amendment 04, dhapp baa 15-001.pdf

AMENDMENT 0004

BROAD AGENCY ANNOUNCEMENT (BAA)

Number DHAPP-BAA-15-001

“FY15 – FY16 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:

NHRC/DHAPP is accepting “Concept papers” for Gambia as described below through 01 April 2016.

NOTE: Each narrative is a standalone effort and should not be combined with another narrative and all the program elements (tasks) in each specific narrative must be addressed in that concept paper submission.

E-mail address for submission of Concept Papers: usn.nhrc.dhapp@mail.mil

The full solicitation is available at: http://www.grants.gov/

Eligible Applicants are requested to submit Concept Papers following the guidelines and format provided in the DHAPP BAA-15-001, Section IV.

All respondents must demonstrate the active support of the in-country military and the DoD representative in the corresponding U.S. Embassy in the planning and execution of their proposals. The selected Grantee is the Implementing Partner and will be referred to as IP in this document.

mailto:usn.nhrc.dhapp@mail.mil http://www.grants.gov/

Amendment #0004, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program for non-PEPFAR Funded Countries)

The Gambia: Program Sustainment and Clinical Scale-up

Phase 1 Phase 2 Phase 3

HVCT $50,000 $50,000 $50,000

HVOP $30,000 $30,000 $30,000

MTCT $20,000 $20,000 $20,000

HLAB $50,000 $50,000 $50,000

HBHC $30,000 $30,000 $30,000

TOTAL $180,000 $180,000 $180,000

Proposals are requested to support The Gambia to reduce the number of new HIV infections and other sexually transmitted diseases among members of the Gambian Armed Forces (GAF), their families, and the civilian communities served by the Gambian military. The TBD partner will work directly with the GAF to scale-up the military ART program to achieve 90-90- 90 goals for HIV epidemic control within the military over the life of this project.

Department of Defense HIV/AIDS Prevention Program (DHAPP) programming to support the Gambian Armed Forces will focus on the following technical areas: 1) HIV/AIDS Care and Treatment; 2) HIV Testing Services (HTS); 3) Targeted HIV education and prevention activities for external and internal deployment operations; 4) HIV Clinical Monitoring and care support including PHDP and; 5) health system strengthening within military HIV service delivery.

The TBD partner’s program should emphasize capacity building across all activities and technical areas. All proposals should detail how the partner will engage the GAF leadership as well as GAF medical personnel at all levels in this work; and, specifically how the partner will utilize the organizational structure of the military to strengthen the internal capacity of the GAF to conduct these activities. Within the proposal the partner will need to demonstrate transition of programmatic capabilities and capacity to the military over the life of the grant.

The partner must work in complete coordination with the GAF’s HIV prevention and health services, as well as the DHAPP/DoD Program Manager based at the US Embassy in Dakar, and the DHAPP Headquarters Team. The Grantee is the Implementing Partner and will be referred to as IP in this document.

Amendment #0004, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

HIV/AIDS Care and Treatment $30,000

Technical Area Targets, Year 1

Indicator Label Military

Only

TX_NEW # of adults and children newly enrolled on ART

TX_CURR # of adults and children currently receiving ART

CARE_NEW # of HIV+ adults and children newly enrolled in clinical care during the reporting period who received at least one of the following at enrollment: (clinical assessment (WHO staging) OR CD4 count OR viral load

CARE_CURR # of HIV+ adults and children who received at least one of the following during the reporting period: clinical assessment (WHO staging) OR CD4 count OR viral load

CARE_SITE Percentage of supported clinical care sites at which at least 80% of PLHIV received all of the following during the reporting period: 1) clinical assessment (WHO staging) OR CD4 count OR viral load, AND

2) TB screening at last visit, AND 3) if eligible, cotrimoxazole

100%

The IP will work closely with the GAF to scale-up ART coverage of in an effort to achieve 90- 90-90 goals for military personnel. Targets for HIV/AIDS care and treatment will focus on generating significant progress towards the 2nd and 3rd 90s: initiation of 90% of HIV-infected military personnel on ART and 90% viral suppression among military personnel taking ART.

The GAF currently doesn’t fully provide HIV/AIDS care and treatment. At present the military clinical sites provide care and treatment services for a very limited number of GAF personnel and patients in general. The vast majority of clients seen in these facilities are civilian patients living in the surrounding communities. The IP will work directly with the GAF at the military sites in addition to supporting the expansion and implementation of ART services targeting military personnel to achieve the military HIV care and treatment targets.

The IP will be responsible for supporting the GAF to:

Ongoing clinical support for all Pre-ART and ART patients

Amendment #0004, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

Ensure clinical monitoring of all HIV+ positive patients including CD4 every 6 months, and access to Viral Load monitoring every 6 months.

Support Positive Health, Dignity, and Prevention (PHDP) services including STI screening and treatment.

Support universal TB screening using standard TB questionnaire at least every 6 months for 100% of HIV-infected individuals in care

Close coordination with the GAF to track down and follow enrolled patients that are deployed, to ensure they have their meds and continue to receive regular CD4 and other required lab checks.

Coordination of HIV clinical care and treatment services Promoting ongoing communication and collaboration between the GAF clinical services and other district/provincial/national level care and treatment programs and/or government entities to track and monitor military personnel not enrolled in the military health care structure.

