Not listed GH20-2074 OPTIMIZING HIV CLINICAL AND LABORATORY HIV SERVICES AT A NATIONAL REFERRAL LEVEL HOSPITAL IN SUPPORT OF THE NATIONAL HIV PROGRAM TO ATTAIN EPIDEMIC CONTROL IN ZAMBIA UNDER PEPFAR - BACKGROUND: ZAMBIA ACHIEVED THE 90-90-90 UNAIDS TARGETS IN DECEMBER 2019, BUT WHEN THE NATIONAL DATA WAS STRATIFIED BY AGE-GROUPS, GAPS WERE IDENTIFIED MOSTLY IN THE PEDIATRIC AGE GROUP AND YOUNG PEOPLE, WHILST UTH CONSISTENTLY ACHIEVED HIGH PEDIATRIC TARGETS AT ITS PEDIATRIC CENTRE OF EXCELLENCE (PCOE). HENCE THE REQUEST BY CDC, FOR UTH TO SHARE ITS EXISTING BEST PRACTICES AND PROVIDE TECHNICAL SUPPORT TO IMPLEMENTING PARTNERS WHO ARE PROVINCIAL HEALTH OFFICES UNDER MOH TO IMPROVE PEDIATRIC HIV SERVICE DELIVERY IN SELECTED REFERRAL HEALTH FACILITIES IN SUPPORT OF THE NATIONAL ART PROGRAM ACHIEVE AND MAINTAIN EPIDEMIC CONTROL. THE SCOPE OF WORK WILL COVER ALL ASPECTS OF PEDIATRIC HIV PREVENTION, TESTING AND TREATMENT SERVICES, PROPHYLAXIS AND TREATMENT OF TB AND OTHER CO-MORBIDITIES, LABORATORY AND OTHER MONITORING ACTIVITIES INCLUSIVE OF MONITORING AND EVALUATION AND TO CONTINUE OFFERING EXPERT ART CARE AT UTH. THE MAIN OBJECTIVE IS TO INCREASE THE NUMBER OF CHILDREN LIVING WITH HIV (CHIV) RECEIVING QUALITY COMPREHENSIVE ART SERVICES NATIONWIDE AND THEREBY, HELP THE NATIONAL HIV PROGRAM ATTAIN ITS PEDIATRIC TARGETS AND ATTAIN EPIDEMIC CONTROL. SPECIFIC OBJECTIVES ARE: TO INCREASE ACCESS TO QUALITY PEDIATRIC HIV PREVENTION, CARE AND TREATMENT SERVICES; INCREASE PROPORTION OF CSA AND SEXUAL GBV CASES INVESTIGATED USING EXPEDITED PROCEDURES TO ENABLE TIMELY INITIATION OF HIV-PEP AND OTHER POST GBV SUPPORT SERVICES; TO INCREASE SUPPORTIVE SERVICES AVAILABLE IN HEALTH FACILITIES AND COMMUNITIES TO ADDRESS SEXUAL GBV ISSUES AND PROVIDE EDUCATIONAL SUPPORT TO OVCS WITH. TECHNICAL SUPPORT WILL BE PROVIDED TO SELECTED TIERED CENTERS OF PEDIATRIC HIV EXCELLENCE OR NETWORKS THAT ARE LINKED TO THE NATIONAL REFERRAL SYSTEMS TO SUPPORT REFERRAL OF COMPLICATED PEDIATRIC HIV CASES. THE PROGRAM WILL OFFER SERVICE INTEGRATION THAT ALLOWS FOR PROVISION OF A HOLISTIC PACKAGE OF SERVICES TO CLHIV AND ADOLESCENTS. THE TA WILL BE FOCUSED ON: PREVENTION OF NEW PEDIATRIC HIV INFECTIONS (MTCT); CASE FINDING OF CLHIV NOT YET ON ART; REDUCTION OF MORBIDITY AND MORTALITY AMONGST CLHIV; OPTIMIZE PEDIATRIC ART REGIMENS AND ENSURE HIGH VIRAL LOAD TESTING COVERAGE AND SUPPRESSION; RETENTION OF PEDIATRIC CLIENTS ON THE PROGRAM; IMPROVEMENT OF SURVEILLANCE ACTIVITIES AND PROGRAMS ALONG WITH INFORMATION SYSTEMS, THAT IMPROVE UNDERSTANDING OF HIV EPIDEMIOLOGY ON REMAINING GAPS TO INFORM FUTURE PROGRAMMING; MAINTAIN QUALITY