Summary Program Descriptions

Other PEPFAR Countries

The funding amounts specified in the following program descriptions refer only to the funding approved for ongoing, critical activities in each country that receives GHAI funding and do not necessarily represent the entire Emergency Plan funding level for a given country. These descriptions cover countries that are receiving an increase in funding for HIV/AIDS as a result of the Emergency Plan.

Angola (Total GHAI: $1.320.000)
DOD ($500,000): Funds will be used to assist the Angolan Forces in establishing voluntary counseling testing (VCT) programs that will be available to all military personnel and will guarantee confidentiality and support; to provide technical assistance to conduct surveys on Knowledge, Attitudes and Practices among military personnel; and to increase evidence-based interventions for this high-risk population.

HHS ($492,000): Funds will support technical assistance to strengthen laboratory facilities, improve blood safety protocols, and support HIV counseling and testing activities implemented by the Ministry of Health (MOH) and the National HIV Institute (INLS) and technical assistance to the MOH to repeat the antenatal sentinel surveillance survey in Angola.

USAID ($328,000): Funds will be used to develop high quality, comprehensive voluntary counseling and testing (VCT) centers in Luanda and Cunene provinces targeted at high-risk populations, and strengthen outreach programs for the broader population; and will support collaborative efforts with local partners in programs preventing mother-to-child transmission of HIV by training health workers in providing obstetric services and integrating behavior change strategies to ensure safe motherhood practices.

Cambodia (Total GHAI: $1,600,000)
HHS (GHAI $700,000): Funds will support the continuation of work with the Ministry of Health (MOH) to expand laboratory capacity for HIV care and treatment and to improve its quality; improve the ability of the MOH to collect information about the HIV epidemic and its HIV programs; and work with the MOH to develop sound strategies and policies for HIV program activities. In addition, funds will be used for scale-up of prevention of mother-to-child transmission (PMTCT) programs, basic HIV care, tuberculosis and HIV co-infection (TB/HIV) programs, and antiretroviral therapy (ART) in three provinces.

USAID (GHAI $900,000): Funds will support ongoing efforts focused on high-risk groups by expanding targeted social marketing and behavior change communications activities in areas with high-risk populations and documented high levels of HIV/AIDS prevalence; strengthening community outreach and venue-based Abstinence, Be Faithful and Correct, Consistent Condom Use as Appropriate (ABC) programs for populations engaged in high-risk behaviors; and by supporting education activities and messages aimed at increasing the demand for appropriate sexual health services and reducing the stigma associated with the use of services and changing male behavioral norms around multiple sexual partners and low condom use outside of stable relationships.

Caribbean Regional Program (Total GHAI: $1,500,000)
HHS (GHAI $1,500,000): These funds will support the following regional institutions: 1) Caribbean Epidemiology Center (CAREC), for surveillance, epidemiology, laboratory strengthening and PMTCT activities. Funding will be used to strengthen regional surveillance systems and laboratory capacity to support HIV care and treatment and to scale up HIV testing in the region. 2) University of the West Indies, for public health leadership programs and to support the Caribbean HIV/AIDS Regional Training (CHART) network to identify and train HIV/AIDS clinical care providers. 3) Caribbean Regional Network for people living with HIV/AIDS (PLWHA) to spearhead the development of HIV/AIDS treatment advocates to provide social and adherence support to PLWHA. 4) Ambassadors Quick Impact Prevention Program for US Embassies in the Caribbean, for in-country Ambassadors to raise the profile of HIV/AIDS issues. In particular, the Small Grants Program will focus on behavior change programs, stigma and discrimination, and HIV education.

Central Asia Regional Program
USAID (GHAI $232,000): Continue work on regional strategic papers on establishing the “Three Ones” principle, engendering stewardship, and developing a communication strategy around HIV/AIDS. Continue collaboration and coordination with major stakeholders involved in HIV/AIDS control, including the World Bank-funded Central Asia AIDS Control Program, the implementers of grants from the Global Fund to Fight AIDS, Tuberculosis, and Malaria, and the United Kingdom’s Central Asia Regional HIV/AIDS Project, and develop a uniform system for information exchange among partners. Host a regional seminar on increasing coverage of vulnerable populations with information and services. Provide funding for USG staff to help manage, administer and support programs in this area including related salaries, travel, housing, office space, equipment, training, and other personnel-related expenses (e.g. ICASS, and ASP costs).

