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GH20-2039:Implementation of Sustainable Laboratory Quality Systems for HIV/TB Epidemic Control in the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002285
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: 09/29/2026

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GH20-2039:Implementation of Sustainable Laboratory Quality Systems for HIV/TB Epidemic Control in the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR) - Over the past decade, the Ministry of Health (MoH) in Kenya, working with the support of partners, has improved access to quality laboratory services for HIV and Tuberculosis (TB) related services. This has been through the development and implementation of key policies and guidelines; enhanced sample referral networks and increase in the number of accredited laboratories. Despite these milestones, the laboratory system in Kenya continues to face major challenges such as: inadequate budget allocation at national and county levels for laboratory and blood transfusions services; Inability of counties to sustain gains attained under ISO 15189: 2012 Quality Management Systems; vertical sample referral networking systems which are heavily donor dependent; Sub-optimal coordination and integration characterized by programs that work in silos and therefore duplicate roles; A weak clinical-laboratory interface; Poor reporting of transmissible infections and surveillance; Policies and guidelines that are out of date, poorly disseminated, underutilized and implemented; Insufficient health workforce vis-à-vis staffing standards; Erratic supply of laboratory commodities, lack of service contracts for laboratory equipment leading to poor maintenance and service interruption. Poor demand and use of laboratory data for decision making. Amref Health Africa in Kenya, leading a consortium comprising I-TECH, proposes a five-year project designed to respond to CDC/PEPFAR’s funding opportunity titled Implementation of Sustainable Laboratory Quality Systems for HIV/TB Epidemic Control in the Republic of Kenya. The proposed project will build on CDC’s previous work under CDC-RFA-GH15-1544; and strengthen the capacity of national and county Health Management Teams (HMTs) to plan, implement, evaluate and sustain laboratory services in order to achieve the UNAIDS 95-95-95 goals and HIV epidemic control. Our consortium proposes to do this through: ensuring supply of sufficient blood, free of transfusion transmissible infections; increased availability and utilization of standardized HIV and Tuberculosis (TB) related laboratory services across the country; improved quality of HIV/TB laboratory services and increased number of counties allocating funding for quality laboratory services in the long term. Specifically, we propose to address these gaps through five cross cutting approaches: i) Enhancing sustainability and ownership; (ii) Strengthening coordination, collaboration and integration; (iii) Promoting learning and evidence-based programming; and (iv) Quality improvement approaches. We will employ a “One team” approach in which all full-time project staff will be co-located with the NPHL/NBTS, at both the reference laboratories and at county headquarters. Our staffing plan is designed to address the need for strong human resources capacity at both the NPHL and County Health Management Teams. In order to foster efficient delivery of technical assistance for laboratory services, all technical staff, apart from the four key personnel, will be co-located and embedded at the National Reference Laboratory and Counties.


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 = $2,093,427 )
2025	2025	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	05	5	3/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$1,583,571
2025	2025	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	06	5	7/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2025	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	07	5	9/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$509,856
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	05	5	3/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	04	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	06	5	7/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	01	5	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	03	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	07	5	9/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	01	5	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	07	5	9/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	05	5	3/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	04	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	03	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	06	5	7/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	04	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	07	5	9/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	01	5	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	06	5	7/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	03	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	05	5	3/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	07	5	9/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	01	5	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	03	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	06	5	7/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	04	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	05	5	3/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2021	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	04	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	02	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	03	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	05	5	3/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	06	5	7/15/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	01	5	12/11/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2020	AMREF HEALTH AFRICA IN KENYA	LANGATA	NAIROBI				KEN	Global AIDS	07	5	9/12/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $2,093,427

Issue Date FY: 2024 ( Subtotal = $7,452,451 ) (Continued on the next page)
2024	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	00	5	9/4/2024	NON-COMPETING CONTINUATION	$4,382,614
2024	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	03	4	6/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	04	4	8/2/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	province			KEN	Global AIDS	02	4	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$3,069,837
2024	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	04	4	8/2/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	00	5	9/4/2024	NON-COMPETING CONTINUATION	$0
2024	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	03	4	6/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	province			KEN	Global AIDS	02	4	2/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	province			KEN	Global AIDS	01	4	11/30/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	AMREF HEALTH AFRICA IN KENYA	LANGATA ROAD	NAIROBI	NAIROBI			KEN	Global AIDS	00	5	9/4/2024	NON-COMPETING CONTINUATION	$0
Grand Total All Awards = $33,021,037

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GH20-2039:Implementation of Sustainable Laboratory Quality Systems for HIV/TB Epidemic Control in the Republic of Kenya under the President's Emergency Plan for AIDS Relief (PEPFAR)

Award Number: NU2GGH002285

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: 09/29/2026

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