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With PEPFAR support, CDC Haiti works in close collaboration with Haiti’s Ministry of Health (MSPP) to increase access to quality HIV clinical services, prevent mother-to-child transmission of HIV, and increase laboratory and strategic information capacity. In 2016, CDC Haiti adopted and implemented WHO’s Test and Start strategy, making treatment available to anyone who is HIV positive and reaching 80,000 people – over half of all people living with HIV in Haiti. The CDC program also led the development and implementation of key innovative approaches such as the biometric coding for unique patient identification and patient linkage and retention program. These interventions significantly improved the PEPFAR Haiti program performance. This NOFO aims to build upon these interventions and improve:Service delivery by providing technical assistance in the MSPP network to help strengthen HIV/AIDS-related services through clinical mentoring;Health workforce development by supporting both pre-service and in-service training efforts and working with MSPP in maintaining its national clinical guidelines; andHealth information systems by enhancing the iSanté Plus system, which includes patient care summaries, population-level data dashboards, automated program reports, epidemiological monitoring, and indicator reporting, and is linked to computerized lab results.

The main goal of this program is to strengthen the capacity of indigenous organizations to develop and deliver science-based HIV and STI risk reduction interventions for mobile (mostly Haitian) populations, improve linkages to HIV/STI/TB treatment and care, and increase their understanding about the benefits of early treatment. Key objectives are to increase the opportunity, capacity and motivation of mobile populations to adopt healthier sexual behaviors, increase the capacity of indigenous organizations to offer HIV prevention services to mobile populations, improve the availability and accessibility of high quality condoms, and increase access to friendly clinical and care services for HIV/STI/TB. This program will provide prevention services in 10 provinces and will target construction workers, market vendors, and agricultural workers. The implementation will be through indigenous organizations. The use of clinical mobile units will be needed to test individuals at their work site, over extended hours and multiple locations. Close coordination and collaboration with Ministry of Health (MOH) facilitates will be required.

The purpose of this FOA is to provide technical assistance (TA) to the Government of Kenya (GOK) and implementing partners in strengthening their capacity to design and implement systems to collect, analyze, interpret and disseminate high quality HIV data. To achieve this, the awardee(s) will complete activities under the following program areas: Program Area A - Surveillance and Epidemiology: Support the GOK and its partners in strengthening their capacity to design, implement, analyze, disseminate, and use data from epidemiologic studies to adequately and accurately measure outcomes and impact, while informing decision making and policy in the national and sub-national HIV response. Epidemiologic studies will include surveillance, surveys, operations research/implementation science and public health impact evaluations. Program Area B - Monitoring and Evaluation: Strengthen the Monitoring and Evaluation (M&E) capacity of health workers in program data collection, analysis and reporting as well as cohort analysis and program evaluation. The support will also include review, revision and roll out of M&E framework, tools, policies and standard operating procedures (SOPs), M&E coordination and collaboration at national and sub-national levels and support strengthening quality of HIV data through training and mentorship. Program Area C - mHealth: The third component will entail supporting the GOK units such as the National AIDS and STI Control Program (NASCOP), National Public Health Laboratory Services (NPHLS) and Kenya Medical Supplies Agency (KEMSA) in mobile technology innovations (mHealth) projects that leverage mobile technologies to enhance efficiencies in the delivery of prevention, care and treatment of HIV.

The purpose of this funding opportunity announcement (FOA) is to build on previous PEPFAR support under the HHS/CDC HIV treatment program to ensure continuity of comprehensive HIV/AIDS services to an existing pool of clients receiving HIV/AIDS care, support, and/or treatment in Côte d'Ivoire. The program will also continue moderate expansion of access to HIV/AIDS services while building the capacity of national structures and contributing to sustainable service delivery within the health sector in Côte d'Ivoire, with a primary focus of activities in northern regions

The purpose of this Funding Opportunity Announcement (FOA) is to establish Phase 2 of the U.S.-South Africa Program for Collaborative Biomedical Research.  Research areas supported under this program include HIV/AIDS and HIV/AIDS-associated malignancies. The intent of this FOA is to foster, stimulate, and/or expand basic, translational, behavioral and applied research that will advance scientific discovery and engage U.S. and South African researchers working collaboratively in the areas of HIV/AIDS and HIV/AIDS-associated malignancies.  Proposed research should reflect the highest possible scientific standards, as well as shared interests, international and local public health needs and priorities, and involve mutually advantageous collaborations among institutions, including participating communities and other partners.  U.S. and South African investigators working in partnership will prepare and submit a single joint application.  Applications must include at least one PD/PI affiliated with the U.S. institution and a South African PD/PI from an eligible institution from South Africa.

