Cooperative Agreement NU2GGH002425

ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION - SCORE95 - SUSTAINING HIV EPIDEMIC CONTROL THROUGH EFFICIENT CASE FINDING AND QUALITY CARE AND TREATMENT SERVICES IN MALAWI UNDER PEPFAR - THE ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION (EGPAF) IS PLEASED TO PRESENT THE SUSTAINING CONTROL OF THE HIV EPIDEMIC THROUGH EFFICIENT CASE FINDING AND QUALITY CARE AND TREATMENT SERVICES IN MALAWI PROJECT (SCORE95) IN PARTNERSHIP WITH MALAWI AIDS COUNSELING AND RESOURCE ORGANIZATION (MACRO), IN RESPONSE TO THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION'S (CDC) SUSTAINING HIV EPIDEMIC CONTROL THROUGH EFFICIENT CASE FINDING AND QUALITY CARE AND TREATMENT SERVICES IN MALAWI UNDER THE PEPFAR. WITH NEARLY 50 YEARS OF COMBINED EXPERIENCE COMBATTING MALAWI'S HIV EPIDEMIC, EGPAF AND LOCAL PARTNER MACRO WILL LEVERAGE THEIR IN-DEPTH KNOWLEDGE OF THE HIV EPIDEMIC IN MALAWI, DEMONSTRATED IN-COUNTRY IMPACT, STRONG RELATIONSHIPS WITH LOCAL STAKEHOLDERS, WELL-ESTABLISHED LOCAL INFRASTRUCTURE, RENOWNED TECHNICAL ASSISTANCE AND LOCAL TRANSITION MODELS, AND RECOGNIZED EXPERTISE IN HIV PREVENTION, CARE, AND TREATMENT TO CAPACITATE MALAWI'S HEALTH SYSTEM TO SUSTAIN PROGRESS AGAINST THE 95-95-95 TARGETS. SCORE95 WILL DELIVER PATIENT-CENTERED HIV PREVENTION, CARE, AND TREATMENT SERVICES, AND TARGETED TECHNICAL ASSISTANCE TO ENABLE LOCAL GOVERNMENT INSTITUTIONS AND ORGANIZATIONS TO SUSTAIN EPIDEMIC CONTROL AT THE COMMUNITY, DISTRICT, AND NATIONAL LEVELS. CONCERTED EFFORTS TO REACH POPULATIONS WHO HAVE FALLEN THROUGH THE GAPS WITH REGARDS TO PREVENTION, TESTING, AND LINKAGE TO SERVICES WILL BE ACCELERATED THROUGH COMBINING PROVEN DIRECT SERVICE DELIVERY STRATEGIES AND TAILORED TECHNICAL ASSISTANCE APPROACHES THAT BUILD LOCAL CAPABILITIES AND INFRASTRUCTURE. EGPAF AND MACRO'S DEEP KNOWLEDGE OF THE UNIQUE NEEDS AND CHALLENGES OF EACH DISTRICT IN MALAWI, COMBINED WITH EXTENSIVE TECHNICAL EXPERTISE, AND STRATEGIC USE OF GRANULAR DATA AND RAPID EVALUATION CYCLE SYSTEMS THAT DRIVE SCALED IMPLEMENTATION AND INFORM CONTINUOUS QUALITY IMPROVEMENT, WILL ALLOW US TO BUILD ON SUCCESSES UNDER OUR CURRENT PIVOT 2 PROJECT AND ROLL-OUT PHASED TRANSITION PLANS WITH THE MINISTRY OF HEALTH (MOH) AND CDC THAT FACILITATE IN-COUNTRY OWNERSHIP OF HIV PROGRAMMING. EGPAF WILL AMPLIFY AND TRANSITION OUR DATA-DRIVEN AND COST-EFFICIENT APPROACHES TO ENSURE PATIENT-CENTERED SERVICES ARE DELIVERED BY OPTIMIZED AND TRAINED MOH HEALTH CARE TEAMS TO END HIV. EGPAF AND MACRO WILL PARTNER WITH THE MOH TO IMPLEMENT PROVEN STRATEGIES TO IDENTIFY AND SERVE HARD TO REACH KEY POPULATIONS THROUGH A COMBINATION OF COMMUNITY AND FACILITY LEVEL INTERVENTIONS THAT ARE CLIENT-CENTERED AND PATIENT-PREFERRED. CONTINUED IMPLEMENTATION, REFINEMENT, AND DEVELOPMENT OF DIFFERENTIATED SERVICE DELIVERY MODELS IS A CENTRAL APPROACH UNDER SCORE95, AS IS THE INTRODUCTION OF NEW INNOVATIONS, INCLUDING OPTIMIZED TREATMENT REGIMENS AND BIOMEDICAL OPTIONS FOR PREVENTION, THAT ARE APPROPRIATE FOR RESPONSE TO MALAWI'S EPIDEMIC. THE CAPACITY OF DISTRICT EXECUTIVE COUNCILS, DISTRICT MANAGEMENT HEALTH TEAMS, AND HEALTH CARE WORKERS WILL BE STRENGTHENED VIA TARGETED, ONGOING TRAINING AND SECONDING TEAMS OF TECHNICAL EXPERTS TO THE MOH TO PROVIDE TAILORED IN-PERSON AND VIRTUAL MENTORSHIP. EGPAF WILL ALSO EXPAND THE CAPACITY OF MACRO FROM HIV TESTING SERVICES (HTS) DELIVERY TO BECOME A COMPREHENSIVE CLINICAL SERVICE PROVIDER ACROSS THE HIV CONTINUUM OF CARE. ADDITIONALLY, SCORE95 FOCUSES ON FURTHER OPTIMIZATION OF HUMAN RESOURCES FOR HEALTH, BOLSTERING EGPAF'S SUCCESS IN SECONDING CLINICAL STAFF TO HIGH-VOLUME CLINICS TO PROMOTE CONTINUOUS PATIENT CARE, AND COLLABORATING WITH THE MOH AND CDC PARTNERS TO ENSURE THE MOST EFFECTIVE USE OF HUMAN RESOURCES FOR HEALTH (HRH) INVESTMENTS TO SUSTAIN EPIDEMIC CONTROL. AT THE NATIONAL LEVEL, EGPAF WILL PROVIDE TARGETED TECHNICAL ASSISTANCE TO MOH DEPARTMENTS AND DISTRICT MANAGERIAL TEAMS TO CONTINUE TO STRENGTHEN TECHNICAL, PROGRAMMATIC, AND DATA USE CAPABILITIES AS PART OF THE TRANSITION T