China (Total GHAI: $1,950,000)
HHS (GHAI $1,575,000): Funds will support the development of a comprehensive prevention program, including development of a provincial AIDS surveillance network with case-finding capacity, improved management capacity of all AIDS programs in China, and expansion of care and treatment in rural settings.

USAID (GHAI $375,000): Funds will support prevention programs, comprehensive AIDS care, advocacy, and policy development. Building capacity for health workers, peer educators, people living with HIV/AIDS (PLWHA), and others will be a core component of all of these activities.

Democratic Republic of the Congo (Total GHAI: $3,000,000):
DOD (GHAI $400,000): Funds will support training of master trainers and peer educators; “troop level” HIV/AIDS prevention education and behavior change communication efforts; rehabilitation, equipment and training for VCT centers including reinforcing HIV laboratory diagnostic capabilities; and HIV testing of military personnel.

HHS (GHAI $1,800,000): Funds will support technical assistance to support family-centered HIV services; development of a uniform monitoring and evaluation (M&E) system for all TB/HIV activities; assistance to expand laboratory support for increasing HIV care and treatment; and expanding service hours of the HIV telephone hotline to 24 hours a day, 7 days a week.

STATE (GHAI $500,000): Funds will support ongoing innovative approaches to preventive programs and the initiation of a public dialogue on key prevention messages; introduce HIV/AIDS awareness at all levels of English as a Second Language (ESL) teaching in high schools; support community groups to implement preventive programs; promote a Congolese music CD as part of a project to increase public discourse on HIV; and expand messaging media to include radio and television serial drama.

USAID (GHAI $300,000): Funds will support temporary VCT services to Demographic Health Survey participants receiving HIV test results.

Djibouti (Total GHAI: $300,000)
DOD (GHAI $150,000): Funds will be used to assist the Djiboutian military with capacity building and prevention efforts and will support counseling and testing (CT) services, training, a seroprevalence survey, and blood safety activities.

USAID (GHAI $150,000): Funds will support the ROADS Project, working closely with the AIDS Executive Secretary, MOH, French Cooperation, Ethiopian truck drivers and other community partners to strengthen and extend Abstinence, Be Faithful (AB), other prevention (OP), CT, and orphans and vulnerable children (OVC) services, focusing on two existing and two new sites. The project mobilizes truckers and community members to increase uptake of HIV services and provides technical assistance to national partners to strengthen services for truck drivers, people in prostitution, and community, men, women and youth.

Dominican Republic (Total GHAI: $1,000,000)
DOD (GHAI $250,000): Funds will support the existing Dominican Armed Forces (DAF) HIV/AIDS program through prevention programs and condom social marketing; the procurement and distribution of condoms within the DAF; the enhancement of VCT programs within the DAF and the procurement of laboratory supplies and test kits for DAF labs to support testing for HIV and other sexually transmitted infections (STI). In addition, funds will be used to enhance reporting and quality assurance programs, supply chain management, health communication messaging, social marketing, policy development, M&E, and human capacity development (HCD) within the DAF. Funds will also be used to provide ongoing support to the Committee for the Prevention and Control of HIV/AIDS in the Armed Forces and National Police of Latin America and the Caribbean and the development of two Centers of Health in the Dominican Air Force for the management of programs related to HIV/AIDS, TB, and STIs.

Peace Corps (GHAI $118,450): Funds will continue to support the successful Escojo strategy, with an emphasis on sustainability. Peace Corps volunteers and community-based NGOs operate on community, regional, and national levels, focusing on peer education, promoting healthy life choices by individual youths and the groups they form. Funds will also support sexual and reproductive health training for peer educators, as well as education on correct and consistent condom use as appropriate and will bring sensitization and anti-discrimination messages to communities.

HHS/CDC (GHAI $631,550): Funds will be used to coordinate and support implementation of the two-year plan, recommended by the Centers for Disease Control and Prevention (CDC), to gather strategic information and strengthen existing HIV/AIDS systems; to support CDC’s work to assess and improve HIV testing policies, procedures and guidelines (in both prenatal and general population settings) on a national level, and to support the training of laboratory staff. In addition, funds will support CDC’s assistance to the National AIDS Program regarding the long-term national epidemiological surveillance plan, sentinel surveillance sites, data collection for antiretroviral (ARV) drug resistance and monitoring of patients on ARV drugs, HIV/AIDS case reporting, and support for epidemiological and behavioral information gathering.