OF LABORATORY SYSTEMS AND ACTIVITIES INCLUDING DIAGNOSTICS, AND MONITORING; ACTIVE USE OF EPIDEMIOLOGIC AND FINANCIAL/COST DATA TO ENSURE IMPLEMENTATION OF HIGH QUALITY, COST EFFECTIVE PROGRAMS TO IMPROVE EPIDEMIOLOGICAL IMPACT; STRENGTHENING POLICIES AND LOBBY FOR INCREASED FINANCIAL CONTRIBUTIONS BY OUR GOVERNMENT IN THE HIV/AIDS RESPONSE; TO FIND, TREAT AND PREVENT TB AMONG PLHIV AND TO IDENTIFY AND TREAT HIV AMONG PEOPLE INFECTED WITH TB AND TO PREVENT, DETECT, AND TREAT INFECTIONS AND OTHER NON-INFECTIOUS CO-MORBIDITIES THAT IMPACT ON CLHIV AND THOSE AFFECTED BY HIV. OUR PROGRAM THROUGH THE DREAMS, EDUCATIONAL SUPPORT AND CSA PROGRAMS WILL CONTINUE PROTECTING CHILDREN FROM SGBV, EXPLOITATION AND NEGLECT IN ORDER TO DECREASE THEIR VULNERABILITY AND ALSO TO INTEGRATE OVC PROGRAMMING IN THE COMMUNITY TO PROVIDE CASE MANAGEMENT TO EVERY PROVINCIAL, DISTRICT AND FACILITY). CAPACITY BUILDING OF STAFF WILL INVOLVE ONSITE TRAINING, CLINICAL MENTORSHIP, ECHO AND PROVISION OF JOB AIDS UNTIL STAFF ARE ABLE TO PROVIDE SKILLED PROFESSIONAL WORK INDEPENDENTLY. ENVIRONMENT: UTH WILL ASSIST THE FACILITIES TO PROVIDE PEDIATRIC HIV SERVICES IN AN ENABLING ENVIRONMENT WITH A SUITABLE PATIENT FLOW THAT IS STIMULATING FOR THE CHILDREN. FOR EXAMPLE, PITC COULD BE DONE IN WELL-BABY CLINICS SUCH AS; IMMUNIZATION AND GROWTH MONITORING CLINICS, WHILST ART INITIATION COULD BE DONE AT THE POINT OF DIAGNOSIS; ESTABLISH AN EFFECTIVE CLINICAL APPOINTMENT AND PEDIATRIC PATIENT NUMBERING SYSTEMS AND INTRODUCE THE IMPLEMENTATION OF DSD MODELS FOR CHILDREN AND ADOLESCENTS $0 6/25/26 Not listed GH20-2074 OPTIMIZING HIV CLINICAL AND LABORATORY HIV SERVICES AT A NATIONAL REFERRAL LEVEL HOSPITAL IN SUPPORT OF THE NATIONAL HIV PROGRAM TO ATTAIN EPIDEMIC CONTROL IN ZAMBIA UNDER PEPFAR - BACKGROUND: ZAMBIA ACHIEVED THE 90-90-90 UNAIDS TARGETS IN DECEMBER 2019, BUT WHEN THE NATIONAL DATA WAS STRATIFIED BY AGE-GROUPS, GAPS WERE IDENTIFIED MOSTLY IN THE PEDIATRIC AGE GROUP AND YOUNG PEOPLE, WHILST UTH CONSISTENTLY ACHIEVED HIGH PEDIATRIC TARGETS AT ITS PEDIATRIC CENTRE OF EXCELLENCE (PCOE). HENCE THE REQUEST BY CDC, FOR UTH TO SHARE ITS EXISTING BEST PRACTICES AND PROVIDE TECHNICAL SUPPORT TO IMPLEMENTING PARTNERS WHO ARE PROVINCIAL HEALTH OFFICES UNDER MOH TO IMPROVE PEDIATRIC HIV SERVICE DELIVERY IN SELECTED REFERRAL HEALTH FACILITIES IN SUPPORT OF THE NATIONAL ART PROGRAM ACHIEVE AND MAINTAIN EPIDEMIC CONTROL. THE SCOPE OF WORK WILL COVER ALL ASPECTS OF PEDIATRIC HIV PREVENTION, TESTING AND TREATMENT SERVICES, PROPHYLAXIS AND TREATMENT OF TB AND OTHER CO-MORBIDITIES, LABORATORY AND OTHER MONITORING ACTIVITIES INCLUSIVE OF