PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+ Reaching Men As Partners by targeting 7,576 spouses of pregnant women
+ Providing Antiretroviral treatment for all infants and young children below 18 months who test HIV positive
by DNA PCR and initiating pregnant women in WHO stage 3 & 4 and those with CD 4 count of less than
350 on HAART.
+ The program will support and strengthen functional lab networks, decentralization and task shifting in
initiation and provision of ART within MCH for mothers and their HIV infected infants in an effort to improve
access to HIV care and treatment services including ART and will pilot extended HAART to cover the
breastfeeding period.
SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key attributions in human capacity development through the training of health care
service providers on PMTCT and other HIV prevention and care topics in order to equip them with
knowledge and skills to provide quality PMTCT services. These service providers include Doctors, Nurses,
Clinical Officers, Nutrition Officers and Health Record clerks. Other personnel targeted for training are the
mentor mothers and other peer counselors.
COP 2008
1. LIST OF RELATED ACTIVITIES
These activities relate to HIV/AIDS Treatment: ARV Services, Laboratory Infrastructure, Counseling and
Testing and Palliative Care: TB/HIV services.
2. ACTIVITY DESCRIPTION
African Medical Research and Educational Foundation (AMREF) has supported the introduction of PMTCT
services since 2004 and will continue to support the implementation and expansion of PMTCT program in
Machakos district in Eastern Province and in the Kibera Slum area in Nairobi City. Machakos district has
recently been subdivided into four districts, namely: Machakos, Yatta, Mwala and Kangundo. AMREF
remains the sole partner for the four daughter districts. HIV prevalence in Machakos from the latest SAPR
ANC data is 4.8%, while that in Kibera is 11%. AMREF supports PMTCT activities in 102 health facilities as
at the semi annual progress report, though this has increased to the current 120 sites. Initially, the focus
was on district and sub-district hospitals. In the semiannual progress report covering October 2007 to
March 2008, AMREF counseled and tested 12,054 of target 15,152 (80%) compared to 4,670 tested
women the previous year. In 09 COP, the program will consolidate activities to expand the scope of
services to 50 new public health facilities to reach universal district coverage. AMREF will provide
counseling and testing to 37,881 (93%) of 40,554 pregnant women, and ARV prophylaxis to a total of 1,820
(93%) of 1949 HIV positive women: 50% as sdNVP and AZT (910), 30% as sdNVP (546) and 20% as
HAART (364) to HIV positive women. All HIV positive pregnant women with CD4 count < 350 will be started
on HAART. AMREF will emphasize WHO clinical staging and CD4 testing for all HIV positive mothers and
infants, and will promote use of more efficacious regimen. Early infant diagnosis will be provided to 50% of
the HIV exposed infants (910). Provider Initiated Testing and Counseling (PITC) in Child Welfare Clinics
(CWC) and in family planning (FP) will be emphasized. All infants who test HIV positive by DNA PCR at age
<18 months will be started on antiretroviral treatment. In this 09 COP, AMREF has a target to reach 7,576
Men As Partners (MAP). AMREF will develop models of providing comprehensive PMTCT services to HIV
positive women and their families, and provide care and follow up to a total of 1,820 HIV infected-exposed
mother- infant pairs, identified by the newly developed combined Mother-baby health booklet. About 240
health care workers will be trained in PMTCT using the NASCOP/WHO/CDC curriculum. 400 health care
workers will attend refresher training while about 400 health care workers will receive training on early infant
diagnosis, prevention with positives, family planning and infant feeding. Postnatal mothers will be counseled
on infant feeding practices, linked to family planning services and to care and treatment. Prevention with
positives initiative will be rolled out at the health facility levels , encouraging knowledge of status, partner
testing, disclosure, adherence, risk reduction behaviors including condom use especially among discordant
couples, adherence counseling. Some PLWHAs who have successfully gone through PMTCT will be
trained as "Mother to Mothers" to enhance PMTCT advocacy and community follow up of women and their
infant to promote adherence, return for EID, FP and exclusive breastfeeding for 6 months. The HIV exposed
infants will have DBS for early infant diagnosis and will be started on cotrimoxazole at the age of six weeks.
