A Door-to-Door Approach to Strengthen Community-Based Interventions for HIV/AIDS Prevention, Care and Treatment in the Republic of Namibia under the President’s Emergency Plan for AIDS Relief (PEPFAR)

The summary for the A Door-to-Door Approach to Strengthen Community-Based Interventions for HIV/AIDS Prevention, Care and Treatment in the Republic of Namibia under the President’s Emergency Plan for AIDS Relief (PEPFAR) grant is detailed below. This summary states who is eligible for the grant, how much grant money will be awarded, current and past deadlines, Catalog of Federal Domestic Assistance (CFDA) numbers, and a sampling of similar government grants. Verify the accuracy of the data FederalGrants.com provides by visiting the webpage noted in the Link to Full Announcement section or by contacting the appropriate person listed as the Grant Announcement Contact. If any section is incomplete, please visit the website for the Centers for Disease Control and Prevention, which is the U.S. government agency offering this grant.

A Door-to-Door Approach to Strengthen Community-Based Interventions for HIV/AIDS Prevention, Care and Treatment in the Republic of Namibia under the President’s Emergency Plan for AIDS Relief (PEPFAR): This is supplemental Funding Opportunity. Eligible applicants that can apply for this funding opportunity appear below:• Development Aid from People to People (DAPP) Namibia Under the leadership of the U.S. Global AIDS Coordinator, as part of the President'sEmergency Plan, the U.S. Department of Health and Human Services’ Centers forDisease Control and Prevention (HHS/CDC) works with host countries and other keypartners to assess the needs of each country and design a customized program ofassistance that fits within the host nation's strategic plan.HHS/CDC focuses on two or three major program areas in each country. Goals andpriorities include the following:• Achieving primary prevention of HIV infection through activities such asexpanding confidential counseling and testing programs and building programs toreduce mother-to-child transmission;• Improving the care and treatment of HIV/AIDS, sexually transmitted infections(STIs) and related opportunistic infections by improving STI management;enhancing the care and treatment of opportunistic infections, includingtuberculosis (TB); and initiating programs to provide anti-retroviral therapy(ART); and• Strengthening the capacity of countries to collect and use surveillance data andmanage national HIV/AIDS programs by expanding HIV/STI/TB surveillanceprograms and strengthening laboratory support for surveillance, diagnosis,treatment, disease monitoring and HIV screening for blood safety.Under the leadership of the U.S. Global AIDS Coordinator, as part of the President’sEmergency Plan, the U.S. Department of Health and Human Services (HHS) works withhost countries and other key partners to assess the needs of each country and design acustomized program of assistance that fits within the host nation’s strategic plan.The President’s Emergency Plan is seeking a partner to implement rural and limitedurban (in informal settlements of Windhoek), confidential HIV counseling, testing andrelated interventions in six regions of Namibia. These six regions are required in the firstyear of the project; should funding permit, the project would be expanded to additionalregions during the five-year project period. Grantee activities include providingconfidential HIV counseling, testing and related interventions, including routine testing inmedical and health-care settings and house-to-house and community testing, toindividuals and linking individuals to already-existing HIV care in the area.The regions in question, Omusati, Oshana, Oshikoto, Ohangwena, Kavango, Caprivi, andKhomas have the highest rates of HIV in Namibia, as high as 39.4 percent among womenwho attend prenatal care in the district of Caprivi, according to the 2006 sentinelsurveillance survey. With the exception of the Khomas Region which includes thecapital city of Windhoek, the remaining regions are in the north, where the majority ofthe population of Namibia resides. The northern regions include one of the main routesfor overland transportation traffic in Africa. Additionally, many northern Namibians,particularly men, migrate from the north to the south each year to work in the servicesector in Windhoek or to mining and agricultural areas in the south. These features makethe people of Khomas Region and the northern regions especially vulnerable to HIVinfections and in need of full prevention, care and treatment.The grantee will provide confidential HIV testing, counseling and related interventions tohouseholds in the defined target area. The emphasis will be on personalizing theinterventions delivered to each individual in a household, and working systematicallywith all households within the defined community area, to provide confidential, routinecounseling and testing (CT) at the home; HIV knowledge and information to promotebehavior-change; referrals to anti-retroviral therapy (ART); counseling on ARTadherence; and referrals for the prevention of mother-to-child transmission (PMTCT).The program will place a special emphasis on offering confidential, voluntary counselingand testing to families in their homes. The partner must work in close collaboration withthe Ministry of Health Social Services’ Counseling and Testing Unit, Regional HealthAuthorities, the Regional and Constituency AIDS Coordinating Committees (RACOCsand CACOCS), and other key stakeholders in the regions where the work is to take place.Addtionally, through special intiative funding, the grantee will scale-up HIV/AIDStreatment services in prioity regions in Namibia with high HIV disease burden.Measurable outcomes of the program will be in alignment with the followingperformance goal(s) for the Emergency Plan:PEPFAR Indicators:1. Number of individuals reached through community outreach that promotesHIV/AIDS prevention through abstinence and/or being faithful;2. Number of individuals trained to promote HIV/AIDS prevention throughabstinence and/or being faithful;3. Number of individuals reached through community outreach that promotesHIV/AIDS prevention through other behavior change other than abstinence and/orbeing faithful;4. Number of individuals trained to promote HIV/AIDS prevention through otherchange beyond abstinence and/or being faithful;5. Number of targeted condom service outlets;6. Number of individuals who received CT for HIV and received their test results;and7. Number of individuals trained in counseling and testing according to national andinternational standards.Additional Indicators:1. Number of HIV-positive individuals provided with Prevention with Positives(PwP) counseling; and2. Number and type (OVC, care, TB, STI, alcohol) of referrals made.This announcement is intended for non-research activities supported by the Centers forDisease Control and Prevention within HHS (HHS/CDC). If an applicant proposesresearch activities, HHS/CDC will not review the application. For the definition of“research,” please see the HHS/CDC Web site at the following Internet address:http://www.cdc.gov/od/science/regs/hrpp/researchdefinition.htm