Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11982
Country/Region: Angola
Year: 2010
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: CDC National Information Prevention Network
Organizational Type: Parastatal
Funding Agency: HHS/CDC
Total Funding: $605,000

Narrative Overview

Currently, CDC provides direct technical assistance in the implementation of host government program activities. In addition, CDC also brings experts from headquarters and other countries to assist in a variety of areas.


A strong national public-health laboratory network is the cornerstone of a strong response to HIV/AIDS. The laboratory advisor and other experts are building capacity for high-quality laboratory services to assist with the rapid expansion of HIV treatment, and the accompanying need for HIV diagnosis and associated care. They have provided training and on going support for the following:

HIV diagnostics and HIV incidence testing;

Hematology, chemistry, and CD4 testing;

TB/opportunistic infection (OI) testing;

Antiretroviral therapy resistance testing;

Dried blood spot polymerase chain reaction (DBS-PCR) for early infant diagnosis;

Viral load monitoring; and

Quality control and quality assurance of laboratories and testing activities.

This support will continue in FY10.

SI/Monitoring and Evaluation and Surveillance

The capacity of resource-constrained nations to strategically collect and use information for program accountability and improvement is critical for sustainability. CDC experts collaborate with the GRA to build surveillance capacity and ensure evidence-based programming.

To better understand the relationships among population, HIV prevalence, and existing services, CDC staff members:

Build in-country capacity to design, implement, and evaluate HIV/AIDS-related surveillance systems and surveys; and assist and train on how to analyze, disseminate, and use HIV/AIDS data;

Develop tools, guidelines, recommendations, and policies to translate research for improved planning and program implementation; and

Evaluate and implement novel approaches for conducting surveillance and surveys.

To assist countries to assess and improve HIV/AIDS programs through effective monitoring and evaluation (M&E) at the local, regional, and national levels, CDC staff members:

Increase country capacity to monitor, evaluate, and report on process, outcomes, and impact of HIV/AIDS programs;

Help to lead public-health evaluations, that ensure interventions are scientifically sound and delivered as effectively and efficiently as possible; and

Provide technical assistance on the development and implementation of planning and reporting systems.


FELTP is tailored to strengthen public health capacity in accordance with Angola's culture, national priorities, established relationships, and existing public health infrastructure. In addition, to establish an FELTP, CDC will provide MOH with an in-country resident advisor to help guide training and technical assistance.

The CDC Resident Advisor (RA) to the Field Epidemiology and Laboratory Training Program (FELTP) supports the Angolan Ministry of Health (MOH) by providing technical assistance in the planning and implementation of an FELTP to meet national epidemiologic needs. The major goals of the FELTP are to 1) provide essential epidemiologic services to the MOH; 2) train teams of medical epidemiologists and public health laboratorians within the MOH; and 3) strengthen the public health system's capacity and infrastructure of MOH. The RA will collaborate with a national counterpart, the FELTP Director, in conducting day-to-day and strategic activities of the FELTP.

CDC's roles and responsibilities for A-FELTP are as follows:

Assist with securing funds for the program and its activities during the first five years;

Provide technical assistance and support to program, including during field assignments;

Supply reference, training and teaching materials;

Facilitate exchange of experiences from other country Field Epidemiology Training Programs (FETPs);

Participate in overall monitoring and evaluation of trainees; and

Serve on the A-FELTP steering committee.

Funding for Health Systems Strengthening (OHSS): $500,000

In 2010, CDC will:

Finalize, along with Angola MOH and other partners, an integrated and sustainable training plan to build evidence-based public health capacity;

Finalize curriculum and facilitate courses in epidemiology, surveillance, outbreak investigation, biostatistics, among others, along with local faculty, MOH staff, and other guest lecturers;

Work with MOH counterparts to finalize guidelines trainee selection;

Work with MOH counterparts to finalize field site guidelines and obtain site commitments for participation;

Provide supervision, mentoring, and support to program director or other designated local point person as they assume leadership responsibility and overall program management responsibility; and

Provide TA for faculty.

Funding for Laboratory Infrastructure (HLAB): $105,000

With PFIP funding, CDC will provide technical assistance to implement the following laboratory activities in FY 2010:

Training will be provided to the molecular biology laboratory technicians from both the Public Health Institute and the National AIDS Institute on HIV sequencing and genotyping. The country currently has one national reference laboratory that is equipped with the required equipment for sequencing protocols; however technical assistance is necessary to build the country's capacity to implement ARV resistance testing and other diagnostic techniques for HIV and Opportunistic infections.

Invitational travel for Laboratory technicians to attend CDC sponsored meetings and regional conferences will be supported as part of the capacity- building and soutn to south experience- sharing efforts.

"On-the-job" training for laboratory technicians at the provincial level will be provided in Serology, CD4, TB microscopy, Hematology and Biochemistry techniques . Laboratory technicians who successfully complete the training will become trainers-of-trainers and begin training lab technicians at the municipal level laboratories. Technical assistance will be provided to develop a laboratory certification process to achieve sustainable quality improvement systems.

Angola is piloting its Early Infant Diagnosis (EID) Program at 4 PMTCT sites in Luanda. CDC is providing technical assistance for Dry Blood Spot sample collection and laboratory molecular PCR assay implementation and is part of the technical group led by the National AIDS Institute. The Angolan EID pilotis is leveraged and coordinated with the Clinton Foundation that is supporting the country with sample collection consumables and reagents during the first phase of program expansion. CDC plans to support the expansion of EID with training and supervisory visits for sample collection, storage and transportation; as well as developing registration and collection procedures in Cunene and other designated provinces. Capacity building efforts at the reference laboratory will include assessment of the quality of sample collected for testing, storage and transportation procedures, and documentation and recording challenges.