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
This is a continuing activity from FY 2008. No narrative required.
New/Continuing Activity: Continuing Activity
Continuing Activity: 12792
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
12792 8185.08 HHS/Health Catholic Relief 6303 3493.08 CRS $497,068
Resources Services Supplemental
Services
Administration
8185 8185.07 HHS/Health Catholic Relief 4326 3493.07 Catholic Relief $688,338
Resources Services Services
Services Supplemental
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
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 $40,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
ACTIVITY UNCHANGED FROM FY 2008:
In FY 2007, CRS/AIDSRelief (AR) began providing basic care and support (BCS; formerly "palliative care")
to 5,300 PLHIV at 14 sites. In FY 2008, AR is expected to provide BCS to 9,534 patients at 19 sites,
including 17 health centers and 2 District Hospitals. On-going FY 2009 BCS services will include WHO
clinical staging and baseline CD4 count for all patients; follow-up CD4 every six months, or every 3 months
for patients with CD4 cell counts < 500; management of OIs, STIs, and other HIV-related illnesses, in
accordance with national clinical guidelines; routine provision of cotrimoxazole (CTX) prophylaxis for eligible
adults, children and HIV-exposed infants, based on national guidelines; basic nutritional counseling and
support; positive living and risk reduction counseling; pain and symptom management; and end-of-life care.
In addition, AR will continue to provide psychosocial counseling, including counseling and referrals for HIV-
positive female victims of domestic violence. To ensure comprehensive services across a continuum, AR
will continue to refer patients enrolled in facility-based care services to community-based BCS services,
including adherence counseling, referral for long-lasting insecticide treated bed-nets (LLINs), spiritual
support, stigma reducing activities, OVC support, IGA activities, and home-based care (HBC) services for
end-of-life care. Through SCMS, AR will provide diagnostic kits, CD4 tests, and other exams for clinical
monitoring, and will work with SCMS for the appropriate storage, stock management, and reporting of all OI
and STI-related commodities.
In FY 2009, AR will expand its services to provide BCS for 9,534 existing patients and an additional 1,950
new patients at 19 existing sites and 1 new site. Expanded services will emphasize quality of care via the
Continuous Quality Improvement program, continuum of care through continued network linkages with
community-based organizations, and sustainability of services through performance based financing (PBF).
Strengthened nutritional services through training and provision of nutritional care will include counseling;
nutritional assessments using anthropometric indicators; management of malnutrition through provision of
micronutrient and multivitamin supplements; and links to Title II food support for clinically eligible PLHIV and
children in line with national nutrition guidelines. AR will also support referrals for all PLHIV and their
families for malaria prevention services, including for the provision of LLITNs, in collaboration with CHAMP,
GFATM, and PMI; and referral of PLHIV and their families to CHAMP CBOs and other community-service
providers for distribution of water purification kits and hygiene health education. Strengthened psychological
and spiritual support services for PLHIV at clinic and community levels will be done through expanded
TRACPlus training in psychological support for all AR-supported health facilities and community-based
providers, including gender-based violence (GBV) counseling, positive living, and counseling on prevention
with positives (PwP).
In addition, the MOH has started implementing a new community health policy in FY 2008. The policy calls
for the election of male and female leaders for every 100 households to lead community health activities,
organize other community volunteers into associations and supervise their activities. With the assumption of
20 community health leaders per each health facility, AR will support 20 facilities to train, equip, and
supervise 400 community health leads. They will also organize periodic meetings to ensure quality and
coverage of community-based HIV services and linkages between communities and facilities. In addition to
these health community leads, AR will also train 137 health care workers. The facility-based case
managers, health community leads, health care workers, and community-based volunteers constitute an
effective system that ensures continuum, coverage and quality of care and support for PLWHA.
In order to ensure a continuum of HIV care, AR, in collaboration with CHAMP, will recruit case managers at
each of the supported sites. These case managers, with training in HIV patient follow-up, will ensure
referrals to care services for pediatric patients identified through PMTCT programs, PLHIV associations,
malnutrition centers, and OVC programs. To do this, the case managers will have planning sessions with
facilities and community-based service providers and OVC services providers for more efficient use of
patient referral slips to ensure timely enrollment in care and treatment for children diagnosed with HIV/AIDS.