Georgia (GHAI: $710,000)
Peace Corps (GHAI $20,000): Funds will be used to support the expansion of the successful HIV/AIDS activities initiated by Peace Corps Georgia’s Healthy Lifestyles Committee in 2006; provide enhanced HIV/AIDS technical training for Volunteers and host country counterparts; translation and printing of a Georgian language version of the Peace Corps Life Skills Manual, which was rated a United Nations Educational, Scientific and Cultural Organization (UNESCO) best practice in HIV/AIDS prevention in 2004; and the production and dissemination of HIV/AIDS prevention materials and resources for Volunteers’ communities.

USAID (GHAI $690,000): Funds will be used to support the civil society response to HIV/AIDS care and prevention needs, by mobilizing technical leadership and support through new alliances; activities to fill gaps in programming to reduce TB/HIV co-infection; a pilot TB/HIV drug prevention and treatment model; and ancillary technical assistance for HIV/TB co-infection interventions.

Ghana (GHAI: $300,000)
DOD (GHAI $150,000): Funds will support an ongoing prevention program jointly developed by the Ghana Armed Forces and USG implementing partners, with an additional focus on stigma reduction and efforts to strengthen the counseling and testing program for the military, civil employees and family members through training and support for health management information systems (HMIS).

Peace Corps (GHAI $100,000): Funds will support greater collaboration, training, and small grant opportunities for Volunteers and their counterparts to target most-at-risk populations (MARPS); enhanced technical training for Volunteers and host country counterparts in evidence-based behavior change communication strategies and tools, and working with most-at-risk populations; and community-initiated activities in support of HIV/AIDS prevention and care.

STATE (GHAI $20,000): Funds will be used to expand the Ambassador's Self-Help Fund to focus on support for associations of persons living with HIV/AIDS (PLWHA), including developing income-generating activities and increasing access to palliative care and ART.

USAID (GHAI $30,000): Funds will be used to develop a high-level policy initiative, led by the Ambassador and implemented through USAID's Democracy and Governance program, to reduce stigma and discrimination and strengthen human rights.

Honduras (Total GHAI: 750,000)
DOD (GHAI $150,000): Funds will be used to assist the Honduran Armed Forces in further developing the Armed Forces HIV/AIDS Prevention Program; further develop the multi-media stigma and reduction/mass awareness campaign; expand the number of VCT centers; further develop the training center curriculum and capabilities of the instructors; increase peer education, with the development of a cadre of peer educators; develop laboratory infrastructure, including equipment and reagents; and expand programs for military personnel and their family members living with HIV/AIDS.

Peace Corps (GHAI $43,000): Funds will support Peace Corps Honduras’ recently expanded HIV/AIDS program, which focuses on AB prevention among youth, PLWHA support, and targeting men (in informal settings, men in uniforms, prisoners, and clients of women in prostitution) with prevention messages and enhanced HIV/AIDS technical training for Volunteers and host country counterparts and funding for community-initiated small grants in support of HIV/AIDS activities.

USAID (GHAI $557,000): Funds will support efforts to increase access to quality prevention services, especially for MARPS; increase access to quality care-and-support systems for people infected and affected by HIV/AIDS; and improve the capacity of NGOs and the Ministry of Health (MOH) to implement HIV/AIDS activities. Funds will also be used to enable local nongovernmental organizations (NGOs) to change risk-related behaviors and expand community care and voluntary counseling and testing (VCT) services among MARPs; support mass-media communication, in both the Garifuna and urban youth populations, and community-mobilization activities that promote abstinence for youth; and will fund assistance to the MOH to strengthen its national epidemiologic surveillance and monitoring and evaluation systems, to better assess and address the epidemic and expand social marketing, condom distribution and educational outreach to MARPs.

India (Total GHAI: $8,971,000)
DOD (GHAI $630,000): Funds will support efforts to build the capacity of the Armed Forces Medical Services (AFMS) to deliver HIV prevention, care and treatment through workshops to train peer educators, counselors and health care providers, and procurement of equipment and CD4 and PCR (cluster of differentiation 4 and polymerase chain reaction) test kits to upgrade AFMS laboratory services. Funds will also support the participation of key military leaders in training programs and international exchanges.

