Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016

Details for Mechanism ID: 16688
Country/Region: Cambodia
Year: 2014
Main Partner: National Center for HIV/AIDS, Dermatology and STDs - Cambodia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $800,000 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

Goals and Objectives: This implementing mechanism (IM) supports NCHADS to lead Ministry of Health (MOH) efforts to achieve Cambodia 3.0 strategy goals of virtual elimination of new HIV infections and AIDS mortality by 2020. Objectives are to reduce new HIV infections, especially among infants, children, and individuals at high risk of transmitting HIV to others; reduce HIV-related mortality and morbidity through the continuum of prevention, care, and treatment services; and build capacity and systems within the MOH to lead and implement the HIV activities.

Geographic Coverage and target populations: National and 4 focus provinces, Battambang, Banteay Meanchey, Pursat, and Palin where 18% of all HIV-positive patients in care reside.

Cost Efficiency: Cost assessments will be included when models of service provision are introduced. Activities will be scaled-up by MOH nationally using other resources, primarily Global Fund.

Transition to partner governments/sustainability: NCHADS directs and implements HIV prevention, care, and treatment activities in Cambodia. This IM strengthens capacity of the national program. During the life of this IM, recurring costs for will be transitioned from PEPFAR to the MOH. PEPFAR resources will be used to strengthen data systems, monitor the quality and impact of HIV services, conduct operations research, and implement and evaluate innovative activities relevant for the Cambodian context.

