Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11973
Country/Region: Dominican Republic
Year: 2010
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $1,150,000

Since 2002, TB/HIV co-infection programming has been funded exclusively by non-PEPFAR USAID child survival health funds. Funding for TB/HIV activities was included in the FY 2008 Mini-COP for the first time. Those funds were key to enabling a more focused approach to strengthening TB treatment for co-infected persons. With PEPFAR funds, USG will provide support and TA to strengthen a functional patient referral system for TB/HIV co-infected patients. USAID will address TB/HIV priorities by providing technical assistance to the Regional and Provincial Network System. Support will include updating TB/HIV plans, training personnel on current guidelines (in coordination with the GODR oversight entity National TB/HIV Co-infection Committee [CONACO]) and current TB partners PAHO, TBCAP, Global Fund, the MOH, and private-sector service providers. A pilot project to strengthen TB/HIV services will be implemented in Region IV and VII. TB/HIV co-infection will be a component of the Binational program, as described in the PFIP. USAID will support MSH/SPS to procure more than 15,000 HIV rapid tests per year to provide access to individuals that are detected as symptomatic respiratory as well as those with any form of TB, and to implement a logistics system. USAID will provide funds to MSH, SPS to procure HIV rapid test, reagents for CD4 viral load and early infant diagnosis for PLWHA. SPS will provide TA to MOH to implement a unified procurement and logistics systems and will support the renovations of three warehouses facilities.

Funding for Treatment: Adult Treatment (HTXS): $300,000

Procure 4 CD4s tests equipment and reagents.

Funding for Testing: HIV Testing and Counseling (HVCT): $150,000

Based on a 2009 assessment USAID on the current HIV procurement and logistics system USAID will convene MOH and COPRESIDA to discuss findings and recommendations. USAID/DR expects that the evidence from the assessment will help to define a plan to strengthen the system, using an integrated approach. MSH/SPS will continue to provide technical assistance to implement a procurement and logistic system.

In FY 2010 USAID/DR through MSH/SPS will procure 250,000 HIV rapid tests to provide quality CT services.

Funding for Health Systems Strengthening (OHSS): $100,000

USAID will continue to provide support to MSH/SPS to implement a unified procurement and logistics system. This activity will include training of human resources at central, regional and provincial level.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $400,000

Procure 180,000 HIV test kits for each year for the first two years. Procure reagents for CD4 and e.i.d. tests. Implement a procurement and logistic system. Improve at least three regional warehouses.USAID will provide funds to MSH to procure a total of 180,000 HIV rapid tests kits for each year for the first two years. MSH will also procure reagents for CD4s and e.i.d. tests and laboratory supplies. In order to do this, MSH will also provide technical assistance to implement a procurement and logistics system and improve at least three regional warehouses.

Funding for Care: TB/HIV (HVTB): $200,000

USAID will provide funds to MSH/SPS to procure 15,000 HIV rapid tests per year to provide access to quality tests for patients detected with any form of TB. SPS will strengthen logistics system.

Subpartners Total: $0
Ministry of Health - Ukraine: NA
Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Child Survival Activities
Safe Motherhood
Family Planning