DOL (GHAI $250,000): Funds will support technical assistance at the national and state level on workplace programs, working with new and existing industry partners.

HHS (GHAI $3,823,205 – CDC $2,823,205; HRSA $1,000,000): Funds will support technical assistance to the Government of India and the state governments in policy and program implementation of the national ARV roll-out; provide training, guidance for curriculum development, care and treatment guidelines, and delivery of related services through the public and private sector; support consultants to the State AIDS Control Societies in Tamil Nadu and Andhra Pradesh to provide TA for care and support, CT, PMTCT, communication, and (M&E). Funds will also be used to provide ongoing support to the Center of Excellence for HIV/AIDS treatment and care at the Government Hospital for Thoracic Medicine (GHTM), Tambaram, Tamil Nadu, including support for the National Training Center at GHTM.

USAID (GHAI $4,267,795): Funds will support an ongoing AB program for youth and married men and women in the USG focus states (Tamil Nadu, Maharashtra, Andhra Pradesh and Karnataka); support a comprehensive prevention, treatment and care program in Sangli District, Maharashtra, and the expansion of treatment, care and support activities through the private sector in Tamil Nadu, Maharashtra and Karnataka; continue and expand the OVC program in the USG focus states; and support the PEPFAR Coordinator position. Funds will also support technical assistance at the national and state level to support the roll-out of the national HIV/AIDS program, including strengthening M&E and providing technical input to PMTCT, CT, and ARV services; capacity building of NGOs; and strengthening of the media response by building media capacity.

Indonesia (Total GHAI: $250,000)
DOD (GHAI $250,000): Funds will support an ongoing program with the Indonesia Defense Forces (TNI), including procurement of vital diagnostic laboratory equipment and HIV screening supplies and training of TNI health care providers in advocacy, peer counseling and HIV treatment, care and support.

Kazakhstan (Total GHAI: $270,000)
Peace Corps (GHAI $20,000): Funds will be used to support the expansion of Peace Corps Kazakhstan HIV/AIDS Task Force and HIV/AIDS prevention activities; provide enhanced HIV/AIDS technical training for Volunteers and their host country counterparts; and provide local language HIV/AIDS prevention materials and resources.

USAID (GHAI $250,000): Funds will be used to provide ongoing assistance to national AIDS program on M&E, communication across stakeholders, and liaising with nongovernmental organizations; provide targeted HIV prevention activities to at-risk youth in Almaty; assist in implementation of the TB/HIV component of the Global Fund TB grant; conduct a rapid assessment to identify barriers to anti-retroviral therapy adherence; continue targeted outreach and education activities for the groups at risk for HIV infection; and support USG staff to help manage, administer and support programs on HIV/AIDS, including salaries, travel, housing, office space, equipment, training, and other personnel-related expenses.

Kyrgyzstan (Total GHAI: $160,000)
Peace Corps (GHAI $20,000): Funds will be used to support Peace Corps Kyrgyzstan’s recently developed HIV/AIDS strategy, which integrates HIV/AIDS prevention into the education and business sector projects, and strives to build partnerships with international and local organizations working in HIV/AIDS prevention. Funds will also be used to provide enhanced HIV/AIDS technical training for Volunteers and their host country counterparts and to support integration of HIV/AIDS activities in all Volunteer project sector areas.

USAID (GHAI $140,000): Funds will be used to provide ongoing assistance to Kyrgyzstan in implementation of the State HIV/AIDS Program through seconded staff working on monitoring and evaluation, communication across stakeholders, and liaising with non-governmental organizations; assist in improving the capacity of the health system to manage dual TB/HIV infection, ART, and VCT; evaluate a pilot model on TB/HIV co-infection established earlier in Chui oblast and make recommendations for its scale-up; continue to target activities for at-risk groups through condom social marketing and behavior change communication, including promotion of abstinence, faithfulness, and risk reduction, and to run and monitor a center to provide targeted HIV prevention activities to at-risk youth in Bishkek; and support USG staff to help manage, administer and support HIV/AIDS programs including related salaries, travel, housing, office space, equipment, training, and other personnel-related expenses.

