Amref Health Africa Inc

PROVISION OF COMPREHENSIVE HIV PREVENTION, CARE, TREATMENT, AND SUPPORT PROGRAMS IN THE UNITED REPUBLIC OF TANZANIA UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR- AFYA KAMILIFU

NORTHERN ARID LANDS SERVICE DELIVERY

SUSTAIN AND ACCELERATE A COMPREHENSIVE HIV RESPONSE IN THE UNITED REPUBLIC OF TANZANIA UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR) - TANZANIA IS AMONG COUNTRIES WITH VERY HIGH HIV BURDEN, WITH AN ESTIMATED 1.7 MILLION PEOPLE LIVING WITH HIV (PLHIV) OR 5.1% OUT OF THE TOTAL POPULATION OF 61,741,120 PEOPLE. THE COUNTRY’S HIV EPIDEMIC IS COMPLICATED BY THE GENERAL HEALTH SYSTEM CHALLENGES AS A RESULT OF LOW RESOURCES. YET, SIGNIFICANT PROGRESS TOWARD HIV/AIDS CONTROL HAVE BEEN MADE OVER THE YEARS. REPORTS INDICATE THAT 83% OF PLHIV IN TANZANIA NOW KNOW THEIR HIV STATUS, THAT 90% OF THESE ARE CURRENTLY RECEIVING ANTI-RETROVIRAL TREATMENT (ART) AND AMONG THOSE ON TREATMENT, 92% ARE ATTAINING VIRAL SUPPRESSION. PROGRESS WAS ALSO MADE ON THE ELIMINATION OF MOTHER TO CHILD TRANSMISSION (MTCT) OF HIV DISEASE, REDUCING THE RATE FROM 26% IN 2011 TO 7.8% IN 2015 FOLLOWING GOVERNMENT, DONORS, AND OTHER STAKEHOLDERS’ EFFORTS. DESPITE THESE SUCCESSES, GAPS STILL REMAIN, AS THE SHIFTING DEMOGRAPHY OF THE DISEASE PRESENTS NEW AND ADDITIONAL CHALLENGE. A SIGNIFICANT NUMBER OF INDIVIDUALS WHO ARE HIV-POSITIVE HAVE NOT BEEN IDENTIFIED AND LINKED TO TREATMENT YET. THIS IS ATTRIBUTED TO SUB-OPTIMAL TESTING AMONG KEY AND VULNERABLE POPULATIONS (KVP) ESPECIALLY THOSE WHO DO NOT HAVE REGULAR CONTACT WITH THE FORMAL HEALTH SYSTEM. INEFFICIENCIES IN LINKING THOSE WHO ARE TESTED FOR HIV TO ART SERVICES IS ALSO ANOTHER CHALLENGE. AMREF TANZANIA IN CONSORTIUM WITH PARTNERS THE UNIVERSITY OF MARYLAND IN BALTIMORE (UMB), AFYA PLUS, AND THE TANZANIA CENTER FOR DEVELOPMENT AND COMMUNICATIONS (TCDC) COLLECTIVELY KNOWN AS “AFYA THABITI” PROPOSES A COMPREHENSIVE PATIENT-CENTERED DATA DRIVEN PROGRAM THAT WILL IMPROVE ACCESS AND UPTAKE OF QUALITY HIV & TB SERVICES, EXPANDING THE COHORT OF PLHIV ON ART AND ACCELERATING PROGRESS TOWARDS THE ATTAINMENT OF THE UNAIDS 95-95-95 TARGETS FOR EPIDEMIC CONTROL IN TANZANIA. AFYA THABITI WILL IMPLEMENT VARIOUS INITIATIVES, USING MULTI-DISCIPLINARY HF TEAMS TO PROVIDE SITE LEVEL TECHNICAL SUPPORT THAT INCLUDE TRAINING, MENTORSHIP, AND COACHING. COMMUNITY-CENTERED AND POPULATION-SPECIFIC APPROACH INCLUDING THE USE OF EXPERT CLIENTS AND PEER VOLUNTEERS BE USED BY AFYA THABITI TO REACH KEY AND VULNERABLE POPULATIONS (KVPS). KEY STAKEHOLDER ENGAGEMENT AT ALL STAGES OF THE PROJECT WILL INCLUDE THE MOH, REGIONAL AND COUNCIL HEALTH MANAGEMENT TEAMS (R/CHMTS), KVP-LED CSOS, OTHER IMPLEMENTING PARTNERS. THESE INITIATIVE AND APPROACHES WILL FACILITATE THE DELIVERY OF THE SET OF ACTIVITIES THE CONSORTIUM HAVE DESIGNED TO RESPOND TO THE MOH PRIORITIES AS SET IN THE NSP 2020-2025 AS WELL AS THE OUTCOMES PRESENTED BY CDC IN THE PRESENT NOFO. THE PROPOSED PROJECT CONSISTS OF SIX STRATEGIC OBJECTIVES (SO) AND A ROBUST EVALUATION AND PERFORMANCE MANAGEMENT PLAN. SO ONE WILL FOCUS ON IMPLEMENTING EFFICIENT HIV CASE-FINDING ACTIVITIES TO ACHIEVE THE 1ST 95 TARGET, SO TWO WILL FOCUS ON THE IMMEDIATE LINKAGE TO TREATMENT FOR THOSE NEWLY DIAGNOSED WITH HIV AND PREVENTION SERVICES FOR THE HIV-NEGATIVES. SO THREE AND FIVE FOCUSES ON ENSURING THAT INDIVIDUALS ARE RECEIVING HIGH-QUALITY ART AND TB SERVICES INCLUDING THE PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV (PMTCT). IN SO FOUR, AFYA THABITI WILL DELIVER STRATEGIC VOLUNTARY MEDICAL MALE CIRCUMCISION (VMMC) SUPPORT TO R/CHMTS AND HEALTH FACILITIES (HFS) HELPING TO REDUCE HIV TRANSMISSION. LASTLY, SO SIX PRESENTS THE PROJECTS ACTIVITIES THAT WILL ENSURE COLLECTION, TRANSMISSION, AND UTILIZATION OF HIGH-QUALITY DATA FROM THE HFS. ACTIVITIES WILL BE DRIVEN BY CONTINUOUS QUALITY IMPROVEMENT PRINCIPLES SUPPORTED BY INTEGRATED SUPPORTIVE SUPERVISION TO ENSURE OWNERSHIP AND SUSTAINABILITY OF PROGRAM BY THE R/CHMTS AND SITE STAFF. TO IMPLEMENT PROJECT ACTIVITIES, THERE NEEDS TO BE REFLECTIONS, ACCOUNTABILITY AND REVIEWS BUILT-IN TO TRACK PROGRESS. AFYA THABITI WILL IMPLEMENT ROBUST PERFORMANCE MONITORING AND MANAGEMENT USING ROUTINE AND ADVANCED ANALYTIC TECHNIQUES TO GLEAN INFORMATION FROM PROGRAM, PROVIDING TIMELY FEEDBACK TO SITE LEVEL STAFF, R/CHMTS AS WELL AS PROGRAM MANAGERS, WITH A VIEW TO IMPROVING PROGRAM PERFORMANCE.

