amendment 10 - dhapp-baa-13-002 (pepfar funded).pdf

AMENDMENT 0010

BROAD AGENCY ANNOUNCEMENT (BAA)

Number DHAPP-BAA-13-002

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

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

Funded Countries”

The purpose of this Amendment 0010 is to incorporate the following:

NHRC/DHAPP is accepting “Concept Papers” for Angola, Burkina Faso, and Democratic Republic of Congo (DRC) as described below through 27 December 2013 for first round consideration.

Eligible Applicants are requested to submit Concept Papers following the guidelines and format provided in the DHAPP BAA-13-002, Section IV.

Angola:

OHSS: $620,000

HVCT: $300,000

HVOP: $300,000

HVAB: $80,000

Total: $1,300,000

Proposals are requested for activities designed to target military personnel in Angola and implement activities through the HIV/AIDS focal point of the Forces Armadas de Angola (FAA). DHAPP programming to support the FAA will focus on four HIV funding areas: 1) health system strengthening, 2) testing and counseling, 3) broad HIV prevention, and 4) “abstinence and be faithful” programming as part of the comprehensive prevention program.

The partner must work in complete coordination with the military’s HIV prevention and health services, as well as DoD representatives from the US Embassy Luanda and Department of Defense HIV/AIDS Prevention Program (DHAPP) headquarters

Amendment #0010, DHAPP BAA-13-002 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program for PEPFAR Funded Countries)

OHSS –Health System Strengthening ($620,000) The Implementing Partner (IP) (1) ensure that 100% of all PLHIV accessing care within military health facilities will be reached with PHDP services. (2) Strengthen the militaries ability to deliver PHDP services through the use of DHAPP approved PHDP training materials by providing an in-service training program in Beguile of 80 health care workers at both the brigade and regional levels. (3) Provide training for 30 individuals in the medical team on long term positives as well as trainings in HIV diagnostics and treatment based on the MIHTP trainings. (4) Conduct leadership training in Luanda for 20 senior ranking officers that will increase their understanding of the HIV epidemic in Angola and in the FAA. (5) Provide training during a National Integration Seminar in Benguela designed to share feedback on best practices, consolidate collected data, and improve performance. Included in the training will be 25 new VCT counselors who will receive basic VCT training plus 30 activists and 25 psychologists who will receive specialized training in counseling HIV positive persons. (6) Coordinate the development of the Angolan military HIV Strategic Plan for 1 focal point from the Logistic sector of the Director dos Serviços de Saúde (DSS). (7) Facilitate a 5-day HIV Team Strategic Planning Workshop in Huíla for 20 participants. (8) Support, promotional and educational materials and supplies to be provided for the 11th annual National HIV prevention and testing campaign. This event will be held to raise the awareness of over 1500 military personnel including high ranking generals from all branches of the armed forces. (9) Training on M&E will be provided for 30 people both high level and middle level of the FAA. (10) Develop and implement a comprehensive M&E plan that will include skill and knowledge standards for program implementers such as HIV activists and periodic assessment of relevant outcome indicators.

HVCT- Testing ($300,000) The Implementing Partner (IP) (1) deliver 30000 individuals (15+ yrs) HIV Testing and

Counseling (HTC) services and their test results. 25000 males and 5000 females are anticipated to receive these HCT services. (2) Purchase material and equipment will be purchased for the five fixed site HTC facilities. (3) Maintain the functioning activities of the cargo van and pickup truck for mobile HTC services. (4) Train 30 doctors (20 based in Luanda and 10 brought in from the provinces) on comprehensive HIV Diagnosis and Treatment in Luanda. (5) Conduct visits by a multidisciplinary team of approximately four individuals to 13 provinces will support the integrated supervision of VCTs, HIV Activists and the Psychosocial Support Program.

HVOP- Prevention ($300,000) The Implementing Partner (IP) (1) conduct small group discussions for 20,000 military personnel with evidence-based interventions that emphasize HIV Prevention, the effectiveness of condoms, STIs, alcohol use, HTC, and GBV as well as make condoms readily accessible to the participating soldiers. (2) Conduct community-wide HIV prevention education activities targeting 50,000 individuals. (3) Distribute 1,000,000 male condoms to all bases and regions of the FAA. (4) Purchase 200 Sexual Education Kits (sexual

Amendment #0010, DHAPP BAA-13-002 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program demonstration models, videos, condoms) will be purchased to support the formation of HIV Health Clubs through the facilitation of the health activists. (5) Purchase educational and promotional materials and supplies to support World AIDS Day activities and national SENA- SIDA health fair. (6) Maintain the radio program equipment with a technical maintenance package.

HVAB – Abstinence ($80,000) The Implementing Partner (IP) (1) include abstinence and being faithful into the complete HIV prevention messaging for the small group discussions for 10000 military personnel with evidence-based interventions that emphasize HIV Prevention, the effectiveness of condoms, STIs, alcohol use, HTC, and GBV as well as make condoms readily accessible to the participating soldiers. (2) Include abstinence and being faithful into the complete HIV prevention messaging for the community-wide HIV prevention education activities targeting 50,000 individuals. (3) Print 10,000 pamphlets, 15,000 mini-manuals, and 5,000 posters, 250 STI albums, 2,000 T-shirts & caps, and 1,000 STOP SIDA pins, with BCC and IEC messaging.

