Operational Plan Report

Implementing Mechanism Indicator Information

(No data provided.)

Implementing Mechanism Details

Mechanism ID: 12083	Mechanism Name: Community HTC
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention	Procurement Type: Cooperative Agreement
Prime Partner Name: TBD
Agreement Start Date: Redacted	Agreement End Date: Redacted
TBD: Yes	Global Fund / Multilateral Engagement: No

Total Funding: Redacted
Funding Source	Funding Amount
Redacted	Redacted

Sub Partner Name(s)

(No data provided.)

Overview Narrative

This TBD represents a follow-on for Community HIV Counseling and Testing services currently provided by the following partners whose awards are expiring on March 31, 2010: Hope World Wide (9070), EDARP (9062), IMC (9075), IRC (9076), LVCT VCT & Care (9001) ITM (9074); KANCO (9092); IRDO (9072);Population Council (8982); and University of Manitoba (8947) . The existing services will transition to several TBD partners (PS09-966). The current activities under the listed partners are located in Nairobi, Eastern and Nyanza regions. We anticipate making ~4 awards to follow on these activities. This TBD will support implementation of new and innovative community HTC activities, implement social mobilization activities at the local level to increase uptake of HTC services to increase number of individuals who know accurate HIV status, work to strengthen referral systems between community HTC and other HIV prevention, care and treatment services; and build capacity of local organizations to implement community HTC services.

These activities will contribute to the capacity building of Kenyan facilities and providers to expand HTC services through community approaches including Mobile Outreach and Door-to-door HTC and community VCT services, in the effort of enabling 80% of Kenyan adults know their accurate HIV status and access the available HIV Prevention, Care and Treatment services.
Activities will cover Nairobi, Eastern and Nyanza regions in Kenya. These activities target the general population across all ages in the community and household setting with an emphasis on couples. Other population groups targeted include children and Adolescents; Most-at-risk Populations (MARPS) such as sex workers and their clients, men who have sex with other men (MSM), Injection Drug users (IDU) ;long distance truck drivers and migrant workers. Public health care providers, and non clinical service providers such as lay counselors , peer educators and community members are targeted for increased prevention (including HCT), care and treatment knowledge skills on HTC.
The To be Determined (TBD) partners will expand a collaborative relationship with National AIDS and STD control Program at national, provincial and district level . TBD partners will also support establishment/strengthening of support systems for community HTC activities at regional levels including supporting development and implementation of quality assurance strategies that are in line with national and international policies and guidelines to improve counseling quality and ensure accuracy and validity of HIV test results. TBD partners will also work to strengthen referral mechanisms between the community and health facilities.
TBD partners will work in collaboration with other programs to facilitate referral and linkages for individuals and their families reached through HTC services. All HIV infected individuals will be referred to health facilities for comprehensive HIV Care and Treatment services and HIV Community Care and support services. All individuals including the HIV un-infected will be referred and linked to existing comprehensive HIV prevention services. TBD partners will also build capacity of local organizations implementing community HTC activities to ensure establishment of community structures for the sustainability of services. TBD partners will support to develop and strengthen organizational structure, management and capacity of these local organizations through training and other approaches to implement quality community HTC services.

TBD partners will support implementation of HTC services at community level with gradual and phased in integration with other USG partners supporting implementation of other HIV prevention, care and treatment services. This approach will facilitate sharing of tasks and costs across the different program areas including personnel, training, supervision, community mobilization and follow up activities across the USG supported program thereby achieving efficiency in resource utilization as well effectiveness of providing a comprehensive HIV prevention, care and treatment program in the respective region. TBD partners will implement in coordination with other USG partners and Ministry of health at provincial , district level and community levels.

Cross-Cutting Budget Attribution(s)

(No data provided.)

Key Issues

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Budget Code Information

Mechanism ID: Mechanism Name: Prime Partner Name:	12083 Community HTC TBD
Strategic Area	Budget Code	Planned Amount	On Hold Amount
Care	HVCT	Redacted	Redacted
Narrative:
The To be Determined (TBD) partners will support expansion of community HIV Testing and Counseling (HTC) services through collaborative relationship with the National AIDS and STI Control Program(NASCOP) in Nairobi, Eastern and Nyanza regions. The program will target to support the delivery of HTC services to enable 293,000 individuals learn their HIV status. The target population includes the general population across all ages as well as special populations such as the physically disabled, Orphans and Vulnerable Children (OVC), the youth and MARPS. TBD partners will also support expanded HTC services among couples and health workers. TBD partners will use innovative strategies such as supporting accelerated HIV testing activities, community and social mobilization and in collaboration with other stakeholders participate in the development of national media campaigns, to increase uptake of community HTC services in specified regions. TBD partners will support implementation of community HTC activities through stand alone (static) HTC sites, Mobile and outreach including moonlight HTC services and Work place HTC services and will also build capacity of local organizations to provide HTC services in the community setting. Other services include Couple HTC with a focus on promotion of disclosure between sexual partners. In collaboration with NASCOP, TBD partners will support implementation of new HIV testing technologies including self HIV testing. In building capacity of local organizations, TBD partners will develop clearly defined measurable achievement outcomes for the organizations and use standard assessment tool to evaluate local organization capacity and performance. In collaboration with other USG HIV Implementing partners, TBD partners will establish mechanisms for linkage for HIV infected individuals to HIV Care and Treatment services and secondary prevention services; and linkage to Prevention services for the HIV un-infected ones and provide information on access to these services. TBD partners will also support the training of 2,000,000 counselors to increase knowledge and skills on HTC, and will work to ensure timely supply and distribution of supplies for HTC in line with established national logistics system.

Implementing Mechanism Indicator Information

(No data provided.)

USG Management and Operations

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Agency Information - Costs of Doing Business

U.S. Agency for International Development

Agency Cost of Doing Business	Central GHCS (State)	DHAPP	GAP	GHCS (State)	GHCS (USAID)	Cost of Doing Business Category Total
Computers/IT Services				445,102		445,102
ICASS				1,314,016		1,314,016
Institutional Contractors				384,033		384,033
Management Meetings/Professional Developement				813,362		813,362
Non-ICASS Administrative Costs				1,077,407		1,077,407
Staff Program Travel				761,865		761,865
USG Staff Salaries and Benefits				7,835,102		7,835,102
Total	0	0	0	12,630,887	0	12,630,887

U.S. Agency for International Development Other Costs Details

Category	Item	Funding Source	Description	Amount
Computers/IT Services		GHCS (State)		445,102
ICASS		GHCS (State)		1,314,016
Management Meetings/Professional Developement		GHCS (State)		813,362
Non-ICASS Administrative Costs		GHCS (State)		1,077,407

U.S. Department of Defense

Agency Cost of Doing Business	Central GHCS (State)	DHAPP	GAP	GHCS (State)	GHCS (USAID)	Cost of Doing Business Category Total
Computers/IT Services				30,000		30,000
ICASS				172,817		172,817
Institutional Contractors				1,158,522		1,158,522
Management Meetings/Professional Developement				89,000		89,000
Non-ICASS Administrative Costs				300,000		300,000
Staff Program Travel				101,693		101,693
USG Staff Salaries and Benefits				74,000		74,000
Total	0	0	0	1,926,032	0	1,926,032

U.S. Department of Defense Other Costs Details

Category	Item	Funding Source	Description	Amount
Computers/IT Services		GHCS (State)		30,000
ICASS		GHCS (State)		172,817
Management Meetings/Professional Developement		GHCS (State)		89,000
Non-ICASS Administrative Costs		GHCS (State)		300,000