INTEGRATED YOUTH ACTIVITY (IYA)

NEW AWARD - TRANSFORM/HEALTH IN DEVELOPING REGIONS

IMPLEMENTATION OF SUSTAINABLE LABORATORY QUALITY SYSTEMS FOR HIV/TB EPIDEMIC CONTROL IN THE REPUBLIC OF KENYA UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR)

USAID IMARISHA JAMII HIV, FP/RMNCAH, NUTRITION, WASH, DREAMS AND OVC PROJECT IN TURKANA (CLUSTER 6)

AFYA TIMIZA - TURKANA/SAMBURU

THE PURPOSE OF MOMENTUM COMPONENT 2 IS TO SUPPORT THE GOVERNMENT OF MALAWI'S EFFORTS TO REDUCE MATERNAL, NEWBORN, AND CHILD MORBIDITY AND MORTALITY THROUGH IMPROVED ACCESS AND QUALITY OF HEALTH SERVICE DELIVERY, WITH PARTICULAR FOCUS ON MNCH, FP/RH, NUTRITION, WASH, AND MALARIA PREVENTION AND TREATMENT.

THE PURPOSE OF TB AND FP INTEGRATED COMMUNITY SOLUTIONS ACTIVITY IS TO IMPROVE SERVICE DELIVERY FOR TB AND FP, STRENGTHEN LINKAGES BETWEEN COMMUNITIES AND HEALTH FACILITIES

THIS IA NEW FIE YEAR COOPERATIVE AGMEEMENT WITH THE TOTAL ESTIMATED AMOUNT OF $13 500 000 AND INITIAL OBLIGATION OF $2 025 000

SUPPORTING THE SCALE UP OF COMPREHENSIVE HIV/AIDS PREVENTION SERVICES IN THE REPU

GH16-1701: SUPPORTING THE IMPLEMENTATION AND EXPANSION OF HIGH QUALITY, SUSTAINABLE AND COMPREHENSIVE HIV PREVE

STRENGTHENING HIV STRATEGIC INFORMATION IN KENYA

USAID HEALTH GOVERNANCE AND STRATEGIC PARTNERSHIPS WILL CONTRIBUTE TO THE ACHIEVEMENT OF THE HEALTH SYSTEM'S PURPOSE OF "STRENGTHENING KENYA'S HEALTH SYSTEM TO BE ACCOUNTABLE, EFFICIENT AND INCLUSIVE" AS WELL AS SUPPORTING THE ESTABLISHMENT AND STRENGTHENING OF THE CRITICAL PARTNERSHIP AND COORDINATION STRUCTURES IN THE FRAMEWORK AND IDENTIFY GAPS IN THE SYSTEMATIC COORDINATION OF INTERVENTIONS AT COUNTY LEVEL IN LINE WITH KENYA'S DEVOLVED HEALTH SECTOR.