All HIV positive women and their families identified through the PMTCT program will be linked to care and
antiretroviral treatment programs. All HIV infected children below 18 months will be started on ART as soon
as they are diagnosed irrespective of CD4 counts and WHO clinical staging within the MCH settings. The
program will support and strengthen functional lab networks, decentralization and task shifting in initiation
and provision of ART within MCH for mothers and their HIV infected infants in an effort to improve access to
HIV care and treatment services including ART. AMREF will strengthen their M&E system working closely
with CDC. Infant nutrition in HIV remains a challenge. Efforts will be made by AMREF to pilot extended
HAART to cover the breastfeeding period.
In 09 COP, AMREF will train 400 service providers on PMTCT and comprehensive PMTCT which includes
DBS (dry blood spot) sample collection technique in 170 facilities. Significant changes from FY 2008 to FY
2009 for this activity include increasing the uptake of counseling and testing in the ANC to 100%, and
maternity testing to 80% from the current 60%; and ARV prophylaxis to 100% of the HIV positive mothers.
Women in WHO stage 3 & 4 and all those with CD 4 count of less than 350 are initiated on HAART.
AMREF will strengthen the Health Management Information System at district level through staff training
and computerization of the data management. AMREF will support the district to effectively use the national
MOH/NASCOP data collection tools. AMREF will also develop innovative strategies for stigma reduction
and will use the local radio station channel to reach a wider local audience. In particular, AMREF will
improve participatory facilitative supervision to health facilities in all 4 districts. This will contribute to
increase in uptake of services at facility level, as well as contribute to community support to PMTCT
activities.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
PMTCT activities in Machakos and Kibera slum will contribute to approximately 2.9% of 09 COP. The
increase in number of sites contributes to the program's efforts to achieve district-wide coverage for
improving equity and access particularly in these underserved areas. The provision of PMTCT+ services to
Activity Narrative: the women, infants and other members of the family provides an entry point for HIV positive individuals to
access comprehensive HIV care and other HIV care and support services including safe infant feeding
practices. The improved district Health Management Information System will identify gaps in coverage that
will be addressed to increase district wide coverage. This activity contributes substantively to Kenya's Five-
year strategy of providing HIV counseling and testing services to pregnant women thus increasing the
number of women who learn their HIV status, as well as improving access of the HIV-positive pregnant
women to interventions for reducing HIV infection to infants.
4. LINKS TO OTHER ACTIVITIES
The PMTCT activities in Machakos district and Kibera slum relate to AMREF ARV Services and CDC
KEMRI ARV Services, CDC/KEMRI laboratory, VCT and TB/HIV services. AMREF has been supporting a
successful ART site in Kibera, and will use this site to test the appropriate model for strengthening the
linkages between the PMTCT program and ART program in the provision of PMTCT+ services to the
women, the infants and members of the woman's family. Further, women identified through the PMTCT
program will be referred to the ART program for care and treatment.
5. POPULATIONS BEING TARGETED
This activity targets children under five years, adolescents of reproductive age 15-24, adults, pregnant
women and people living with HIV. Health care providers including doctors, nurses, and other health care
workers will be targeted for training on PMTCT using the national NASCOP CDC/WHO based curriculum.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will increase gender equity in HIV/AIDS programming through provision of HIV counseling and
testing services of pregnant women, and improved access to other HIV care programs for the HIV infected
woman, her infant and other family members. It will also reduce violence and coercion through stigma at the
community level.