Lesotho (Total GHAI: $6,400,000)
DOD (GHAI $310,000): Funds will be used to provide support to the Lesotho Defense Forces, their dependents, civilian employees and surrounding civilian communities, including prevention activities to the military at all bases; provision of a facility for TB/HIV palliative care services; provision and support of a mobile health care clinic; provision of ART management training; training for laboratory personnel; and support for strategic information and management and staffing.

DOL (GHAI $200,000): Funds will support activities that build on the foundation already established by the U.S. Department of Labor (DOL) Workplace Education Project by developing comprehensive workplace-based prevention and education programs addressing behavior change, gender issues, and linkages with care and support services in five to seven new industrial-sector enterprises and developing and reinforcing the formulation, adoption and application of rights-based policies in all partner enterprises.

HHS (GHAI $ 3,195,198 – CDC $3,145,198; HRSA $50,000): Funds will be used to provide ongoing support for fixed and mobile VCT centers while providing technical assistance to increase provider-initiated CT; provide technical assistance to strengthen and integrate the TB and HIV programs with a special focus on multi-drug resistant TB (MDR TB) surveillance; support the development and implementation of a comprehensive national laboratory strategy; develop leadership and clinical expertise among nurses to deliver HIV/AIDS nursing care; and further strengthen local partnerships with nursing schools and national nursing organizations to develop country-specific nursing curricula and mentoring, including the building of leadership and advocacy skills needed to provide a voice in the policy environment. Funds will also support development of medical male circumcision activities.

Peace Corps (GHAI $50,400): Funds will be used to support Peace Corps Lesotho’s efforts to strengthen relationships with local, district, and national leadership to build on the success of the past years’ HIV/AIDS interventions; provide enhanced HIV/AIDS technical training for Volunteers, Peace Corps staff, and host country counterparts on working with traditional leaders, orphaned and vulnerable children, and PLWHA support groups; provide funding for community initiated small grants in support of HIV/AIDS activities; and provide HIV/AIDS materials and resources to support the Ministry of Education’s pilot of the Life Skills Curriculum, which targets primary and secondary school students.

State (GHAI $618,350): Funds will be used to support office costs for all seven PEPFAR-funded staff, salary and benefits costs for two Foreign Service Nationals (Program Assistant and Administrative Assistant), local support costs for four Direct Hires or their equivalent (Coordinator, CDC Program Director, CDC Technical and Program Manager, USAID Program Manager), and capital security costs. Local support costs include one-time costs such as housing or security upgrades and/or renovation, and furniture.

USAID (GHAI $2,026,052): Funds will be used to expand staff to three in-country staff (two Personal Services Contractors, one of whom will be seconded to State and one Foreign Service National), who will provide administrative and backup support from the regional office and to improve rational pharmaceutical management of ARVs and other HIV-related drugs and support TB/HIV integration to enhance HIV testing, TB testing and diagnosis, TB/HIV reporting and TB treatment of co-infected individuals. Funds will support planning and national strategy development for medical male circumcision.

Liberia (Total GHAI: $950,000)
DOD (GHAI $250,000): Funds will be used to begin an HIV/AIDS prevention program for the Liberian military that will be integrated into military training and medical programs; hire an HIV Program Manager to oversee the program; establish a capacity building effort; support policy analysis and development; conduct a seroprevalence survey; establish a master trainer and peer leader program; and provide training aids and ABC materials.

USAID (GHAI $700,000): Funds will support abstinence, fidelity, use of condoms, and behavior change as key prevention activities; support systems for the treatment and care of PLWHA; and initiate a three-year program to provide life-skills training and education for students and out-of-school youth. The program will focus on promoting positive healthy behaviors through interactive learning and behavior change communication methodologies and materials.

Malawi (Total GHAI: $2,900,000)
DOD (GHAI $130,000): Funds will be used to provide ongoing support for the targeted prevention program jointly developed by the Malawi Defense Force (MDF) and USG, which focuses on AB behavior change messages and condom education and uptake among military families and to continue training programs focused on increasing the effectiveness of the MDF's health programs by training MDF health workers in PMTCT and strategic information skills.

