Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017

Details for Mechanism ID: 17091
Country/Region: Papua New Guinea
Year: 2013
Main Partner: World Health Organization
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $250,000

The cooperative agreement with the WHO PNG Country Office provides collaborative technical assistance to the GoPNG. This alignment of CDC and WHO technical work areas in PNG is based on a history of close inter-agency partnerships and shared mission objectives. In September 2008, a central CDC-WHO Cooperative Agreement to support services for the HIV/AIDS Pandemic was initiated, which included funding of the planned activities in PNG. Since 2008, The Division of Global HIV/AIDS (DGHA) has provided technical assistance to NDOH and provincial health departments through the CDC-WHO Cooperative Agreement in the amount of $250,000 annually. CDC-DGHA provided an increased funding level to $400,000 in the PNG FY12 CAP for the final (YR5) year of the CoAg. Implementation of YR1 of the follow on five year CoAg is planned to commence Oct 1, 2013 at the original $250,000 funding level, unless further funds are made available.

This IMs goals and objectives are directly related to providing collaborative TA to support the GoPNG implement the strategies in the 2011-2015 National HIV and AIDS Strategy and the 2011-2020 National Health Plan. The major target population of the TA will be the National Department of Health (NDOH) and provincial health departments with a focus on the Highlands region of the country where PNGs population and he HIV epidemic is focused. The objective of this TA is to increase the capacity of GoPNG at national and provincial levels so that they can then provide future capacity building to the local districts level health units. An annual M&E review of planned activities funded through the CoAg.

Funding for Care: Adult Care and Support (HBHC): $17,500

The overall strategy and goal is to provide technical assistance to improve adult care and support services and the national M&E system.

This will be accomplished through the following three objectives:

1. To improve the quality of adult care and support services.

2. To strengthen the adult HIV care and support national monitoring and evaluation system.

3. To strengthen activities to address gender-based violence for women accessing adult care and support services.

Major activities:

Conduct regularly scheduled bi-annual workshop for the five HIVQUAL- PNG pilot regional hospital sites to review progress in implementing data collection and analysis and to build capacity to use performance results for quality improvement purposes.

Develop strategic plan and TA to scale-up and expand the adult HIVQUAL-PNG model to additional sites in collaboration with NDOH, provincial health departments and international and local NGOs.

As part of a planned NDOH-led inter-agency assessment, review and the national adult care and support M&E system and develop activity action plan for to strengthen data collection, management, analysis and use at national, provincial and facility levels.

Conduct a strategic assessment of adult care and support sites (starting at HIVQUAL sites), including the basic analysis of M&E data, to inform program activities to address gender-based violence (GBV) services including linkages with Family Support Centers (FSC).

Provide TA for M&E capacity building and carry out program activities to address gender-based violence (GBV) services including linkages with FSCs.

Funding for Care: Pediatric Care and Support (PDCS): $15,000

The overall strategy is to provide technical assistance to improve pediatric care and support services and the national M&E system.

This will be accomplished through the following three objectives:

1. To improve the quality of pediatric care and support services.

2. To strengthen the pediatric HIV care and support national monitoring and evaluation system.

3. To strengthen activities to address gender-based violence for young girls accessing pediatric care and support services.

Major activities:

Conduct regularly scheduled bi-annual workshop for the five HIVQUAL- PNG pilot regional hospital sites to review progress in implementing data collection and analysis and to build capacity to use performance results for quality improvement purposes.

Develop strategic plan and TA to scale-up and expand the pediatric HIVQUAL-PNG model to additional sites in collaboration with NDOH, provincial health departments and international and local NGOs.

As part of a planned NDOH-led inter-agency assessment, review and the national pediatric care and support M&E system and develop activity action plan for to strengthen data collection, management, analysis and use at the national, provincial and facility levels.

Conduct a strategic assessment of pediatric care and support sites (starting at HIVQUAL sites), including the basic analysis of M&E data, to inform program activities to address gender-based violence (GBV) services including linkages with Family Support Centers (FSC).

Provide TA for M&E capacity building and carry out program activities to address gender-based violence (GBV) services including linkages with FSCs.

Funding for Laboratory Infrastructure (HLAB): $32,500

The overall strategy and goal is to provide technical assistance to improve national laboratory quality systems for HIV-related testing services.

This will be accomplished through the following two objectives:

1. Support the continued development of the External Quality Assurance Scheme System (EQAS) for HIV serology.

2. Support the development of a national HIV laboratory Quality Management System (QMS).

Major Activities:

Provide ongoing capacity building to CPHL staff on EQAS sample panel data analysis for provincial laboratory performance assessment.

