JA - S. Sudan AHEC - New_Redacted.pdf

Mission Board)—are being transitioned and absorbed into the existing Advancing HIV & AIDS Epidemic Control (AHEC) project.

This consolidation requires an immediate increase in the contract ceiling to account for the expanded geographic scope, increased patient load, and the integration of technical staff from the legacy CDC projects.

Without this funding adjustment, the AHEC project would lack the resources to maintain the high-volume clinical services and laboratory support currently provided by ICAP and CMMB, resulting in a catastrophic gap in the national PEPFAR response.

This ceiling increase will ensure the continuation of life-saving HIV/AIDS services, including antiretroviral therapy (ART), patient monitoring, and community health worker support, during the transition of program oversight from CDC to the Department of State (DOS) through September 2028.

There is no Period of Performance extension, this J&A is solely to capture an increase to the contract ceiling.

This action is critical to prevent a lapse in services that would pose an immediate risk to public health and human life in South Sudan.

SECTION 3: DESCRIPTION OF SUPPLIES/SERVICES REQUIRED TO MEET THE AGENCY’S

NEEDS

The Advancing HIV & AIDS Epidemic Control (AHEC) project, implemented by IntraHealth, provides essential HIV/AIDS services in South Sudan, including antiretroviral therapy, patient monitoring, and community health worker support. These services are critical to maintaining uninterrupted care for a large population of HIV-positive individuals.

With the ongoing transition of HIV programming from CDC to the Department of State, an adjustment to the Total Estimated Cost (TEC) and funding ceiling is required to ensure AHEC has the necessary resources to absorb expanding clinical responsibilities. Previously, funding for the ICAP and CMMB programs was managed through the CDC. As these programs transition to DOS oversight, those resources must be redirected to the AHEC mechanism to maintain operational continuity.

This funding increase is critical for AHEC to successfully take over ICAP on April 1, 2026, followed by CMMB on October 1, 2026. This strategic expansion will bring nearly 45,000 Persons Living with HIV under AHEC’s care. Without a ceiling increase to account for these two additional programs, AHEC will lack the budgetary authority to sustain life-saving services for this expanded patient population. This poses an immediate and unacceptable risk to public health and the integrity of U.S. foreign assistance in South Sudan.

The proposed adjustment seeks to increase the Total Estimated Cost of the AHEC mechanism from to a new ceiling of , representing an increase of . This adjustment accounts for the assumption of the ICAP and CMMB programs and the clinical care of approximately 45,000 Persons Living with

HIV.

SBU - CONTRACTING AND ACQUISITIONS

CONTRACTING OFFICER

Signature and Approval Note:

The Competition Advocate and Head of the Contracting Activity are not required to sign EPP J&As, as stated in Attachment 1. This differs from standard J&A approval requirements. EPP operates under a unique authority, and signature authority has been delegated to the Contracting Officer. The Contracting Officer requested the Division Director’s signature for operational awareness. The Contracting Officer is also required to notify the GA front office, and that notification has been completed.

J&A Attachments:

1. Attachment 1: Tab 1 of the HIV/AIDS EPP, entitled “Authorization for the Use of Other Than Full and

Open Competition in the Award or Modification of Contracts Funded Under the President’s Emergency Plan for AIDS Relief,” is the Determination and Findings (D&F).

SBU - CONTRACTING AND ACQUISITIONS