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Financial and technical assistance to improve clinical outcomes of PVHIV and to sustain HIV epidemic control through the provision of high quality HIV/TB clinical care and management services in Haiti

Award Number: NU2GGH002300
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Financial and technical assistance to improve clinical outcomes of PVHIV and to sustain HIV epidemic control through the provision of high quality HIV/TB clinical care and management services in Haiti - Since 2005, The Ministry of Health (MSPP) has entered into a Cooperative agreement (COAG) with CDC for the purpose of reducing the incidence of new infections and AIDS-related mortality in the context of the PEPFAR program To manage the operations of that COAG, MSPP has set up an executing unit, which has greatly increased its capacity to absorb funds and has created a platform to incorporate publicly managed entities from all levels of the system: central, departmental and local. The scope of this COAG was later broadened to incorporate non-HIV interventions such as the Surveillance of all diseases and the National Lab. The COAG encompasses a network of 32 public hospitals and health centers which represent the largest share of beneficiaries of HTC, PMTCT, and ART services. The purpose of the NOFO is to strengthen and accelerate HIV/TB clinical service provision in the MOH network of facilities to improve clinical outcomes of PLHIV and achieve, then sustain epidemic control in Haiti. The network also faces the toughest challenges in terms of retention of patients and viral suppressions. During the six last months of the year, the use of alternative service delivery models such as extended intervals between ART refills, extended hours and weekend hours to accommodate patients unable to attend services, and ART Community-Based Distribution has shown great potential for improving retention ; It’s the same for improving the viral suppression with the introduction du Dolutegravir. The network goal is to contribute to epidemic control by reducing the incidence of new infections and AIDS-related mortality. To achieve this, the network will consolidate the already successful activities and put in place strategies that will allow it to address the critical gaps mentioned above. The program will focus on i) Optimize HIV case finding through high-yield HTS strategies and reduce generalized testing(ii) Provide newly identified PLVIH with a package of services to reinforce linkage and early initiation on ART (iii) Implement high quality , stigma- free, client centered, HIV/TB prevention, care an- treatment services and PMTCT services to retain PLVIH, including completing the TLD transition and regimen optimization, 6-month multi-month dispensation (MMD) and optimized viral load testing, (iv) Increase targeted prevention activities such as DREAMS and OVC programming as well as PrEP to reduce ongoing transmission (v) Reinforce data use and leverage information collected from other programs such as OVC and dreams to reinforce retention and tracking activities through precision planning (vi) Continue the Return to Care and Retention Surge campaigns initiated in FY19 with expansion of complementary community services and contingency plans. (vii)Overcome the barriers to viral load monitoring access and continue scaling patient education (“Viral Load classes”) and U=U campaign so that PLHIV understand the relationship between adherence, viral suppression, and reduction of transmission risk, (viii) Strengthen site-level technical and management capacity, including HRH and CQI With these strategies, the network will be able to improve these scores. So we would like to have Increased HIV case finding to 3000 patients and HTS yield at 5% . 1500 of them come from the IPCS - Improved effective linkage of newly identifies PLHIV to treatment from 96 to 98% - Increased early initiation on ART at 98% - 95% of the PPVIH in care received clinical assessment, viral load, screening TB and cotrimoxasol prophylaxis - Increased retention and adherence among adult and pediatric HIV patients to 90% with a TX current at 38000 patients - Improved effective tracking and re-enrollment to ART of defaulters/LTFU patients with Bring back to care 90% of patients who missed appointments and 60%Lost to Follow up - Improve VL suppression from 76 to 90% among adult and pediatric patients


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 = $5,064,227 )
2025	2025	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	06	5	3/10/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$5,064,227
2025	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	02	5	12/17/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	03	5	1/29/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	04	5	2/5/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	05	5	2/11/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $5,064,227

Issue Date FY: 2024 ( Subtotal = $10,380,535 )
2024	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE				HTI	Global AIDS	01	5	9/3/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 Delmas 81	Port-au-Prince	province			HTI	Global AIDS	04	4	2/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$5,370,343
2024	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	00	5	8/23/2024	NON-COMPETING CONTINUATION	$5,010,192
2024	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	06	4	6/24/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2024	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	05	4	3/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	02	4	12/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	05	4	3/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	03	4	1/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 Delmas 81	Port-au-Prince	province			HTI	Global AIDS	04	4	2/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	01	4	11/7/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	06	4	6/24/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	03	4	1/12/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	06	4	6/24/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	02	4	12/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT-AU-PRINCE	OUEST			HTI	Global AIDS	05	4	3/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 Delmas 81	Port-au-Prince	province			HTI	Global AIDS	04	4	2/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	01	4	11/7/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $10,380,535

Issue Date FY: 2023 ( Subtotal = $10,075,483 )
2023	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	02	3	2/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$5,037,742
2023	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	03	3	4/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	00	4	9/11/2023	NON-COMPETING CONTINUATION	$5,037,741
2023	2023	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	04	3	7/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	02	3	2/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	08	2	6/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	00	4	9/11/2023	NON-COMPETING CONTINUATION	$0
2023	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	04	3	7/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	01	3	11/15/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	03	3	4/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	02	3	2/28/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	03	3	4/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	04	3	7/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	08	2	6/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	01	3	11/15/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $10,075,483

Issue Date FY: 2022 ( Subtotal = $10,628,741 ) (Continued on the next page)
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	QUEST			HTI	Global AIDS	04	2	12/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	06	2	3/28/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$5,241,000
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	QUEST			HTI	Global AIDS	03	2	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	00	3	7/14/2022	NON-COMPETING CONTINUATION	$5,037,741
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	QUEST			HTI	Global AIDS	02	2	11/24/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$350,000
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	QUEST			HTI	Global AIDS	05	2	12/13/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	province			HTI	Global AIDS	07	2	5/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	QUEST			HTI	Global AIDS	04	2	12/8/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	MOH BUILDING AND STRENGTHENING HAITI'S NATIONAL PLAN FOR PREVENTION	10 DELMAS 81	PORT AU PRINCE	QUEST			HTI	Global AIDS	03	2	11/30/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
Grand Total All Awards = $50,646,052

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Financial and technical assistance to improve clinical outcomes of PVHIV and to sustain HIV epidemic control through the provision of high quality HIV/TB clinical care and management services in Haiti

Award Number: NU2GGH002300

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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