Promoting Extensive Implementation of Quality Prevention of Mother-to-Child Transmission (PMTCT) Activities in the Republic of Uganda

Post Date

March 2nd 2010

Application Due Date

April 30th 2010

Funding Opportunity Number

CDC-RFA-PS04-230

CFDA Number(s)

93.067

Funding Instrument Type(s)

Cooperative Agreement

Funding Activity Categories

Health

Number of Awards

1

Eligibility Categories

Other

Protecting Families Against AIDS (PREFA) is a local indigenous non-government organization in Uganda. It received a CDC Cooperative Agreement to provide service delivery for the Prevention of Mother to Child HIV Transmission. PREFA has worked closely with the district health teams of 36 districts to support their administrative, programmatic and fiduciary management of individual district subgrants to implement PMTCT services in accordance with approved district workplans. A gap between this award and the follow on award for 6 months would have two principal adverse programmatic impacts. First, approximately 240,000 pregnant women would not receive PMTCT services. As a result of this, at least 8,000 HIV-infected pregnant women would not be identified and therefore not be provided indicated prevention, care and treatment services. Also, approximately 1,200 new HIV infections among infants would not be prevented; many of these infections will result in death. Secondly, PEPFAR’s efforts to strengthen health systems and foster host government ownership of HIV activities would be seriously impacted. District and health facility supply chain, information, human resources (hiring, training, mentoring), governance and financing systems would be disrupted; also, because of the instability in funding, the commitment to continue increasing host government ownership of these activities and partnering with CDC to do so will be adversely affected. PREFA is the only organization which can continue to carry out these activities until the new FOA is awarded, as it is the only organization which has supported these districts to provide PMTCT services and strengthen their health systems since 2004. Further, PREFA owns the protocol for the PHE study and a new recipient would be required to start from the scratch on the study. A new award to cover this gap cannot be made in time, and a new awardee would need up to 6 months to establish the minimum district-based program implementation and accountability systems which PREFA has put in place.

Funding

• Estimated Total Funding:

  $2506534

• Award Range:

  $0 - $0

Grant Description

The main purpose remains the same as written in the original funding opportunity announcement published on July 23, 2004 in the Federal Register: “To support the expansion of quality PMTCT program coverage throughout Uganda; conduct PMTCT training; identify gaps in the current national PMTCT program; and develop strategies to fill those gaps and to carry out other PMTCT promotion, policy and quality assurance activities. The overall aim of this program is to promote wide implementation of quality PMTCT programs throughout Uganda.” The project has two major components, both of which correspond to the main purpose of the award: 1) PMTCT programmatic activities and service delivery to 36 districts in Uganda, which is to continue through September 30, 2010, or until the new award is made under the competitive Funding Opportunity Announcement (FOA) number PS10-1021, whichever occurs sooner, and 2) The Public Health Evaluation (PHE) study entitled the ‘Tororo Child Cohort’, which is to continue through September 30, 2013.

Contact Information

• Agency

  Department of Health and Human Services

• Office:

  Centers for Disease Control and Prevention

• Agency Contact:

  PGO TIMS
  grants
  Phone 770-488-2700

• Agency Mailing Address:

  GENERAL EMAIL

• Agency Email Address:

  PGOTIM@CDC.gov