The United States Agency for International Development in India (USAID/India), is seeking concept/application for a cooperative agreement from qualified and eligible organizations to fund a program to rapidly demonstrate and assess efficient and effective models of HIV/AIDS services for key populations (KPs), their partners, spouses and children. This activity will rapidly demonstrate and assess new models to increase accessibility, availability, and demand of high quality, comprehensive HIV prevention, care and treatment services; while strengthening systems and the enabling environment for KPs, especially hard-to-reach KPs, their partners, spouses and children to have equitable access to HIV/AIDS and social services. The estimated level of funding for this results oriented assistance is estimated to be $20 million over 5 years.

"USAID Going the Last Mile for HIV Control" is a four-year activity with the purpose to accelerate the HIV response for epidemic control and overall goal to sustain reduction in HIV incidence in Zimbabwe. This will be accomplished through improving access to and uptake of quality HIV biomedical prevention services for targeted, high risk populations; enhancing national systems for evidence based data analytics; improving coordination platforms; and employing innovative new technologies.

The international community is committed to ending the AIDS epidemic by 2030 and achieving the following interim targets: 90 percent of people living with HIV (PLHIV) know their status, 90 percent of those with HIV are on treatment, and 90 percent of those on treatment are virally suppressed by 2020. As PEPFAR resources are limited, effective partnerships continue to be critical in ultimately achieving epidemic control. CDC has partnered with the WHO since the inception of PEPFAR, and is able to draw on the WHO’s comparative advantage to issue international health guidelines and standards. This NOFO will strengthen public health capacity and guidelines to fast track HIV programs down to the district level in PEPFAR supported countries to achieve the 90-90-90 targets and move towards ending the AIDS epidemic by 2030. Key areas of collaboration as guided by the Joint Strategic Framework on the WHO and PEPFAR cooperation on HIV/AIDS include: prevention, care and treatment scale up, integrated service delivery, strengthening health systems, strategic information, and country support.

The purpose of this funding opportunity announcement (FOA) is to strengthen capabilities of the Ministry of Health (MOH) and District Health Teams (DHTs) to conduct the following activities: (1) monitoring and evaluation (M&E) of HIV program including service quality assessment, (2) district led HIV programming (DLP); (3) conducting population case-based surveillance, and lastly (4) strengthening the Ministry of Health (MOH)-owned national Health Management Information System (HMIS), to generate timely, valid, consistent and complete data. This FOA is part of the PEPFAR overall sustainability plan and transition of HIV/AIDS monitoring and evaluation into the primary national health care system towards alignment to the national HIV/AIDS M&E framework and achievement of one national M&E system. The FOA also supports the PEPFAR implementation of a sustainability plan and investments in public health systems, quality improvement, and public health workforce development. At the end of the project, the main expected outcomes include increased use of information for evidence-based decision making, effective health programming at the district levels, and a well-functioning Health Management Information System. All the data collection and reporting activities will emphasize maintaining patients' and participants' confidentiality by treating information that they disclose in a relationship of trust. All of the information provided by patients/participants will be kept confidential and secure in locked rooms/drawers with limited access. Any data analyses will be conducted after all personal identifying information have been removed from electronic datasets.

Getting to ZERO is a five-year program to reduce human immunodeficiency virus (HIV) impact, vulnerability and risk and to increase uptake and retention of high-impact HIV services among orphans and vulnerable children (OVC) and adolescents in targeted communities in Zimbabwe. The strategic objectives of Getting to ZERO are to improve the health, nutrition, psychosocial wellbeing, retention of children in schools, as well as reduction in abuse of children affected by HIV in Zimbabwe. Subject to availability of funds, the United States Agency for International Development (USAID) intends to provide approximately $35,000,000 in total funding for this program. Getting to ZERO directly aligns with the goal of Government of Zimbabwe's (GOZ) National HIV and acquired immune deficiency syndrome (AIDS) Strategic Plan

Access to quality assured diagnostics and laboratory services is critical to the effective diagnosis, treatment, and management of HIV and other HIV-related diseases, including TB. Achieving an AIDS-Free Generation and the UNAIDS 90-90-90 targets requires establishment and operationalization of laboratory and diagnostic networks, including strong and sustainable collaborations with partners.To date, PEPFAR-supported laboratory and integrated diagnostic network strengthening efforts have led to improved access to the quality diagnostic and patient monitoring services required to support the HIV clinical cascade. However, work remains to establish and maintain the partnerships and collaborations required to support these efforts. This NOFO will focus on building and strengthening sustainable networks and partnerships to support laboratory systems, policies, and data use in PEPFAR-supported countries; improving in-service laboratory safety and science competencies through quality training for laboratory professionals; collaborations across partner organizations, laboratory professionals, and clinicians; strengthened public health laboratory and diagnostic network capacity, quality, and functionality; and improved access to high quality and effective technical assistance (TA) resources.

