Develop, implement, and sustain high-quality comprehensive facility and community-based HIV 95-95-95 cascade activities for children, adolescents, and adults in cameroon under the president's emergenc…

Develop, implement, and sustain high-quality comprehensive facility and community-based HIV 95-95-95 cascade activities for children, adolescents, and adults in cameroon under the president's emergenc - acms project proposal aim to achieve the purpose and strategies of CDC funding opportunity: develop, implement, and sustain high-quality comprehensive facility and community-based HIV 95-95-95 cascade activities for children, adolescents, and adults in cameroon under the president's emergency plan for aids relief (pepfar). During the five-years implementation of activities, the purpose of acms program is to implement HIV prevention, care, and treatment services and reduce health disparities across the clinical cascade for all target populations and vulnerable groups aiming to contribute to the unaids objectives to reach the 95-95-95 goals and overall goal of the 2024-2030 cameroon national strategic plan to fight against HIV/aids, thus at achieving HIV epidemic control. The effectiveness of this project will be measured by several outcomes including; increased enrollment on prep for HIV prevention; increased art coverage for HIV positive pregnant women from pregnancy to breastfeeding period; new plhiv diagnosed, linked to care, treated, retained, and virally suppressed; increased agyw reached with comprehensive HIV prevention package; improved capacity of local csos and government institutions at regional, district and community levels to provide oversight and quality to assure comprehensive HIV and TB/HIV services; increased capacity of health facilities and health care delivery teams to use data and evidence to improve quality of care for all patients and improve efficiency and effectiveness in care delivery systems, and; increased capacity at all levels of the care system to collect, analyze, use, and report programmatic and client level data and; optimized use of harmonized electronic systems for patients and programmatic data; improved programmatic, sustainability of the HIV response by the government of cameroon and stakeholders. Acms and its sub-recipients will incorporate key cross cutting strategies that will be implemented in alignment with broader pepfar-CDC strategies for the country scale up. These include: (1) CO-implementation of strategies and interventions embedded within the existing plans of the ministry of public health (MOH); (2) close, synergistic collaboration with other key existing partners, involved in one aspect or another of HIV cascade, CDC implementing partners, other pepfar agencies and their implementing partners at facility, district, regional levels, global fund to fight aids, tuberculosis and malaria (gfatm) prime and sub recipients or other partners like united nations children's fund (unicef) with the petvihsidame project and community-based partners and organizations; (3) creation of integrated multidisciplinary teams at regional, district and health facility level, whose role will be to ensure the effective implementation of activities; (4) utilization and embedment of inter professional, multi-disciplinary teams mainly within MOH structures to catalyze implementation of effective interventions; (5) use of the quality assessment (QA) and quality improvement (QI) methodologies to optimize service delivery, inventory management, and m & e to ensure continuity of evidence-based client-centered care and to identity and eliminate structural challenges and bottlenecks in specific geographical locations and among certain sub-populations; (6) provision of technical assistance (TA) and direct-service-delivery (DSD) approaches, as well as capacity building provided at regional, district, and facility levels; (7) implementation of a client-centered service delivery approach at facility and community levels to improve mother to child and art client lost-to follow-up monitoring, as well as HIV clinical management in facilities; (8) creation of sustainable communities of practice and collaboratives learning networks ; (9) integration of data from different syste MS and optimal data visualization for different levels of consumption and use; (10) baseline and recurrent assessments using a variety of tools