Case managers will conduct regular case reviews with other partners included in the referral system to
review the effectiveness of the system, identify challenges and design common strategies to overcome any
barrier to pediatric patients routing between services. In addition, adult patients enrolled in care will be
encouraged to have their children tested and infected persons taken to HIV care and treatment sites.
AR-supported sites will assess individual PLHIV needs, organize monthly clinic-wide case management
meetings to minimize follow-up loss of patients, and provide direct oversight of community volunteers. The
community volunteers will be organized in associations motivated through community PBF based on the
number of patients they assist and quality of services provided. CRS will work with CHAMP to develop
effective referral systems between clinical care providers and psychosocial and livelihood support services,
through the use of patient routing slips for referrals and counter referrals from community to facilities and
vice versa. Depending on the needs of individuals and families, health facilities will refer PLHIV to
community-based HBC services, adherence counseling, spiritual support through church-based programs,
stigma reducing activities, CHAMP-funded OVC support, IGA activities (particularly for PLHIV female- and
child-headed households), legal support services, and community-based pain management and end-of-life
care in line with national palliative care guidelines.
PBF is a major component of the Rwanda PEPFAR strategy for ensuring long-term sustainability and
maximizing performance and quality of services. In coordination with the HIV PBF project, CRS will shift
some of their support from input to output financing based on sites' performance in improving key national
HIV performance and quality indicators. Full or partially reduced payment of palliative care and other
indicators is contingent upon the quality of general health services as measured by the score obtained using
the standardized national Quality Supervision tool. District health teams (DHTs) now play a critical role in
the oversight and management of clinical and community service delivery. AR will strengthen the capacity of
two DHTs to coordinate an effective network of palliative care and other HIV/AIDS services. The basic
package of financial and technical support includes staff for oversight and implementation, transportation,
communication, training of providers, and other support to carry out key responsibilities.
Increasing pediatric patient enrollment is a major priority for all PEPFAR clinical partners in FY 2009.
Activity Narrative: Rwanda has few available pediatricians. To expand quality pediatric care, AR will train other clinical
providers, using the innovative model developed in FY 2006 and continuing through FY 2009. AR will
support health facilities to refer HIV-positive children to OVC programming for access to education, medical,
social and legal services. AR will also support sites to identify and support women who may be vulnerable
when disclosing their HIV status to their partner, and include in counseling the role of alcohol in contributing
to high-risk behaviors.
This activity addresses the key legislative areas of gender, wrap around for food, microfinance and other
activities, and stigma and discrimination through increased community participation in care and support of
PLHIV.
Continuing Activity: 12794
12794 4989.08 HHS/Health Catholic Relief 6303 3493.08 CRS $450,246
7163 4989.07 HHS/Health Catholic Relief 4326 3493.07 Catholic Relief $221,340
4989 4989.06 HHS/Health Catholic Relief 3493 3493.06 Catholic Relief $56,300
Estimated amount of funding that is planned for Human Capacity Development $105,000
Table 3.3.08:
THIS IS A CONTINUING ACTIVITY FROM FY 2008, ALREADY APPROVED
Continuing Activity: 12797
12797 4849.08 HHS/Health Catholic Relief 6303 3493.08 CRS $2,730,500
7161 4849.07 HHS/Health Catholic Relief 4326 3493.07 Catholic Relief $950,011
4849 4849.06 HHS/Health Catholic Relief 3493 3493.06 Catholic Relief $471,975
Table 3.3.09:
AIDSRELIEF (AR) is one of the USG partners providing HIV care and treatment services for HIV-infected
adults and children in Rwanda. As for October 2008, the program has 19 sites in 2 districts. Of these
facilities 19 provide PMTCT, 15 provide ART for adults and for children, and have VCT, PMTCT and ART
(for adults and children) co-located in the same premises. These facilities are located in 2 districts of the 2
provinces of Rwanda. In
FY 2008, AR provided a comprehensive package of basic care and support services to 637 HIV-infected
children and treatment to 385, at 12 sites. This package of services, is provided in collaboration with local
community service providers and includes, co-trimoxazole prophylaxis, nutrition counseling and food
support, insecticide treated nets (ITN) and safe water interventions. In addition, AR provides follow-up
services for HIV-exposed infants who are followed-up and maintained on co-trimoxazole prophylaxis until
confirmation of their HIV status can be obtained. For FY 2009, AR will continue to provide the same
package to 1148 HIV-infected children and HIV-exposed infants and increase treatment services for 689
children at its 12 existing sites.