Burkina Faso:

HVOP: $90,000

HVTC: $80,000

HLAB: $35,000

HVSI: $30,000

MTCT: $40,000

Total: $275,000

Proposals are requested for activities designed to target military personnel in Burkina Faso and will implement activities through HIV/AIDS focal point of the Forces des Armees du Burkina Faso (FABF) National AIDS Prevention Defense Committee (CMLS/D), military relevant physician, local NGOs and/or local contractors. DHAPP programming to support the CMLS/D will focus on four OGAC funding areas: 1) HIV “other prevention”, 2) counseling and testing, 3) laboratory, 4) strategic information, and 5) prevention of mother to child transmission. The partner must work in complete coordination with the military’s HIV prevention and health services, as well as DoD representatives from the US Embassy Ouagadougou and DHAPP headquarters

HVOP –Prevention ($90,000) The IP will assist the CMLS/D (1) with the training of 120 peer-educators on IEC and

BCC training, communication, and HTC promotion. (2) Train 65 CMLS/D trainers to be able to conduct peer-education and HTC counseling, to provide subsequent training to new recruits and peer-educators. (3) Reach 1,500 recruits with HIV prevention education during their recruitment period. (4) Implement 1,000 small group discussions on HIV prevention, HTC, discrimination and stigma, led by peer-educators in each of the military regions of

Amendment #0010, DHAPP BAA-13-002 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

Burkina Faso. (5) Develop sensitization messages for text messaging within the military. (6) Conduct 510 video projections at military camps across the country with themes on HIV prevention. (7) Perform 15 theater sketches on HIV prevention themes throughout each of the military zones. (8) By purchasing 70 HIV sensitization kits with wooden penises, diagrams, flip charts and other training tools. (9) Print 6 billboards, 5,000 HIV prevention posters and 5,000 HIV prevention brochures. (10) Purchase and distribute 530,000 male condoms, and 3,000 female condoms. (11) Providing training on monitoring, reporting, and evaluation for the CMLS/D implementation team. (12) Conduct 3 annual supervision visits throughout the country. (13) Conduct one cultural day at the military training schools and training centers focused on HIV prevention, abstinence, and being faithful. (14) Conduct 3 large scale education conferences on human rights, gender, and HIV prevention at military schools and training centers. (15) Organize 3 sessions for the military schools and training centers for the creation of poems, drawings, and sketches on HIV prevention, testing, and stigma reduction. (16) Conduct 6 HIV prevention education sessions with ~500 wives and spouses of soldiers participating in exterior operations. (17) Conduct HIV prevention education sessions for 1,000 soldiers participating in exterior operations.

HVCT- Testing ($80,000)

The IP will assist the CMLS/D (1) Test 1,500 recruits at their medical screening. (2) Provide HIV tests and deliver results to at least 3,000 soldiers. (3) Conduct one annual testing campaigns will be conducted in each of the military zones and military schools. (4) Train 30 soldiers in HTC, thereby building the capacity of the MOD/FAFBF to manage the epidemic. (5) Train 25 CMLS/D leadership and team members on logistical management of a testing program and referrals. (6) Purchase and coordinate with other resources to procure 5,000 HIV test kits and related material. (7) Develop HTC IEC materials and disseminate to all HTC centers in the military.

HLAB – Laboratory ($35,000) The IP will assist the CMLS/D (1) Conduct small scale lab renovation and clean up.

Purchase of materials necessary for a deep cleaning of the lab facilities and minor repairs, to structural issues including air conditioning. (2) Needs assessment to be conducted with HIV focal point, US Embassy personnel, and other current partners of laboratory infrastructure, technical needs, and road map for future HLAB programming and scale-up. (3) Purchase installation and training for lab equipment and materials following the assessment. (4) Purchase of reagents and supplies for regular testing and consumables within the lab facilities.

HVSI- Strategic information ($30,000) The IP will assist the CMLS/D (1) to organize a workshop to produce M&E guidelines and produce integrated tools for all stakeholders. (2) Integrate M&E training component for the peer-educators and master trainers. (3) Train CMLS/D on data entry and analysis. (4) Conduct field supervision with the CMLS/D team to collect HIV programmatic data from military sites.

Amendment #0010, DHAPP BAA-13-002 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

MTCT- Prevention of mother to child transmission ($40,000) The IP will assist the CMLS/D (1) to integrate PMTCT services into existing infrastructure in military HIV/AIDS service delivery sites. (2) Provide training and technical assistance on PMTCT services in 1 military hospital sites. (3) 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. (4) Train military providers and technical staff at 1 military hospital on 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. (5) Conduct performance improvement and QA of PMTCT services through regular supervision of sites, coaching, and strengthening capacity of sites in M&E of PMTCT.

