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Supporting the Provision of Quality Cervical Cancer Screening and Pre-Cancer Treatment Services for Women Living with HIV in Botswana under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002233
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2020
PERIOD OF PERFORMANCE END DATE: 09/29/2025

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Supporting the Provision of Quality Cervical Cancer Screening and Pre-Cancer Treatment Services for Women Living with HIV in Botswana under the President's Emergency Plan for AIDS Relief (PEPFAR) - With an estimated 570,000 new cases in 2018, cervical cancer (CaCx) is the fourth most common cancer in women. CaCx is a serious threat to women in resource-limited settings, where an estimated 90% of all new cases develop. In Botswana, CaCx is the most common cancer leading to female mortality and morbidity. Age-standardized incidence and mortality rates for CaCx are estimated at 31.6 and 16.9 per 100,000 women per year respectively in the country. Women living with HIV (WLHIV) face up to a five-fold greater risk of invasive CaCx than women who are not infected with HIV largely due to CaCx’s link to human papillomavirus (HPV). Co-infection of HIV and HPV is particularly concerning in Botswana, with the fourth highest HIV prevalence rate in the world. Through Botswana’s expansive access to HIV treatment, WLHIV are living longer and healthier lives. The health system must expand access to quality service provision for co-morbidities, including CaCx. Although substantial gaps remain for integrating HIV care with CaCx prevention, screening, and treatment, Botswana can strategically leverage its strengths and experiences in combating HIV/AIDS to fill these gaps. The Botswana Training and Education Center for Health (B-TECH) is a local organization that has supported the Ministry of Health and Wellness (MOHW) since 2007, implementing PEPFAR-related programming in Botswana valued at over $65 million. B-TECH has extensive experience in facility-based direct service delivery, demand creation and community mobilization, M&E, surveillance, and data use in Botswana; which will be supplemented through a partnership with the University of Washington (UW) and the University of Botswana. I-TECH will provide international CaCx technical expertise; innovative, cost-effective training methodologies; and demonstrated experience in transitioning programs to local ownership. Locally relevant technical expertise in CaCx prevention and management will be provided by UB through a strong team of medical practitioners leading CaCx clinical care and research in Botswana. Together, B-TECH, UW, and UB will form the Mosadi Tota (Moto) consortium, which refers to a woman’s right to a complete and healthy life. Moto will provide a powerful source of international and local expertise related to CaCx, M&E and informatics, and community demand creation. Based on its commitment to the Partnership Framework (Appendix 8) and experience with transition of programs to local ownership, in this proposal B-TECH will strengthen MOHW’s national and decentralized capacity to provide routine CaCx screening and precancer treatment to WLHIV on ART in line with WHO/NCCPP guidance and ultimately prevent CaCx in WLHIV. Moto will achieve this through the following objectives: 1. Provide quality routine biennial CaCx screening and treatment for all eligible WLHIV at high-volume ART sites 2. Support MOHW/NCCPP leadership to ensure quality CaCx prevention M&E activities 3. Ensure awareness among community residents in high-volume ART site catchment areas of the importance of biennial CaCx screening for WLHIV This proposal will support the Government of Botswana to institutionalize long-term, sustainable CaCx services for WLHIV through the development, implementation, supervision, and M&E of high-quality CaCx screening and treatment and community mobilization.


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: 2022 ( Subtotal = $978,500 )
2022	2022	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	06	2	4/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	05	2	2/4/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE	province			BWA	Global AIDS	07	2	8/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	03	2	12/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$978,500
2022	2022	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	04	2	12/23/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	02	2	11/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE	province			BWA	Global AIDS	01	2	11/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE	province			BWA	Global AIDS	07	2	8/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	03	2	12/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	06	2	4/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	04	2	12/23/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	05	2	2/4/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	04	2	12/23/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE	province			BWA	Global AIDS	07	2	8/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	02	2	11/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE	province			BWA	Global AIDS	01	2	11/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	06	2	4/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	03	2	12/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	05	2	2/4/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $978,500

Issue Date FY: 2021 ( Subtotal = $500,000 )
2021	2021	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	00	2	8/17/2021	NON-COMPETING CONTINUATION	$500,000
2021	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	01	1	1/28/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	00	2	8/17/2021	NON-COMPETING CONTINUATION	$0
2021	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	03	1	9/23/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE				BWA	Global AIDS	02	1	3/12/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $500,000

Issue Date FY: 2020 ( Subtotal = $1,000,000 )
2020	2020	B-TECH	PLOT 1267 OLD LOBATSE ROAD	GABORONE	province	postal_code		BWA	Global AIDS	00	1	8/31/2020	NEW	$1,000,000
														Subtotal = $1,000,000

Grand Total All Awards = $2,478,500

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Supporting the Provision of Quality Cervical Cancer Screening and Pre-Cancer Treatment Services for Women Living with HIV in Botswana under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002233

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2020

PERIOD OF PERFORMANCE END DATE: 09/29/2025

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