To address the need to expand diagnosis of HIV in the pediatric population AR will increase testing for
targeted pediatric populations within the catchment area of its existing sites. Using each HIV adult patient
enrolled in care and treatment at AR-supported sites, as an index case, AR will offer HIV-testing for their
partners and children and enroll the infected family member/s into care and treatment services. AR-
supported sites will link with OVC service providers operating in its supported districts to offer HIV testing
services for children, according to national guidelines, and ensure enrollment of HIV-infected children into
care and treatment services. In addition, AR-supported sites will link with malnutrition and TB centers within
their facilities or at specialized sites located in the vicinity to provide HIV testing to all pediatric in- and out-
patients and enroll the infected children into care and treatment services. AR will also work to establish and
strengthen linkages with PLHIV associations in the local network, and the administrative district authorities
and health teams to support activities to increase awareness in communities on issues related to pediatric
HIV to increase pediatric HIV testing and enrollment into care.
At PMTCT sites, enhanced follow-up of mothers and exposed infants will be promoted through support
groups of HIV-infected women based on the mother-to-mother model. In this model, women who
demonstrate steady consultation attendance and good baby care are identified and used to coach new HIV-
positive mothers during pregnancy and after delivery to ensure that both women and their infants access
needed services. During these groups sessions AR will provide ITNs, nutrition counseling, enhancing
family food support through training for improved home gardening and animal breading techniques, and
provide food supplementation to mother infant pairs. This last activity is conducted in collaboration with a
Prime PEPFAR funded Community Partner, the World Food Program (WFP), and the
CRS/ACDIVOCA/World Vision consortium. In addition, AIDSRELIEF-supported sites will provide health
education on safe water and provision of water purification products. HIV-exposed infants identified at
PMTCT sites will be followed in the context of existing MCH services offered at existing AIDSRELIEF sites.
Mother and infant information will be transferred from PMTCT to other MCH programs through the "carte de
liaison" currently in use in Rwanda as a means to transfer relevant HIV information between PMTCT and
MCH programs. Early infant diagnosis services, now available at 5 of AIDSRELIEF supported sites, will be
expanded to increase full coverage of sites by end of FY09. EID will be offered at six weeks of age and at
later ages for symptomatic infants less than 18 months of age according to the national algorithm.
AIDSRELIEF will also work with the district health teams to ensure that samples collected at the sites are
transferred efficiently to the processing lab at the National Reference Laboratory in Kigali and work with the
MOH to increase reliability of result turn-around times.
At AIDSRELIEF-supported sites HIV-infected children will be staged clinically and using CD4 (counts or
percentages as these become available) and eligible infants and children will be enrolled in ART.
AIDSRELIEF will work with other clinical implementing partners and the MOH to train health care providers
on newly updated pediatric HIV treatment guidelines which include changes for early treatment of HIV-
infected infants and changes in CD4 thresholds for treatment initiation of children between 36 and 59
months of age. Systematic chart reviews to identify children now eligible for treatment based on new CD4
cut-offs will be initiated in FY 2008.
All pediatric patients will have regular anthropometric evaluations to identify early signs of malnutrition and
ensure prompt initiation of nutrition rehabilitation interventions. Newly identified patients will be screened at
enrollment and at regular intervals for signs and symptoms of common opportunistic infections or other
infectious complications of HIV in children, including: candidiasis, pneumonia, malaria, meningitis, and PCP.
