Cooperative Agreement NU2GGH002385

COMPREHENSIVE HIV SERVICE DELIVERY PROGRAMS IN THE CENTRAL PLATEAU AND LOWER-ARTIBONITE REGIONS OF HAITI - THE PURPOSE OF THIS PROJECT IS TO PROVIDE COMPREHENSIVE FACILITY- AND COMMUNITY-BASED HIV AND TB/HIV PREVENTION, TESTING, CARE, TREATMENT, AND SUPPORT SERVICES IN THE CENTRAL PLATEAU AND LOWER-ARTIBONITE REGIONS OF HAITI. ZANMI LASANTE (ZL) WILL IMPLEMENT PATIENT-CENTERED EVIDENCE-BASED STRATEGIES TO STRENGTHEN THREE MAIN PATHWAYS: TARGETED PREVENTION, TESTING, AND LINKAGE TO CARE APPROACHES; HIGH QUALITY COMPREHENSIVE CARE AND TREATMENT SERVICES; AND CONTINUOUS QUALITY IMPROVEMENT, ALL MONITORED THROUGH STRONG DATA SYSTEMS AND IN COLLABORATION WITH PATIENTS AND THEIR FAMILIES, COMMUNITY AND CIVIL SOCIETY ENTITIES, HEALTH FACILITIES, AND LOCAL AND NATIONAL GOVERNMENT OF HAITI (GOH) AGENCIES WILL REDUCE THE BURDEN OF HIV AND RELATED OPPORTUNISTIC INFECTIONS IN HAITI. THE PROPOSED SCOPE OF WORK WILL SUPPORT THE GOH?S STRATEGIC PLANS FOR HIV AND TB SERVICE DELIVERY. ULTIMATELY, THIS PROJECT AIMS TO CONTRIBUTE SIGNIFICANTLY TO HAITI?S PROGRESS TOWARDS REACHING THE 95-95-95 TARGETS AND IMPROVING THE QUALITY OF LIFE FOR ALL PEOPLE AFFECTED BY HIV/AIDS. THROUGH PARTNERSHIP, ONGOING CARE MANAGEMENT, AND SUPPORTIVE SUPERVISION AND MONITORING, ZL WILL INCREASE CASE-FINDING OF HIV-POSITIVE ADULTS AND CHILDREN, AND IMPROVE EFFECTIVE LINKAGE AND ENROLLMENT IN CARE OF NEWLY DIAGNOSED AND RETURNED PLHIV, THROUGH TARGETED COMMUNITY-BASED COUNSELING AND TESTING APPROACHES FOR HIGH RISK AND KEY POPULATIONS, OPTIMIZED FOR LINKAGE TO TREATMENT. COMPREHENSIVE SERVICES FOR THE SPECIFIC PREVENTION, TESTING AND TREATMENT NEEDS OF ORPHANS AND VULNERABLE CHILDREN (OVC) AND ADOLESCENT GIRLS AND YOUNG WOMEN (AGYW) WILL BE PROVIDED THROUGH TARGETED PACKAGES OF CLINICAL AND SOCIO-ECONOMIC SUPPORT. TO INCREASE RETENTION IN CARE, ADHERENCE TO TREATMENT REGIMENS, AND VIRAL LOAD SUPPRESSION AMONG PLHIV AND TB/HIV CO-INFECTED PATIENTS, ZL WILL STRENGTHEN THE CAPACITY OF FACILITY- AND COMMUNITY-BASED SERVICE PROVIDERS TO DELIVER HIGH QUALITY SERVICES THROUGH ITS COMPREHENSIVE MODE L OF TRAINING, SUPERVISION AND MENTORING ON NATIONAL GUIDELINES AND STANDARD PROTOCOLS, AND ADAPT STRUCTURES OF SERVICE DELIVERY TO PROVIDE PATIENT-CENTERED TREATMENT ADHERENCE MONITORING AND DIFFERENTIATED MODELS OF CARE TO ALL PATIENTS, STRENGTHENED THROUGH INNOVATIVE QUALITY IMPROVEMENT APPROACHES. THE ACCURACY, TIMELINESS, AND RELIABILITY OF HIV AND TB/HIV PROGRAM DATA WILL BE IMPROVED THROUGH STRENGTHENED COLLABORATION AND INTEROPERABILITY INITIATIVES BETWEEN DIFFERENT PARTNER AND NATIONAL DATABASES AND ELECTRONIC MEDICAL RECORD SYSTEMS, LEADING TO THE IMPROVED USE OF DATA ACROSS ALL STAKEHOLDERS FOR PROGRAMMATIC AND POLICY DECISION-MAKING, AND MONITORING OF PROGRESS TOWARDS EPIDEMIC CONTROL IN HAITI.