Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12030
Country/Region: Democratic Republic of the Congo
Year: 2010
Main Partner: Programme National de Lutte contre le VIH/SIDA et IST/ National AIDS Control Program - DRC
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $300,000

Please describe the technical and programmatic plans for your program. This should include comprehensive goals and objectives, geographic coverage, target population, key contributions to health systems strengthening (if appropriate), description of cross-cussing programs and key issues (if selected), strategy to become more efficient over time, and M&E plans. (Limit: 5,500 characters)

The HIV/AIDS epidemic in Democratic Republic of Congo (DRC) has been officially recognized by the national government since 1983. Since then, the government has consistently made an effort to maintain its leadership and strengthen HIV/AIDS programs within the country. As early as 1985, the government established national councils and coordinating offices focusing on HIV/AIDS and STIs. These bodies have evolved over time, but their longevity in the DRC is a testament of the commitment of the government to build its own capacity to fight the HIV/AIDS epidemic. Additionally, withstanding the time period around the First and Second Congo Wars (1996-2003), the government has made a concerted effort to publish national strategic plans over the years to respond to the changing environment of the HIV/AIDS/STI epidemic in the DRC.

The National AIDS Control Program (PNLS) was established in 1998 by the Ministry of Health with a mandate to coordinate all HIV/AIDS-related activities and services undertaken by the ministry, with an emphasis on surveillance, prevention, and care and treatment of people living with HIV/AIDS. PNLS is the only entity in DRC with a government mandate for this national level coordination and is therefore the only appropriate body to perform these duties. The PNLS oversees and implements the collection and use of strategic information, capacity building among health professionals involved in HIV/AIDS services, strengthening of laboratory capacity at local, provincial, and national levels, and formulating and revising policy documents.

Goals and objectives: The overall goal of this project is to contribute to the national fight against the HIV/AIDS epidemic by collecting important sero prevalence data from pregnant women at antenatal care (ANC) clinics. These data capture the severity and trend of the epidemic while providing necessary programmatic information to the GDRC, partners and other stakeholders.

The objective of this proposed project is to carry out an HIV/AIDS sero prevalence survey at ANC facilities to collect information about the trend and severity of the HIV/AIDS and syphilis epidemics in DR Congo. This will strengthen the capacity of the government of DRC, specifically the PNLS, to collect, analyze and utilize surveillance data for more efficient program implementation.

Geographic coverage and target population: The proposed survey will be carried out at 40+ ANC sites targeting pregnant women using ANC services throughout DR Congo.

Health systems strengthening: The HHS/CDC will continue ongoing technical assistance and mentorship work towards the goal of sustainability through this cooperative agreement with the PNLS (as the governing body of all DRC MOH's HIV/AIDS activities). As the DRC's MOH gains capacity, it will be able to provide technical and public health assistance and policy guidance to indigenous NGOs, further strengthening the health systems at various levels of governance in the DRC.

M&E: PNLS will monitor the implementation of the survey by providing targeted technical assistance, training and ongoing supervision to ensure the ANC survey is conducted in a timely manner and following procedures as described in the protocol.

Funding for Strategic Information (HVSI): $300,000

PNLS with support from the Kinshasa School of Public Health and Tulane University will conduct an Antenatal Clinic (ANC) sero prevalence survey to collect information on the trend of both the HIV/AIDS and syphilis epidemics among pregnant women attending these clinics in the DRC. The survey will be conducted at 40+ sites throughout DR Congo with a detailed protocol being developed jointly by CDC and other partners. PNLS will be responsible for the training of data collectors in addition to organizing and implementing all field activities relating to the actual collection of the data such as per diem, transport of the enumerators, and ensuring that the ANC protocol approved by the KSPH and CDC/Atlanta is followed correctly. Upon completion, PNLS will take the lead in disseminating survey results.

PNLS has participated in the annual execution of ANC surveys since 2003, allowing them to gain experience with the process over the years. Ultimately, PEPFAR aims to completely hand over the execution of ANC surveys to the PNLS in the future, and building the capacity of the PNLS to handle the field logistics of the ANC surveillance works towards this goal.

Cross Cutting Budget Categories and Known Amounts Total: $256,000
Human Resources for Health $256,000
Key Issues Identified in Mechanism
End-of-Program Evaluation