Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5334
Country/Region: Côte d'Ivoire
Year: 2007
Main Partner: American International Health Alliance
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/HRSA
Total Funding: $170,000

Funding for Testing: HIV Testing and Counseling (HVCT): $170,000

The AIHA Twinning Center's new CT project, awarded PEPFAR funding in September 2006, is designed to twin the technical expertise of a leading Kenyan NGO and the local infrastructure of sub-grantees to strengthen HIV CT services in Cote d'Ivoire.

The project, a partnership between Liverpool VCT (LVCT) of Nairobi and a CI entity or entities to be designated by the USG team in consultation with CI stakeholders, proposes to support quality-assured scale-up of comprehensive CT services through technical assistance to the local partner, other local NGO/CBO/FBOs, technical ministries, and other PEPFAR partners for training, supervision, evaluation, policy and standards development, accreditation, and quality assurance. The Twinning Center will provide a sub-grant, administrative support, and supervision for the partnership and may draw on ESTHER (Ensemble pour une Solidarité Thérapeutique Hospitalière en Réseau) of France or ICAD (Interagency Coalition on AIDS and Development) of Canada for technical assistance in French.

LVCT, established in 1998, has partnered with the government of Kenya in scaling up CT services in resource-poor settings and has been central to the development of standards and guidelines for CT as well as the legal bases for registration, licensure, and accreditation of CT sites. Of the nearly 800 CT sites in Kenya, LVCT has helped to establish more than 400; of those, 150 have "graduated" to be managed by the Kenyan government, CBOs, or FBOs. For the remaining 250 sites, LVCT provides staff, basic training, refresher training, supervision, and quality-assurance guidance. LVCT has also trained more than 70% of all CT counselors in Kenya. Through its strong targeted-evaluation program, LVCT contributes to evidence-based policy formulation and programming. LVCT has also spearheaded gender-equitable provision of HIV/AIDS prevention, care, and treatment services with particular emphasis on improving access to services for groups with special needs, including victims of sexual violence, the deaf, and men who have sex with men. It is anticipated that this partnership will support similar efforts in Cote d'Ivoire.

Based on LVCT's track record and local needs and opportunities, in accordance with PEPFAR and national strategic plans and in coordination with the USG team and national authorities, this partnership will use FY07 funds to increase the speed and quality of CT scale-up through: . Technical assistance and training for PEPFAR partners and others in CT provision and promotion . Technical assistance and training in supervision and quality assurance . Review of CT policies, guidelines, and standards

Working mainly in the emphasis areas of local organizational capacity development, quality assurance and supportive supervision, and policy and guidelines, and on the key legislative issues of twinning and stigma/discrimination, FY07-funded activities will work with the MOH and EP partners such as ANS-CI, CARE, ANADER, EGPAF and ACONDA and their CBO/FBO implementing partners to help improve quality of CT services (reaching at least 30,000 persons) and will train at least 60 people in providing CT services.

The partnership will work with the Ministry of Health, other relevant ministries, PEPFAR partners, and stakeholders to enhance links with related health and social services in the geographic area and to promote coordination at all levels through district, regional, and national HIV and other coordination forums.

The partnership will implement an M&E plan based on national and USG requirements and tools and will contribute to implementation of an integrated M&E system in collaboration with national and international stakeholders. Partnership activities will strive to mobilize and build capacity among local NGO/CBO/FBOs to achieve local ownership and sustainability.