Thursday, November 21, 2024 11/21/2024

GH20-2074 Optimizing HIV Clinical and Laboratory HIV Services at a National Referral Level Hospital in Support of the National HIV Program to Attain Epidemic Control in Zambia under PEPFAR

Award Number: NU2GGH002235
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Background: Zambia achieved the 90-90-90 UNAIDS targets in December 2019, but when the national data was stratified by age-groups, gaps were identified mostly in the pediatric age group and young people, whilst UTH consistently achieved high pediatric targets at its Pediatric Centre of Excellence (PCOE). Hence the request by CDC, for UTH to share its existing best practices and provide technical support to implementing partners who are provincial health offices under MOH to improve pediatric HIV service delivery in selected referral health facilities in support of the national ART program achieve and maintain epidemic control. The scope of work will cover all aspects of pediatric HIV prevention, testing and treatment services, prophylaxis and treatment of TB and other co-morbidities, laboratory and other monitoring activities inclusive of monitoring and evaluation and to continue offering expert ART care at UTH. The main objective is to increase the number of children living with HIV (CHIV) receiving quality comprehensive ART services nationwide and thereby, help the national HIV program attain its pediatric targets and attain epidemic control. Specific Objectives are: to increase access to quality pediatric HIV prevention, care and treatment services; increase proportion of CSA and sexual GBV cases investigated using expedited procedures to enable timely initiation of HIV-PEP and other post GBV support services; to increase supportive services available in health facilities and communities to address sexual GBV issues and provide educational support to OVCs with. Technical support will be provided to selected tiered centers of pediatric HIV excellence or networks that are linked to the national referral systems to support referral of complicated pediatric HIV cases. The Program will offer service integration that allows for provision of a holistic package of services to CLHIV and adolescents. The TA will be focused on: prevention of new pediatr ic HIV infections (MTCT); case finding of CLHIV not yet on ART; reduction of morbidity and mortality amongst CLHIV; optimize pediatric ART regimens and ensure high viral load testing coverage and suppression; retention of pediatric clients on the program; improvement of surveillance activities and programs along with information systems, that improve understanding of HIV epidemiology on remaining gaps to inform future programming; maintain quality of laboratory systems and activities including diagnostics, and monitoring; active use of epidemiologic and financial/cost data to ensure implementation of high quality, cost effective programs to improve epidemiological impact; strengthening policies and lobby for increased financial contributions by our government in the HIV/AIDS response; to find, treat and prevent TB among PLHIV and to identify and treat HIV among people infected with TB and to prevent, detect, and treat infections and other non-infectious co-morbidities that impact on CLHIV and those affected by HIV. Our program through the DREAMS, educational support and CSA programs will continue protecting children from SGBV, exploitation and neglect in order to decrease their vulnerability and also to integrate OVC programming in the community to provide case management to every provincial, district and facility). Capacity building of staff will involve onsite training, clinical mentorship, ECHO and provision of job aids until staff are able to provide skilled professional work independently. Environment: UTH will assist the facilities to provide pediatric HIV services in an enabling environment with a suitable patient flow that is stimulating for the children. For example, PITC could be done in well-baby clinics such as; immunization and growth monitoring clinics, whilst ART initiation could be done at the point of diagnosis; establish an effective clinical appointment and pediatric patient numbering systems and introduce the implementation of DSD models for chi ldren and adolescents


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	2024	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	LUSAKA			ZMB	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	LUSAKA			ZMB	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	LUSAKA			ZMB	Global AIDS	01	5	11/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $7,977,834 )
2024	2024	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	LUSAKA			ZMB	Global AIDS	00	5	8/9/2024	NON-COMPETING CONTINUATION	$3,245,334
2024	2024	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	03	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$4,732,500
2024	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	4	11/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	03	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	LUSAKA			ZMB	Global AIDS	00	5	8/9/2024	NON-COMPETING CONTINUATION	$0
2024	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	02	4	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	02	4	11/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	LUSAKA			ZMB	Global AIDS	00	5	8/9/2024	NON-COMPETING CONTINUATION	$0
2024	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	4	11/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	03	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $7,977,834

Issue Date FY: 2023 ( Subtotal = $9,335,000 )
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	05	3	4/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$430,000
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	03	3	3/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$4,372,500
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	07	3	9/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	00	4	8/22/2023	NON-COMPETING CONTINUATION	$4,532,500
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	04	3	3/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$4,372,500
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	06	3	6/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	02	3	2/22/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$4,372,500
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	05	3	4/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	06	3	6/5/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	07	3	9/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	3	11/22/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	03	3	3/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$4,372,500
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	02	3	2/22/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	04	3	3/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$4,372,500
2023	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	00	4	8/22/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $9,335,000

Issue Date FY: 2022 ( Subtotal = $9,216,073 )
2022	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA				ZMB	Global AIDS	03	2	12/14/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA				ZMB	Global AIDS	02	2	12/13/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	05	2	7/27/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	04	2	5/3/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,726,073
2022	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	2	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,705,500
2022	2022	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	00	3	7/29/2022	NON-COMPETING CONTINUATION	$4,784,500
2022	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	2	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $9,216,073

Issue Date FY: 2021 ( Subtotal = $6,507,459 )
2021	2021	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	1	3/1/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$320,000
2021	2021	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	02	1	4/2/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$2,276,459
2021	2021	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	00	2	8/24/2021	NON-COMPETING CONTINUATION	$3,911,000
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	06	1	9/10/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA				ZMB	Global AIDS	04	1	6/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA				ZMB	Global AIDS	03	1	6/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	02	1	4/2/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	00	2	8/24/2021	NON-COMPETING CONTINUATION	$0
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA	province			ZMB	Global AIDS	01	1	3/1/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	UNIVERSITY TEACHING HOSPITAL	NATIONALIST ROAD	LUSAKA				ZMB	Global AIDS	05	1	8/4/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $6,507,459

Grand Total All Awards = $37,334,173

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GH20-2074 Optimizing HIV Clinical and Laboratory HIV Services at a National Referral Level Hospital in Support of the National HIV Program to Attain Epidemic Control in Zambia under PEPFAR

Award Number: NU2GGH002235

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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