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Namibia Project for Information System Strengthening, Continuous Quality Improvement and Enhanced Surveillance to Sustain Epidemic Control under the President's Emergency Plan for AIDS Relief

Award Number: NU2GGH002243
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Namibia Project for Information System Strengthening, Continuous Quality Improvement and Enhanced Surveillance to Sustain Epidemic Control under the President's Emergency Plan for AIDS Relief - Between 2010 and 2018, Namibia’s HIV incidence declined almost 40% and AIDS-related deaths fell 22%. The country is on track to be one of the first to achieve and sustain epidemic control of HIV, having met 94-96-95 of the 95-95-95 goals. Reaching and treating the remaining 5 to 6% is a challenge because information on client care in Namibia’s health facilities is recorded in a fractured system of patient records and databases. Moreover, existing staff do not have requisite IT competencies to implement successful, interoperable health information systems (HIS), or the analysis skills to use data for decisions most effectively. Namibia also lacks overarching policies for case-based surveillance (CBS) or electronic medical records (EMRs), and a unique patient identifier (UID) to reduce data duplication. Difficulty in accessing and effectively using reliable, client-linked and uniquely identified data complicates CBS of HIV. The IntraHealth International consortium members—HISP Namibia and IntraHealth Namibia—have been involved in developing, implementing, and refining data approaches and software solutions used by the Ministry of Health and Social Services (MoHSS) for monitoring service delivery related to HIV/AIDS testing and treatment since 2006. With the Government of the Republic of Namibia (GRN), we will build on this experience to create a holistic, interoperable HIS that links uniquely identified client data that defines the population of people living with HIV (PLHIV), identifies most-at-risk persons, and tracks PLHIV on treatment across the systems required for EMRs, laboratory results, service delivery, and pharmacy data. Stakeholders at every level of the health system will be prepared to maintain and use this system for quality assurance/quality improvement (QA/QI), service delivery tracking and to report and act on trends. Our strategic approach will catalyze local leadership by building the effectiveness of the technical working groups (TWGs) and the GRN entities involved in HIS governance, helping GRN translate those policies into measurable targets and costed plans, and codifying processes to evaluate the effectiveness and impact of HIS on client care and epidemic control. Through use of a shared UID process, we will streamline high-quality information sources and link and de-duplicate client records. A dedicated HIS workforce will be prepared to collect and use health data for evidence-based decision-making, continual quality improvement (CQI), and to monitor the clinical cascade for epidemic control. We will capitalize on the opportunity presented through the anticipated approval of Namibia’s National eHealth Strategy to guide improvement in HIS policy and practice, focused upon high-quality, secure, interoperable data systems and effective use of data. We will support approval of the eHealth Strategy and finalization or development of additional necessary strategies and policies (e.g., data privacy and security policies, HIS workforce staff establishment, public/private partnership strategy for HIS). We will codify policies in software that facilitates data sharing and assist facilities, district and regional health teams, and the central GRN to link interoperable data to CBS and Namibia’s QA/QI framework. We will assist in roll-out and institutionalization of these changes while building MoHSS capacity for effective long-term HIS management, including their capacity to collect reliable data; continually track, measure and evaluate HIS performance; generate evidence on what works, what doesn’t, and why; identify where targeted research is needed; and make corrections rapidly to achieve desired outcomes. Our assistance will allow decision-makers to better target resources and clinicians to better care for and treat all PLHIV through improved clinical case management.


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 = -$478 )
2024	2022	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	01	3	5/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$478
2024	2021	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	01	3	5/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	01	3	5/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$478

Issue Date FY: 2022 ( Subtotal = $50,000 )
2022	2022	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	00	3	7/18/2022	NON-COMPETING CONTINUATION	$50,000
2022	2021	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	02	2	12/9/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	01	2	11/3/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	00	3	7/18/2022	NON-COMPETING CONTINUATION	$0
2022	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	02	2	12/9/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	01	2	11/3/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	00	3	7/18/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $50,000

Issue Date FY: 2021 ( Subtotal = $300,000 )
2021	2021	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	00	2	8/19/2021	NON-COMPETING CONTINUATION	$300,000
2021	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	00	2	8/19/2021	NON-COMPETING CONTINUATION	$0
2021	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	03	1	4/7/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	01	1	11/30/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	05	1	9/14/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 QUADRANGLE DR STE 200	CHAPEL HILL	NC	27517	ORANGE	USA	Global AIDS	02	1	12/15/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	04	1	4/26/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $300,000

Issue Date FY: 2020 ( Subtotal = $300,000 )
2020	2020	INTRAHEALTH INTERNATIONAL, INC.	6340 Quadrangle Dr Ste 200	Chapel Hill	NC	27517	ORANGE	USA	Global AIDS	00	1	8/21/2020	NEW	$300,000
														Subtotal = $300,000

Grand Total All Awards = $649,522

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Namibia Project for Information System Strengthening, Continuous Quality Improvement and Enhanced Surveillance to Sustain Epidemic Control under the President's Emergency Plan for AIDS Relief

Award Number: NU2GGH002243

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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