MONITORING AND EVALUATION AND TO CONTINUE OFFERING EXPERT ART CARE AT UTH. THE MAIN OBJECTIVE IS TO INCREASE THE NUMBER OF CHILDREN LIVING WITH HIV (CHIV) RECEIVING QUALITY COMPREHENSIVE ART SERVICES NATIONWIDE AND THEREBY, HELP THE NATIONAL HIV PROGRAM ATTAIN ITS PEDIATRIC TARGETS AND ATTAIN EPIDEMIC CONTROL. SPECIFIC OBJECTIVES ARE: TO INCREASE ACCESS TO QUALITY PEDIATRIC HIV PREVENTION, CARE AND TREATMENT SERVICES; INCREASE PROPORTION OF CSA AND SEXUAL GBV CASES INVESTIGATED USING EXPEDITED PROCEDURES TO ENABLE TIMELY INITIATION OF HIV-PEP AND OTHER POST GBV SUPPORT SERVICES; TO INCREASE SUPPORTIVE SERVICES AVAILABLE IN HEALTH FACILITIES AND COMMUNITIES TO ADDRESS SEXUAL GBV ISSUES AND PROVIDE EDUCATIONAL SUPPORT TO OVCS WITH. TECHNICAL SUPPORT WILL BE PROVIDED TO SELECTED TIERED CENTERS OF PEDIATRIC HIV EXCELLENCE OR NETWORKS THAT ARE LINKED TO THE NATIONAL REFERRAL SYSTEMS TO SUPPORT REFERRAL OF COMPLICATED PEDIATRIC HIV CASES. THE PROGRAM WILL OFFER SERVICE INTEGRATION THAT ALLOWS FOR PROVISION OF A HOLISTIC PACKAGE OF SERVICES TO CLHIV AND ADOLESCENTS. THE TA WILL BE FOCUSED ON: PREVENTION OF NEW PEDIATRIC HIV INFECTIONS (MTCT); CASE FINDING OF CLHIV NOT YET ON ART; REDUCTION OF MORBIDITY AND MORTALITY AMONGST CLHIV; OPTIMIZE PEDIATRIC ART REGIMENS AND ENSURE HIGH VIRAL LOAD TESTING COVERAGE AND SUPPRESSION; RETENTION OF PEDIATRIC CLIENTS ON THE PROGRAM; IMPROVEMENT OF SURVEILLANCE ACTIVITIES AND PROGRAMS ALONG WITH INFORMATION SYSTEMS, THAT IMPROVE UNDERSTANDING OF HIV EPIDEMIOLOGY ON REMAINING GAPS TO INFORM FUTURE PROGRAMMING; MAINTAIN QUALITY OF LABORATORY SYSTEMS AND ACTIVITIES INCLUDING DIAGNOSTICS, AND MONITORING; ACTIVE USE OF EPIDEMIOLOGIC AND FINANCIAL/COST DATA TO ENSURE IMPLEMENTATION OF HIGH QUALITY, COST EFFECTIVE PROGRAMS TO IMPROVE EPIDEMIOLOGICAL IMPACT; STRENGTHENING POLICIES AND LOBBY FOR INCREASED FINANCIAL CONTRIBUTIONS BY OUR GOVERNMENT IN THE HIV/AIDS RESPONSE; TO FIND, TREAT AND PREVENT TB AMONG PLHIV AND TO IDENTIFY AND TREAT HIV AMONG PEOPLE INFECTED WITH TB AND TO PREVENT, DETECT, AND TREAT INFECTIONS AND OTHER NON-INFECTIOUS CO-MORBIDITIES THAT IMPACT ON CLHIV AND THOSE AFFECTED BY HIV. OUR PROGRAM THROUGH THE DREAMS, EDUCATIONAL SUPPORT AND CSA PROGRAMS WILL CONTINUE PROTECTING CHILDREN FROM SGBV, EXPLOITATION AND NEGLECT IN ORDER TO DECREASE THEIR VULNERABILITY AND ALSO TO INTEGRATE OVC PROGRAMMING IN THE COMMUNITY TO PROVIDE CASE MANAGEMENT TO EVERY PROVINCIAL, DISTRICT AND FACILITY). CAPACITY BUILDING OF STAFF WILL INVOLVE ONSITE TRAINING, CLINICAL MENTORSHIP, ECHO AND PROVISION OF JOB AIDS UNTIL STAFF ARE ABLE TO PROVIDE SKILLED PROFESSIONAL WORK