Provide ongoing TA to strengthen integration of the EQAS database system for routine use at the Central Public Health Laboratory (CPHL).

Conduct national training workshop on HIV laboratory QMS for CPHL staff and provincial participants.

Provide ongoing training and mentorship to CPHL staff to enhance supervision and monitoring skills to for oversight of provincial laboratory staff to support HIV POC HIV rapid testing roll out.

Conduct supervisory monitoring visits to priority sites to identify performance problems/solutions and provide ongoing mentoring for HIV rapid testing and quality assurance practices.

Conduct an investigation of discrepant HIV testing results to identify reasons for high false positivity rates at certain HIV testing facilities.

Funding for Strategic Information (HVSI): $67,500

The overall strategy and goal is to provide technical assistance to strengthen the national HIV surveillance system and the utilization data for epidemic monitoring and program planning purposes

This will be accomplished through the following three objectives:

1. Provide ongoing epidemiological and Information Technology TA for the implementation of an integrated computerized national HIV surveillance and M&E database system.

2. Build the capacity of national and provincial surveillance staff for data collection, management, analysis and HIV estimates & projections modeling

3. Provide TA for data collection, data analysis and review to inform programming to improve the health of women and girls and gender-based violence.

Major Activities:

Provide ongoing epidemiological and IT TA for the implementation of the CDC-developed NDOH-based computerized national HIV surveillance and M&E system for data entry, management, analysis and report generation and associated facility-based record-keeping systems and forms.

Provide ongoing TA and capacity building to NDOH and NACS for data analysis, interpretation and writing of the annual national HIV/AIDS/STI surveillance report.

Conduct capacity building training workshop for provincial staff from the high burden Highlands region on program M&E data management, analysis, quality systems and data triangulation.

Provide ongoing mentoring supervisory and performance monitoring visits to priority surveillance and M&E sites to identify problems/solutions for QI purposes.

Provide capacity building and mentoring to NDOH and NACS for epidemiological modeling on the theory and use of official UNAIDS EPP and SPECTRUM software to conduct national HIV estimates & projections.

Conduct and assessment of use of PDA-based devices to transmit facility-based PMTCT program data in ANC settings with UNICEF.

Conduct assessment of Family Support Center M&E system to inform development of national Family Support Centers that provide services to victims of GBV.

Funding for Health Systems Strengthening (OHSS): $25,000

The overall strategy and goal is to build the epidemiological capacity of the National Department of Health and local institutions through TA for PNGs first in-country Field Epidemiology Training Program (FETP).

The objectives of the FETP are as follows:

1. To increase the epidemiological capacity of public health professionals and local institutions by participating in FETP program activities with the following objectives:

1. Design and implement effective surveillance systems to identify and monitor threats to health and their contributing factors.

2. Understand and use surveillance information to aid health planning, monitoring and evaluation.

3. Detect health problems early and initiate appropriate investigations that lead to proper interventions measures.

Major Activities:

Conduct an in-country assessment to meet with NDOH local collaborating institutions to customize FETP short and long-term objectives.

Develop course curriculum (lecturers, case studies and proposals for presentation of data analysis) and identify suitable national and provincial participants.

Conduct in-country epidemiological capacity building training workshop.

Conduct follow-up workshop where participants present project results and course faculty offer constructive recommendations.

Conduct follow-up in-country seminar reviewing epidemiologic methods and evaluating the effectiveness of participants interventions and data analysis project results

Funding for Testing: HIV Testing and Counseling (HVCT): $25,000

The overall strategy and goal is to provide technical assistance to the scale-up and strengthening of high-quality HIV Testing and counseling (HTC) services.

This will be accomplished through the following three objectives:

1. To build the capacity of health care providers for HTC services, including Provider-Initiated Testing and Counseling (PITC).

2. To support the provincial roll-out of the rapid national HIV testing and counseling algorithm.

3. To assess the feasibility of rolling out VCTQUAL-PNG as a method for performance monitoring and quality improvement of HTC services.

4. To build the capacity of local HTC sites to collect, manage, analyze and use data for program decision-making.

5. To strengthen data use and sharing between facilities, district, provincial and central levels through strengthened M&E systems.

6. To provide TA for the refinement of HTC guidelines for use in Family Support Centers (FSCs) and build capacity for their use at sites.

Major activities:

Conduct a regional training workshop on PITC for front-line TB health care workers staff including use of the national HIV rapid testing algorithm.

Conduct supervisory and performance monitoring visits to high-burden provinces rolling out rapid HIV testing to identify problems/solutions and provide ongoing mentorship to HTC staff.

Provide TA to adapt national HTC guidelines for use in Family Support Centers (FSCs) and with appropriate SOPs, indicators and reporting forms and M&E database system.