This NOFO builds upon the achievements so far made in strengthening the health systems ability to achieve HIV epidemic control in Ethiopia and supports the implementation of comprehensive HIV/AIDS programs in the four emerging regions focusing on priority scale-up and sustained sub-national units (SNUs). The recipient will also provide technical assistance (TA) to the Federal Ministry of Health (FMOH) and seven Regional Health Bureaus (RHBs) having direct awards with CDC - including two city administrations - and other government organizations as appropriate, with the ultimate goal of strengthening local ownership and attaining the UNAIDS 90-90-90 goals for epidemic control of HIV/AIDS. The recipient will ensure that adequate capacity is built at the RHB and lower SNU levels for a gradual transition of activities considered to be matured, including site-level activities implemented in the four emerging regions. The nature of TA during the 5 year project period may change depending on program dynamics and readiness of organizations in the emerging regions as well as TA recipients. The recipient will also be engaged in planning and rolling-out support of new US and host government initiatives and interventions developed to improve performance and achieve targets set to achieve epidemic control in top priority SNUs.

This FOA will support the strengthening and sustainability of HIV in-service training and mentorship of HCW, as well as patient support programs through national and county systems, including NHCSC and NHITC, in Kenya. The expected outcomes include increased accountability, sustainability, and efficiency in HCW training; increased skilled HCW providing HIV services adherent to guidelines; and improved patient treatment adherence, retention, and active participation in HIV care management

In Uganda, key and priority populations (KP/PP) have a higher prevalence of HIV and more difficulties accessing prevention and care services. This NOFO will improve the development, implementation, and monitoring of accessible, appropriate, and targeted HIV combination prevention for KP/PP in Uganda. This NOFO will result in an increased use of these services by KP/PP, which will result in these high risk sub-populations attaining the 90-90-90 goals and achieving epidemic control by 2020. The recipient will provide technical assistance (TA) to CDC comprehensive regional implementing partners (IPs) on developing, monitoring, and evaluating new ways to provide combination prevention to KP/PP; implementing and evaluating a nationwide training on gender and sexual identity; and cascading a KP training nationwide to health workers to reduce stigma and discrimination. Strategic information (SI) activities, including improving the collection of routine surveillance data, mapping KP/PP hotspots, and evaluating interventions will support the development and implementation of accessible, appropriate, targeted combination prevention for KP/PP. The recipient will support the Ugandan Ministry of Health (MOH) to improve surveillance of HIV in KP/PP (including population size estimates and bio-behavioral studies) and develop comprehensive guidelines for service provision to KP/PP.

This NOFO will support achievement of national targets for 2018 antiretroviral therapy (ART) scale-up towards the UNAIDS Fast Track Targets in Ukraine. The recipient will implement innovative and effective recruitment and case management models for persons who inject drugs (PWID) and men who have sex with men (MSM) at the community level. These innovative changes will increase uptake of HIV community based testing and increase ART initiation for these populations. The recipient will pilot risk network-based testing using point-of-care recency assays to link recently infected PWID to care. The project will focus on the six regions with the highest HIV burden (Dnipropetrovsk, Mykolayiv, Odesa, government controlled areas (GCA) of Donetsk, Kyiv City, and Kherson) and continue to work in six additional medium burden oblasts (Cherkasy, Poltava, Chernihiv, Zaporizhzhya, Kirovohrad, and Kyiv). The recipient will also increase the capacity of the Government of Ukraine’s Center for Public Health (CPH) and regional monitoring and evaluation (M&E) centers specialists to conduct data analysis using statistical software and build institutional capacity to conduct economic evaluations of HIV interventions. Illustrative strategic information (SI) activities include development of trainings to support the Ministry of Health (MOH) and the newly established CPH in using statistical software, routine analysis of surveillance data, study design, and research protocol development.