7. EMPHASIS AREAS
This activity includes emphasis on quality assurance and supportive supervision as well as emphasis on
development of Network/Linkages/Referral Systems; there'll be emphasis on CD4 testing on pregnant
women with use of more efficacious regimen. Provider Initiated Testing and Counseling (PITC) for children
will be emphasized, and all HIV positive infants below 18 months of age will be started on antiretroviral
treatment regardless of clinical stage or CD4 count. Community Mobilization/Participation, wrap around
programs with Food/Nutrition, Presidential malaria initiatives ( PMI) through distribution of insecticide
treated nets at the MCH, safe motherhood through focused antenatal care, other Family planning initiatives
and TB screening and referral for treatment and care will be areas of emphasis.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14722
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14722 4145.08 HHS/Centers for African Medical 6922 295.08 $400,000
Disease Control & and Research
Prevention Foundation
6837 4145.07 HHS/Centers for African Medical 4201 295.07 $250,000
4145 4145.06 HHS/Centers for African Medical 3222 295.06 $250,000
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* Safe Motherhood
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $120,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
+ New activity emphasis on prevention with positives among patients coming for care and treatment
services.
Partner will procure nutritional supplementation for approximately 500 patients at $12,000.
This activity relates to activities in ARV services, ARV services, pediatric care and treatment, and PMTCT.
The African Medical Research Foundation (AMREF) has extensive experience and expertise in
implementing community-based HIV/AIDS prevention and care programs throughout Africa. AMREF will
continue the successful HIV treatment program that it operates in 4 sites in Kibera, a very large, informal
settlement in Nairobi, Kenya. The HIV treatment program in Kibera has been recognized as a model of
community-based care for PLWAs. By April 2008, the program was providing palliative care services to
more than 3,000 patients. Rates of adherence to care are very high. The community sensitization activities
have already contributed substantially to a reduction in stigma and discrimination in this community and are
expected to continue to do so.
In 2009 AMREF will continue activities in the 4 sites, providing a package of basic health services to 5,000
people with HIV. AMREF will support staff salaries, training of 120 health providers, laboratory evaluation,
adherence counseling, and monitoring, provide drugs for prevention and treatment of opportunistic
infections, and expand access to safe drinking water and malaria prevention interventions. Funding will
include provision of HIV care. Patient care is managed by multidisciplinary teams. Care interventions are
supported through extensive involvement of community health workers and peer educators, including many
people who themselves have HIV/AIDS. The community health workers and peer educators work in both
the clinics and communities to support adherence, provide counseling and education about nutrition and
other key aspects of care, and assist with the recognition of adverse drug reactions and early referral.
AMREF staff conducts extensive activities in the community that educate and sensitize church, political, and
administrative leaders as well as all members of the community. Activities are implemented in collaboration
with the Provincial ART officer for Nairobi. This activity will be primarily an expansion of the existing
program to increase both the number of sites and number of people reached. The central AMREF
laboratory will be strengthened to continue supporting quality assurance for labs at the satellite sites.
3. CONTRIBUTIONS TO OVERALL PROGRAM
These activities will contribute to the expansion of palliative care services for people with HIV, strengthened
human resource capacity to deliver palliative care services for HIV, and an improved referral network for
HIV care.
AMREF's palliative care activities link closely to community services supported by CBOs, such as Kibera
Community Self Help Program (KICOSHEP), AMREF-supported PMTCT services, adult treatment services,
pediatric treatment services , pediatrics care and support and the established network referral center at
Kenyatta Hospital through the referral of complicated cases.
The population targeted through this activity include: 1) HIV-infected adults residing in Kibera that will be
served by these programs and 2) have a significant need for HIV treatment that relates not only to high HIV
prevalence, but also very severe poverty and lack of basic services (e.g., clean water, food, and education).
The associated community sensitization activities raise awareness among men and women living in the
slums. Other target groups include public health workers and NGOs/private voluntary organizations.
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities
This activity includes minor emphases in commodity procurement, community mobilization, human
resources, quality assurance and supportive supervision, and training.
