Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 10791
Country/Region: Côte d'Ivoire
Year: 2013
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $400,000

Note: To align the UTAP budget and new COP submission cycles, FY 2012 funding will support activities through March 2014.

Goal: To improve government of Cote dIvoire (GoCI) capacity to reduce the mortality of people living with HIV/AIDS and prevent HIV in newborns by increasing access to high-quality PMTCT and care and treatment services and to cervical cancer prevention.

Objectives are to 1) evaluate implementation of standards based management and recognition (SBM-R) quality improvement approach at 40 pilot sites; 2) assist the GoCI in rolling out cervical cancer prevention (CECAP); 3) support the GoCI to implement a task shifting policy; 4) integrate HIV and OVC content into curricula at national training schools (INFS and ENSEP).

Cost-efficiencies will be pursued through SBM-R, which improves performance and decreases inefficiencies; task shifting, which enables nurses to provide treatment at a lower cost; curriculum work enabling graduates to provide OVC services without additional training; and single-visit cervical cancer screening.

To transition to Ivoirian entities, JHPIEGO works with national entities and district health directors.

For quality M&E, JHPIEGO will strengthen CECAP M&E using lessons learned from other CECAP country programs. For SBM-R, JHPIEGO will develop appropriate outcome indicators beyond improved adherence to standards. For task shifting, JHPIEGO is evaluating the pilot project.

Vehicles: Through COP11:1. New in COP12:1 ($40,000), to work closely with health districts for the national roll-out of programs. For life of mechanism: 2.

Funding for Care: Adult Care and Support (HBHC): $400,000

For COP 12, Jhpiego will continue to support activities for cervical cancer prevention and treatment (CECAP) for women living with HIV and AIDS to ensure that women receive high quality care at 20 health facilities and 2 referral sites. Jhpiego will also assist the government on a national level to roll out cervical cancer prevention programs. To do this, Jhpiego will:

Collaborate with Ivorian government to develop CECAP policies and training materials (guidelines, training toolkits, , monitoring and evaluation tools)

Assist in monitoring the implementation of cervical cancer prevention and treatment in the 22 existing sites

Work closely with the national HIV/AIDS care and treatment program (PNPEC) and health districts to train regional trainers

Continue to participate and facilite the CECAP technical working group (TWG)

Work with Ministry of Health and AIDS department of maintenance to train indicated persons in maintaining cryotherapy and LEEP machines

Work with CECAP TWG to develop CECAP information and education materials (pamphlets, flipcharts, etc) and print copies for use at sites

Establish a linkage system to the labs for women with large lesions to provide treatment (LEEP)

Subpartners Total: $0
Columbia University: NA
Cross Cutting Budget Categories and Known Amounts Total: $400,000
Human Resources for Health $400,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Child Survival Activities
End-of-Program Evaluation
Family Planning