Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5247
Country/Region: Guyana
Year: 2009
Main Partner: Catholic Relief Services
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: HHS/HRSA
Total Funding: $156,360

Funding for Treatment: Adult Treatment (HTXS): $128,528

AIDSRelief continues to support HIV care and treatment services in both the private and public sector

through its clinical core team composed of an Infectious Disease specialist and a Community

Outreach/Adherence Specialist from IHV, and clinical and counseling staff at the LPTF. In the public sector

AIDSRelief continues to support Bartica Public Hospital, and continues to facilitate linkages with Mazaruni

Prison and complementary HIV services (e.g. PMTCT). Frequent onsite visits are made regularly by both

the AIDSRelief supported HIV physicians. AIDSRelief maintains close contact with the adherence nurse

coordinator in order to discuss any problems that may have arisen.

In the private sector AIDSRelief continues to support St. Joseph Mercy Hospital (SJMH) and Davis

Memorial Hospital, which are both located in Region 4 and are the only faith-based hospitals in Guyana.

AIDSRelief through University of Maryland's Institute of Human Virology (UMSOM-IHV) will continue to build

local HIV technical capacity with increasing attention to pediatric and adolescent HIV treatment, palliative

care and diagnosing and management of opportunistic infections (OIs).

The clinical core team will continue to provide ongoing support and assistance to the LPTFs through

didactics and on-site mentoring, and additionally liaises with USG in-country and MOH partners on technical

issues related to HIV care and treatment. AIDSRelief will provide additional technical assistance in the

areas of psychosocial support, pharmacy support, adherence, laboratory monitoring, strategic information

and financial management.

Enhanced clinical and didactic training will be conducted at UMSOM-IHV's Clinical Training Site. Providers

will have access to video conferencing CME lectures and will also have the opportunity to receive direct

preceptorship in the management of more complicated HIV+ patients. The clinical site will serve as an off

site adjuvant facility to SJMH and DMH. It was serve as a mechanism wherein AIDSRelief can collaborate

with local in-country partners in building local technical capacity and promoting sustainability.

In order to ensure that high quality care is being delivered, AIDSRelief will continue to monitor for unmet

needs in the health care delivery system through the AIDSRelief Continuous Quality Assurance/Quality

Improvement program. This will be implemented with six fundamental components: 1) continuous

observation and measurement of standards of care delivery and program management, 2) measuring

success of treatment outcomes through viral suppression, immune reconstitution, morbidity, mortality, and

lost to follow up over time, 3) linking available patient health information and program characteristics as a

predictor of treatment outcomes, 4) collecting information on adherence to treatment and treatment support,

5) comprehensive and useful feedback of the information, and 6) utilization of outcomes analysis to design

site specific improvement activities. Through this continuous quality improvement plan, sites (with technical

assistance from IHV and Constella Futures) will be able to use data to affect change in the quality of service

provided.

AIDSRelief will also continue to augment capacity and services at its LPTFs and strengthen linkages with

complementary services (i.e. home based care, nutritional support, family planning services) in order to

provide greater access to care and treatment services.

Targets:

•3 service outlets providing antiretroviral therapy.

•273 individuals newly initiating antiretroviral therapy during the reporting period

•1200 individual who ever received antiretroviral therapy by the end of the reporting period

•1020 individuals receiving antiretroviral therapy at the end of the reporting period

•60 health workers trained to deliver ART services according to national and/or international standards.

New/Continuing Activity: Continuing Activity

Continuing Activity: 12712

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

12712 8773.08 HHS/Health Catholic Relief 6265 5247.08 Track 1 AIDS $128,528

Resources Services Relief

Services

Administration

8773 8773.07 HHS/Health Catholic Relief 5247 5247.07 Track 1 AIDS $128,528

Resources Services Relief

Services

Administration

Table 3.3.09:

Funding for Treatment: ARV Drugs (HTXD): $27,832

AIDSRelief continues to support HIV care and treatment services in both the private and public sector

through its clinical core team composed of an Infectious Disease specialist and a Community

Outreach/Adherence Specialist from IHV, and clinical and counseling staff at the LPTF. In the public sector

AIDSRelief continues to support Bartica Public Hospital, and continues to facilitate linkages with Mazaruni

Prison and complementary HIV services (e.g. PMTCT). Frequent onsite visits are made regularly by both

the AIDSRelief supported HIV physicians. AIDSRelief maintains close contact with the adherence nurse

coordinator in order to discuss any problems that may have arisen.

In the private sector AIDSRelief continues to support St. Joseph Mercy Hospital (SJMH) and Davis

Memorial Hospital, which are both located in Region 4 and are the only faith-based hospitals in Guyana.

AIDSRelief through University of Maryland's Institute of Human Virology (UMSOM-IHV) will continue to build

local HIV technical capacity with increasing attention to pediatric and adolescent HIV treatment, palliative

care and diagnosing and management of opportunistic infections (OIs).

The clinical core team will continue to provide ongoing support and assistance to the LPTFs through

didactics and on-site mentoring, and additionally liaises with USG in-country and MOH partners on technical

issues related to HIV care and treatment. AIDSRelief will provide additional technical assistance in the

areas of psychosocial support, pharmacy support, adherence, laboratory monitoring, strategic information

and financial management.

Enhanced clinical and didactic training will be conducted at UMSOM-IHV's Clinical Training Site. Providers

will have access to video conferencing CME lectures and will also have the opportunity to receive direct

preceptorship in the management of more complicated HIV+ patients. The clinical site will serve as an off

site adjuvant facility to SJMH and DMH. It was serve as a mechanism wherein AIDSRelief can collaborate

with local in-country partners in building local technical capacity and promoting sustainability.

In order to ensure that high quality care is being delivered, AIDSRelief will continue to monitor for unmet

needs in the health care delivery system through the AIDSRelief Continuous Quality Assurance/Quality

Improvement program. This will be implemented with six fundamental components: 1) continuous

observation and measurement of standards of care delivery and program management, 2) measuring

success of treatment outcomes through viral suppression, immune reconstitution, morbidity, mortality, and

lost to follow up over time, 3) linking available patient health information and program characteristics as a

predictor of treatment outcomes, 4) collecting information on adherence to treatment and treatment support,

5) comprehensive and useful feedback of the information, and 6) utilization of outcomes analysis to design

site specific improvement activities. Through this continuous quality improvement plan, sites (with technical

assistance from IHV and Constella Futures) will be able to use data to affect change in the quality of service

provided.

AIDSRelief will also continue to augment capacity and services at its LPTFs and strengthen linkages with

complementary services (i.e. home based care, nutritional support, family planning services) in order to

provide greater access to care and treatment services.

Targets:

•3 service outlets providing antiretroviral therapy.

•273 individuals newly initiating antiretroviral therapy during the reporting period

•1200 individual who ever received antiretroviral therapy by the end of the reporting period

•1020 individuals receiving antiretroviral therapy at the end of the reporting period

•60 health workers trained to deliver ART services according to national and/or international standards.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16032

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16032 16032.08 HHS/Health Catholic Relief 6265 5247.08 Track 1 AIDS $27,832

Resources Services Relief

Services

Administration

Table 3.3.15: