Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016

Details for Mechanism ID: 13730
Country/Region: Democratic Republic of the Congo
Year: 2014
Main Partner: Elizabeth Glaser Pediatric AIDS Foundation
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $3,774,160 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.

The Malamu Project is supporting four objectives: 1) increase access to quality PMTCT services; 2) increase access to quality HIV care and support services; 3) expand coverage of HIV services in TB screening and treatment centers; and 4) increase access to quality HIV treatment services. Malamu project will continue to be implemented in Kinshasa and Katanga provinces during the FY14. Malamu’s strategies for achieving these objectives are based on EGPAF’s experience working in DRC and other countries. These strategies include: leveraging PMTCT interventions as the entry point for a comprehensive HIV continuum of care; strengthening integrated clinical services through implementation of a multi-pronged, coordinated approach at national, provincial, and zonal levels; employing peer support groups to improve adherence and retention in PMTCT and HIV services. Some cross-cutting interventions will be implemented to reinforce the implementation of the project strategies, such as : Increase access to SGBV services and support the data quality and data use at the health zone and facility level. EGPAF is working with CDC to merge the two mechanisms at the end of the FY2014. Currently, EGPAF is implementing option B+ in 14 health facilities under Malamu project in Lubumbashi and is moving to scaling up of option B+ in all 237 Kimia supported sites. Some models will be used by EGPAF to increase access , retention and acceptability of services such as support groups including mentor mother approach, “peer-to-peer” site model for PMTCT ; “zonal approach” to support sustainable service delivery to ensure transition,family-centered model of prevention,care and treatment and CQI.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $683,491
Care: Orphans and Vulnerable Children (HKID) $62,482
Care: TB/HIV (HVTB) $598,059
Care: Pediatric Care and Support (PDCS) $433,000
Laboratory Infrastructure (HLAB) $41,300
Biomedical Prevention: Injection Safety (HMIN) $20,650
Testing: HIV Testing and Counseling (HVCT) $41,300
Sexual Prevention: Other Sexual Prevention (HVOP) $51,295
Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT) $1,063,330
Treatment: Adult Treatment (HTXS) $539,873
Treatment: Pediatric Treatment (PDTX) $239,380
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 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 6,408
FN_THER Number of clinically malnourished PLHIV who received therapeutic and/or supplementary food during the reporting period 2015 209
FN_THER Number of PLHIV who were nutritionally assessed and found to be clinically undernourished 2015 220
GEND_GBV Number of people receiving post-GBV care 2015 27
HTS_TST By Test Result: Negative 2015 77,878
HTS_TST By Test Result: Negative 2015 77,878
HTS_TST Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 86,896
HTS_TST Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 86,896
HTS_TST Sum of Test Result disaggregates 2015 80,291
HTS_TST Sum of Test Result disaggregates 2015 80,291
HTS_TST_POS By Test Result: Positive 2015 2,413
HTS_TST_POS By Test Result: Positive 2015 2,413
LAB_CAP By clinical laboratories 2015 2
LAB_CAP By Point-of-care testing sites 2015 99
LAB_CAP By site support type: Direct Service Delivery (DSD) 2015 101
LAB_CAP Number of PEPFAR-supported testing facilities with capacity to perform clinical laboratory tests 2015 101
LAB_CAP Sum of Site Support Type disaggregates 2015 101
PMTCT_ARV Life-long ART (including Option B+) 2015 1,111
PMTCT_ARV Number of HIV- positive pregnant women identified in the reporting period (including known HIV-positive at entry) 2015 1,170
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 1,111
PMTCT_ARV Sub-Disag of Life-long ART: Already on treatment at the beginning of the current pregnancy 2015 634
PMTCT_ARV Sub-Disag of Life-long ART: Newly initiated on treatment during the current pregnancy 2015 477
PMTCT_ARV Sum of New and Current disaggregates 2015 1,111
PMTCT_ARV Sum of Regimen Type disaggregates 2015 1,111
PMTCT_EID By infants who received a virologic test within 2 months of birth 2015 373
PMTCT_EID By infants who received their first virologic HIV test between 2 and 12 months of age 2015 37
PMTCT_EID By infants with a positive virologic test result within 12 months of birth 2015 6
PMTCT_EID Number of HIV- positive pregnant women identified during the reporting period (include known HIV-positive women at entry into PMTCT) 2015 1,170
PMTCT_EID Number of infants who had a virologic HIV test within 12 months of birth during the reporting period 2015 410
PMTCT_EID Sum of Infant Age disaggregates 2015 410
PMTCT_STAT By: Known positives at entry 2015 82
PMTCT_STAT By: Number of new positives identified 2015 1,088
PMTCT_STAT Number of new ANC and L&D clients 2015 55,372
PMTCT_STAT Number of pregnant women with known HIV status (includes women who were tested for HIV and received their results) 2015 53,157
PMTCT_STAT Sum of Positives Status disaggregates 2015 1,170
SITE_SUPP By program area/support type: Care and Support Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: Food and Nutrition Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: HTC Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: Lab Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: OVC Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: PHDP/Family Planning & Integration Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: PMTCT Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: TB/HIV Direct Service Delivery (DSD) 2015 101
SITE_SUPP By program area/support type: Treatment Direct Service Delivery (DSD) 2015 101
SITE_SUPP Number of unique sites supported by PEPFAR 2015 909
TB_SCREEN 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 6,408
TX_CURR Number of adults and children receiving antiretroviral therapy (ART) 2015 6,898
TX_CURR_NGI Number of adults and children receiving antiretroviral therapy (ART) 2015 4,696
TX_NEW Breastfeeding status 2015 269
TX_NEW Number of adults and children newly enrolled on antiretroviral therapy (ART) 2015 3,452
TX_NEW Pregnancy status 2015 807
TX_RET Number of adults and children who are still alive and on treatment at 12 months after initiating ART 2015 3,990
TX_RET Total number of adults and children who initiated ART in the 12 months prior to the beginning of the reporting period, including those who have died, those who have stopped ART, and those lost to follow-up 2015 4,694
Key Issues Identified in Mechanism
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning