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 goal of the Ministry of Health (MoH), as outlined in HIVision 2020, is to reduce the social and economic impact of HIV/AIDS, reduce the spread of HIV, and improve the quality of life of PLWHA. Target populations include pregnant women, blood donors, TB infected patients, and key populations (KPs). The Ministry spans all ten administrative regions of Guyana with a network of 165 facilities. While CDC has partnered with the MoH for several years, this specific mechanism is a new agreement as the previous 5-year agreement is closing out and a new set of activities will be starting. In FY14, final activities from the previous agreement including case tracking, counseling services for PLHIVs, strategic information, and laboratory activities will continue but closeout by April 2015. New agreement activities will focus on programmatic transition, including supporting quality management/quality improvement (QM/QI) across all programs, focusing on KPs, evaluating points for TB and/or HIV screening within the health care system, and improving ARTs access for TB and HIV patients. With new COP 14 funding, this mechanism will provide technical assistance to support the MoH in improving program management and coordination; promoting safer sexual practices through IEC programs; strengthening surveillance; providing care and treatment; establishing special HIV/AIDS prevention and control programs; and implementing effective management and evaluation. The MoH has taken steps to decentralize HIV care and treatment services and over time will increase efficiency through intensification of training for a diversified cadre of workers and utilization of evidence based and cost efficient methods. The MoH will assume more responsibility and eventually take ownership of the program.

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.