In addition, all pediatric patients will be screened for TB at least once every six months. Children suspected
of having TB will be further investigated and put on TB treatment or INH prophylaxis if infection or exposure
is confirmed based on current national guidance. Additionally, infants and children on ART will also be
assessed at each visit for issues related to adverse events, toxicity and adherence to ART. Staff will be
trained to ensure, as much as possible, the early detection of signs of immunologic and clinical failure and
initiation of second line treatment regimens based on national guidance.
Because HIV-exposed, infected and affected children do not have the same level of vulnerability and risk of
death as non-infected or affected population AIDSRELIEF will work to implement a system to assess
vulnerability and will conduct home visits for families with HIV-infected children in order to identify and
manage accordingly those that need special attention.
Pediatric HIV care and treatment programs in Rwanda face many challenges, including the need for
increased numbers of qualified trained pediatric health care providers. AIDSRELIEF will ensure that site-
level providers are trained or receive refresher training session in pediatric HIV patient management,
according to national guidelines. Providers will receive regularly planned in-service trainings and coaching
sessions. In collaboration with AIDSRelief, and TRAC-plus, AIDSRELIEF has dedicated staff to be part of
the national mentoring team, who will provide continued mentoring to clinical staff at AIDSRELIEF
supported sites in addition to national level mentoring. Mentor staff will, in turn, train hospital and health
Activity Narrative: center service providers in pediatric clinical HIV care, palliative care, patient record-keeping, data recording
and use, and quality performance measurement and improvement. AIDSRELIEF will continue to promote
staff retention and motivation at supported sites through innovative ways including continued training for
individual staff skills development and offering continuous technical support to successfully implement a
performance-based financing model of service delivery which provides staff bonus awards to high scoring
sites.
Through work with the Supply Chain Management System (SCMS) and CAMERWA, the national
pharmaceutical warehouse, the district-level pharmacy,, the National Reference Laboratory (NRL) and the
regional laboratory network, AIDSRELIEF will ensure training of health service providers on HIV
opportunistic infections, drug and reagent stock management and distribution, adherence counseling, good
pharmacy record-keeping and data use. AIDSRELIEF will collaborate with health facilities to survey energy
needs for proper operation of laboratories, IT equipment and storage facilities. Sites in need of back-up or
extended power supplies will be equipped with solar-based energy sources.
In FY 2008, AIDSRELIEF has worked closely with CIDC to implement a mentoring program to train health
care providers in adult and pediatric HIV and HIV/TB management. This program will continue in FY 2009
to support the building of capacity at site and district level to provide quality clinical services for children.
510 health care providers from 19 sites at 2 districts will receive training through this mentorship program.
Efforts to rapidly disseminate and begin implementation of new treatment guidelines for infants and children
will be greatly supported through this effort. In addition AIDS Relief will continue to train managers and
health service providers in the use of patient data software. Pediatric HIV care indicators will be linked to
PMTCT indicators in the database for better follow-up of infants exposed to HIV. With improved data on
pediatric HIV care, AIDSRELIEF, in collaboration with CIDC, the national performance-based program, and
the HIVQUAL project will support health facilities to build and sustain a system of quality performance
measurement, improvement. This system will use basic pediatric HIV care and support and treatment data
as a source to regularly review program performance and design/implement appropriate interventions to
improve the quality of services provided to children and their families. AIDSRELIEF staff in charge of each
district will ensure that meetings to review internal data take place on a regular basis and that the
improvement plan is implemented at individual sites. Yearly, district-level meetings are planned where each
facility will share their performance data and improvement strategies. AIDSRELIEF will ensure that pediatric
HIV care is integrated with adult HIV care and that the family approach is reinforced.
Estimated amount of funding that is planned for Human Capacity Development $261,681
Table 3.3.10:
Estimated amount of funding that is planned for Human Capacity Development $255,311
Table 3.3.11:
ACTIVITY UNCHANGED FROM FY 2008.
