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.

ICAP will provide focused support to the national adult and pediatric HIV treatment program which includes the military health care service delivery sites through:

1) Targeted technical assistance to improve the quality of services delivered, in particular to support patient adherence and retention to minimize disruptions among those on ART. This will enhance the impact of the limited funding available for treatment, as well as minimize the chance for transmission of drug-resistant virus.

2) Strengthening pre-ART services and monitoring and tracking systems to keep this population engaged in care and ready to start ART when resources become available.

3) Focusing this support in high-impact geographic areas and populations at greatest risk, such as the states of Western (WE) and Central Equatoria (CE)

ICAP will provide ongoing mentoring and supportive supervision for improved service delivery at selected ART sites in high prevalence areas with specific emphasis on improved retention and adherence. Additional strategies to promote retention of both ART and pre-ART patients will be pursued including decentralization of care by training additional healthcare workers and counselors in the provision of preventive care package (cotrimoxazole, TB screening, condoms, prevention education) for individuals in pre-ART as well as access to every six month CD4 testing, and consideration for decentralized care for those on ART.

ICAP will provide ongoing training of clinical officers, nurses and other health care workers at the selected ART sites. The training will cover HTC including PITC, clinical and laboratory monitoring of ART patients, OIs and STIs screening and management, national ART treatment guidelines with the emphasis on appropriate use of ARVs, and how to design a

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.