HHS (GHAI $1,888,500 – CDC $1,615,138; HRSA $273,362): Funds will be used to provide technical assistance and support to surveillance, HMIS, laboratory, and HIV counseling and testing activities to the Ministry of Health, the National AIDS Commission, and non-governmental organizations; support a national strategic information technical advisor and a national CT technical advisor, and support national training centers for providers of CT, care, and treatment services; to continue to strengthen blood safety, support alcohol and HIV prevention policy development and support the national public health reference laboratory and HIV surveillance activities; support a center of excellence in care and treatment for pregnant mothers and infants that includes a laboratory-based pediatric diagnosis and care program; and support strengthening of a decentralized M&E system for HIV/AIDS. Funds will also support the development of medical male circumcision policy.

Peace Corps (GHAI $180,500): Funds will support Peace Corps Malawi’s well-established HIV/AIDS Community Health Project that collaborates with the MOH and focuses on women, children, and those affected by HIV/AIDS; support the efforts of approximately 100 Peace Corps Volunteers who are engaged in HIV/AIDS education and prevention through secondary activities in their communities (e.g., working with PLWHA, youth and women’s HIV/AIDS groups, orphan care, income generating activities, etc.); provide enhanced HIV/AIDS technical training for Volunteers, staff, and host country counterparts; and fund ten Crisis Corps Volunteers, who will support Malawi’s new District AIDS Coordinators.

STATE (GHAI $131,000): Funds will provide ongoing support for salary, benefits and identified travel costs for the Emergency Plan country coordinator.

USAID (GHAI $570,000): Funds will be used to continue strengthening ART roll-out through improved coordination and implementation; support advocacy for policy changes to expand OVC support directly to families and communities; leverage expansion of the ART program to strengthen systems and support community approaches to palliative care and HIV counseling and testing; support female condom education and social marketing. Support palliative care activities with indigenous organizations; and improve pharmaceutical management. Funds will support development of a communications strategy for medical male circumcision.

Nicaragua (Total GHAI: $100,000)
USAID (GHAI $100,000): Funds will support the Quality Assurance and Workforce Development Project (QAP), which is an ongoing project to improve the quality and accessibility of HIV/AIDS testing and treatment. QAP will advance the policy environment by supporting the implementation and monitoring of Nicaragua’s new National HIV/AIDS Strategy; assist local Ministry of Health authorities to develop, monitor and implement customized operational plans to improve HIV/AIDS services at the department level; and support Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM/Global Fund) activities.

Russia (Total GHAI: $5,345,000)
DOD (GHAI $965,000): Funds will be used to expand the military HIV prevention program to reach several additional regions; leverage support from the host country and the Global Fund to Fight AIDS, Tuberculosis and Malaria; convene an annual military conference on HIV prevention to develop resource commitments, logistics plans, and target estimates; develop policy to mandate HIV testing prior to entry into the military and to mandate compliance with the HIV prevention program; establish a pilot VCT program for the military in a high prevalence region such as St. Petersburg; develop policies to permit anonymous testing within the military and referral to civilian treatment programs; train and support counselors to conduct HIV testing; and support one full-time administrative staff person to manage the DOD program, which will scale up significantly.

HHS (GHAI $1,850,000 – CDC $1,350,000; SAMHSA $500,000): Funds will be used to implement a rapid testing algorithm in maternity hospitals in St. Petersburg and expand this program to Orenburg; introduce HIV testing technologies to identify HIV-positive infants before 18 months and prevent unnecessary social isolation and abandonment in collaboration with the Federal Pediatric AIDS Center; develop a series of publications on pediatric HIV treatment and PMTCT issues; support the senior HHS/CDC epidemiologist based in Russia to oversee development of a unified federal strategic information SI system and its roll-out in two oblasts; and support one part-time administrative staff member to support these activities.