IMPLEMENTATION AND EXPANSION OF HIGH QUALITY HIV PREVENTION CARE AND TREATMENT

STRENGTHENING AND SUPPORTING THE DEVELOPMENT OF A HIV-RELATED PROFICIENCY TESTING NETWORK AND TIERED LABORATORY CONTINUOUS QUALITY IMPROVEMENT PROGRAM FOR COUNTRIES SUPPORTED UNDER PEPFAR

GH15-1544, KENYA: IMPLEMENTATION OF SUSTAINABLE LABORATORY QUALITY SYSTEMS IN THE REPUBLIC OF KENYA UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR)

ADVANCING EFFORTS AND STRATEGIES TO PROTECT AND IMPROVE PUBLIC HEALTH COMPONENT 1 ? GLOBAL HEALTH SECURITY PRIORITIES (GHSA PROJECT)

INCREMENTAL FUNDING IN THR AMOUNT OF$4 420 000 AND RAISING THE TOTAL ESTIMATED AMOUNT BY $2 244 967 TO $17 828 659.00

KOOTA INJENA PROJECT

STRENGTHENING LABORATORY AND BLOOD TRANSFUSION SERVICES IN SOUTH SUDAN UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR)

COMPREHENSIVE CARE FOR HIV-INFECTED RESIDENTS OF THE KIBERA SLUM, NAIROBI,

INCREASE ACCESS TO HIV COUNSELING, TESTING IN SOUTH AFRICA

STRENGTHENING LABORATORY CAPACITY IN TANZANIA TO SUPPORT INCREASED HIV/AIDS IDENT

STRENGTHENING LABORATORY AND BLOOD TRANSFUSION SERVICES IN SOUTH SUDAN UNDER THE PRESIDENTS EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR)

LABORATORY SRVC STRENGTHENING AT HEALTH CENTER IV & ABOVE IN THE REP OF UGA

IMPLEMENTATION OF PROGRAMS FOR PMTCT THROUGH NGOS IN KENYA

ENHANCEMENT OF PUBLIC, PRIVATE, AND FAITH-BASED LABORATORY CAPACITY TO SUPPORT TH

GLOBAL HEALTH SECURITY PARTNER ENGAGEMENT: EXPANDING EFFORTS AND STRATEGIES TO PROTECT AND IMPROVE PUBLIC HEALTH GLOBALLY

GH15-1544, KENYA: IMPLEMENTATION OF SUSTAINABLE LABORATORY QUALITY SYSTEMS IN THE REPUBLIC OF KENYA UNDER THE PRESIDENTS EMERGENCY PLAN FOR AIDS REL

IMPLEMENTING EVIDENCE BASED PREVENTION INTERVENTIONS TO PREVENT NEW HIV INFECTION

HEALTH AND WASH RESPONSE TO COVID-19 IN ETHIOPIA

GRANTEE REQUESTED ASSISTANCE WITH CONSTRUCTING AND EQUIPPING AN OUTPATIENT CLINIC AND A CLINICAL LABORATORY FOR THE MARIDI COUNTY HOSPITAL IN SUDAN.

THE PURPOSE OF THIS MODIFICATION IS TO PROVIDE INCREMENTAL FUNDING IN THE AMOUNT OF $176,967.00 AND TO INCORPORATE THE APPROVED BRANDING STRATEGY AND

CONSTRUCTING RENOVATING AND EQUIPPING WITH STATE-OF-THE-ART COMMODITIES FOR NEW CLASSROOMS TEACHING LABORATORIES AND A LIBRARY AT THE NATIONAL HEA

FY 10 NEW GRANT - AMREF (KENYA)

GLOBAL HEALTH SECURITY PARTNER ENGAGEMENT: EXPANDING EFFORTS AND STRATEGIES TO PROTECT AND IMPROVE PUBLIC HEALTH GLOBALLY

PURCHASE STATE-OF-THE-ART EQUIPMENT AND FURNISHINGS FOR THE TRAINING CENTER FOR HEALTH PROFESSIONALS.

TO ASSIST 27,000 IDP WITH MEDICAL SUPPLIES IN KIBERA, KENYA.

