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Strengthening the Delivery of and Expanding Access to Quality Laboratory Services and Laboratory Safety in the Republic of South Africa under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002194
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Strengthening the Delivery of and Expanding Access to Quality Laboratory Services and Laboratory Safety in the Republic of South Africa under the President's Emergency Plan for AIDS Relief (PEPFAR) - Executive Summary The National Health Laboratory Service (NHLS) is a national public entity mandated by the South African government to provide quality, affordable and sustainable health laboratory and related public health services. It is the sole provider of diagnostic pathology services to the public sector and is the largest diagnostic pathology service in SA. The NHLS serves over 80% of the country’s population through its national network of 266 laboratories in all 9 provinces with a workforce of over 7 000 employees. South Africa (SA) has over 7,2 million people living with HIV, of which over 4.0 million are receiving ART in the public sector. The burden of HIV/AIDS, TB and related infection in South Africa has resulted in unprecedent rates of mortality and morbidity. The South African Government (SAG), NDOH and NHLS, with the support of partners such as PEPFAR, have established the largest HIV ART programme globally. Recently, a plan has been developed to fast-track epidemic control by aiming to have a of 6.1 million individuals on ART in the public health system by December 2020. This Treatment Surge plan includes interventions aimed at improving health care service delivery in the 27 priority districts that account for 82% of the HIV burden in SA. This has resulted in a concomitant increase in service demand from the NHLS. Achieving an AIDS-Free generation and the UNAIDS 95-95-95 goals relies on a strong, accessible and quality assured diagnostic and monitoring laboratory service. Strengthening SA diagnostic and monitoring capacity will enable the attainment of these ambitious epidemic control targets. This five-year funding opportunity (CDC-RFA-GH19-1919) will enable the NHLS to strengthen its service mandate, expand access to quality laboratory services, enhance the effective utilization of laboratory results by supporting the clinic-laboratory interface, improve laboratory safety and continue supporting quality of point of care testing for HIV/TB. We believe that the NHLS submission proposes several activities that will effectively address the following five key strategic objectives: 1. Develop, revise, and implement or scale up and monitor comprehensive national quality assurance strategic plans, policies and guidelines for HIV, TB, and related diseases 2. Strengthen the Clinical Laboratory Interface to scale up implementation and monitor appropriate use of diagnostic laboratory services 3. Implement and strengthen laboratory quality improvement and accreditation 4. Build capacity for laboratory personnel and health care workers to address gaps in scaling up services in key national priority areas for HIV/TB 5. Strengthen a tiered national laboratory network to improve patient access to quality laboratory services for HIV/TB The organization remains committed to ensuring that these funds deliver on activities aimed at disease prevention, epidemic control and improving the pivotal laboratory service SA requires.


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: 2025 ( Subtotal = $0 )
2025	2023	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	07	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	06	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	05	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	02	5	4/15/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	03	5	7/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	5	12/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	04	5	8/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	02	5	4/15/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	03	5	7/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	5	12/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	04	5	8/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	03	5	7/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	04	5	8/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	02	5	4/15/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	5	12/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	03	5	7/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	02	5	4/15/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	5	12/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	04	5	8/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	04	5	8/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	02	5	4/15/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	NATIONAL HEALTH LABORATORY SERVICE	1 Modderfontein Rd	JOHANNESBURG	JOHANNESBURG			ZAF	Global AIDS	03	5	7/23/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	5	12/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $424,056 )
2023	2023	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	5	9/11/2023	NON-COMPETING CONTINUATION	$424,056
2023	2022	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	4	11/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	5	9/11/2023	NON-COMPETING CONTINUATION	$0
2023	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	4	11/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	5	9/11/2023	NON-COMPETING CONTINUATION	$0
2023	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	5	9/11/2023	NON-COMPETING CONTINUATION	$0
2023	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	08	1	11/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	4	11/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	01	4	11/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	08	1	11/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	5	9/11/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $424,056

Issue Date FY: 2022 ( Subtotal = $392,708 )
2022	2022	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	4	7/15/2022	NON-COMPETING CONTINUATION	$392,708
2022	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	01	3	1/6/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	02	3	3/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	4	7/15/2022	NON-COMPETING CONTINUATION	$0
2022	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	02	3	3/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	4	7/15/2022	NON-COMPETING CONTINUATION	$0
2022	2020	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	01	3	1/6/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	02	3	3/29/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	province			ZAF	Global AIDS	00	4	7/15/2022	NON-COMPETING CONTINUATION	$0
2022	2019	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	01	3	1/6/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $392,708

Issue Date FY: 2021 ( Subtotal = $365,001 ) (Continued on the next page)
2021	2021	NATIONAL HEALTH LABORATORY SERVICE	1 MODDERFONTEIN ROAD	JOHANNESBURG	GAUTENG			ZAF	Global AIDS	00	3	8/13/2021	NON-COMPETING CONTINUATION	$365,001
Grand Total All Awards = $6,081,765

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Strengthening the Delivery of and Expanding Access to Quality Laboratory Services and Laboratory Safety in the Republic of South Africa under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002194

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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