groups at CDC implementing sites.

Ukraine (Total GHCS-State: $500,000)
USAID (GHCS-State: $100,000): Coordinate USG assistance in HIV/AIDS; draft annual USG program plans and description for Mini-Country Operation Plan; monitor program progress toward planned achievements; coordinate reporting on USG program results.

Peace Corps (GHCS-State: $200,000): Continue to target young people in small towns and villages by working with local community leaders to improve general awareness of HIV and risky behaviors, including drug use, which facilitate HIV transmission.

DOD (GHCS-State: $200,000): Strengthen delivery of counseling and testing services and continue to integrate Abstinence and Be Faithful (AB) promotion into counseling and testing activities at military installations.

Zimbabwe (Total GHCS-State: $3,330,000 million)
USAID (GHCS-State: $3,230,000): Support the Supply Chain Management Systems (SCMS) mechanism to provide for procurement of life-saving antiretroviral drugs. Cover the purchase cost, insurance, and freight for these drugs to Zimbabwe. Provide HIV rapid test kits and related laboratory equipment and reagents, necessary to assure continued monitoring of patients on antiretroviral therapy, as well as training and technical assistance for commodity logistics management.

DOS (GHCS-State: $50,000): Support the US Embassy/Zimbabwe Public Affairs Section to strengthen media outreach on HIV/AIDS, create venues for discussions by visiting HIV/AIDS professionals aimed at the larger non-scientific audience, especially policy makers and journalists, and develop and execute public diplomacy initiatives aimed at promoting the sharing of knowledge and skills between Zimbabweans and their counterparts in the United States.

DOD (GHCS-State: $50,000): Support continued technical assistance and training for HIV counseling and testing of Zimbabwean military personnel as well as support for data collection, analysis, and synthesis to enable military planners working on the HIV/AIDS program to better target resources.