Department of Defense Malian Armed Forces HIV/AIDS Services Project
Abstract
Through the Mali Armed Forces HIV/AIDS Services project (MAFHAS), Family Health International (FHI 360) will support the US Department of Defense HIV/AIDS Prevention Program (DHAPP) in its collaboration with national militaries to respond to the HIV epidemic. MAFHAS will work with Mali Armed Forces (MAF) health leadership to reach primarily military personnel, plus their dependents and civilian communities surrounding camp "hotspots" of high HIV prevalence. The project will improve the delivery of HIV services in military facilities and build the capacity of MAF health management, providers and peer educators. MAFHAS will support DHAPP s aim of advancing Mali s armed forces toward the UNAIDS 90-90-90 goals, through technical assistance (TA) for improved services and clinical monitoring. To reach these goals, MAFHAS has four objectives aligned with DHAPP priorities: 1. Prevention – Increase demand for and uptake of a tailored package of HIV prevention services for Malian military personnel, their families and proximate communities, reaching 90% of MAFHAS target populations by 2022. 2. HTS and PMTCT –Scale-up HIV testing to ensure that 90% of HIV-positive Malian military personnel, their families and proximate communities know their status, and that 100% of those identified as HIV-positive are linked to antiretroviral treatment (ART) and prevention of mother-to-child transmission (PMTCT) services by 2022. 3. Care and Treatment (C&T) – Institute and aggressively scale up treatment services to increase ART coverage to 90% of diagnosed HIV-positive military personnel, their families and proximate communities, and ensure progress toward 90% viral suppression by 2022. 4. Clinical Monitoring – Establish, strengthen, roll-out and sustain through 2022 secure clinical monitoring systems within MAFHAS to ensure timely use of data for continuous improvement, monitoring of clinical outcomes and progress toward epidemic control. FHI 360 s TA and capacity building strategy will start with a comprehensive assessment of existing capabilities and implementation needs, followed by work with partners to develop a military HIV policy ant to revise and update training and improvement plans. Capacity building will improve leadership and management skills, including developing military-specific strategic, operational and monitoring and evaluation (M&E) plans for HIV programing. The project will introduce stigma reduction tools and will increase access to services and continuously improve their quality. MAF facilities will offer a prevention package, with a target of reaching 5,500 military personnel and civilians. To achieve the 1st 90, the project will work with the MAF to create demand for scaled up services to test 1,070 military personnel and 8,700 civilians through a range of testing methods, such as index testing and partner notification services. To serve identified people living with HIV (PLHIV) and progress toward the 2nd and 3rd 90s, MAFHAS will establish ART services and, develop, strengthen and scale up viral load (VL) testing in collaboration with MSHP. MAFHAS will assist the MAF to establish a robust clinical monitoring system and to use data to improve programs. Drawing upon decades of FHI 360 s experience working with militaries worldwide, and by leveraging resources from civilian stakeholders and the Global Fund, strengthened MAF services will benefit military personnel, their civilian dependents and military camp communities by ensuring access to prevention, care and treatment services. MAFHAS will work with the U.S. Department of Defense in Mali to build rigorous, sustainable capacity within MAF health leadership at the national, regional and health facility levels.
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Apr 18, 2019
- Source ID
- N002441910010
Entities
People
- Moses Bateganya
Organizations
- Family Health International
- United States Department of Defense