AIDS Relief's (AR) strategy for TB/HIV is to ensure effective roll out of the one stop service by ensuring that
all clients with HIV infection in Local Partners Treatment Facilities (LPTFs) are routinely screened for TB;
and patients with TB have access to HIV counseling and testing (HCT). Dually infected clients are offered
appropriate care within and outside the LPTF. In FY 2008, AR is supporting 19 LPTFs in 2 provinces: 4
LPTF with PMTCT/VCT services only and 14 with ART. In FY 2009, AR will add one additional site while
assuring complete VCT/PMCT/ART services to a total of 20 LPTFs in Nyamasheke regions/province. In
setting and achieving FY 2009 targets, consideration has been given to modulating AR's rapid FY 2008
scale up plans in order to concomitantly work towards continuous quality improvement.
Screening & treatment targets: During FY 2009 95% of all planned 11,484 HIV positive patients enrolled in
care at AR supported sites will be screened for signs of TB using the "5 questions" for TB screening and
from these an estimated 2% of all screened are expected to be diagnosed and treated for TB. This is based
on FY 2008 figures whereby 9543 patients will be screened for TB and of these, an estimated 130 will be
found to be positive (~1.5%). However, we expect to increase the percentage of those who screen positive
who will be diagnose and treated for TB from 1.5% to 3% in FY 2009 by supporting sites to improve
diagnostic and treatment skills, especially AFB negative patients. Of those found to be positive to any of the
TB screening questions 97% will have sputum AFB done if they can produce sputum. This will be collected
and transported from treatment centers to the TB diagnostic centers or done directly in the diagnostic
centers for others. TB screening of PLWHA that screen positive but cannot produce sputum will be
managed using the practical approach to lung health (PAL) at the district hospitals (DH). A referral/network
linkage system and support between health center (HC) and DH and the community will be enhanced to
ensure an effective running of this activity in collaboration with the Rwandan TB program. This linkage
system includes supporting patient transport for x-ray and care at district hospitals; supporting TB/HIV
nurses by providing tracking tool and a communication system for following up on results of referrals and
care between health centers and hospitals. Trained Community health care providers will also assure
screening at home for TB symptoms among PLHIV and refer suspects to LPTF, conduct home visits to
assure adherence to antiTB medications and ART, and trace family members of PLHIV accessing TB/HIV
services and facilitate their TB screening and appropriate care. All TB patients will be offered HIV
counseling and testing services at both the DH and the HC. Laboratory diagnostic capacity will be upgraded
and human capacity developed to ensure adequate TB diagnosis for PLWHA. Through basic care and
support services all patients with TB disease and HIV infection will be put on cotrimoxazole prophylaxis
therapy (CPT).
TB Infection control: AR will ensure proper patient triage, specimen collection, waste disposal, proper
ventilation and administrative control activities such as active identification of those with TB symptoms,
patient segregation, availability and use of infection control job aids. TB infection prevention and control will
be accomplished using these work practices and administrative measures. Patient and staff education will
be routinely conducted to ensure program success. AR will adopt joint adherence strategies for patients on
ARVs and TB DOTS including treatment preparation sessions and follow-up in community by trained health
care providers. AR will strengthen the facilities' capacity to meet special needs of PLWHA on both ART and
anti-TB treatment assuring cross-training of staff, one-stop service for co-infected, improving communication
between services and providers and facilities. Nosocomial transmission of TB to patients with HIV infection
will be prevented through measures and principles such as basic hygiene (e.g., cough etiquette training),
proper sputum disposal, isolation of known TB cases, and good cross ventilation at clinics.
Patients screened and treated for TB and TB/HIV will be entered into AR updated IQChart patient record
system and regularly submitted in the national TB program reporting tool with appropriate linkages of
medical records between TB and HIV points of service.