PROGRAM AREA 4: AMREF TUJUMUIKE - CAPACITY BUILDING OF 18 YOUTH SELF-HELP GROUPS IN MTWARA AND LINDI

GRANT WAS AWARDED TO PROVIDE ASSISTANCE WITH FURNISHING AND EQUIPPING AMREF'S CLINICAL LABORATORY TESTING AND TRAINING FACILITIES IN KENYA.

ENHANCEMENT OF PUBLIC, PRIVATE, AND FAITH-BASED LABORATORY CAPACITY TO SUPPORT TH

COMMUNITY LED MONITORING TO IMPROVE QUALITY OF HIV CARE IN ZAMBIA THROUGH CLIENT FEEDBACK COLLECTED BY TRAINED COMMUNITY MEMBERS.

COMMUNITY LED MONITORING TO IMPROVE QUALITY OF HIV CARE IN ZAMBIA THROUGH CLIENT FEEDBACK COLLECTED BY TRAINED COMMUNITY MEMBERS

COMMUNITY LED MONITORING TO IMPROVE QUALITY OF HIV CARE IN ZAMBIA THROUGH CLIENT FEEDBACK COLLECTION BY TRAINED COMMUNITY MEMBERS.

COMMUNITY LED MONITORING TO IMPROVE QUALITY OF HIV CARE IN ZAMBIA THROUGH CLIENT FEEDBACK COLLECTED BY TRAINED COMMUNITY MEMBERS.

FY 12 NEW GRANT - AMREF

PS 09-990, STRENGTHENING HIV STRATEGIC INFORMATION IN KENYA

IMPLEMENTING EVIDENCE BASED PREVENTION INTERVENTIONS TO PREVENT NEW HIV INFECTION

THE PURPOSE OF THE HEALTH FINANCING ACTIVITY (HFA) IS TO IMPROVE ACCESS TO EQUITABLE AND QUALITY HEALTH SERVICES AND PREVENT CATASTROPHIC HEALTH EXPENDITURE THROUGH INCREASED RESOURCES FOR HEALTH, EFFICIENT ALLOCATION AND UTILIZATION, AND ENHANCED FINANCIAL RISK PROTECTION IN ALIGNMENT WITH ETHIOPIA’S OVERALL AIM OF ACHIEVING UNIVERSAL HEALTH COVERAGE (UHC) THROUGH PRIMARY HEALTH CARE (PHC) BY 2035. HEALTH CARE FINANCING REFORM IN ETHIOPIA, INITIATED IN 1998, AIMED TO IMPROVE THE QUALITY AND EQUITY OF HEALTH SERVICES. THE STRATEGY FOCUSED ON INCREASING RESOURCES FOR HEALTH CARE, PROMOTING EFFICIENCY, AND ENSURING LONG-TERM SUSTAINABILITY THROUGH MULTIPLE FINANCING MECHANISMS. KEY INTERVENTIONS INCLUDED REVENUE RETENTION AT HEALTH FACILITIES, A FEE-WAIVER SYSTEM, STANDARDIZED EXEMPTION SERVICES, AND THE INTRODUCTION OF HEALTH INSURANCE SCHEMES. THESE REFORMS HAVE SIGNIFICANTLY IMPROVED HEALTH SERVICE DELIVERY AND FINANCIAL PROTECTION FOR CITIZENS. USAID’S INVESTMENTS IN HEALTHCARE FINANCING REFORM ARE LARGELY FOCUSED ON STRENGTHENING AND INSTITUTIONALIZING HEALTH CARE FINANCING (HCF) FUNCTIONS AND SYSTEMS TO SUPPORT UNIVERSAL HEALTH COVERAGE OF QUALITY PRIMARY HEALTH CARE (PHC) SERVICES FOR ETHIOPIAN CITIZENS WITH REDUCED FINANCIAL BARRIERS. THE HFA WILL BUILD UPON THE LESSONS DERIVED FROM PREVIOUS USAID ETHIOPIA HEALTH CARE FINANCING REFORM INITIATIVES, INCLUDING THE RECENT FIVE-YEAR HEALTH FINANCING IMPROVEMENT PROGRAM (HFIP). THE EXPECTED OUTCOMES WILL BE EVIDENCE-BASED AND OBJECTIVELY MEASURED THROUGH THE PROGRESS MADE IN THE COUNTRY'S CAPACITY TO ACHIEVE SUFFICIENT, EQUITABLE, SUSTAINABLE, AND EFFICIENT FINANCING FOR UNIVERSAL HEALTHCARE COVERAGE.

SUPPORTING THE SCALE UP OF COMPREHENSIVE HIV/AIDS PREVENTION SERVICES IN THE REPU

PS09-991, KENYA: IMPLEMENTATION AND EXPANSION OF HIGH QUALITY HIV PREVENTION, CARE AND TREATMENT