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.

The primary goals of this mechanism are to increase the capacity of TJ MOH’s Republican AIDS Center (RAC) to provide high quality HIV prevention services for KPs and to measure, monitor, and evaluate HIV morbidity and prevention programs. These activities support USG Strategy Objectives 1, 2 and 3 and focus on TJ MOH Staff and KPs. Project activities include support for six HIV prevention demonstration sites in areas with high concentrations of KPs across the country. These demonstration sites are the Centers for provision services for PWID and SWs. These sites provide care tailored to the needs of KPs including locations and times, stigma free, confidential care provided with respect for clients. They have well-established referral systems and deliver a comprehensive package of quality HIV prevention services. The partnership with RAC will also implement capacity building activities for national, regional and facility level MOH staff to support the implementation of a range of interventions for PWID and SWs, and to monitor progress of the demonstration sites. Training will focus on areas of previously identified needs by both CDC and MOH staff. CDC will work with the TJ MOH and GF to ensure sustainability of demonstration sites and to implement TOT approaches to prepare local staff to assume programmatic responsibility, increase cost efficiency and contribute to local level involvement and ownership of the programmatic activities. To further improve the quality of the activities, the RAC will use registration forms with UICs to improve their ability to conduct M&E and demonstrate the effectiveness of the sites. Key indicators will be: coverage of prevention activities, referral rate and retention of KPs in prevention programs, and adherence to care and treatment.

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.