Conduct assessment on the readiness of adapting VCTQUAL during regularly scheduled bi-annual HIVQUAL.

Provide ongoing TA to strengthen the national HTC M&E system and provide ongoing TA to strengthen data collection, management, analysis and use at the national, provincial and facility levels.

Provide TA for expanded supervisory and monitoring visits to support the national roll-out of PITC HIV rapid testing algorithm.

Provide TA to FSCs to identify problems/ solutions and provide ongoing mentorship to FSC staff on the use of HTC guidelines and associated M&E system.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

**Not Provided**

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $20,000

The overall strategy and goal is to provide technical assistance to strengthen national PMTCT services and the national PMTCT M&E system.

This will be accomplished through the following three objectives:

1. To improve the quality of PMTCT service delivery.

2. To strengthen the national monitoring and evaluation system and operational planning.

3. To strengthen activities to address gender-based violence for women accessing PMTCT services.

Major activities:

Support regularly scheduled bi-annual workshop for five HIVQUAL- PNG pilot regional hospitals to review progress in implementing data collection and analysis and to build capacity to use performance results for PMTCT quality improvement purposes.

Provide TA to scale-up and expand HIVQUAL-PMTCT model to additional sites in collaboration with NDOH, provincial health departments and international and local NGOs.

Provide ongoing TA to strengthen the national PMTCT M&E system. This will include TA for the strengthening of associated data collection systems including revision of register and log books and computerized health information systems.

Strengthen the capacity of participating HIVQUAL-PNG PMTCT sites to use data for quality improvement and expand HIVQUAL to additional PMTCT sites.

Conduct a strategic assessment of PMTCT at HIVQUAL sites, including the basic analysis of M&E data, to inform development of program activities to address gender-based violence (GBV) services including linkages with Family Support Centers (FSC).

Funding for Treatment: Adult Treatment (HTXS): $30,000

The overall strategy and goal is to provide technical assistance to improve adult treatment services and the national M&E system.

This will be accomplished through the following three objectives:

1. To improve the quality of adult treatment services.

2. To strengthen the adult HIV treatment national monitoring and evaluation system.

3. To strengthen activities to address gender-based violence for women accessing adult treatment services.

Major activities:

Conduct regularly scheduled bi-annual workshop for the five HIVQUAL- PNG pilot regional hospital sites to review progress in implementing data collection and analysis and to build capacity to use performance results for quality improvement purposes.

Develop strategic plan and TA to scale-up and expand the adult HIVQUAL-PNG model to additional sites in collaboration with NDOH, provincial health departments and international and local NGOs.

As part of a planned NDOH-led inter-agency assessment, review and the national adult treatment M&E system and develop activity action plan for to strengthen data collection, management, analysis and use at the national, provincial and facility levels.

Conduct a strategic assessment of adult treatment sites (starting at HIVQUAL sites), including the basic analysis of M&E data, to inform program activities to address gender-based violence (GBV) services including linkages with Family Support Centers (FSC).

Provide TA for M&E capacity building and carry out program activities to address gender-based violence (GBV) services including linkages with FSCs.

Funding for Treatment: Pediatric Treatment (PDTX): $17,500

The overall strategy is to provide technical assistance to improve pediatric treatment services and the national M&E system.

This will be accomplished through the following three objectives:

1. To improve the quality of pediatric treatment services.

2. To strengthen the pediatric treatment national monitoring and evaluation system.

3. To strengthen activities to address gender-based violence for young girls accessing pediatric treatment services.

Major activities:

Conduct regularly scheduled bi-annual workshop for the five HIVQUAL- PNG pilot regional hospital sites to review progress in implementing data collection and analysis and to build capacity to use performance results for quality improvement purposes.

Develop strategic plan and TA to scale-up and expand the pediatric HIVQUAL-PNG model to additional sites in collaboration with NDOH, provincial health departments and international and local NGOs.

As part of a planned NDOH-led inter-agency assessment, review and the national pediatric treatment M&E system and develop activity action plan for to strengthen data collection, management, analysis and use at the national, provincial and facility levels.

Conduct a strategic assessment of pediatric treatment sites (starting at HIVQUAL sites), including the basic analysis of M&E data, to inform program activities to address gender-based violence (GBV) services including linkages with Family Support Centers (FSC).

Provide TA for M&E capacity building and carry out program activities to address gender-based violence (GBV) services including linkages with FSCs.

Cross Cutting Budget Categories and Known Amounts Total: $40,000
Gender: Gender Based Violence (GBV) $30,000
Key Populations: MSM and TG $10,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Tuberculosis