Test - Cross Cutting...

Abstract

Jhpiego, a nonprofit global health leader and Johns Hopkins University affiliate, is pleased to offer the Department of Defense (DOD) a 3-year proposal for $ 7,420,392 to provide support to the DOD’s HIV/AIDS Prevention Program (DHAPP): Military Specific HIV/AIDS Prevention, Care, and Treatment Program for US President’s Emergency Plan for AIDS Relief (PEPFAR) in Zambia. Jhpiego’s goal is to support the Zambian Defence Force (ZDF) and DOD/ DHAPP to reduce the number of new HIV infections and other sexually transmitted infections (STIs) among active members of the ZDF, their families and the civilian communities served by the Zambian military. Aggressive scale up of HIV testing services (HTS), care and treatment, and prevention programs, in coordination with PEPFAR facility-based implementing partners (IPs), will support achievement of the 90-90-90 goals for HIV epidemic control in the military. By the end of Year 3, the project will achieve the following objectives: Objective 1 (HTS): Increase access to targeted, community-based HTS and integrated health services. By the end of Year 1, the project will provide HTS to 17,310 individuals and identify at least 2,304 previously undiagnosed HIV-positive individuals. Objective 2 (HIV/AIDS Care and Treatment): Improve linkage case management and client-tracking systems to ensure that at least 90% of HIV-positive individuals identified through HTS are linked to HIV care and treatment, 90% of antiretroviral therapy (ART) patients achieve viral suppression, and 95% of HIV-positive pregnant and breastfeeding women receive ART for prevention of mother-to-child transmission (PMTCT) of HIV. By the end of Year 1, at least 2,074 HIV-positive individuals identified through HTS will have access to ART. Objective 3 (Orphans and Vulnerable Children [OVC] and Gender-Based Violence [GBV]): Improve case management services for pediatric and adolescent OVC and families affected by HIV and ensure that pediatric and adolescent OVC GBV survivors are linked to a high-quality package of post-GBV clinical services. By the end of Year 1, 10,800 OVC beneficiaries will receive direct support and 80% of facilities will meet the minimum care standards for providing high-quality post-GBV care to survivors. Objective 4 (Other HIV Prevention Services): Increase access to standardized HIV prevention services for active military members and priority populations, including female sex workers (FSWs) in hotspot locations. By the end of Year 1, 30,000 clients from priority populations will receive a minimum package of HIV prevention services. Objective 5 (Health Systems Strengthening [HSS] and HIV Clinical Monitoring Systems): Strengthen the internal capacity of the ZDF to implement and manage quality community HIV services and increase access to high-quality data for decision-making. By the end of Year 1, 80% of sites will report on key programmatic indicators on a weekly basis, to assess progress to targets and make real-time program improvements. Overall, these five objectives will be accomplished through coordinated strategies that build ZDF capacity at all levels, introducing a mentorship strategy for frontline providers, supporting performance reviews and data review meetings to improve data use for decision-making, and working with a military-specific technical advisory group to ensure sustainability of all project activities. Jhpiego has discussed this proposed project with ZDF and ZDF is supportive of the proposal.

Document Details

Document Type
DoD Grant Award
Publication Date
Feb 05, 2019
Source ID
TEST081910003

Entities

People

  • Dtic Tester3
  • Dtic Testing

Organizations

  • Defense Technical Information Center
  • United States Navy

Tags

Fields of Study

  • Medicine

Readers

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