Monitoring and evaluation: Data from NCHAD’s electronic patient information system will be analyzed to monitor impacts. Joint monitoring site visits using standardized tools will be carried out by NCHADS and CDC, and technical and management issues related to this IM and the national program will be discussed during quarterly review meetings.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $240,000
Care: TB/HIV (HVTB) $2,000
Care: Pediatric Care and Support (PDCS) $10,000
Laboratory Infrastructure (HLAB) $160,000
Strategic Information (HVSI) $50,000
Health Systems Strengthening (OHSS) $54,000
Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT) $264,000
Treatment: Adult Treatment (HTXS) $10,000
Treatment: Pediatric Treatment (PDTX) $10,000
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
CARE_CURR Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Female 2015 341
CARE_CURR Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Male 2015 365
CARE_CURR Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Female 2015 5,442
CARE_CURR Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Male 2015 4,450
CARE_CURR Number of HIV positive adults and children who received at least one of the following during the reporting period: clinical assessment (WHO staging) OR CD4 count OR viral load 2015 10,598
CARE_CURR Sum of Aggregated Age/Sex disaggregates 2015 10,598
FPINT_SITE By site support type: Technical Assistance-only (TA): Number of service delivery points supported by PEPFAR for HIV services that are directly providing integrated voluntary family planning services 2015 10
FPINT_SITE By site support type: Technical Assistance-only (TA): Total number of PEPFAR-supported HIV service delivery points 2015 10
FPINT_SITE Number of service delivery points supported by PEPFAR for HIV services that are directly providing integrated voluntary family planning services 2015 10
FPINT_SITE Service delivery type: Clinical 2015 10
FPINT_SITE Sum of Numerator Site Support Type disaggregates 2015 10
FPINT_SITE Sum of Service Delivery Type disaggregates 2015 10
FPINT_SITE Total number of PEPFAR-supported HIV service delivery points: PMTCT, Care and Treatment 2015 10
FPINT_SITE_den Sum of Denominator Site Support Type disaggregates 2015 10
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Female 2015 272
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Male 2015 329
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Female 2015 8,408
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Male 2015 9,404
HTS_TST By Test Result: Negative 2015 17,537
HTS_TST Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 18,413
HTS_TST Sum of Aggregated Age/Sex <15 2015 601
HTS_TST Sum of Aggregated Age/Sex 15+ 2015 17,812
HTS_TST Sum of Aggregated Age/Sex disaggregates 2015 18,413
HTS_TST Sum of Test Result disaggregates 2015 18,413
HTS_TST_POS By Test Result: Positive 2015 876
LAB_ACC By site support type: Technical Assistance-only (TA) 2015 11
LAB_ACC Number of PEPFAR-supported testing facilities (laboratories) that are recognized by national, regional, or international standards for accreditation or have achieved a minimal acceptable level towards attainment of such accreditation 2015 11
LAB_ACC Sum of Support Type disaggregates 2015 11
LAB_CAP By clinical laboratories 2015 11
LAB_CAP By Point-of-care testing sites 2015 12
LAB_CAP By site support type: Technical Assistance-only (TA) 2015 23
LAB_CAP Number of PEPFAR-supported testing facilities with capacity to perform clinical laboratory tests 2015 23
LAB_CAP Sum of Site Support Type disaggregates 2015 23
PMTCT_ARV Life-long ART (including Option B+) 2015 199
PMTCT_ARV Number of HIV- positive pregnant women identified in the reporting period (including known HIV-positive at entry) 2015 203
PMTCT_ARV Number of HIV-positive pregnant women who received antiretrovirals to reduce risk of mother-to-child-transmission (MTCT) during pregnancy and delivery 2015 199
PMTCT_ARV Sub-Disag of Life-long ART: Already on treatment at the beginning of the current pregnancy 2015 149
PMTCT_ARV Sub-Disag of Life-long ART: Newly initiated on treatment during the current pregnancy 2015 50
PMTCT_ARV Sum of New and Current disaggregates 2015 199
PMTCT_ARV Sum of Regimen Type disaggregates 2015 199
PMTCT_STAT By: Known positives at entry 2015 135
PMTCT_STAT By: Number of new positives identified 2015 68
PMTCT_STAT Number of new ANC and L&D clients 2015 3,059
PMTCT_STAT Number of pregnant women with known HIV status (includes women who were tested for HIV and received their results) 2015 2,902
PMTCT_STAT Sum of Positives Status disaggregates 2015 203
SITE_SUPP By program area/support type: Care and Support Technical Assistance-only (TA) 2015 10
SITE_SUPP By program area/support type: HTC Technical Assistance-only (TA) 2015 23
SITE_SUPP By program area/support type: Lab Technical Assistance-only (TA) 2015 23
SITE_SUPP By program area/support type: PHDP/Family Planning & Integration Technical Assistance-only (TA) 2015 10
SITE_SUPP By program area/support type: PMTCT Technical Assistance-only (TA) 2015 10
SITE_SUPP By program area/support type: TB/HIV Technical Assistance-only (TA) 2015 10
SITE_SUPP By program area/support type: Treatment Technical Assistance-only (TA) 2015 10
SITE_SUPP Number of unique sites supported by PEPFAR 2015 23
TX_CURR Aggregated Age/Sex: <1 Female 2015 3
TX_CURR Aggregated Age/Sex: <1 Male 2015 3
TX_CURR Aggregated Age/Sex: <15 Female 2015 288
TX_CURR Aggregated Age/Sex: <15 Male 2015 309
TX_CURR Aggregated Age/Sex: 15+ Female 2015 4,844
TX_CURR Aggregated Age/Sex: 15+ Male 2015 3,967
TX_CURR Number of adults and children receiving antiretroviral therapy (ART) 2015 9,408
TX_CURR Sum of Aggregated Age/Sex <15 2015 597
TX_CURR Sum of Aggregated Age/Sex 15+ 2015 8,811
TX_CURR Sum of Aggregated Age/Sex disaggregates 2015 9,408
Cross Cutting Budget Categories and Known Amounts Total: $460,000
Human Resources for Health $400,000
Key Populations: MSM and TG $25,000
Training of health workers and community outreach workers
Collection and use of strategic information
Key Populations: Sex Workers $25,000
Training of health workers and community outreach workers
Collection and use of strategic information on SWs and clients
Gender: Gender Equality $10,000
Changing harmful gender norms and promoting positive gender norms
Collection and Use of Gender-related Strategic Information
Capacity building
Monitoring and Evaluation
Key Issues Identified in Mechanism
Safe Motherhood
Tuberculosis
Family Planning