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.

This IM supports PEPFAR Strategy Objective 1, 2, and 3. The implementing mechanism’s (IM) goal is to provide TTA to and build the capacity of the MOHs in CAR so that care, treatment, laboratory, and KPs prevention services for people at risk for, and living with, HIV/AIDS will be provided according to accepted international standards, and adapted to the local context. Objectives: 1) Increase the capacity of MOHs to provide high quality basic HIV care, including HIV treatment with ART and opportunistic infections (OI) treatment and prophylaxis; 2) Increase laboratory capacity of MOHs to provide quality-assured HIV-related laboratory tests; and 3) Increase the capacity of MOHs to provide comprehensive HIV prevention to KPs, including MAT. In ROP14, the IM will continue addressing C&T and MAT assessments’ recommendations and will focus on strengthening technical capacity of staff through updating the clinical protocols, trainings and mentorships in pilots; will advocate for and educate on MAT to address low MAT coverage rate; will integrate HIV services with MAT, and TB; and will improve access to HIV diagnostics including rapid testing. The TA is primarily targeted to PWID, PLWH, and MOH staff. For cost-efficiency, the IM with CAR MOHs will develop SOPs, guidelines and quality management systems, which will be institutionalized and incorporated into MOH’s “Prikaz” (orders) to be implemented nationwide, after appropriate USG-supported training and mentoring of relevant staff. Columbia University/New York and CDC plan to evaluate the project activities in ROP14. USG will monitor the IM through regular monitoring visits, meetings and monthly reports. CDC plans to start a new Cooperative Agreement with local organization to continue activities started under this IM.

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.