INDEPENDENTLY. ENVIRONMENT: UTH WILL ASSIST THE FACILITIES TO PROVIDE PEDIATRIC HIV SERVICES IN AN ENABLING ENVIRONMENT WITH A SUITABLE PATIENT FLOW THAT IS STIMULATING FOR THE CHILDREN. FOR EXAMPLE, PITC COULD BE DONE IN WELL-BABY CLINICS SUCH AS; IMMUNIZATION AND GROWTH MONITORING CLINICS, WHILST ART INITIATION COULD BE DONE AT THE POINT OF DIAGNOSIS; ESTABLISH AN EFFECTIVE CLINICAL APPOINTMENT AND PEDIATRIC PATIENT NUMBERING SYSTEMS AND INTRODUCE THE IMPLEMENTATION OF DSD MODELS FOR CHILDREN AND ADOLESCENTS $0 4/9/26 Not listed GH20-2074 OPTIMIZING HIV CLINICAL AND LABORATORY HIV SERVICES AT A NATIONAL REFERRAL LEVEL HOSPITAL IN SUPPORT OF THE NATIONAL HIV PROGRAM TO ATTAIN EPIDEMIC CONTROL IN ZAMBIA UNDER PEPFAR - BACKGROUND: ZAMBIA ACHIEVED THE 90-90-90 UNAIDS TARGETS IN DECEMBER 2019, BUT WHEN THE NATIONAL DATA WAS STRATIFIED BY AGE-GROUPS, GAPS WERE IDENTIFIED MOSTLY IN THE PEDIATRIC AGE GROUP AND YOUNG PEOPLE, WHILST UTH CONSISTENTLY ACHIEVED HIGH PEDIATRIC TARGETS AT ITS PEDIATRIC CENTRE OF EXCELLENCE (PCOE). HENCE THE REQUEST BY CDC, FOR UTH TO SHARE ITS EXISTING BEST PRACTICES AND PROVIDE TECHNICAL SUPPORT TO IMPLEMENTING PARTNERS WHO ARE PROVINCIAL HEALTH OFFICES UNDER MOH TO IMPROVE PEDIATRIC HIV SERVICE DELIVERY IN SELECTED REFERRAL HEALTH FACILITIES IN SUPPORT OF THE NATIONAL ART PROGRAM ACHIEVE AND MAINTAIN EPIDEMIC CONTROL. THE SCOPE OF WORK WILL COVER ALL ASPECTS OF PEDIATRIC HIV PREVENTION, TESTING AND TREATMENT SERVICES, PROPHYLAXIS AND TREATMENT OF TB AND OTHER CO-MORBIDITIES, LABORATORY AND OTHER MONITORING ACTIVITIES INCLUSIVE OF MONITORING AND EVALUATION AND TO CONTINUE OFFERING EXPERT ART CARE AT UTH. THE MAIN OBJECTIVE IS TO INCREASE THE NUMBER OF CHILDREN LIVING WITH HIV (CHIV) RECEIVING QUALITY COMPREHENSIVE ART SERVICES NATIONWIDE AND THEREBY, HELP THE NATIONAL HIV PROGRAM ATTAIN ITS PEDIATRIC TARGETS AND ATTAIN EPIDEMIC CONTROL. SPECIFIC OBJECTIVES ARE: TO INCREASE ACCESS TO QUALITY PEDIATRIC HIV PREVENTION, CARE AND TREATMENT SERVICES; INCREASE PROPORTION OF CSA AND SEXUAL GBV CASES INVESTIGATED USING EXPEDITED PROCEDURES TO ENABLE TIMELY INITIATION OF HIV-PEP AND OTHER POST GBV SUPPORT SERVICES; TO INCREASE SUPPORTIVE SERVICES AVAILABLE IN HEALTH FACILITIES AND COMMUNITIES TO ADDRESS SEXUAL GBV ISSUES AND PROVIDE EDUCATIONAL SUPPORT TO OVCS WITH. TECHNICAL SUPPORT WILL BE PROVIDED TO SELECTED TIERED CENTERS OF PEDIATRIC HIV EXCELLENCE OR NETWORKS THAT ARE LINKED TO THE NATIONAL REFERRAL SYSTEMS TO SUPPORT REFERRAL OF COMPLICATED PEDIATRIC HIV CASES. THE PROGRAM WILL OFFER SERVICE INTEGRATION THAT ALLOWS FOR PROVISION OF A HOLISTIC PACKAGE OF SERVICES TO