Supporting Implementation of National HIV Policies and the Provision of HIV Testing Services, Care, Treatment, PMTCT, TB, PrEP and the Quality of HIV-Related Testing Across the Clinical Cascade in Public Health Facilities in Botswana under PEPFAR

Description

The Award Ceiling for Year 1 is 0 (none). CDC anticipates an Approximate Total Fiscal Year Funding amount of $25,000,000 for Year 1, subject to the availability of funds. This NOFO aims to close coverage gaps across the clinical cascades for HIV and TB in all age-sex groups. Botswana has high levels of antiretroviral therapy (ART) coverage and viral suppression among women; however, coverage in men and children are far from the 95-95-95 UNAIDS goals. If these gaps are not closed, men and children will suffer unnecessary morbidity and mortality, while adolescent girls and young women (AGYW) acquire preventable HIV infections. The recipient(s) will provide tailored, integrated site-specific support to Ministry of Health and Wellness (MOHW) programs to close HIV and TB prevention, treatment, diagnostic, and data gaps in the following areas: Targeted, high-yield HIV diagnosis, immediate ART initiation and viral load (VL)/early infant diagnosis (EID) monitoring, with a focus on adult males, children, and pregnant/breastfeeding women. Pre-exposure prophylaxis (PrEP) for eligible clients at health facilities (youth-friendly clinics). TB symptom screening, diagnostic evaluation routine TB preventive therapy [TPT] and cryptococcal disease prevention (reflex cryptococcal antigen [CrAg] screening) and treatment. Availability and use of quality diagnostic tests, including point-of-care (POC), laboratory-based examinations. The recipient(s) will prioritize the quality of service provision, implement with fidelity, and will collect, analyze, and utilize data for decision-making and program improvement.

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