Key Activities and Accomplishments
Sustained Essential Health Services: Program data indicates CDC directly supports approximately 85% of PMTCT and 70% of HIV treatment programs in the country, including 30% of HIV commodities. Despite access challenges, CDC implementing partners continue to provide HIV testing and treatment support, and have established Voluntary Medical Male Circumcision (VMMC) at Juba Military Hospital.
HIV /TB Services: From 2016 to 2017, HIV testing has increased and a greater number of HIV positives have been diagnosed and are receiving antiretroviral treatment (ART). Key populations (KP) such as men having sex with men (MSM) and female sex workers (FSWs) were reached with HIV prevention services. Through partnerships and coordination between the MOH, CDC and Global Fund, there was an increase of patients including children, who were provided ART, from 19,394 in 2016 to 22,700 by June 2017. CDC continues to work with the national TB and HIV programs and other stakeholders to improve TB/HIV collaborative activities to ensure that all TB patients are tested for HIV and that all who test positive are appropriately linked to treatment, and all HIV positives identified at CDC supported facilities are screened for TB and linked to TB diagnostic and treatment services.
HIV surveys. CDC previously supported three rounds of antenatal clinic (ANC) surveys (2007, 2009 and 2012) and is currently supporting the MOH in collaboration with Global Fund in conducting the 2017 ANC survey. PEPFAR also supported two bio-behavioral surveys of female sex workers in Juba (2016) and Nimule (2017).
PEPFAR five-year strategy: CDC led the development of an interagency five-year PEPFAR strategy that focuses programs on high prevalence areas with targeted activities. The strategy is to strengthen national ownership of the HIV response and activities including HIV testing services, scaling up Provider Initiated Testing and Counselling, treatment services, PMTCT, prevention among key populations, quality assurance, laboratory systems, and strategic information strengthening.