USAID (GHAI $2,530,000): Funds will be used to support faith-based organizations (FBOs) in their efforts to scale up effective HIV/AIDS prevention activities; strengthen the capacity of religious organizations to develop and implement AB and drug demand reduction (DDR) programs; develop and disseminate AB and DDR materials targeting vulnerable youth and prisoners; train teachers to deliver healthy lifestyle education programs focused on HIV prevention and risk reduction, referrals for detoxification, and stigma reduction to reach high-risk youth; expand the recently launched Russian Orthodox Church (ROC) program of compassionate palliative care for PLWHA; disseminate the ROC-developed patient care curriculum in two sites and support FBO rehabilitation centers for intravenous drug users; consolidate the screening of PLWHA for TB and integrate TB, HIV and primary care services to ensure coordinated clinical management of patients with TB/HIV in Orenburg and St. Petersburg; and continue to provide training to health service providers to address TB/HIV co-infection issues, including the clinical aspects of managing TB/HIV co-infected patients at both TB and HIV clinics. In addition, funding will be used to pilot a software application for managing and monitoring HIV care and treatment; conduct a pilot study to enhance services provided at youth centers by introducing psychosocial counseling for drug use and drug-free addiction recovery programs as part of a comprehensive HIV prevention program for drug-using youth; support the Interconfessional Coordination Committee on HIV/AIDS to improve collaboration on HIV/AIDS at the national level and foster commitment among senior religious leaders to address the epidemic; and expand the workplace health education program to emphasize substance abuse prevention and the link to HIV/AIDS.

Senegal (Total GHAI: $300,000)
DOD (GHAI $300,000): Funds will be used to support the continued development of a comprehensive HIV prevention program with the Senegalese military; mass awareness/sensitization campaigns; support VCT centers (now dispersed across the country, including in remote sites); support and train peer educators attached to UN peacekeeping operations; support laboratory technician training; train medical workers on injection safety and safe blood transfusion; provide laboratory infrastructure support, and train health care workers in PMTCT guidelines and techniques.

Sudan (Total GHAI: $3,000,000)
HHS (GHAI $3,000,000): Funds will be used to provide technical assistance with HIV surveillance to the Government of Southern Sudan and Government of National Unity HIV management organs; support the development of an HIV control program in the Sudan People’s Liberation Army; support provision of integrated prevention (including PMTCT on a limited basis), CT and basic care interventions in areas defined by the Emergency Plan country strategy; and strengthen clinical and public laboratory capacity on a limited scale.

Swaziland (Total GHAI: $6,200,000)
DOD (GHAI $305,000): Funds will be used to provide support to the Umbutfo Swaziland Defence Force, their dependents, civilian employees and surrounding civilian communities, including prevention activities for the military at all bases; provision of a facility for HIV palliative care services; provision and support of a mobile health care clinic; provision of ART management training; training for laboratory personnel; support for strategic information; and management and staffing. Funds will support strategic planning for potential medical male circumcision activities.

DOL (GHAI $150,000): Funds will support activities that build on the foundation already established by the DOL Workplace Education Project by developing comprehensive workplace-based prevention and education programs addressing behavior change and promoting, offering, or referring people to counseling and testing and care and support services.

HHS (GHAI $2,651,966): Funds will provide continued support for client-initiated VCT, while providing technical assistance to support a gradual shift to provider-initiated counseling and testing; provide technical assistance to strengthen TB Control Program activities, with a special focus on TB and HIV integration and multi-drug resistant/extensively drug resistant (MDR/XDR) TB surveillance and management; support implementation of a national laboratory strategy and provide technical assistance towards laboratory infrastructure and management; and support multiple monitoring and evaluation activities and the generation of key deliverables in strategic information.

Peace Corps (GHAI $120,000): Funds will support ongoing work with traditional leadership in rural areas in HIV/AIDS prevention, mitigation, and support by fostering improved communication and understanding of community challenges regarding HIV; abstinence-focused programs for youth; activities for groups of in-school and out-of-school girls designed to empower them in HIV prevention through improved decision-making skills, goal-setting and delaying sexual activity; Activities that help volunteers support HIV-prevention activities at youth camps, workshops and community gatherings using Volunteer Activity Support Training funds; and efforts with the Anglican Church to facilitate parish-level trainings on HIV prevention, with an emphasis on abstinence and fidelity and stigma reduction.

STATE (GHAI $441,863): Funds will support office costs for all seven PEPFAR-funded staff, salary and benefit costs for two Foreign Service Nationals (Program Assistant and Administrative Assistant); local support costs for four Direct Hires or their equivalent (Coordinator, CDC Director, CDC Technical and Program Manager, USAID Program Manager); and capital security costs. Local support costs include one-time costs such housing or security upgrades and/or renovation, and furniture as well as annual ICASS costs.