CLHIV AND ADOLESCENTS. THE TA WILL BE FOCUSED ON: PREVENTION OF NEW PEDIATRIC HIV INFECTIONS (MTCT); CASE FINDING OF CLHIV NOT YET ON ART; REDUCTION OF MORBIDITY AND MORTALITY AMONGST CLHIV; OPTIMIZE PEDIATRIC ART REGIMENS AND ENSURE HIGH VIRAL LOAD TESTING COVERAGE AND SUPPRESSION; RETENTION OF PEDIATRIC CLIENTS ON THE PROGRAM; IMPROVEMENT OF SURVEILLANCE ACTIVITIES AND PROGRAMS ALONG WITH INFORMATION SYSTEMS, THAT IMPROVE UNDERSTANDING OF HIV EPIDEMIOLOGY ON REMAINING GAPS TO INFORM FUTURE PROGRAMMING; MAINTAIN QUALITY OF LABORATORY SYSTEMS AND ACTIVITIES INCLUDING DIAGNOSTICS, AND MONITORING; ACTIVE USE OF EPIDEMIOLOGIC AND FINANCIAL/COST DATA TO ENSURE IMPLEMENTATION OF HIGH QUALITY, COST EFFECTIVE PROGRAMS TO IMPROVE EPIDEMIOLOGICAL IMPACT; STRENGTHENING POLICIES AND LOBBY FOR INCREASED FINANCIAL CONTRIBUTIONS BY OUR GOVERNMENT IN THE HIV/AIDS RESPONSE; TO FIND, TREAT AND PREVENT TB AMONG PLHIV AND TO IDENTIFY AND TREAT HIV AMONG PEOPLE INFECTED WITH TB AND TO PREVENT, DETECT, AND TREAT INFECTIONS AND OTHER NON-INFECTIOUS CO-MORBIDITIES THAT IMPACT ON CLHIV AND THOSE AFFECTED BY HIV. OUR PROGRAM THROUGH THE DREAMS, EDUCATIONAL SUPPORT AND CSA PROGRAMS WILL CONTINUE PROTECTING CHILDREN FROM SGBV, EXPLOITATION AND NEGLECT IN ORDER TO DECREASE THEIR VULNERABILITY AND ALSO TO INTEGRATE OVC PROGRAMMING IN THE COMMUNITY TO PROVIDE CASE MANAGEMENT TO EVERY PROVINCIAL, DISTRICT AND FACILITY). CAPACITY BUILDING OF STAFF WILL INVOLVE ONSITE TRAINING, CLINICAL MENTORSHIP, ECHO AND PROVISION OF JOB AIDS UNTIL STAFF ARE ABLE TO PROVIDE SKILLED PROFESSIONAL WORK INDEPENDENTLY. ENVIRONMENT: UTH WILL ASSIST THE FACILITIES TO PROVIDE PEDIATRIC HIV SERVICES IN AN ENABLING ENVIRONMENT WITH A SUITABLE PATIENT FLOW THAT IS STIMULATING FOR THE CHILDREN. FOR EXAMPLE, PITC COULD BE DONE IN WELL-BABY CLINICS SUCH AS; IMMUNIZATION AND GROWTH MONITORING CLINICS, WHILST ART INITIATION COULD BE DONE AT THE POINT OF DIAGNOSIS; ESTABLISH AN EFFECTIVE CLINICAL APPOINTMENT AND PEDIATRIC PATIENT NUMBERING SYSTEMS AND INTRODUCE THE IMPLEMENTATION OF DSD MODELS FOR CHILDREN AND ADOLESCENTS $0 4/9/26 Not listed GH20-2074 OPTIMIZING HIV CLINICAL AND LABORATORY HIV SERVICES AT A NATIONAL REFERRAL LEVEL HOSPITAL IN SUPPORT OF THE NATIONAL HIV PROGRAM TO ATTAIN EPIDEMIC CONTROL IN ZAMBIA UNDER PEPFAR - BACKGROUND: ZAMBIA ACHIEVED THE 90-90-90 UNAIDS TARGETS IN DECEMBER 2019, BUT WHEN THE NATIONAL DATA WAS STRATIFIED BY AGE-GROUPS, GAPS WERE IDENTIFIED MOSTLY IN THE PEDIATRIC AGE GROUP AND YOUNG PEOPLE, WHILST UTH CONSISTENTLY ACHIEVED HIGH PEDIATRIC TARGETS AT ITS PEDIATRIC CENTRE OF EXCELLENCE (PCOE). HENCE THE REQUEST