Continuing Activity: 14723
14723 4817.08 HHS/Centers for African Medical 6922 295.08 $250,000
6838 4817.07 HHS/Centers for African Medical 4201 295.07 $150,000
4817 4817.06 HHS/Centers for African Medical 3222 295.06 $116,667
Estimated amount of funding that is planned for Food and Nutrition: Commodities $12,000
Table 3.3.08:
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in Palliative Care: Basic Health Care and Support, ARV Services, Pediatrics
ARV services, Pediatric care and support, and Prevention of Mother to Child Transmission.
The African Medical Research Foundation (AMREF) will continue a successful HIV treatment program
operating in 4 sites in Langata district in Nairobi including: Kibera, Langata, Ushirika, and Karen health
Centers , providing antiretroviral treatment (ART) to 1,700 people with HIV (390 new), bringing the total ever
treated to 2,040. AMREF implements ART by supporting staff salaries, training, laboratory evaluation,
adherence counseling, and monitoring. Funding will include provision of ART and training to 60 health care
workers. ARVs are supplied to the sites through the current distribution system of the Mission for Essential
Drugs and Supplies (MEDS) / USAID Mission Competitive Procurement. Treatment is provided by
multidisciplinary teams, and these treatment services are supported through extensive involvement of
community health workers and peer educators, including many people who themselves have HIV/AIDS. The
community health workers and peer educators work in both the clinics and communities to support
adherence, provide counseling and education about nutrition and other key aspects of care, and assist with
recognition of adverse drug reactions and early referral. AMREF staff conducts extensive activities in the
community that educate and sensitize church, political, and administrative leaders, as well as all members
of the community.
This activity will primarily be an expansion of the existing program to increase both the number of sites and
number of people reached. The central AMREF laboratory will be strengthened to continue supporting
quality assurance for labs at the satellite sites. Activities are implemented in collaboration with the
Provincial ART officer for Nairobi. AMREF has extensive experience and expertise implementing
community-based HIV/AIDS prevention and care programs throughout Africa. The HIV treatment program
in Kibera has been recognized as a model of community-based ART. By April 2008 the program was
providing ART to more than 1,200 patients. Rates of drug adherence are very high, and rates of complete
viral load suppression are comparable to those seen in research settings in the U.S. and Europe. The
community sensitization activities have already contributed substantially to a reduction in stigma and
discrimination in this community and are expected to continue to do so.
These activities will contribute to the results of expansion of ARV treatment for clinically qualified, HIV-
positive patients, strengthened human resource capacity to deliver ARV treatment, and a strengthened
referral network for provision of ART.
This activity relates to community services supported by KICOSHEP, a sub-partner of the TBD Umbrella, to
Adult care and support, pediatric care and support, pediatric treatment , PMTCT services supported by
AMREF, and to the established network referral center established at Kenyatta National Hospital, supported
by the University of Nairobi and other partners.
The populations targeted with this activity are HIV-infected adult and pediatric Kibera slum residents that will
be served by these programs and have great need for HIV treatment that relates not only to high HIV
prevalence, but also very severe poverty and lack of basic services such as clean water, food, and
education. The associated community sensitization activities raise awareness among men, women and
children living in the slums.
sensitization activities.
This activity includes minor emphasis in commodity procurement, community mobilization, human
resources, training, quality assurance and supportive supervision, training, and strategic information.
Continuing Activity: 14725
14725 4144.08 HHS/Centers for African Medical 6922 295.08 $850,000
6836 4144.07 HHS/Centers for African Medical 4201 295.07 $700,000
4144 4144.06 HHS/Centers for African Medical 3222 295.06 $552,157
Table 3.3.09:
The narrative is updated to focus more on pediatrics ART activity.
This activity relates to activities in ARV services (#6836), ARV services (#7095), Palliative Care: Basic
Health Care and Support (#7096), Pediatrics ARV services and PMTCT (#6837).
