Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013

Details for Mechanism ID: 14245
Country/Region: Angola
Year: 2012
Main Partner: Mott MacDonald
Main Partner Program: Health and Development Africa
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

In most countries HIV prevalence rates in prisons are several times higher than in the community outside prisons. The high prevalence of HIV infection among prisoners and pre-trial detainees combined with overcrowded and under resourced facilities, make prisons and other detention centers a high risk environment for the transmission of HIV and other infections diseases compared to the general population. Existing data points to numerous contributing factors to HIV transmission in prisons in Africa ranging from overcrowding and a lack of resources to provide adequate health services to high-risk sexual and other social behaviors; such as tattooing and injecting drug use. Tuberculosis (TB) is also common among incarcerated populations and in some countries it has been estimated that TB infection is 100 times more common in prisons. The BSS survey objectives are to: 1) Examine attitudes, patterns of sexual behavior, and perceptions of risk related to HIV and STDs among male and female prisoners and staff; 2) Explore the relationship among socio-demographic, behavioral and contextual factors and HIV and syphilis prevalence; 3) Estimate HIV and syphilis prevalence in the study population; 4) Develop capacity within the Ministry of Health to implement subsequent BSS surveys among most at risk populations for HIV; and 5) Estimate Tuberculosis prevalence in the study population, by conducting TB screening and testing. Results of the study will be used to produce main findings, conclusions and recommendations related to HIV prevention and intervention responses. These data will help inform program managers and planners in developing infectious disease (specifically HIV/AIDS; TB; and STD) intervention strategies and service delivery mechanisms in prison settings.

Funding for Strategic Information (HVSI): $0

Health and Development Africa will accomplish the following activities during fiscal year 2012.1. Obtain approval of relevant IRBs or other appropriate body.a. Develop a comprehensive, cross-cutting protocol that includes behavioral and serologic data collection among male prisoners.b. Obtain required Institutional Review Board approvals or exemptions.

2. Survey implementation and data collectiona. Recruit study participants.b. Conduct in-depth interviews with eligible participants.c. Provide HIV counseling and testing services.d. Collect specimen for syphilis and HIV.e. Provide clinical services and referrals for participants with positive test results and participants with STI complaints.f. Participants with reactive tests results are referred to designated clinics.

3. Data analysis and disseminationa. Analyze both quantitative and quality data collected.b. Summarize analyses.

4. Dissemination of Resultsa. Prepare final written report of findings.b. Disseminate information, in writing and orally, to stakeholders. This mechansim is funding using FY 2009 carryover funds in the amount of $389,173.

Subpartners Total: $0
New Partner: NA