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Combination Prevention Solutions to Reach Epidemic Control among High Risk, Priority Populations in High Burden Areas in the Republic of South Africa under the President's Emergency Plan for AIDS Relief (PEPFAR)

HIV/AIDS remains the most pressing health problem and leading cause of death in South Africa. Despite high coverage levels for HIV/AIDS services, South Africa has not achieved epidemic control. Adolescent Girls and Young Women (AGYW) aged 15-19 have an HIV prevalence rate eight times higher than boys of the same age. Prevalence rises dramatically as young women get older, from 5.6% among 15 to 19 year olds to 17.4% among 20-24 year olds.

HIV Prevention, Care, and Treatment Support for Church-related Hospitals and Clinics in the Republic of Zimbabwe under the President's Emergency Plan for AIDS Relief (PEPFAR)

Zimbabwe has a generalized HIV epidemic with an estimated 1.4 million people living with HIV (PLHIV). Adult prevalence aged 15-49 is 14.0%, down from 18.1% in 2015. Incidence among adults is 0.47%, and the 18-month mother to child transmission (MTCT) rate is 6.74%. However, testing, treatment, and viral suppression coverage all lag behind the 95-95-95 targets. Zimbabwe’s Ministry of Health and Child Care (MOHCC) has highlighted human resource challenges across the continuum of service delivery.

Strengthening Combination Prevention and Testing Services among Inmates to Reduce HIV Infections and to Reduce Morbidity and Mortality in the Republic of South Africa under the President's Emergency Plan for AIDS Relief (PEPFAR)

This award will focus on strengthening HIV combination prevention within all correctional facilities in South Africa. Innovative combination prevention interventions will address HIV risk and increase protective behaviors among inmates, accompanied by voluntary medical male circumcision, and HIV Testing Services (HTS). The target populations include inmates, released individuals, and Department of Correctional Services (DCS) staff.

Optimizing Performance by Improving Quality (OPIQ) in HIV and HIV/TB Programs in the Republic of South Africa under the President's Emergency Plan for AIDS Relief (PEPFAR)

The goal of this NOFO is to improve performance of HIV and TB key indicators and programmatic areas by providing technical assistance (TA) using Quality Improvement (QI) methodologies to PEPFAR South Africa’s implementing partners (IPs) and the South African Government’s (SAG) National, Provincial, and District Departments of Health (DOH).

Building and Improving Laboratory Capacity and Quality in the Democratic Republic of Congo (DRC) under the President's Emergency Plan for AIDS Relief (PEPFAR)

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 the UNAIDS 95-95-95 targets requires establishment and operationalization of laboratory and diagnostic networks.PEPFAR DRC supported laboratory and integrated diagnostic network strengthening efforts have led to improved access to the quality diagnostic and patient monitoring services. The data reports show improved viral load (VL) coverage from 27% to 56% in FY16 and FY17 and 75% suppression rate.

Implementing Evidence-Based Prevention Interventions for Key and Priority Populations in the Republic of Rwanda under the President's Emergency Plan for AIDS Relief (PEPFAR)

The intent of this NOFO is to build on the previous work in implementing evidence-based interventions for HIV prevention, care, and treatment among key populations (KP) and priority populations (PP) in Rwanda including male and female commercial sexual workers (CSWs), men who have sex with men (MSM), and other high-risk individuals.

Develop, Implement, and Sustain High Quality Comprehensive HIV Cascade Activities for Children, Adolescents, and Adults in Facility and Community Based Settings in Cameroon under the President`s Emergency Plan for AIDS Relief (PEPFAR)

This award is to support implementation of direct service delivery and technical assistance to regions with large urban areas in Cameroon. The award will support implementation of high quality, evidence-informed case-finding and clinical care services for HIV along the clinical cascade. It will include implementing and supporting the best and most appropriate interventions to reach 90-90-90 across all age groups and populations.

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