The African Medical Research Foundation (AMREF) will continue a successful HIV treatment program that
operates in 4 sites in Kibera, a very large informal settlement in Nairobi, Kenya. This program provides a
package of basic health services to 5,000 people with HIV, including 550 children. AMREF will support
pediatric care including psychosocial support at all the 4 sites. In order to identify more children, activities
will focus on HIV testing through Early Infant Diagnosis(EID) and Provider initiated Testing and counseling
(PITC) using PCR or rapid tests for all children attending in and out outpatient department, and children of
HIV positive patients attending the care and treatment services. Children born to HIV positives mothers in
PMTCT will be tested through the EID and linked to care. Funds will support staff salaries, training of 30
health providers, laboratory evaluation, adherence counseling, and monitoring, provide drugs for prevention
and treatment of opportunistic infections, and expand access to safe drinking water and malaria prevention
interventions. Patient care is managed by multidisciplinary teams, and care interventions are supported
through the extensive involvement of community health workers and peer educators, including many people
who themselves have HIV/AIDS. The community health workers and peer educators work in both the clinics
and communities to support adherence, provide counseling and education about nutrition and other key
aspects of care, and assist with recognition of adverse drug reactions and early referral. AMREF staff
conducts extensive activities in the community that educate and sensitize church, political, and
with the Provincial AIDS AND STI Coordinating Officer for Nairobi. This activity will be primarily an
expansion of the existing program to increase the number of children reached. The central AMREF
laboratory will be strengthened so it can continue supporting quality assurance for labs at the satellite sites.
AMREF has extensive experience and expertise in implementing community-based HIV/AIDS prevention
and care programs throughout Africa. The HIV treatment program in Kibera has been recognized as a
model of community-based care for PLWAs. By April 2008, the program was providing care and support
services to more than 3,000patients, including 150 children below 15 years. The community sensitization
activities have already contributed substantially to a reduction in stigma and discrimination in this
community and are expected to continue to do so.
These activities will contribute to the results of expansion of care and support services for children with HIV,
strengthen human resource capacity to deliver pediatrics care services for HIV, and improve the referral
network for pediatric HIV care.
AMREF's Pediatric care activities link closely to community services supported by CBOs such as Kibera
Community Self Help Program (KICOSHEP), AMREF-supported PMTCT services (#6837), AMREF-
supported ARV services (#6836), and to the established network referral center at Kenyatta Hospital
(#7096) through the referral of complicated cases.
The population targeted with this activity is the HIV-infected pediatric residents in Kibera that will be served
by these programs. In addition, these people have a great need for HIV treatment that relates not only to
high HIV prevalence, but also to very severe poverty and lack of basic services such as clean water, food,
and education. The associated community sensitization activities raise awareness among men, women and
children living in the slums. Other targeted populations include public health workers and NGOs/private
voluntary organizations.
Table 3.3.10:
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in Palliative Care: Basic Health Care and Support (#6838, #7096), ARV
Services (#7095), Pediatric care and support and Prevention of Mother to Child Transmission (#6837).
operating in 4 sites in Kibera, a very large informal settlement in Nairobi, providing antiretroviral treatment
(ART) to 1,700 people including 150 children. Sixty of these children will be newly initiated on ART, bringing
the total number of children ever treated to 180. AMREF implements ART by supporting staff salaries,
training, laboratory evaluation, adherence counseling, and monitoring. Funding will include provision of
Pediatric ART training to 30 health care workers. ARVs are supplied to the sites through the current
distribution system of the Mission for Essential Drugs and Supplies (MEDS) / USAID Mission Competitive
Procurement. Treatment is provided by multidisciplinary teams, and treatment services are supported
through extensive involvement of community health workers and peer educators, including many people
aspects of care, and assist with the recognition of adverse drug reactions and early referral. AMREF staff
administrative leaders, as well as all members of the community. Evaluation components include the
assessment of the feasibility and acceptability of caregivers supporting ART adherence and delivery at the
community level. As part of this effort 30 health care workers will receive training. This activity will be
primarily an expansion of the existing program to increase both the number of sites and people reached.
