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Goal 4: Global Health Protection and Health Systems Strengthening

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Objective Strategy Progress
4A. Maximize NCHHSTP contributions to PEPFAR II reauthorization 3-12-12 goals for HIV.

I. Assist GAP to in providing technical leadership, direct assistance, and funding to Ministries of Health and other PEPFAR partners to expand quality HIV/AIDS care and treatment services and implement effective HIV prevention programs, to

  1. provide treatment for 3 million,
  2. provide care for 12 million,
  3. prevent 12 million new infections.

Indicator: Quantify CDC’s contribution to 3-12-12 PEPFAR targets (annually)

FY 2010 Accomplishments

  • Transitioned Division of Global AIDS to new Center for Global Health.
  • Provided technical and logistical support to new Center during transition and further coordination of multiple existing activities.
  • Detailed NCHHSTP staff to support CDC’s involvement in USG Global Health Initiative (GHI).
  • Provided technical support for PEPFAR by NCHHSTP staff in 14 countries.
  • Established prevention of mother-to-child transmission (PMTCT) of HIV and congenital syphilis as a CDC winnable battle.

FY 2011 Plans

  • Strengthen ongoing collaborations to leverage NCHHSTP’s opportunities for contributing toward the objective.
  • Continue to contribute to GHI efforts.
  • Promote integrated PMTCT of HIV and congenital syphilis in at least 2 countries.

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 Goal is completed.
4B. Optimize NCHHSTP efforts to reduce impact of hepatitis, STD, and TB coinfections in HIV-infected persons globally.

I. Integrate PEPFAR programming into other disease areas, as exemplified by expanding screening, vaccination, and treatment for chronic hepatitis B infection; improving screening for TB and implementation of isoniazid prophylactic therapy; enhancing screening for cervical cancer; expanding screening and treatment for genital ulcer disease; increasing prevention of mother-to-child transmission coverage and integration with mother and child health programs; and implementing promising biomedical interventions, if proven efficacious.

Indicator: Quantify CDC contribution to control of relevant HIV-related co-morbidities under PEPFAR (annually)

FY 2010 Accomplishments

  • Established Global TB liaison between NCHHSTP and CGH to coordinate cross-center and Agency-wide Global TB control efforts.
  • Collaborated in Rwanda on cervical cancer prevention.

FY 2011 Plans

  • Consider Global Workgroup coordination and support to more effectively enhance collaborations between NCHHSTP and CGH in specific disease areas.
  • Participate in ongoing workgroup activities and monitor progress.

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 Goal is in progress.

II. Develop independent collaborations aimed at supporting development of or strengthening data-based disease control programs.

FY 2010 Accomplishments

  • Focused attention on CDC programs and laboratories that serve as WHO Collaborating Centers.

FY 2011 Plans

  • Update and expand information available on internet and convene mini-symposium on WHO Collaborating Centers.

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 Goal is in progress.
4C. Apply CDC strengths to Health Systems Strengthening efforts.

I. Expand global surveillance, monitoring, and evaluation, information systems and epidemiologic science to monitor trends and inform policy development.

FY 2010 Accomplishments

  • Participated in establishing Task Group Recommendations in a “Public Health Framework for Health Systems Strengthening at CDC” document.

FY 2011 Plans

  • Examine short-term and long-term recommended next steps and identify areas of NCHHSTP contribution and collaboration.

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 Goal is completed.

II. Promote a CDC/WHO tiered laboratory accreditation scheme for reference and peripheral laboratories to enhance global competence in laboratory science.

Indicator: Enumerate the number of laboratories obtaining CDC/WHO accreditation under PEPFAR (by 2015)

FY 2010 Accomplishments

  • Established the African Society for Laboratory Medicine as the home for WHO-AFRO laboratory accreditation program.

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 Goal is in progress.

III. Promote transfer of management and service delivery of PEPFAR programs and NCHHSTP-related activities to host governments and local indigenous implementing partners; maintain strong ties to foster leadership and governance for health based on the best available science.

 Goal is in progress.
4D. Apply CDC strengths to train health professionals to increase their expertise in epidemiology, laboratory science, and public health administration.

I. Expand global surveillance and public health capacity in epidemiology, laboratory science, and public health administration (e.g., field epidemiology and laboratory training program and Sustainable Management and Development Program training programs).

Indicator: Quantify CDC’s contribution to the PEPFAR target in human resource development of adding 140,000 new health professionals to the global workforce (annually)

FY 2010 Accomplishments

  • Working with the STOP TB Partnership, provided training for health care professionals in high burden countries.

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 Goal is completed.

II. Foster training and provide leadership opportunities for CDC’s in-country locally employed staff.

FY 2010 Accomplishments

  • Provided in-country laboratory training in Panama, Columbia, and Dominican Republic, and Atlanta-based training for laboratory scientists from Dominican Republic.
  • Developed laboratory training tools on point-of-care (POC) tests applicable for resource-limited settings

FY 2011 Plans

  • Continue in-country and Atlanta-based laboratory training.
  • Evaluate laboratory training tools for POC tests; translate into local languages and disseminate through internet and global partners (e.g., through WHO).

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 Goal is in progress.

III. Continue to promote opportunities for NCHHSTP staff to gain global experience through the International Experience and Technical Assistance program.

FY 2010 Accomplishments

  • Detailed staff with appropriate expertise to the CDC Haitian disaster emergency relief effort.

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 Goal is in progress.
4E. Conduct operational research and program evaluation to improve diagnosis, treatment, and prevention efforts at home and abroad.

I. Foster innovative, locally relevant research and program evaluation to strengthen program implementation and inform policy.

FY 2010 Accomplishments

  • Began operational research studies on congenital syphilis elimination in two countries.

FY 2011 Plans

  • Begin three new operational research studies on integration of prevention of mother-to-child transmission for HIV and congenital syphilis.
  • Collaborate on operational research studies assessing value of integrated antenatal care.

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 Goal is completed.

II. Identify effective intervention and prevention programs in global efforts with relevance to improving domestic programs.

FY 2010 Accomplishments

  • Strengthened WHO’s Gonococcal Antimicrobial Susceptibility Programme (GASP).

FY 2011 Plans

  • Continue to provide technical and financial support to GASP.

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 Goal is in progress.

III. Describe, quantify, and address burden of disease associated with migration or movement to the United States from high-prevalence countries.

FY 2010 Accomplishments

  • Established U.S.-Mexico Bi-national Technical workgroup Infectious Disease section and proposals for a laboratory team.
  • WHO Steering Committee for Global Elimination of Congenital Syphilis; DSTDP/GAP assignee at WHO headquarters.

FY 2011 Plans

  • Sign a Memorandum of Understanding to improve bi-national TB prevention and control along the U.S.-Mexico Border.
  • Continue participation on WHO Steering Committee; continue to support assignee to WHO headquarters.

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 Goal is in progress.
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