SAFECARE-CAMEROON ABSTRACT
SHWARI Health Association a Cameroon local organization as Prime in partnership with Georgetown University's Center for Global Health Practice and Impact (CGHPI), the Government of the Republic of Cameroon's Regional Technical Groups (RTGs), CRHISS Foundation, and RECAP+, proposes a project titled SAFECARE-Cameroon is response to CDC-RFA-GH-24-0092. SAFECARE-Cameroon’s goal is to develop, implement, and sustain comprehensive facility and community-based HIV services for children, adolescents, and adults in Cameroon in PEPFAR supported regions of the country and support the country to fast track its progress to achieve HIV epidemic control. SAFECARE-CAMEROON purpose is to enhance capacity of Regional Technical Groups (RTG) in all 10 regions of Cameroon to coordinate, manage and lead evidence-based comprehensive HIV services, sustain HIV response gains made and move the country to close gaps for last mile HIV epidemic control achievement. This will be achieved by optimizing high yield and impactful interventions and increasing coverage for HIV prevention, case finding, HIV treatment services for all sub-populations including children, young people, men, pregnant and breast-feeding women (PBFW) and key populations (KP). SAFECARE will additionally, build leadership and management capacity of local organizations to lead and sustain delivery of HIV and related services
SAFECARE-Cameroon is led by experienced healthcare professionals and experts with decades of experience implementing comprehensive HIV services in Cameroon and in Central & West Africa. SAFECARE-Cameroon leverages infrastructure and systems its partner Georgetown University has established implementing TIDE program in East and Centre regions of Cameroon. This will allow for rapid start up and mobilization to ensure service continuity. By partnering with all ten RTGs, SAFECARE-Cameroon will ensure government leads and provides oversight for HIV response in line with its stewardship mandate.
SAFECARE will fully implement a District-Based Service Delivery Model. This will include designing all interventions and leveraging resources within the district to provide services, ensuring facility-community care networks and mentorship systems based on a hub-spoke model. SAFECARE will be underpinned by key design principles to enhance the RFA four strategies including the following: 1) Community engagement and participation, 2) Integrated service delivery of HIV services with other public health interventions, 3) Stigma reduction and addressing discrimination behavioral science methods to understand and respond to drivers of key behaviors, 4) Capacity building and health work force development through training and mentorship based on an district service delivery model; 5) Data utilization and quality improvement through structured process for using data to inform decision-making, monitoring & evaluation and for program adaptability; 6) Client-centeredness through prioritization of patient needs, preferences, and rights in HIV programs through active patient engagement in treatment decisions, and; 7) Leverage technology to implement evidence-based digital innovations to enhance HIV service accessibility, streamline patient-provider communication, optimize data management and ensure continuity of care.
The end goal of SAFECARE-Cameroon is the achievement and sustenance of UNAIDS 95-95-95 targets for all sub-populations living with and those affected by HIV. Further, SAFECARE-Cameroon’ success should be judged by the extent to which all interventions implemented are led by and are sustained by the country with minimal to no external technical assistance support by the end of the project cycle.