Sustaining HIV and TB epidemic control in Lesotho through health system strengthening and technical assistance under the President's Emergency Plan for AIDS Relief (PEPFAR)

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The Award Ceiling for Year 1 is 0 (none). CDC anticipates an Approximate Total Fiscal Year Funding amount of $15,000,000 for Year 1, subject to the availability of funds.This NOFO aims to accelerate and sustain HIV epidemic control and reduce TB incidence through interventions to address unmet needs across the clinical cascade in four districts of Lesotho:LeribeBereaQuthingQacha’s NekThe goal is to attain and sustain the UNAIDS 95-95-95 targets.We expect you to work with the Lesotho Ministry of Health (MOH) to implement evidence-based interventions and innovative strategies to strengthen the capacity of district health management teams (DHMTs), health facilities, and communities. This increased capacity will improve sustainability and person-centered health service delivery.Activities under this NOFO include strengthening health systems, continuous quality improvement (CQI), and providing technical assistance (TA) in multiple areas, including:Finding cases of HIV and TB.HIV care and treatment, including advanced HIV disease (AHD) management.Cervical cancer (CxCa) screening.Biomedical prevention interventions. For example, elimination of mother-to-child HIV transmission (EMTCT) and pre-exposure prophylaxis (PrEP).Preventing, diagnosing, and treating TB.Integrating the management of non-communicable diseases (NCDs) (such as hypertension and mental health challenges) into HIV service delivery.Interfacing with laboratory systems.Surveillance (for example, recency testing) and data use for program improvement.Our goals align with the PEPFAR 2030 strategic direction to eliminate the HIV/AIDS pandemic as a public health threat and strengthen public health systems.