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GH19-1932 Building and Improving Laboratory Capacity and Quality in the Democratic Republic of Congo (DRC) under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002177
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 04/01/2019
PERIOD OF PERFORMANCE END DATE: 09/29/2024

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GH19-1932 Building and Improving Laboratory Capacity and Quality in the Democratic Republic of Congo (DRC) under the President's Emergency Plan for AIDS Relief (PEPFAR) - Project Summary Achieving the UNAIDS 95-95-95 targets requires establishment and operationalization of laboratory and diagnostic networks. In this funding request, Global Health Systems Solutions (GHSS) will assist the government of Democratic Republic of Congo (DRC) to build laboratory capacity and improve the provision of HIV testing activities in all PEPFAR supported provinces, including the scale up of HIV VL and Infant Virologic Testing /Early Infant Diagnostic (IVT/EID) testing and monitoring, and strengthening HIV/AIDS diagnostics capacity and the quality management system. The PEPFAR DRC Annual Progress Reports noted improved VL coverage among adults and children from 27% to 56% in FY16 and FY17, respectively. However, challenges still exist, including weak specimen referral network and mechanism for return of results; weak VL demand creation; long turn-around times (TAT); fragile VL, EID, TB GenXpert, slow Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA) and Accreditation program; inadequate and incompetent human resources; frail equipment maintenance and laboratory-clinic interface. To address these challenges, GHSS will leverage its vast experience acquired over the last 8 years as the sole CDC/PEPFAR laboratory-implementing partner in Cameroon, Ghana and DRC. For the past 6 years, GHSS has implemented laboratory strengthening activities in DRC; conducted baseline and intermittent audits of 18 health facilities, trained internal auditors and Quality Management Systems (QMS) managers from 6 pilot facilities, done remote mentoring and intermittent supervision of 6 facilities in the provinces of Kinshasa and Haute Katanga, which have led to increase in the adherence to QMS principles. Specific objectives that GHSS will address in this funding request include: 1) To implement QMS geared towards laboratory accreditation using innovative strategies; 2)To implement External Quality Assurance (EQA) for HIV, IVT/ EID, VL, CD4 and Tuberculosis testing to support CQI; 3) To develop a sample referral network and reduce TAT and improve sample referral across PEPFAR supported provinces; 4) To provide technical assistance (TA), training and mentoring of Ministry of Health laboratory personnel to ensure institutionalization and sustainability of Continuous Quality Improvement (CQI); 5) To provide TA to support implementation of BLIS/VLMS; 6) To build capacity of the HIV and TB national reference laboratories to support coordination of QMS and EQA towards strengthening laboratory networks; and 7) To facilitate scale up of VL testing and IVT/EID testing and monitoring. At the end of the project period, GHSS expects to achieve the following outcomes: 1) Establish QMS in 15 laboratories according to the WHO AFRO/CDC SLIPTA and get 03 laboratories accredited to ISO 15189 standards; 2) Expand coverage and improve the quality of HIV rapid test results in 500 testing sites, 15 HIV-related testing and POCT sites, and ensure that 100% of laboratories receive HIV PT panels with follow-up corrective actions; 3) Establish an effective specimen referral network that will help decrease by 80% the TAT of patient’s test results in the CDC/PEPFAR priority areas; 4)Train and develop competences of 100% ministry of health laboratory personnel and clinicians in PEPFAR/CDC supported labs, in QMS, QA and CQI , 5)Install BLIS/VLSM in all 15 laboratories enrolled in SLIPTA process, in order to reduce TAT for patients results by 70%, reduce transcription error rates by 90% and implement VLMS in all VL testing labs; 6) Support the development of the capacity of the HIV and TB National reference laboratories to coordinate QMS and EQA towards strengthening and linking laboratories; and 7) To increase VL coverage among adults and children to 95% in PEPFAR supported. Our overall strategy will be to ensure access to quality-assured HIV-related laboratory and diagnostic services in PEPFAR DRC supported provinces (with focus in Kinshasa,


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $3,981,571 )
2024	2024	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	06	5	6/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	GLOBAL HEALTH SYSTEMS SOLUTIONS	Denver-Bonamoussadi	Douala	province			CMR	Global AIDS	04	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$3,981,571
2024	2024	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	05	5	4/19/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	02	5	12/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	5	11/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	05	5	4/19/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Denver-Bonamoussadi	Douala	province			CMR	Global AIDS	04	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	06	5	6/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	province			CMR	Global AIDS	03	5	2/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	5	11/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	02	5	12/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	province			CMR	Global AIDS	03	5	2/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	06	5	6/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	05	5	4/19/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Denver-Bonamoussadi	Douala	province			CMR	Global AIDS	04	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	5	11/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	05	5	4/19/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Denver-Bonamoussadi	Douala	province			CMR	Global AIDS	04	5	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	02	5	12/12/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	LIMBE			CMR	Global AIDS	06	5	6/10/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	LIMBE	province			CMR	Global AIDS	03	5	2/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $3,981,571

Issue Date FY: 2023 ( Subtotal = $2,232,837 )
2023	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	03	4	3/16/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$958,581
2023	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	05	4	6/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	06	4	8/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	04	4	6/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	00	5	9/18/2023	NON-COMPETING CONTINUATION	$1,274,256
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	06	4	8/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	04	4	6/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	02	4	2/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	00	5	9/18/2023	NON-COMPETING CONTINUATION	$0
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	03	4	3/16/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	4	1/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	05	4	6/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	04	4	6/18/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	00	5	9/18/2023	NON-COMPETING CONTINUATION	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	06	4	8/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	4	1/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	05	4	6/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	02	4	2/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	03	4	3/16/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,232,837

Issue Date FY: 2022 ( Subtotal = $2,723,700 ) (Continued on the next page)
2022	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	00	4	7/26/2022	NON-COMPETING CONTINUATION	$600,000
2022	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	04	3	4/25/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$150,533
2022	2022	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	3	12/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,973,167
2022	2021	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	05	3	8/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	06	3	8/22/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	07	3	9/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	GLOBAL HEALTH SYSTEMS SOLUTIONS	Sonara Road	Limbe	province			CMR	Global AIDS	01	3	12/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
Grand Total All Awards = $12,419,803

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GH19-1932 Building and Improving Laboratory Capacity and Quality in the Democratic Republic of Congo (DRC) under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002177

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 04/01/2019

PERIOD OF PERFORMANCE END DATE: 09/29/2024

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