USAID (GHAI $2,531,171): Funds will be used to expand staff to three in-country staff (one Foreign Service National and two Personal Services Contractors, one of whom will be seconded to State) with administrative and backup support provided from the regional platform. Funds will also support national PMTCT programs, improve rational pharmaceutical management of ARVs and other HIV-related drugs and commodities; and support TB/HIV integration to enhance HIV testing, TB testing and diagnosis, TB/HIV reporting and TB treatment of individuals co-infected with HIV and TB. Funds will also support policy development and expanded delivery of medical male circumcision services.

Tajikistan (GHAI $354,000)
USAID (GHAI $354,000): In an effort to prevent HIV by addressing injecting drug use, which is the main driver of the HIV epidemic in Tajikistan, funds will provide ongoing support for youth centers that provide peer education, counseling, and alternative activities to at-risk youth; train drug-treatment professionals in HIV treatment readiness and drug-free treatment and rehabilitation; train prison staff in drug prevention and health promotion; develop materials for secondary and vocational schools; and support local non-governmental organizations involved in outreach to target groups; and coordinate with the National Drug Control Agency. Funds will also support efforts to document models created to reduce the demand for drugs, which should improve Tajikistan’s ability to reduce this destabilizing threat and contain the HIV epidemic and will support USG staff to help manage, administer and support HIV/AIDS programs including related salaries, travel, housing, office space, equipment, training, and other personnel-related expenses (e.g. ICASS, and ASP costs).

Turkmenistan (GHAI $250,000)
USAID (GHAI $250,000): Funds will be used to provide ongoing support for seconded staff that work with the host country government to provide assistance in HIV/AIDS prevention. Funds will also be used to obtain country approval to conduct an assessment of the current situation on HIV and develop a plan for activities targeting youth through assistance provided to a local youth center. The center will deliver education on HIV/AIDS and drug demand reduction and provide alternative activities targeted to young people at risk of drug use and HIV. Funds will also support USG staff to help manage, administer and support HIV/AIDS programs including related salaries, travel, housing, office space, equipment, training, and other personnel-related expenses.

Ukraine (Total GHAI: $1,328,000)
DOD (GHAI: $200,000): Funds will support an existing program with the Ukrainian Armed Forces to develop VCT capacity in five centers at Ukrainian military installations, including the introduction of rapid testing and counseling (RT&C), peer-to-peer counseling, development of educational activities and training of VCT staff.

Peace Corps (GHAI: $200,000): Funds will be used to support work with local community leaders in small towns and villages to address stigma and discrimination against PLWHA; participate in local training activities to increase knowledge about HIV/AIDS and mobilize community support; and educate young people about HIV/AIDS prevention.

USAID (GHAI: $928,000): Funds will be used to support activities targeted for TB/HIV policy, referral, case finding, peer-to-peer outreach and laboratory strengthening. Funds will also be used to initiate innovative models for the treatment and support of individuals triply affected by injection drug use, HIV infection and TB.

Uzbekistan (GHAI $40,000)
USAID (GHAI $40,000): Funds will support an ongoing activity aimed at decreasing injecting drug use, the main driver of the HIV epidemic in the region, including operating Youth Power Centers that provide HIV and drug prevention peer education, counseling, alternative activities, and outreach to at-risk youth; training of drug-treatment professionals; training of prison staff in Drug Abuse Prevention and Health Promotion; development of teaching materials for secondary and vocational schools; support to local non-governmental organizations involved in outreach; and coordination with the National Drug Control Agency. Funds will also support USG staff costs, including salaries, travel, housing, office space, equipment, training, and other personnel-related expenses.

Zimbabwe (Total GHAI: $4,000,000):
DOD (GHAI $100,000): Funds will support CT services and improve laboratory infrastructure for military personnel, their families, and civilians in the surrounding catchment area and will fund training for military personnel in peer leadership, HIV symptom management, HMIS, and ARV services.

HHS (GHAI $2,000,000 – CDC $1,900,000; HRSA $100,000): Funds will support operational evaluations and improve prevention programs; an increase in the number of primary care counselors; private sector ART training, laboratory services, and public and private sector partnerships; implementation of a national monitoring and evaluation system; and expanded HIV counseling and testing. Funds will also support the development of a system for electronically managing health care records to allow tracking of opportunistic infections and ARV treatment.

USAID (GHAI $1,900,000): Funds will support the continued roll-out of the national ART and PMTCT programs by funding the procurement, storage and distribution of HIV test kits.