The HIV Funding Request
All funding requests submitted to the Global Fund on the 23rd May 2017 are tailored applications, which means that they primarily describe those interventions that are subject to change while maintaining a large number of existing interventions. Because of the high HIV and TB co-infection rate, Ghana was required to submit a joint HIV/TB funding request.
The HIV funding request is based on the finding that there are high HIV prevalence areas in all regions and proposes therefore to focus on high prevalence districts instead of the current high prevalence regions in order to achieve the overarching goal of eliminating Mother-To-Child Transmission (MTCT) of HIV.
This funding request aims to increase:
- PMTCT - ART coverage from 36% in 2016 to 82% in 2020 through adoption of task shifting and expansion of ART services at ANC level and associated OPD of 400 healthcare facilities, thereby also improving coverage of early infant diagnosis of children born to HIV+ mothers; The 400 health facilities targeted are located in 163 districts across all ten regions.
- The percentage of HIV-positive TB patients on ART from 43% in 2016 to 82% in 2020; and
- Quality of HIV care and treatment adherence rates through expansion of the ART clinic network and associated reduction of work load in all existing ART clinics.
- ART initiation among HIV-positive key populations from 29% among MSM and 35% among FSW in 2016 to 82% in both groups in eight selected districts by 2020.
The above objectives shall be achieved through:
- Training of midwives/nurses and medical assistants to initiate ART, provide ART care, collect EID samples and screen for TB at 400 health facilities that have 83% of HIV+ pregnant women (2016)
- Integrate HIV services in ANC and OPD to reduce travel cost and the risk of stigma.
- Capture PLHIV data in the eTracker component of DHIMS 2 for an improved follow up of individual patients for continuum of care, adherence and retention.
- Sensitize health facility workers on appropriate attitudes towards patients irrespective of their sexual orientation, gender, legal status, HIV status and medical condition.
An amount of US$63,214,477 is requested for the HIV component, of which almost 45m US$ will be required for ART care (ART and laboratory tests) for 104,000 existing PLHIV in this three year period 2018-2020.