amendment 04- dhapp-baa-13-001 (non-pepfar funded).pdf

AMENDMENT 0004

BROAD AGENCY ANNOUNCEMENT (BAA)

Number DHAPP-BAA-13-001

“FY13 – FY14 Department of Defense HIV/AIDS Prevention Program:

Military Specific HIV/AIDS Prevention, Care, and Treatment Program for non-PEPFAR (President’s Emergency Plan for AIDS Relief)

Funded Countries”

The purpose of this Amendment 0004 is to incorporate the following:

1. NHRC/DHAPP is accepting “Concept Papers” for Togo as described below through 24 March 2014 for first round consideration.

Eligible Applicants are requested to submit Concept Papers following the guidelines and format provided in the DHAPP BAA-13-001, Section IV.

Full proposal shall be submitted through GRANTS.GOV. DO NOT SUBMIT FULL

PROPOSAL VIA EMAIL.

Togo:

MTCT: $50,000

HVCT: $50,000

HVOP: $50,000

The DoD PEPFAR Program in Togo works with the Togolese Armed Forces (FAT) to provide prevention and monitoring for military members and their beneficiaries. The TBD partner will work closely with DHAPP staff and partners to address the following requirements:

Mother to Child Transmission ($50,000)

The TBD partner will support the FAT to increase access to prevention of mother-to-child transmission (PMTCT) services in military settings. PMTCT services will be integrated into existing infrastructure in military HIV/AIDS service delivery sites. The TBD partner will provide training and technical assistance on PMTCT services in 1 military site serving 100 HIV positive pregnant women. The military will expand offerings of the standard package of

Amendment #0004, DHAPP BAA-13-001 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program for non-PEPFAR Funded Countries)

PMTCT services. In addition, the partner will ensure access to a comprehensive network of services for PMTCT clients and their families, link PMTCT services with other HIV and MCH interventions, and assure an effective continuum of care by increasing patient involvement and community participation in PMTCT services. Military providers and technical staff at the military MTCT site will be trained through new and refresher on-the-job training in the expanded national PMTCT protocol, including use of site-level algorithms and checklists, as well as laboratory monitoring. The TBD partner will conduct performance improvement and QA of PMTCT services through regular supervision of sites, coaching, and strengthening capacity of sites in M&E of PMTCT.

Counseling and Testing ($50,000)

The activity supports the FAT by providing counseling and testing services to the military members. Funds for this activity will be used to train military nurses and HIV/AIDS counselors and testers in counseling and testing and to support the monitoring, evaluation and quality assurance. This activity will continue to support the Togo Ministry of Defense HIV/AIDS program by providing military community with counseling and testing services at the military counseling and testing centers, 11,000 persons tested. The grantee will train soldiers in HTC, thereby building the capacity of the MOD/FAT to manage the epidemic. Soldiers who test positive will be referred for CD 4 testing and if eligible, to an ARV program and will be monitored by MOD/FAT staff to ensure adherence. At all levels attention will be given to increasing the gender equity in accessing HIV/AIDS programs and addressing stigma and discrimination as well as positive living. In collaboration with the FAT, VCT IEC materials will be developed and disseminated to all VCT centers in the military. The program will also work closely with Supply Chain Management System (SCMS) in procuring test kits and other medical consumables. Quality assurances will be done in close collaboration with the Togo

MOH.

Other Prevention ($50,000)

The recipient of this funding and the FAT will work together to promote HIV prevention activities for members of the FAT. The partner will strengthen local capacity and decentralization of HIV service delivery and prevention within the military system. The program will also use IEC materials that promote condom use by demonstrating and outlining reasons for using condoms with regular and non-regular partners. The partner will implement a community-based communications campaign reaching 2,000 soldiers, their sexual partners, and surrounding communities in brigades and battalions to increase prevention messaging, partner reduction, and safer sexual behaviors. Key prevention strategies will include 1) targeted outreach to sex workers in communities near military bases, 2) an outreach communications campaign including peer education activities, competitions and IEC sessions promoting correct and consistent condom use; and, 3) promotion of HTC services with a particular focus on couples testing, disclosure of status and care and support for PLHIV 4) human rights and HIV activities within the military academies 5) sensitization of military personnel and their families engaged in exterior military operations. 250,000 male and 2,500 female condoms will be distributed during each year.