Forcas Armadas de Defesa de Mocambique Treatment Program Suuport
Abstract
Jhpiego, a nonprofit affiliate of Johns Hopkins University, is pleased to offer the U.S. Department of Defense (DOD) a four-year proposal for $8,800,000 to support the military-specific HIV/AIDS prevention, care and treatment program to countries funded by the United States President’s Emergency Plan for AIDS Relief (PEPFAR). Jhpiego will work with the Forças Armadas de Defesa de Moçambique (FADM) to strengthen and scale up a comprehensive HIV prevention, care and treatment program. This program targets militarypersonnel and their families and civilian communities served by the FADM to achieve the Joint United Nations Programme on HIV/AIDS 90-90-90 goals for epidemic control. Although information on HIV prevalence in the FADM is not readily available, a 2001 study estimated prevalence to be at 39.1% among active duty military personnel based on infections identified in military blood donors.1 More recently, a 2009 study reported higher HIV prevalence among military personnel compared to the civilian population, and historically low coverage of antiretroviral therapy (ART) among military people living with HIV.2 The goal of the program is to reduce the number of new HIV infections and other sexually transmitted infections among members of the FADM, their families and the civilian communities served by the FADM. By the end of Year 4, the program will achieve the following objectives: Objective 1 (HIV/AIDS Care and Treatment): ART coverage will be maintained for those currently receiving therapy and expanded to additional military and civilians. In the first year, the program will expand ART coverage to an additional 2,278 military and 1,196 civilians. Objective 2 (Tuberculosis Diagnosis and Treatment): HIV and TB services will be integrated to ensure quality care to all HIV TB co-infected patients. Objective 3 (Prevention of Mother-to-Child Transmission of HIV [PMTCT]): Among pregnant or breastfeeding women in the target population, 95% will be tested, initiated and retained on lifelong ART (Option B+). Objective 4 (Clinical Laboratory Support): FADM clinical laboratories in selected military sites will have adequate equipment and supplies to provide laboratory services for people living with HIV and TB clients. Objective 5 (HIV Clinical Monitoring Systems): FADM clinical staff and program managers at all levels will have access to high-quality data for decision-making. To increase coverage of services to the military population, Jhpiego will support three FADM fixed sites as well as establish up to 15 expansion sites and four mobile health clinics. For all service delivery approaches, clients will have access to an integrated package of services, including HIV testing services; ART including for PMTCT; voluntary medical male circumcision (VMMC); TB screening, testing and treatment; family planning/reproductive health (FP/RH); cervical and breast cancer screening; and health services to address other chronic health issues such as hypertension and diabetes screening. Jhpiego will use a chronic care approach to introduce comprehensive health care services. This approach will emphasize the importance of ongoing clinical and psychological support for people living with chronic disease, while helping to increase the number of HIV-positive individuals identified, support retention in care and treatment adherence, and improve diagnosis and successful treatment of TB.
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Sep 07, 2017
- Source ID
- N002441710036
Entities
People
- Leonardo Chavane
Organizations
- United States Navy