BY CDC, FOR UTH TO SHARE ITS EXISTING BEST PRACTICES AND PROVIDE TECHNICAL SUPPORT TO IMPLEMENTING PARTNERS WHO ARE PROVINCIAL HEALTH OFFICES UNDER MOH TO IMPROVE PEDIATRIC HIV SERVICE DELIVERY IN SELECTED REFERRAL HEALTH FACILITIES IN SUPPORT OF THE NATIONAL ART PROGRAM ACHIEVE AND MAINTAIN EPIDEMIC CONTROL. THE SCOPE OF WORK WILL COVER ALL ASPECTS OF PEDIATRIC HIV PREVENTION, TESTING AND TREATMENT SERVICES, PROPHYLAXIS AND TREATMENT OF TB AND OTHER CO-MORBIDITIES, LABORATORY AND OTHER MONITORING ACTIVITIES INCLUSIVE OF MONITORING AND EVALUATION AND TO CONTINUE OFFERING EXPERT ART CARE AT UTH. THE MAIN OBJECTIVE IS TO INCREASE THE NUMBER OF CHILDREN LIVING WITH HIV (CHIV) RECEIVING QUALITY COMPREHENSIVE ART SERVICES NATIONWIDE AND THEREBY, HELP THE NATIONAL HIV PROGRAM ATTAIN ITS PEDIATRIC TARGETS AND ATTAIN EPIDEMIC CONTROL. SPECIFIC OBJECTIVES ARE: TO INCREASE ACCESS TO QUALITY PEDIATRIC HIV PREVENTION, CARE AND TREATMENT SERVICES; INCREASE PROPORTION OF CSA AND SEXUAL GBV CASES INVESTIGATED USING EXPEDITED PROCEDURES TO ENABLE TIMELY INITIATION OF HIV-PEP AND OTHER POST GBV SUPPORT SERVICES; TO INCREASE SUPPORTIVE SERVICES AVAILABLE IN HEALTH FACILITIES AND COMMUNITIES TO ADDRESS SEXUAL GBV ISSUES AND PROVIDE EDUCATIONAL SUPPORT TO OVCS WITH. TECHNICAL SUPPORT WILL BE PROVIDED TO SELECTED TIERED CENTERS OF PEDIATRIC HIV EXCELLENCE OR NETWORKS THAT ARE LINKED TO THE NATIONAL REFERRAL SYSTEMS TO SUPPORT REFERRAL OF COMPLICATED PEDIATRIC HIV CASES. THE PROGRAM WILL OFFER SERVICE INTEGRATION THAT ALLOWS FOR PROVISION OF A HOLISTIC PACKAGE OF SERVICES TO CLHIV AND ADOLESCENTS. THE TA WILL BE FOCUSED ON: PREVENTION OF NEW PEDIATRIC HIV INFECTIONS (MTCT); CASE FINDING OF CLHIV NOT YET ON ART; REDUCTION OF MORBIDITY AND MORTALITY AMONGST CLHIV; OPTIMIZE PEDIATRIC ART REGIMENS AND ENSURE HIGH VIRAL LOAD TESTING COVERAGE AND SUPPRESSION; RETENTION OF PEDIATRIC CLIENTS ON THE PROGRAM; IMPROVEMENT OF SURVEILLANCE ACTIVITIES AND PROGRAMS ALONG WITH INFORMATION SYSTEMS, THAT IMPROVE UNDERSTANDING OF HIV EPIDEMIOLOGY ON REMAINING GAPS TO INFORM FUTURE PROGRAMMING; MAINTAIN QUALITY OF LABORATORY SYSTEMS AND ACTIVITIES INCLUDING DIAGNOSTICS, AND MONITORING; ACTIVE USE OF EPIDEMIOLOGIC AND FINANCIAL/COST DATA TO ENSURE IMPLEMENTATION OF HIGH QUALITY, COST EFFECTIVE PROGRAMS TO IMPROVE EPIDEMIOLOGICAL IMPACT; STRENGTHENING POLICIES AND LOBBY FOR INCREASED FINANCIAL CONTRIBUTIONS BY OUR GOVERNMENT IN THE HIV/AIDS RESPONSE; TO FIND, TREAT AND PREVENT TB AMONG PLHIV AND TO IDENTIFY AND TREAT HIV AMONG PEOPLE INFECTED WITH TB AND TO PREVENT, DETECT, AND TREAT INFECTIONS AND OTHER NON-INFECTIOUS CO-MORBIDITIES THAT IMPACT ON CLHIV AND THOSE AFFECTED BY HIV. OUR PROGRAM THROUGH THE DREAMS, EDUCATIONAL SUPPORT AND CSA PROGRAMS WILL CONTINUE PROTECTING CHILDREN FROM SGBV, EXPLOITATION AND NEGLECT IN ORDER TO DECREASE THEIR VULNERABILITY AND ALSO TO INTEGRATE OVC PROGRAMMING IN THE COMMUNITY TO PROVIDE CASE MANAGEMENT TO EVERY PROVINCIAL, DISTRICT AND FACILITY). CAPACITY BUILDING OF STAFF WILL INVOLVE ONSITE TRAINING, CLINICAL MENTORSHIP, ECHO AND PROVISION OF JOB AIDS UNTIL STAFF ARE ABLE TO PROVIDE SKILLED PROFESSIONAL WORK INDEPENDENTLY. ENVIRONMENT: UTH WILL ASSIST THE FACILITIES TO PROVIDE PEDIATRIC HIV SERVICES IN AN ENABLING ENVIRONMENT WITH A SUITABLE PATIENT FLOW THAT IS STIMULATING FOR THE CHILDREN. FOR EXAMPLE, PITC COULD BE DONE IN WELL-BABY CLINICS SUCH AS; IMMUNIZATION AND GROWTH MONITORING CLINICS, WHILST ART INITIATION COULD BE DONE AT THE POINT OF DIAGNOSIS; ESTABLISH AN EFFECTIVE CLINICAL APPOINTMENT AND PEDIATRIC PATIENT NUMBERING SYSTEMS AND INTRODUCE THE IMPLEMENTATION OF DSD MODELS FOR CHILDREN AND ADOLESCENTS $0 1/9/26 Not listed GH20-2074 OPTIMIZING HIV CLINICAL AND LABORATORY HIV SERVICES AT A NATIONAL REFERRAL LEVEL HOSPITAL IN SUPPORT OF THE NATIONAL HIV PROGRAM TO ATTAIN EPIDEMIC CONTROL IN ZAMBIA UNDER PEPFAR - BACKGROUND: ZAMBIA ACHIEVED THE 90-90-90 UNAIDS TARGETS IN DECEMBER 2019, BUT WHEN THE NATIONAL DATA WAS STRATIFIED BY AGE-GROUPS, GAPS WERE IDENTIFIED MOSTLY IN THE PEDIATRIC AGE GROUP AND YOUNG PEOPLE, WHILST UTH CONSISTENTLY ACHIEVED HIGH PEDIATRIC TARGETS AT ITS PEDIATRIC CENTRE OF EXCELLENCE (PCOE). HENCE THE REQUEST BY CDC, FOR UTH TO SHARE ITS EXISTING BEST PRACTICES AND PROVIDE TECHNICAL SUPPORT TO IMPLEMENTING PARTNERS WHO ARE PROVINCIAL HEALTH OFFICES UNDER MOH TO IMPROVE PEDIATRIC HIV SERVICE DELIVERY IN SELECTED REFERRAL HEALTH FACILITIES IN SUPPORT OF THE NATIONAL ART PROGRAM ACHIEVE AND MAINTAIN EPIDEMIC CONTROL. THE SCOPE OF WORK WILL COVER ALL ASPECTS OF PEDIATRIC HIV PREVENTION, TESTING AND TREATMENT SERVICES, PROPHYLAXIS AND TREATMENT OF TB AND OTHER CO-MORBIDITIES, LABORATORY AND OTHER MONITORING ACTIVITIES INCLUSIVE OF MONITORING AND EVALUATION AND TO CONTINUE OFFERING EXPERT ART CARE AT UTH. THE MAIN OBJECTIVE IS TO INCREASE THE NUMBER OF CHILDREN LIVING WITH HIV (CHIV) RECEIVING QUALITY COMPREHENSIVE ART SERVICES NATIONWIDE AND THEREBY, HELP THE NATIONAL HIV PROGRAM ATTAIN ITS PEDIATRIC TARGETS AND ATTAIN EPIDEMIC CONTROL. SPECIFIC OBJECTIVES ARE: TO INCREASE ACCESS TO QUALITY PEDIATRIC HIV PREVENTION, CARE AND TREATMENT SERVICES; INCREASE PROPORTION OF CSA AND SEXUAL GBV CASES INVESTIGATED USING EXPEDITED PROCEDURES TO ENABLE TIMELY INITIATION OF HIV-PEP AND OTHER POST GBV SUPPORT SERVICES; TO INCREASE SUPPORTIVE SERVICES AVAILABLE IN HEALTH FACILITIES AND COMMUNITIES TO ADDRESS SEXUAL GBV ISSUES AND PROVIDE EDUCATIONAL SUPPORT TO OVCS WITH. TECHNICAL SUPPORT WILL BE PROVIDED TO SELECTED TIERED CENTERS OF PEDIATRIC HIV EXCELLENCE OR NETWORKS THAT ARE LINKED TO THE NATIONAL REFERRAL SYSTEMS TO SUPPORT REFERRAL OF COMPLICATED PEDIATRIC HIV CASES. THE PROGRAM WILL OFFER SERVICE INTEGRATION THAT ALLOWS FOR PROVISION OF A HOLISTIC PACKAGE OF SERVICES TO CLHIV AND ADOLESCENTS. THE TA WILL BE FOCUSED ON: PREVENTION OF NEW PEDIATRIC HIV INFECTIONS (MTCT); CASE FINDING OF CLHIV NOT YET ON ART; REDUCTION OF MORBIDITY AND MORTALITY AMONGST CLHIV; OPTIMIZE PEDIATRIC ART REGIMENS AND ENSURE HIGH VIRAL LOAD TESTING COVERAGE AND SUPPRESSION; RETENTION OF PEDIATRIC CLIENTS ON THE PROGRAM; IMPROVEMENT OF SURVEILLANCE ACTIVITIES AND PROGRAMS ALONG WITH INFORMATION SYSTEMS, THAT IMPROVE UNDERSTANDING OF HIV EPIDEMIOLOGY ON REMAINING GAPS TO INFORM FUTURE PROGRAMMING; MAINTAIN QUALITY OF LABORATORY SYSTEMS AND ACTIVITIES INCLUDING DIAGNOSTICS, AND MONITORING; ACTIVE USE OF EPIDEMIOLOGIC AND FINANCIAL/COST DATA TO ENSURE IMPLEMENTATION OF HIGH QUALITY, COST EFFECTIVE PROGRAMS TO IMPROVE EPIDEMIOLOGICAL IMPACT; STRENGTHENING POLICIES AND LOBBY FOR INCREASED FINANCIAL CONTRIBUTIONS BY OUR GOVERNMENT IN THE HIV/AIDS RESPONSE; TO FIND, TREAT AND PREVENT TB AMONG PLHIV AND TO IDENTIFY AND TREAT HIV AMONG PEOPLE INFECTED WITH TB AND TO PREVENT, DETECT, AND TREAT INFECTIONS AND OTHER NON-INFECTIOUS CO-MORBIDITIES THAT IMPACT ON CLHIV AND THOSE AFFECTED BY HIV. OUR PROGRAM THROUGH THE DREAMS, EDUCATIONAL SUPPORT AND CSA PROGRAMS WILL CONTINUE PROTECTING CHILDREN FROM SGBV, EXPLOITATION AND NEGLECT IN ORDER TO DECREASE THEIR VULNERABILITY AND ALSO TO INTEGRATE OVC PROGRAMMING IN THE COMMUNITY TO PROVIDE CASE MANAGEMENT TO EVERY PROVINCIAL, DISTRICT AND FACILITY). CAPACITY BUILDING OF STAFF WILL INVOLVE ONSITE TRAINING, CLINICAL MENTORSHIP, ECHO AND PROVISION OF JOB AIDS UNTIL STAFF ARE ABLE TO PROVIDE SKILLED PROFESSIONAL WORK INDEPENDENTLY. ENVIRONMENT: UTH WILL ASSIST THE FACILITIES TO PROVIDE PEDIATRIC HIV SERVICES IN AN ENABLING ENVIRONMENT WITH A SUITABLE PATIENT FLOW THAT IS STIMULATING FOR THE CHILDREN. FOR EXAMPLE, PITC COULD BE DONE IN WELL-BABY CLINICS SUCH AS; IMMUNIZATION AND GROWTH MONITORING CLINICS, WHILST ART INITIATION COULD BE DONE AT THE POINT OF DIAGNOSIS; ESTABLISH AN EFFECTIVE CLINICAL APPOINTMENT AND PEDIATRIC PATIENT NUMBERING SYSTEMS AND INTRODUCE THE IMPLEMENTATION OF DSD MODELS FOR CHILDREN AND ADOLESCENTS $0 1/9/26