The central AMREF laboratory will be strengthened to continue supporting quality assurance for labs at the
satellite sites. Activities are implemented in collaboration with the Provincial ART officer for Nairobi.
model of community-based ART. By March 2008 the program was providing ART to more than 1,200
patients, including 76 children. Rates of drug adherence are very high, and the rates of complete viral load
suppression are comparable to those seen in research settings in the U.S. and Europe. The community
sensitization activities have already contributed substantially to a reduction in stigma and discrimination in
this community and are expected to continue to do so.
These activities will contribute to the results of expansion of ART for clinically qualified, HIV-positive children
below 15 years, strengthened human resource capacity to deliver pediatrics ART, and an improved referral
network for provision of pediatric ART.
This activity relates to community services supported by KICOSHEP, a sub-partner of TBD Umbrella
organization, (#6869), to pediatric and adult ARV services and PMTCT services supported by AMREF
(#6837), and to the established network referral center established at Kenyatta National Hospital, supported
The population targeted with this activity is HIV-infected children below 15 years in Kibera slum residents
that will be served by these programs. These children also have a great need for HIV treatment that relates
not only to high HIV prevalence, but also very severe poverty and lack of basic services such as clean
water, food, and education. The associated community sensitization activities raise awareness among men,
women and children living in the slums.
Table 3.3.11:
This activity relates to activities in Adult/ Pediatric care and support, Adult/ Pediatric ARV Services and
PMTCT.
The African Medical Research Foundation (AMREF) will support TB/HIV services at 4 sites in Nairobi
Province. Intensified TB screening for 2,500 HIV patients and HIV screening for 300 TB suspects/patients
will be offered as a standard of care in all the facilities; approximately 150 TB patients will be identified as
being infected with both TB and HIV. Funds will support refresher training of laboratory staff and
improvement of basic laboratory microbiology capacity in order to meet the increased needs for TB testing.
Thirty health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV-
infected individuals. Funds will support expanded and strengthened delivery of integrated HIV and TB
services including strengthened referral systems. Additional activities will include community mobilization
and dissemination of educational materials to patients. AMREF will maintain data concerning the numbers
of people served and will report both nationally and through the Emergency Plan. AMREF has extensive
experience and expertise in implementing community-based HIV/AIDS prevention and care programs
throughout Africa. The HIV treatment program in Kibera has been recognized as a model of community-
based care for PLWAs. By April 2008, the program was providing palliative care services to more than
3,000 patients. Rates of adherence to care are very high. The community sensitization activities have
already contributed substantially to a reduction in stigma and discrimination in this community and are
These activities will contribute towards the provision of integrated HIV/TB services for co-infected patients
care by reducing TB morbidity and mortality in HIV-infected individuals and also reducing HIV related
morbidity and mortality in TB patients co-infected with HIV. These activities will strengthen referral systems,
improve diagnostics and treatment of TB among HIV-positive patients and improve the capacity of health
workers to provide integrated HIV and TB services.
The overall program activity links closely to Adult Care and Support, Pediatric Care and Support, Adult ARV
Services , Pediatric ARV Services and PMTCT Services currently supported by this partner as well as
HIV/TB services supported by NLTP.
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, laboratory workers will receive training in the diagnosis and management of TB using
government guidelines.
This activity includes minor emphasis in commodity procurement, development of networks/linkages/referral
systems, community mobilization, human resources, local organization capacity development, quality
assurance, quality improvement and supportive supervision, and training.
Continuing Activity: 14724
14724 12457.08 HHS/Centers for African Medical 6922 295.08 $50,000
12457 12457.07 HHS/Centers for African Medical 4201 295.07 $50,000
Table 3.3.12:
