Background and Summary. Haiti is a country in the Caribbean with around 10 million inhabitants (World Bank 2009). It has a surface area of 27,000 square kilometres divided into ten (10) geographic and health departments. Haiti has the highest tuberculosis incidence and prevalence rates in the western hemisphere. According to WHO's most recent estimates for 2009 (WHO 2010 Global Tuberculosis Control Report), the incidence rate is 238 per 100,000 population for all forms of tuberculosis (24,000 cases) and 148 notified and relapse new cases per 100,000 population (14,833 cases) for all forms of tuberculosis. The prevalence rate is 331 per 100,000 population for all forms of tuberculosis (33,000 cases). Case detection rate is 62% (all forms) in 2009, while treatment success rate is 82% (2007 cohort). In order to substantially reduce TB transmission and TB-related morbidity and mortality, the National Tuberculosis Control Program (PNLT) is active at all levels of the health pyramid with a peripheral level (diagnosis and treatment centres, CDTs, and treatment centres, CTs), an intermediary level (departmental coordination) and a central level (the PNLT's Central Coordination). The DOTS strategy has been in application since 1997. The PNLT currently bases its actions on the 2006-2015 Strategic Plan, which was recently updated. All of the program's action plans and activities are in line with the main strategic focuses of this plan, which is entirely consistent with the components of the STOP TB strategy. The Round 3 Grant, which ended in July 2009, made it possible to increase the number of institutions applying the DOTS strategy. As a result, the percentage of tuberculosis cases under DOTS rose significantly. The number of notified cases of smear positive pulmonary tuberculosis also increased since 2005. The Round 9 Program intends to continue with the progress that was made in Round 3, by extending the DOTS network and improving the quality of DOTS services. Given the increase in the number of MDR-TB cases over the past few years, the fight against multi-drug resistance will also be a core component of the Round 9 Grant. The quality of DOTS will be improved by: (1) strengthening human resources at all PNLT levels (coordination, departments, laboratories, peripheral centres) responsible for management, monitoring, evaluation and patient services, and (2) supplying laboratories with technical equipment. Because of Haiti's geography and the state of its roads, access to DOTS services is ...
Background and Summary. Hub is a procurement vehicle supporting a long term programme of investment in community infrastructure for local authorities, NHS Boards and other public sector bodies across Scotland. It will provide a mechanism for delivering assets more effectively through a single partner, with continuous improvement leading to better value for money. Hub will deliver projects expressly identified in the Territory Delivery Plan as Qualifying Projects. Projects will focus on new build but could also include the refurbishment and asset management services of existing infrastructure. The hub structure will encompass both private project finance and traditional publicly funded developments, with delivery through Hubco, the joint venture company. The equity and working capital of Hubco will be split among the PSDP, the eighteen Participants and the Scottish Futures Trust (SFT) (60%, 30% and 10% respectively). A Shareholders Agreement among the PSDP, the eighteen Participants and the SFT will regulate the respective rights and responsibilities of each party and sets out the matters in relation to which Xxxxx must first obtain the consent of each category of shareholder. A hub Territory Partnering Agreement among the eighteen Participants and Hubco will set out the rights and obligations of the parties, including the provision of partnering services by Hubco to the Participants and the exclusivity provisions granted by some of the Participants to Hubco. The following are the key objectives of the hub initiative across Scotland:-
a) To provide enhanced local services by increasing the scale of joint service working and integration between Community Planning Partnerships across Scotland;
b) to deliver a sustained programme of investment into community based facilities and developments so that more and more services are provided locally in communities through multi-disciplinary team working (wherever possible and appropriate) from single sites;
c) to establish a more efficient and sustainable procurement methodology for public sector bodies that:-
(i) reinforces joint strategic planning and delivery;
(ii) is stable and long-term;
(iii) delivers better value for money than current procurement arrangements;
(iv) is flexible in its ability to respond to evolving service strategies and in being able to deliver through different contractual/ funding routes; and
(v) is able to generate sufficient project size, volume and deal flow to attract private finance into the delivery and long...
Background and Summary. [describe reason for the Program and a short description]
Background and Summary. Haiti is a country in the Caribbean with around 10 million inhabitants (World Bank 2009). It has a surface area of 27,000 square kilometres divided into ten (10) geographic and health departments. Haiti is the country hardest hit by the HIV epidemic outside of the African continent. The HIV sero-prevalence was estimated at 3% in 2003 (National Sero-prevalence Survey) but recent data reflects a reduction to a range of 1.7% – 2.2%. Based on the latest available data from the UNAIDS report on the Global AIDS Epidemic 2010, the number of adults and children living with HIV is estimated at between 110,000 - 140,000 in 2009. The epidemic began primarily among men who have sex with men (MSM) and among blood transfusion recipients. Over the years, HIV has quickly spread to the male and female heterosexual population, with more females (15+) living with HIV, estimated at 67,000, compared to males (15+), estimated at 43,000. Only 43% of individuals in need of antiretroviral treatment (based on WHO 2010 guidelines) were receiving treatment in 2009, according to the 2010 WHO Towards Universal Access Progress Report. The Global Fund has funded HIV programs in Haiti since 2003 (through Round 1, Round 5 and Round 7). The Round 1 Grant covered mainly prevention activities with care and treatment interventions to provide support to those already infected and focused on pilot projects for combination antiretroviral (ARV) treatment. The Round 5 Grant was complementary to the Round 1 program. Its objectives included: i) increase in provision of treatment of people living with HIV/AIDS (PLWHA); ii) community care and support for vulnerable groups such as infants, children, orphans, youth and women in both rural and urban areas; and, iii) new types of advocacy activities. The Consolidated RCC Program includes the Round 1 RCC and Round 5 Phase 2 Programs and covers prevention, treatment as well as care and support activities with an integrated approach. The Consolidated RCC Program was implemented from 1 January 2009 until 31 December 2010 by Fondation Sogebank as Principal Recipient (PR). The United Nations Development Programme (UNDP) is taking over the PR mandate after Fondation Sogebank resigned from its functions in 2010. Prevention will continue to focus on behavior change communication campaigns (BCC) and activities to promote safer sexual behavior using mass media and face-to-face communication through peers, other advisors or health professionals. Condoms will be distri...
Background and Summary. Sao Tomé e Prncipe is a small island state within the lower income bracket of African nations with a population of 148,968 inhabitants (66.6% under 25 years), 53.8% living in poverty. HIV prevalence among pregnant women increased to 1.5% in 2005. As of 2004, 157 cumulative AIDS cases have been reported. It is estimated that the number of people living with HIV/AIDS is 1020 (between the ages of 14 to 49 years) and around 200 patients are severely ill. Currently there are 37 HIV patients being monitored, 18 of which receive anti-retroviral (ARV) treatment. Dissemination of HIV related information is relatively low. Condom use among men is 40.7% and women 3.8%. Schooling attendance among 13-17 years old is about 25.3% with a high school drop out. In 2004 the HIV prevalence rate among TB patients was 10% while TB diagnosis is provided only in the hospital laboratory. The Central Hospital Blood Bank relies on blood donated by the family members of PLWHA or interned patients. Blood is not tested for hepatitis C or malaria. Health care workers have never been trained in safety precautions. The disposal of needles and sharp instruments is highly inadequate. Post exposure treatment with ARV drugs is not available. The only laboratory in the country running HIV diagnosis examinations lacks adequate infrastructure and is very poorly equipped. The Program will work towards developing services and activities that prevent and treat sexually transmitted infections (STIs) and HIV, provide prevention of mother to child transmission of HIV (PMTCT) services to HIV positive pregnant women, and second line ARV treatment to HIV positive individuals. Its activities will target vulnerable groups with information and behavioral change activities. The Program will assist in a development of capacities of the health services to reduce the transmission of blood-borne diseases, including HIV, hepatitis and syphilis by training health staff, developing the capacities of laboratories and raising awareness of blood donors. The Program will extend education and clothing support to orphans and caring families to remove some of the burden created by HIV. Finally, the Program will assist the National AIDS Program and non-governmental organizations to develop their institutional capacities to enable to carry out their functions.
Background and Summary. MENTOR will target the northern provinces of Zaire and Uige and the Huambo province of Angola with school, community and health facility based programs for NTD control and prevention programs. While reliable surveillance data and mapping of diseases in Angola is minimal, passive surveillance at health facility level does demonstrate that the northern, significantly poorer provinces carry a disproportionately high burden of NTDs. With this in mind, MENTOR aims to work with and support both the Ministry of Education (MoE) and the Ministry of Health (MoH) to roll out a NTD prevention and treatment campaign in schools and communities in three targeted provinces. National scale mass drug administration campaigns to control NTDs are the main goal of the MoH NTD program. XXXXXX proposes to support the MoH towards this national goal, commencing with an initial roll out of drugs targeting diseases that are known to be present and pervasive. Specifically, MENTOR will support MoH using existing MoH stocks and donations of Albendazole and Praziquantel to target specific NTDs, including schistosomiasis, lymphatic filariasis and those NTDs (helminthes) that are soil transmitted. MENTOR will work with the MoH and MoE to target women of childbearing age, pre-school aged children, school aged children under 15 years of age as well as at-risk adults in rural and urban communities, in Huambo, Uige and Zaire with a mass drug administration (MDA) programme. In addition, MENTOR will ensure health facilities throughout the provinces receive trainings on how to diagnose and treat the targeted neglected tropical diseases. A Water, Sanitation and Hygiene Education (WASHE) programme will also be implemented in schools, in order to contribute to the prevention of infection or re-infection with these diseases. MENTOR will closely support the provincial MoH teams to ensure the efficient execution of the NTD program and effective programme monitoring. Additionally, MENTOR will facilitate sustainable capacity building of MoH partners in the three provinces, as they take on increasing responsibility for overall implementation of these NTD activities.
Background and Summary. NOAA’s National Integrated Heat Health Information System (NIHHIS) partners with CAPA Strategies to deliver a turn-key, volunteer-based, community science campaign to local governments and to engage residents in a scientific study to collect temperature data in their communities. The community science field campaign is an excellent opportunity to raise awareness about the many impacts of extreme heat and the factors that may affect the uneven distribution of heat throughout Santa Fe.
Background and Summary. The City performed an Investment-Grade Energy Audit (IGA) performed by Xxxxxxx Energy Services Company to assess possible energy savings measures at certain City facilities. The IGA also addressed potential energy savings projects at the Xxxxxxx Direct Diversion Facility. The IGA recommended LED lighting facility improvement measures at four BDD facilities: BDD Main, BDD Booster Station #lA, BDD Booster Station #2A and at the BDD Lift Station. The IGA also recommended two solar renewable energy facility improvement measures at BDD Booster Station #lA and at the BDD Lift Station (“BDD Energy Projects”). The City of Santa Fe will enter into a Lease-Purchase Agreement effective March 29, 2021 with Sterling National Bank to cover the costs of the construction, installation and maintenance of the energy savings projects. The cost for the BDD Energy Projects is contained within the total of the Lease-Purchase Agreement. The savings realized from the Energy Projects will be paid by the BDD partners, to the City toward the loan repayment through regular billing from the BDDB. The term of the loan is 18 years. The LED lighting and solar arrays will be conveyed to the BDDB at the time of completion of the projects, subject to all rights of the lender. The lighting and solar arrays will be owned, as with the rest of the BDD Facility, by the City and County, equally. There are two agreements requiring approval by the BDDB to effectuate the BDD Energy Projects:
Background and Summary. Sri Lanka is a low middle income (island) country with a population of twenty million people. It is currently experiencing a low level HIV epidemic with less than 0.1% of the adult population infected. The estimate number of people living with HIV as at the end of 2011 was around 4200. However, a gradual increase in new cases is being observed and the continuing presence of certain socio-demographic and behavioural factors associated with HIV infection may change the present HIV landscape. The main mode of transmission is unprotected sex between men and women (82.8%), with men who have sex with men having accounted for 12.3% of the transmission while mother to child transmission was 4.4%. Though injecting drug use is not a common phenomenon (0.5%), certain socioeconomic and behavioural factors noticed in the country may ignite an epidemic in the future. The presence of a large youth population, internal and external migration, clandestine but flourishing sex industry, low level of condom use and concurrent sexual relationships among key populations are some of such factors. Low level of sexually transmitted infections (STI), availability and accessibility to free of charge health services from the state sector, high literacy rate and low level of drug injectors are protective factors. The Grant focuses on increasing the scale and quality of comprehensive interventions for most-at-risk populations, i.e. female sex workers, men who have sex with men, drug users, and beach boys1 who are also identified as a high risk group based on the findings of the behavioural surveillance survey 2006-7. Voluntary counselling and testing will continue to be implemented in all STI clinics run by the National STD/AIDS Control Programme. Both governmental and non-governmental Principal Recipients will share the procurement and distribution of health products in some Service Delivery Areas (SDAs). All other activities will be contracted through the non- governmental Principal Recipient to local non-governmental organizations.
Background and Summary. Bhutan is a landlocked country, with a total population of 635,000 situated in the Himalayas bordering China, the northeast states of India, close to Nepal and Bangladesh. The borders are increasingly porous with greater commerce and trade. Some places, such as Nepal and the northeastern Indian states of Manipur, Nagaland, and Mizoram, are already experiencing “concentrated” HIV epidemics, while others, such as the Indian states of Sikkim and Meghalaya, maintain a relatively low prevalence. A high level of inter mobility across these borders indicates an urgent need for sharing information and collaborative programs on HIV/AIDS prevention efforts in the region. Based on the available data, UNAIDS estimates that the number of people living with HIV in Bhutan in 2007 is <500 and the prevalence of HIV infection among adults 15-49 is <0.1%. This classifies Bhutan as a low prevalence country. Since the first case was detected in 1993, the cumulative number of HIV cases as of the end of June 2006 has increased to 90 cases, half of them infected within the last