The purpose of this announcement is to strengthen capacity of the Government of the Republic of Namibia through support for high-impact and evidence based interventions to prevent HIV transmission, increase access to quality HIV/AIDS care and support programs, strengthen the overall health system, and integrate HIV/AIDS programming with maternal and child healthcare, malaria, TB and other primary healthcare programs in an effective manner.

PEPFAR South Sudan works in collaboration with the Government of South Sudan (GOSS) Ministry of Health (MOH) in implementing the HIV/AIDS National Strategic Plan (NSP) based on a priority action approach and strong collaboration and coordination among different stakeholders. PEPFAR South Sudan has prioritized supporting the MOH in strengthening their national laboratory system with the primary objective of supporting the diagnosis, treatment, prevention and surveillance of HIV through high-quality laboratory services. This funding opportunity announcement (FOA) solicits technical assistance (TA) to strengthen the GOSS MOH laboratory and blood transfusion services systems. Outcomes will include the overall strengthening of the National Reference Lab, implementing and achieving accreditation for quality assurance systems; strengthening service delivery through increased technical assistance to lab testing programs, and training and accreditation for the national blood safety programs. The ultimate outcome is a national integrated quality-assured network of tiered laboratories providing quality clinical laboratory services with the capacity to support the diagnosis, treatment, prevention and surveillance of HIV and other diseases and support the establishment of the National Public Health Laboratory (NPHL) and the National Blood Transfusion Services (NBTS).

Malawi faces chronic shortages, skill mix imbalances, and uneven geographical distribution of professionally qualified health workers such as medical doctors, clinical officers, nurse midwives, and allied health professionals. The purpose of this Funding Opportunity Announcement (FOA) is to provide technical assistance (TA) to the Government of Malawi in support of the national HIV response through the secondment of technical assistance (Technical assistants recruited and posted to requesting institutions to continue support to the HIV program (TA positions for Care and Treatment, Logistics and Supply Chain, Monitoring and Evaluation)) to the Ministry of Health (MOH) and other organizations, implementation of a fellowship program to develop technical and leadership capacity for HIV program management, provision of technical assistance to regulatory bodies (Medical Council of Malawi, Nurses and Midwives Council of Malawi and Pharmacy Medicines and Poisons Board), and improvement of the quality of in-service and pre-service education for critical health worker cadres in collaboration with Ministry of Health and training institutions under the University of Malawi and the Christian Health Association of Malawi (CHAM). Key outcomes of this program include the development and dissemination of technical guidelines, teaching materials, and tools for curricula strengthening. Teaching sites will be appropriately equipped and staffed. Capacity gaps in national programs will be addressed through the recruitment and deployment of technical assistants & fellows. In addition, the roles of regulatory bodies in education will be strengthened through the provision of technical assistance

The HIV/AIDS epidemic in Central America (CA) is concentrated, with low prevalence among the adult population but high prevalence among key populations (KPs), including men who have sex with men (MSM), transgender (TG) women (male to female), sex workers (SW), and certain ethnic groups, such as the Garifuna. In alignment with the IOM's recommendations, as well as the Central America Partnership Framework (PF) and the Office of the Global AIDS Coordinator's (OGAC) "Sustainability Planning Guidance Document: Advancing Country Ownership in PEPFAR III," this FOA prioritizes support for concrete efforts that assist ministries of health (MOH) in Central America to lead, manage, coordinate, and implement national responses to their respective concentrated epidemics while sustaining programmatic quality and coverage goals. Funding will support regional activities in 2 geographic clusters: Cluster A (Guatemala, Nicaragua, and Costa Rica) and Cluster B (Belize, El Salvador, Honduras, and Panama). Applicants must submit a separate application and budget for each geographic area (Cluster) they intend to implement.Cluster A - Guatemala, Nicaragua, and Costa Rica:* Regional expansion and enhancement of the Sexually-transmitted Infection Sentinel Surveillance and Control Strategy (VICITS, by its Spanish acronym), an HIV combination prevention intervention that includes improved STI diagnosis and treatment, condom promotion and distribution, HIV counseling and testing (HCT), linkage to care, and a second-generation surveillance information system.

PEPFAR’s shift away from direct service delivery (DSD) support for Vietnam in COP 2018 poses significant challenges for the country in sustaining the national response to HIV epidemic. Strengthening the indigenous technical capacity of Ministry of Health and introducing innovative models, technologies, and latest scientific global expertise will be critical for Vietnam to reach epidemic control. This Notice of Funding Opportunity intends to support a recipient to provide this technical assistance, mentorship, and capacity building to the Ministry of Health and its affiliates on HIV/AIDS care and treatment and related clinical services.