Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 17014
Country/Region: Côte d'Ivoire
Year: 2013
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

Initial funding for this TBD mechanism will come from COP 2012 TBD funding. No COP 2013 funding is requested.

Local NGOs and technical line ministries in Cote dIvoire have limited capacity to conduct systematic program evaluations and surveillance activities. As a result, some PEPFAR partners and program areas have not been rigorously assessed, even after several years of implementation. Furthermore, there is a lack of robust data on key population behaviors to inform program planning and implementation. Early DHS results suggest that risk behaviors continue in a mixed epidemic context; targeted research among sub-populations remains an ongoing need. Population-based surveys and operations research need to be complemented by other surveillance activities.

The goal of this five-year TBD cooperative agreement, expected to be awarded by September 2013, is to engage the Ministry of Health and AIDS (MSLS) and other partners in strengthening capacity in the design and implementation of HIV/AIDS program evaluations and surveillance activities. Objectives include:

1.

By Year 3, program evaluations will have been conducted for at least 20 PEPFAR partners.

2.

In collaboration with other PEPFAR partners and the government, the awardee will conduct at least one survey of each of the two most numerous MARP sub-groups and will coordinate with the national MARP TWG to conduct at least one survey related to persons who inject drugs or another key population as part of the national HIV/AIDS surveillance system.

3.

By Year 5, the MSLS and at least 10 local partner organizations will have the capacity to initiate, design, and implement HIV/AIDS surveillance and program evaluations.

Funding for Strategic Information (HVSI): $0

Initial funding for this TBD mechanism will come from COP 2012 TBD funding. No COP 2013 funding is requested.

During the first year (FY 2014) of this five-year TBD cooperative agreement designed to build national capacity in the design and implementation of HIV/AIDS program evaluations and surveillance activities, the awardee will:

-

In collaboration with the PEPFAR science office, develop a three-year evaluation plan for PEPFAR-funded programs.

-

Conduct evaluations of one CDC-funded and one USAID-funded project/program area. Programs will be selected for evaluation based on partner performance and the importance of the partners interventions in the country portfolio.

-

Work with the government of Cote dIvoire (GoCI) to develop a three-year HIV/AIDS MARP surveillance plan, including behavioral and biomarker measurements for commercial sex workers, men who have sex with men, and at least one other key population. While the plan is being developed, the partner will design and conduct a population-based survey or operations research with a key population selected in collaboration with the national surveillance technical working group.

-

Support the GoCI to conduct DHS 2011-12 secondary data analysis to orient HIV/AIDS prevention and treatment programs.

-

Support the GoCI to assess ARV drug resistance in Cote dIvoire. The countrys ART program started in 1998 and has encountered hurdles that may be fueling drug resistance.

-

Support the GoCI to assess the effectiveness of the national HIV/AIDS care and treatment program five years after the first assessment conducted by CDC Atlanta in the framework of the Track1 program.

-

Support the GoCI to evaluate the early infant diagnosis program, which has been identified as a major bottleneck for pediatric treatment scale-up.

Key Issues Identified in Mechanism
End-of-Program Evaluation