Democratic Republic of Congo (DRC):

PDTX: $ 30,000

PDCS: $100,000

OHSS: $100,000

HVOP: $216,920

HVTC: $200,000

HTXS: $100,000

HMIN: $100,000

HKID: $169,589

HBHC: $200,000

Total: $1,216,509

Proposals are requested for activities designed to target military personnel and implement activities. Coordination with our DHAPP Program Office and appropriate military points of contact from the Forces Armées de la République Démocratique du Congo (FARDC), military relevant physician, local NGOs and/or local contractors. DHAPP programming to support the military will focus on the following OGAC funding areas: 1) Pediatric care and support, including treatment, 2) Testing and counseling, 3) laboratory, 4) strategic information, and 5) prevention of mother to child transmission. The partner must work in complete coordination with the military’s HIV prevention and health services, as well as DoD representatives from the US Embassy Kinshasa and DHAPP headquarters

PDTX –Pediatric Treatment ($30,000)

The IP will (1) ensure treatment services are provided to the 112 infected children and adolescents expected to be identified in military facilities in Kinshasa, Katanga, and Oriental provinces. (2) Conduct in-service training for military pediatric providers, provision of additional ARVs if needed, clinical and laboratory monitoring, retention on ART. (3) Conduct M&E activities to ensure service quality based on Government of the Democratic Republic of the Congo (GDRC) and PEPFAR guidelines and requirements.

Amendment #0010, DHAPP BAA-13-002 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

PDCS- Pediatric Care and Support ($100,000) The IP will (1) provide health-facility based care services for infected and affected children of military personnel including the prevention and treatment of OIs, management of other HIV/AIDS related complication such as diarrhea, safe water interventions, nutrition support, referral to TB services for screening and treatment to 267 children in the three focus provinces (Kinshasa, Lubumbashi and Oriental province). (2) Conduct M&E activities to ensure service quality based on GDRC and PEPFAR requirements.

OHSS – Health System Strengthening ($100,000)

The IP will (1) conduct waste management evaluations in targeted military hospitals and health facilities to be determined with the military and DHAPP program manager; (2) Provide comprehensive package of services for PLHIV support groups and identification (thru PLHIV support groups) of household children to be assessed and linked to appropriate OVC services. (3) Coordinate HTXS, PDCS and PDTX services to be implemented where Global Funds and other USG supported programs will not cover all the needs as identified by the mapping exercises currently being conducted in country by the United States Government with GDRC support.

HVOP- Prevention ($216,920)

The IP will (1) Use existing prevention interventions and expand the program to include military base(s) in Orientale province. The program should consist of prevention interventions (brochures, counseling, safer sex demonstrations) that reach at least 163,200 military personnel, their families and surrounding communities. (2) Conduct 4 Mobile Video Units, mass campaigns, Radio and TV spots in five provinces (TBD). (3) Conduct training and refreshment sessions for selected PEs.

HVTC- Testing ($200,000)

The IP will (1) provide counseling and testing services to at least 20,000 military personnel, their family members and the communities surrounding military camps or barracks at both VCT centers and mobile units established in the existing 5 sites: Mbuji-Mayi, Lubumbashi, Kinshasa, Bukavu and Kisangani. (2) Provide refresher training to all current counselors with a focus on strengthening lay counselor’s capabilities of performing HIV testing (task shifting). (3) Purchase all HTC equipment including HIV test kits and other medical consumables in close collaboration with Supply Chain Management System (SCMS). (4) Develop HTC IEC materials and disseminate in the above military provinces.

HTXS – Treatment –($100,000)

The IP will (1) increase the availability and quality of treatment services for adult PLHIV identified through DOD supported health facilities to reach at least 262 newly initiated patient and all the patients currently receiving ART. (2) Provide in-service training for military services providers where we are providing ART. (3) Support the provision of ARVs where Global Fund and other USG agencies are not covering all the needs (TBD being done by mapping). (4) Conduct clinical monitoring of on treatment patients by using the USG PHDP (PwP) program.

Amendment #0010, DHAPP BAA-13-002 (FY13 – FY14 DHAPP: Military Specific HIV/AIDS Prevention, Care, and Treatment Program

HMIN – Injection Safety ($100,000)

The IP will (1) strengthen the waste management system through the training of 45 health professionals on universal precautions and management of biomedical waste in Kinshasa (15), Katanga (15) and Province Orientale (15). (2) Install or renovate incinerators for medical waste.

HKID – Orphans and Vulnerable Children ($169,589)

The IP will (1) assess the existing social services and networks in the military settings, using the PLHIV support groups to identify and assess the eligibility military child household’s living on military installations. (2) Link, at minimum, 2340 children to clinical services through the PLHIV support groups in Kinshasa, Katanga and Oriental Province to needed clinical services.

HBHC – Care ($200,000)

The IP will (1) provide services and messaging to include: risk reduction messaging, condom distribution, sensitization on the disclosure of HIV status, psychosocial support, nutrition education, STI screening and referral for treatment, family planning education, TB care messaging and referral to TB services, retention on treatment to 622 adult PLHIV within military families and their neighborhood in Kinshasa, Katanga and Province Orientale (PHDP –PwP programming – please use our USG PHDP materials for training providers and lay counselors).