Support the availability of essential HIV clinical commodities through support for forecasting, responsible use, stock management, and other activities critical to ensuring a secure supply

Referral for hospital admission when clinically indicated

HIV/AIDS Testing Services $30,000

Indicator Label Military

Only

HTC_TST # of individuals who received HTS services for HIV and received their test results

The IP will work closely with the GAF to aggressively scale-up HIV Testing Services in targeted military groups in an effort to achieve the 1st 90 for military personnel: 90% of all GAF PLHIV know their status. Commonly, military PLHIV only access treatment at one of the ten military ART facilities when they are symptomatic. In an effort to reach these men and women before they become symptomatic, HTS will focus primarily on outreach testing targeted military groups. These groups will be determined through case file similarities, and older men, defined as a high risk group by the 2012 SABERS study. Provider-Initiated Testing and Counseling (PITC) will continue in the fixed sites for both the military and civilian cohorts. Ensuring that any positives identified are linked to HIV care and treatment is essential to the success of the GAF program. The IP should work to achieve 100% linkage of HIV+ individuals identified through PITC and 100% of HIV+ individuals identified through outreach testing to HIV clinical care and treatment. The IP will monitor HIV testing yield;

modifying strategies or locations that are not identifying and/or linking significant numbers of HIV positive persons to HIV care and treatment.

Amendment #0004, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

The IP will be responsible for:

Outreach HTS to military bases and facilities

Diagnosing 100 military PLHIV with 100% of those diagnosed linked to HIV care and treatment services

Index-case testing for family members and dependents of HIV-infected military personnel

Index-case testing for HIV-infected spouses and dependents of military personnel

Provider-Initiated testing and counseling within military health services for both military personnel and civilians with 100% of positives diagnosed through PITC linked to HIV care and treatment services

Quality Improvement / Quality Assurance for all GAF HTS including proficiency testing, continuous training, and mentoring

100% tracking PLHIV from HTS to clinical care and treatment services

Targeted Prevention Activities $30,000

Indicator Label Target

PP_PREV % of individuals from priority populations who completed a standardized HIV prevention intervention, including the specified minimum components, during the reporting period

21%

PP_PREV Number of individuals from priority populations who completed a standardized HIV prevention program including the specified minimum components during the reporting period.

The IP will support the GAF to continued HIV education and outreach activities for recruits, units deploying on PKO and internal deployment, and other high risk units or groups in high prevalence areas. The GAF has been conducting HIV prevention and education activities for over 10 years, and the IP will be required to ensure that materials being used are up-to-date with the most current information and international considerations tailored to the military context. The IP will also support the GAF to continue its HIV education programming.

Supporting the GAF to continue its HIV education program for deploying PKO, and outreach to bases within each calendar year.

Maintain all training materials and curricula are current and up-to-date with the most recent guidelines and recommendations for HIV prevention, and HTS.

Amendment #0004, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

Prevention of Mother-to-Child Transmission $20,000

Indicator Label Target

PMTCT_STAT Number of pregnant women who were tested for HIV and know their results plus number of pregnant women with known HIV status at entry to services.

PMTCT_ART % of HIV+ pregnant women who received ART to reduce risk for mother-to-child-transmission during pregnancy

100%

PMTCT_EID % of infants born to HIV-positive women who had a virologic HIV test done within 12 months of birth

100%

The IP will support the ten GAF ART sites to ensure that 1) all pregnant women are aware of their HIV status; and 2) all HIV+ pregnant women provided option B+ and are initiated and retained on ART to reduce risk for mother-to-child transmission during pregnancy.

Supporting GAF clinical services to screen all pregnant women attending military health services for HIV Support initiation of all HIV+ pregnant women on ART with a focus on adherence and retention during pregnancy and post-partum Ensuring post-partum neonatal ART prophylaxis per existing Option B/B+ guidelines

Clinical Laboratory Support $50,000

Clinical laboratories for HIV care and treatment are present in all ten GAF ART facilities.

However, the capacity of the laboratories, including equipment, physical infrastructure, and personnel, vary between the ten sites. The IP will work with the GAF clinical and laboratory staff in support of all HIV laboratory services.

Purchase of small laboratory equipment, aligned with the national and international laboratory standards and guidelines as well as consumables Inventory control, forecasting, and procurement of laboratory reagents to ensure that laboratory services are uninterrupted Installation of equipment, procurement of service maintenance contracts (when applicable), and training of the laboratory staff on the use of the equipment Establish relationship linkages from GAF laboratory services to Ministry of

Health laboratory resources at the district, provincial, and national levels

Amendment #0004, DHAPP BAA-15-001 (FY15 – FY16 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

WORK PLANS

Grantee must submit annual, programmatic and financial, work plans to DHAPP Program Manager and DHAPP HQ (Budget breakdown per activity and for program management is required). Work plans include activities implementation timeline, including the M&E ones.

REPORTING

Quarterly Fiscal Reports: Grantee must submit quarterly programmatic and financial reports to DHAPP in order to monitor expenditures according to the program area(s) [HVAB; HVOP; etc]. The report template will be provided by DHAPP. Submit 30 calendar days after each reporting period (3/31, 6/30, 9/30, and 12/31).

Interim Progress: Indicator Report: This report shall summarize progress in relation to the approved Work Plan as well as monitor grant deliverables. The Grantee shall submit quarterly indicator reports in accordance with the format provided by the Program Office within 45 calendar days following the end of the reporting period: 12/31, 3/31, 6/30 and 9/30. The Recipient shall provide reports in accordance with the template provided by

NHRC

Reports will follow DHAPP Headquarters and Country Team Templates

The IP will be expected to submit all strategic information reports on quarterly basis for all activities that are being conducted under this grant.