Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 13257
Country/Region: Cameroon
Year: 2013
Main Partner: Cameroon Baptist Convention Health Services
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: HHS/CDC
Total Funding: $4,088,000

The purpose of this program is to reduce HIV-related maternal and child mortality by ensuring geographic reach of comprehensive PMTCT services within the national MCH and reproductive health (RH) system. Specifically, it seeks to expand PMTCT coverage and improve uptake from approximately 35% to 90% in the Southwest and Northwest Regions of Cameroon by integrating PMTCT services into existing ANC health facilities and promoting community-based PMTCT activites. Funds should also strengthen linkages between facility and community-based services to improve their effectiveness by increasing PMTCT utilization and follow-up of PMTCT clients (mother/infant pair) as well as improving linkages to comprehensive HIV services to ensure a continuum of care for pregnant HIV positive women and their exposed infants. Activities should include, but are not limited to the provision of: 1) HIV testing and counseling in ANC settings; 2) early infant diagnosis (EID); 3) antiretroviral drugs (ARVs) for HIV-positive mothers and exposed infants; 4) PMTCT education; and 5) establishing linkages to comprehensive care and treatment services for HIV positive mothers and their children.

While this mechanism is concentrated in two focus regions, the grantee(s) is expected to produce a model, and if found to be feasible, effective, and to improve health outcomes cost effectively, that could be used by the Government of Cameroon (GOC) and other implementers to expand and scale-up PMTCT services to other regions of Cameroon. Integration of PMTCT into the existing MCH and RH system is also required in order to promote one integrated health system and national ownership in line with the GRCs national strategic plan and PEPFAR II strategy.

Funding for Care: Pediatric Care and Support (PDCS): $388,000

Build long term institutional capacity for EID by offering on-site training to newly identified focus regions on HIV rapid testing and use of logbook, and enhance early tracking of HIV-infected infants to enable the early initiation of antiretroviral therapy and monitor PMTCT program efficacy.

Funding for Laboratory Infrastructure (HLAB): $400,000

TBD

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $3,200,000

Support the GOC in providing direct PMTCT services to health facilities in targeted region(s), including testing and counseling for HIV in ANC settings, provision of antiretroviral drugs (ARVs) for HIV-positive mothers and exposed infants, EID and linkages to care and treatment services; Support collection of quality data at PMTCT sites within selected focus regions; ensure that this data are analyzed appropriately and made available to partners at the local, regional, and national levels, and used by PEPFAR Cameroon for data-driven decision making; Build SI capacity with partners through provision of hardware, software, and training at national and regional levels, and training and supervision at district and site levels, in data entry, data quality assurance, M&E, data storage, and data analysis in targeted regions

Funding for Treatment: Adult Treatment (HTXS): $100,000

TBD

Cross Cutting Budget Categories and Known Amounts Total: $500,000
Human Resources for Health $500,000