Attachment J.8.pdf

USAID Health Investments

I. USAID Health Investments (current and planned)

USAID’s Integrated Health Program (IHP) (January 2018 - May 2025) Serve 41 million people (30% of population) in 9 provinces: provide TA, grants, training, basic medical equipment, and community outreach to strengthen health systems and governance at provincial and lower levels;

increase equitable access to quality facility- and community-based health services; and foster adoption of healthy behaviors. Includes: 1) increasing provincial, zonal, and facility capacity to plan, implement, and monitor MCH, TB, FP/RH, malaria, and nutrition services; 2) improving transparency and oversight of health service administration; 3) strengthening TB, malaria, and other disease diagnosis, treatment, and surveillance; 4) increasing access to and use of essential health services and commodities; 5) equipping health facilities for readiness to provide services;

6) addressing care-seeking barriers and promoting gender equality; and 7) partnering with local organizations, government, and private sector for domestic resource mobilization

MOMENTUM Safe Surgery (MSSFPO) (September 2020 - June 2026) Provide respectful, holistic care for the prevention and treatment of obstetric and iatrogenic fistula,and expand access to informed and voluntary FP methods. Includes: continuing partnership with 3 hospitals in Kinshasa, Goma, and Bukavu and newly supporting 2 hospitals in Haut Lomami and Kasai Central;

building their capacity to become Centers of Excellence; and training doctors from rural hospitals on cesarean sections, peripartum hysterectomies, and fistula repairs.

MOMENTUM Integrated Health Resilience (MIHR) May 2020 - June 2026 Increase equitable access to an essential package of quality MNCH, FP/RH, TB, and nutrition services in North Kivu;

support health zones, health facilities, and communities to build resilience to recurrent health shocks and stresses; develop and test innovative resilience measurement and assessment tools and approaches.

Momentum Routine Immunization Transformation and Equity (M-RITE) July 2020 - June 2026 Provide TA and operational support to strengthen national and provincial level immunization systems in support of Mashako Plan. TA includes health system strengthening, building workforce capacity, and addressing gender challenges. Serve as lead TA partner for COVID-19 vaccination rollout.

Digital Square (2016-2026) Advance DRC’s digital health agenda and strengthen MoH leadership capacity to govern digital initiatives through the National Digital Health Agency; support development of Enterprise Health Architecture to integrate NHIS needs and increase use of health data for decision-making; support landscape analysis of existing digital health initiatives.

TB Implementation Framework Agreement (TIFA) (2019-2024) Develop local, context-specific approaches to strengthen TB case detection, treatment, and prevention services, and support provincial governments and the National Tuberculosis Program (NTP) personnel through results-based milestones. Includes TA to identify and treat pediatric TB cases and conduct community campaigns; training to National TB Program (NTP) to scale up pediatric TB diagnostics and increase TB diagnostic network capacity with GeneXpert; improving the national TB commodity and supply warehouse; scaling up TB case contact investigation approaches; supporting TB Contact Investigation Intervention in Five Provinces (Mai-Ndombe, Kwilu, Kwango, Kasai Central and Haut-Lomami) and administering a performance-based financing sub-grant for TIFA NTP staff.

TB LON - USAID REDUCE TB March 2021 - March 2026 One of 2 USAID activities in DRC that is a part of the LON led by HPP-Congo. Equip local communities and health service providers in Haut- Katanga, Haut-Lomami, and Lualaba to better manage and deliver TB prevention, treatment, and care interventions; collaborate with MoH, provincial TB coordination structures, and local organizations to identify TB cases and support TB patients and their households to complete treatment and initiate preventive therapy. One of 2 USAID activities in DRC that is a part of the LON. Strengthen TB prevention, care, and treatment Kasai Central, Kasai Oriental, Lomami, Sankuru, South Kivu, and Tanganyika through sub-awards with 5 local organizations that span CSOs, FBOs, private sector service providers, and academic institutions; provide TA to these local organizations to implement locally generated solutions to improve TB diagnosis, treatment, and prevention.

TB Local Organizations Network (LON) SASA IVI DRC – Elimination of Tuberculosis Kasaï/ Eastern Congo/ (SANRU) September 2020 - September 2025 One of 2 USAID activities in DRC that is a part of the LON. Strengthen TB prevention, care, and treatment Kasai Central, Kasai Oriental, Lomami, Sankuru, South Kivu, and Tanganyika through sub-awards with 5 local organizations that span CSOs, FBOs, private sector service providers, and academic institutions;

provide TA to these local organizations to implement locally generated solutions to improve TB diagnosis, treatment, and prevention.

Medecine Technologies and Pharmaceutical Services Program (MTaPS): MTaPS September 2018 - September 2023 Strengthen pharmaceutical systems to ensure sustainable access to, and appropriate use of, quality-assured and affordable essential medical products and pharmaceutical services; supports antimicrobial resistance programming efforts through capacity building models for Global Health Security; develop a capacity building program for Association of Supply Chain Professionals; support community management of MNCH and FP commodities.

Community Epidemic and Pandemic Preparedness Program (CP3): Through this program, community volunteers have been trained in community surveillance of selected priority diseases, including measles, Ebola virus disease (EVD), cholera, yellow fever, COVID-19, Mpox, and related prevention and control measures. Messages have been developed in collaboration with RCCE partners. Community volunteers raise alerts which are directly recorded in the Government’s formal surveillance structures. Tools have been piloted for real-time detection and reporting and response to disease outbreaks to strengthen warning and early response. Provincial One Health Cellules and all-hazards plans have been developed in selected provinces.

Breakthrough ACTION: Breakthrough ACTION July 2017 - July 2025 Develop and promote SBC messages to drive demand for priority malaria, TB, FP, MCH, WASH, and nutrition interventions;

test innovative media tools and models to reach diverse audiences; increase local media and other organization capacity to coordinate, design, implement, and evaluate SBC interventions;

implement sustainable, audience-tailored SBC programming to reduce risky contact with animals and zoonotic disease spillover, working with other GHSA partners. Increasing Social Behavior Change (SBC) interventions in line with the latest Breakthrough Action survey findings and recommendations will be a part of Accelerator in TB Technical area.