Friday, April 19, 2024
4/19/2024
COMPLEMENTARY PARTNERSHIP. Humana People to People (HPP)-Congo and ICAP bring to CDC a strong, complementary partnership, each with nearly a decade of HIV experience in Kinshasa, ongoing presence in DRC, deep technical expertise in core areas, and trust built among priority and key populations (PP/KPs). The Congolese project title, TONGA NZOTO, means "revitalize your health" or "build up your body," which is reflective of PEPFAR's purpose for all to know their HIV status, so those who are negative can protect themselves from infection. And HIV+ people will have a quality longer and healthier life, given wider testing for high risk groups, earlier ART to quickly suppress a VL before the disease advances, differentiated care to meet varied needs of patients, and ultimately epidemic control. As a team, ICAP will focus on improving quality of HIV services at HFs; HPP-Congo will scale-up community index case testing, ART initiation/support, while strengthening links to HFs. PROVEN STRATEGIES TO ACHIEVE PROJECT OBJECTIVES AND OUTCOMES. The long-term outcomes of Project Tonga Nzoto include: (1) decreased new HIV infection rate and reduction in morbidity and mortality; (2) improved quality and length of life for HIV+ patients; and (3) reduced HIV prevalence among children, key and priority populations in the target HZs. By combining customized patient case management with improved quality HIV services—especially at the community level—the team will achieve these long-term results. Project staff will work closely with the MOH at national, provincial, and district levels to significantly improve HIV prevention, testing, care and treatment services and products along the care continuum at high-burden health facilities (HF) and community-based sites. To achieve short-term, and medium outcomes, the team will build local capacity in and around 67 HFs and engage the targeted priority and key populations to become the drivers of epidemic control. Project Tonga Nzoto will reach PEPFAR targets for Kinshasa under a range of indicators by the end of the project, by carrying out activities related to five core objectives to ensure short-term and medium outcomes. The team will do so using several strategies that — when intertwined — provide a means of widespread customized care and treatment for HIV+ patient case management. For one, the differentiated service delivery (DSD) model will be combined with capacity building at all levels; ICAP will monitor HIV services at 67 HFs using its extensive expertise at quality improvement/assurance (QI/A). In turn, HPP-Congo brings an evidence-based strategy to rapidly scale up HIV services/products at the community level with its Total Control of the Epidemic (TCE) approach. TCE equips a trained cadre of project field officers (FOs) to join peer educators, local government representatives, and civil society groups that serve PPs/KPs, largely by targeting high risk partners/children of HIV+ index case patients and , if positive, linking them quickly to treatment. These FOs will strengthen linkages from communities to larger "hub" clinics and hospitals, and smaller HF "spokes" in the health systems network. CONGOLESE EXPERTS AT THE FOREFRONT. HPP-Congo offers Congolese experts as key staff who have successfully implemented USAID/DRC flagship health and HIV projects such as the $200 million PROSANI+ and can manage a project of this size and complexity for CDC. ICAP, too, proposes senior technical staff that have led similar HIV projects for CDC in Kinshasa. CAPACITY OF LOCAL NGO AS PRIME. HPP-Congo demonstrates high capacity and meet's PEPFAR definition as a local indigenous NGO, with the financial management and performance reporting systems and processes required for compliance. HPP-Congo has a successful track record as a direct recipient for other USAID/DRC health projects. ICAP will build HPP-Congo's capacity in PEPFAR data systems and data analysis to adjust project activities as needed, and jointly engage
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