Sustain and Accelerate a Comprehensive Hiv Response in the United Republic of Tanzania Under Pepfar - Icap Is…

Description

Sustain and Accelerate a Comprehensive Hiv Response in the United Republic of Tanzania Under Pepfar - Icap Is Uniquely Positioned to Lead the Multi-Year Sustain and Accelerate a Comprehensive Hiv Response in the United Republic of Tanzania (Tz) Under the President's Emergency Plan for Aids Relief (Pepfar) on Behalf of CDC in Tz. Icap Has Been a Premier U.S. Government Implementing Partner (Ip) in TZ Since 2005, First as a Pepfar-Funded Health Facility (Hf) Ip That Transitioned Activities to the Ministry of Health (Moh) and Local Non-Governmental Organizations (Ngo) (2005?2014); Next Conducting Key Studies to Inform the Hiv Landscape and Building Healthcare Worker Capacity Through Innovative Learning Platforms; and for the Last Five Years as a Community Ip with Its Pepfar-Funded Fikia (?to Reach? IN Kiswahili) Project. AS a Driving Force Behind Many of Tz?s Strides in Prevention, Testing, Treatment Initiation, and Viral Load (Vl) Suppression, Icap Now Proposes to Transform Client-Centered Hiv Testing, Prevention, and Treatment Services Over the Next Five Years. This Project Responds to Tz?s Generalized Hiv Epidemic with 4.8% Adult Prevalence and Approximately 1.7 Million People Living with Hiv (Plhiv). AS of 2019, 83% of Plhiv in TZ Know Their Status, 75% of All Plhiv Are on Antiretroviral Therapy (Art), and 69% Are Virally Suppressed, with Significant Variations in Geography and Populations Across These Global Targets. To Achieve the 95-95-95 Goals, TZ Must Improve Service Coverage and Quality for Men, Especially Those in Migratory Occupations, and Children, Who Fall Behind Across the Cascade; Only 81% and 66%, Respectively, of Plhiv in These Groups Know Their Status. The Response Will Also Tailor Interventions to Meet the Needs of Adolescent Girls and Young Women at High Risk of Acquiring Hiv, and Key Populations Facing Stigma, Discrimination, and High Hiv Prevalence, Including People Who Inject Drugs (36%), Female Sex Workers (26%), and Men Who Have Sex with Men (25%).THE Purpose of This Project Is to Provide Rapid, Flexible Support to Ac Celerate Evidence-Based Hiv Prevention and Treatment Program Implementation in HF and Communities and Aligned Health Systems Strengthening Activities Toward Epidemic Control in Tz. Working Directly Alongside Regional and Council Health Management Teams (R/Chmt), Icap Will Provide a Tailored Package of Technical Support Featuring: 1) Multi-Modal Training and Human Resources for Health Capacity Building; 2) Strengthened Service Continuity Across Health Facility (Hf) and Community Settings Using Differentiated Service Delivery Models; 3) and Collaborative Continuous Quality Improvement (Cqi) at Hf, Regional, and National Levels. Anticipated Short Term Outcomes Include: Improved Identification and Timely Initiation on Art of All Newly Identified Hiv+ Clients, Including Hard-To-Reach Sub-Groups in Supported Locations; Increased Art Coverage, Adherence, Retention, and VL Testing of Plhiv, Among All Sub-Groups; Increased Coverage of Optimal Art Regimens Among All Sub-Groups; Improved Coverage of Comprehensive Care Services, Such as Detection and Treatment of Opportunistic Infections and Provision of Tuberculosis Preventive Therapy; Increased Coverage of Hiv Prevention Services Including Voluntary Medical Male Circumcision, Pre-Exposure Prophylaxis and Medication Assisted Treatment, Among Targeted Groups; Increased Hiv-Exposed Infants Receiving Early Diagnosis at Supported HF in Line with Normative Guidance; and Enhanced Monitoring and Evaluation Systems in Place for Improved Data Collection, Data Quality, and Oversight of Program Performance.this Project Will Optimize Icap?s Extensive Partner Network Built Over 17 Years in TZ Collaborating with Government of TZ Partners, Local Institutions That Oversee the Health System (E.g., Rhmt in the Four Target Regions, All 32 Related Chmt); a Robust Ngo Network, and Other Strategic Collaborators. Icap Builds Long-Term, High-Impact Relationships That Help Ad