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.

Catholic Medical Mission Board (CMMB) is implementing the ANISA project in Western Equatoria State to strengthen clinical and public health services in order to prevent and reduce the impact of HIV in South Sudan. Western Equatoria State’s (WES) HIV prevalence rate of 7.2% (2009 ANC Surveillance Survey) is the highest in South Sudan. The ANISA project is being implemented in the four most western counties of WES – Yambio, Nzara, Ezo and Ibba which are also thought to have the highest burden of HIV in the country. The ANISA project supports the Ministry of Health by working within and strengthening the existing government health care system. The ANISA project trains and mentors government staff at the facilities as well as conducts policy and related workshops for county level health officials. Project training is extended to and conducted with local health workers in all ten counties in WES.

In the final year of the project, CMMB will consolidate the achievements, best practices and prepare the project for handover to the Ministry of Health (MOH) and other partners specifically focusing on the following:

• HIV testing and counseling that began as VCT clinics will be transformed into provider-initiated counseling and testing (PCT) delivered by CMMB- and PEPFAR-trained health workers;

• PMTCT programs will transition to Option B+ and will be integrated into ANC clinics and labor & delivery, delivered by trained and mentored health workers;

• Care and support of PLHIV activities will be delivered by both social support groups and health workers; and,

• The primary prevention team will support the MOH in strengthening facility and community-based prevention programs

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.