Trainings & patient's support: AR will train 44 healthcare workers (HCW) in TB/HIV management at both the
DH and the HC. Twenty medical records staff will be trained on data collection for suspected and diagnosed
TB cases. Four doctors from the two district hospitals, 20 nurses (2 from each FOSA) and twenty
community health worker (CHWs) leaders (one from each FOSA) will be trained on x-ray diagnosis, clinical
management, and care of patients with TB/HIV co-infection which will be complemented by onsite
preceptorships and mentoring to enhance case finding. 640 Community health workers (CHWs), treatment
support specialists, and members of support groups will be trained to screen and refer for TB symptoms,
assist with patient adherence to ART and anti-TB drugs and contact tracing of patients. Trainings will also
be expanded to include TB infection control for both hospital administrators and HCW. All AR TB staff will
be trained/ retrained to enhance TB diagnostic and management skills.
Quality improvement program: In FY 2009, AR will strengthen its program for Continuous Quality
Improvement (CQI) to improve and institutionalize quality interventions. AR CQI specialist who will be
supervised by a the CQI Advisor will be responsible for collaborating with LPTF quality assurance
committees to spearhead CQI activities in TB/HIV care. This will include standardizing patient medical
records to ensure proper record keeping and continuity of care at all LPTFs. AR TB/HIV activities that will
be addressed include program level reporting to enhance the effectiveness and efficiency of both paper
based and computer based Patient Monitoring and Management (PMM) systems using IQ charts and
assuring data quality across all LPTFs.
TB Pathology: AR will continue its TB FNA pathology pilot activities of training, procurement and personnel
support. AR will also expand district level capacity to diagnose extrapulmonary TB using Fine Needle
Aspirate (FNA). Our plans for scaling up include expanding our in country operations by collaborating with
UMSOM-IHV TB/Pathology programs at the National Reference Laboratory (NRL) and the University
Teaching Laboratories of CHUB, CHUK plus regional TB hospitals to increase mentoring and training for
physicians in 2 DH in Nyamasheke. Further plans include establishing the telepathology unit at CHUB
where UMSOM-IHV pathologists will review and compare slides via internet and assist in providing accurate
diagnoses on difficult cases by collaborating with the pathologists in Rwanda. We will support
decentralization of this capacity through implementation and training on the use of radiology equipment with
Activity Narrative: telepathology technology already present in Nyamasheke district hospitals. In turn, the Rwandan
pathologists (supported by UMSOM-IHV) will assist the DH in Nyamasheke by reviewing slides via internet
for improved TB diagnostic ability. AR will hire an additional pathologist to assist in the decentralization and
training efforts.
As part of the clinical mentoring program with TRACPlus/CIDC, we will continue to strengthen the national
TB program through better integration of TB and HIV services at all levels leading to better TB treatment
outcomes. Particularly the focus will be on increasing diagnosis and treatment of TB among PLHIV and
support the national scale out of HIV testing among patients with TB.
AR's team will work with the DH team to conduct formalized site visits at least quarterly during which there
will be evaluations of TB/HIV clinic services, TB laboratory services, infection control practices, utilization of
National tools and guidelines, proper medical record keeping, patient follow-up and referral coordination. On
-site TA/supportive supervision with more frequent follow-up monitoring visits will be provided to address
weaknesses when identified during routine monitoring visits. Each of these activities will highlight
opportunities for improvement of clinical practices.
Sustainability lies at the heart of the AR program with focus on technical, organizational, funding, policy and
advocacy dimensions. Through its comprehensive approach to programming, AR will increase access to
quality care and treatment, while simultaneously strengthening NRL, TRACPlus/CIDC, CHUB, CHUK and
health facility systems. All activities will continue to be implemented in close collaboration with the GOR and
the district health teams to ensure coordination and information sharing, thus promoting long-term
sustainability. Health systems strengthening will include human resource support and management,
financial management, infrastructure improvement, and strengthening of health management information
systems.
Continuing Activity: 16863
16863 16863.08 HHS/Health Catholic Relief 6303 3493.08 CRS $1,035,891
Estimated amount of funding that is planned for Human Capacity Development $450,000
Table 3.3.12:
Continuing Activity: 12796
12796 8164.08 HHS/Health Catholic Relief 6303 3493.08 CRS $94,356
8164 8164.07 HHS/Health Catholic Relief 4326 3493.07 Catholic Relief $71,900
* Addressing male norms and behaviors
Table 3.3.14:
