Wednesday, April 2, 2025
4/2/2025
TA-MoH: Technical Assistance to the Ministry of Health of Cote d'Ivoire - Sante Espoir Vie-Côte d'Ivoire (SEV-CI) is a national NGO that supports government entities provide health services to the Ivorian population. It has demonstrated its technical capacity to strengthen the health system and increase the delivery of HIV prevention, care and treatment services in Côte d'Ivoire over the past decade. Since 2003, with financial and technical support from PEPFAR and other donors, the Government of CDI (GoCI) has scaled up HIV services to 2,473 health facilities (HFs), or 91% of all HF in CDI. As a result, the number of PLHIV on antiretroviral therapy (ART) nationwide increased from 4,536 in 2004 to 292,663 in 2022. Of these, 15% are followed at sites supported by the PNLS with funding from global fund and 85% were receiving ART at 516 PEPFAR-supported HFs and the military primary subnational unit (PSNU) as of September 2023; with 229,850 having viral load suppression (VLS); 39,760 AGYW received HIV prevention messages; and 179,982 OVC and their families were supported. While the GoCI has made substantial progress toward controlling the HIV epidemic, significant gaps remain in the achievement of the UNAIDS 95-95-95 targets in some subpopulation. Thus, among women living with HIV 85% know their status, only 44% of CLHIV know their status and 74% of men living with HIV know their status and a sub-optimal improvement in viral load suppression among children (77%). Challenges include the persistent programmatic and systemic barriers such as insufficient integration of HIV services in the basic care package, limited ownership of providers, lack of fidelity in the implementation of policies and guidelines, limited accountability, and extensive donor support in service delivery. With its long experience in HIV program implementation, SEV-CI proposes this project to support the MSHPCMU to achieve UNAIDS 95-95-95 targets through technical assistance to the RHMT/DHMT to Deliver Comprehensive HIV/AIDS Prevention, Care and Treatment Activities. Specially, SEVCI will focus its intervention on four strategies: - Support the MSHP-CMU in the development and implementation of decentralized and low-cost training approaches to provide quality services. - Strengthen the capacity of decentralized entities, NGOs, and community-based organizations to ensure the planning, coordination, and supervision of activities. - Strengthen the capacity of decentralized entities to monitor and evaluate data relating to the provision of HIV-related services. - Strengthen RHMT/DHMT capacity for sustainable governance, leadership, ownership, and effective implementation of HIV services. The project will build on SEV-CI previous experience to strengthen health systems capacity, including sustainable governance, leadership, ownership, strengthen human resources and effective implementation of HIV service as well and support improvement of HIV services and data quality and integrity to reach epidemic control by 2030. To ensure optimal implementation of the project, SEV-CI will set up a project team with coordination based in Abidjan, second a System Strengthening Advisor to work with the PNLS to facilitate capacity building activities and ensure internal HCW development to lead, plan, and evaluate interventions. At field level, 6 learning and formative supervision technical Assistants will provide closer assistance to governmental and non-governmental entities for project implementation.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).