MOH Global Fund grants in Liberia

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Ministry of Health is a Principal Recipient for two active Global Fund grants in Liberia with oversight from Liberia Coordinating Mechanism.
1. TB/HIV Grant

Goals:

•  To reduce TB prevalence and incidence by 2018;
• To stop new HIV infections in Liberia
• To keep PLHIV alive and healthy in Liberia; and
• To mitigate the socio-economic impact on people infected and affected by HIV and AIDS in Liberia.

 Target Group/Beneficiaries:

The Program will target and benefit the following groups:

• TB patients and their families;
•  People living with HIV;
• Pregnant women;
• Prisoners, women, children, miners, residents of slum areas; and
• General population.

4. Strategies:

•  Pursue high-quality DOTS expansion and enhancement
• Address TB-HIV, MDR-TB, and the needs of poor and vulnerable populations
• Contribute to health system strengthening based on primary health care
• Engage all care providers
• Empower people with TB, and communities through partnership
• Enable and promote research
•  Increase access to HIV prevention and treatment services
• Provide HIV prevention information and services to key and vulnerable populations
• Increase care and support for PLHIV
• Strengthen national health and community systems

 Planned Activities:

HIV

Under the responsibility of the National AIDS Control Program, the activities implemented under this grant include:

• scale-up high quality pediatric and adult pre-ART and ART services, including implementation of the 2013 WHO ART guidelines;
• increase access to and uptake of PMTCT services;
• enhance defaulter tracing and ensuring adherence to treatment;
• promote access to and uptake of HTC;
• ensure access to HIV prevention and treatment services among key populations, including FSWs, MSMs, transgender people, PWIDs, and prisoners, fishermen, miners and youth in and out of school;
•  strengthen strong linkages to care for newly diagnosed HIV-positive individuals;
•   improve laboratory and diagnostic capacities for pre-ART and ART, TB/HIV, and PMTCT services, including CD4 testing, viral load testing, TB screening, and PCR for EID;
• reinforce health information system and M&E;
• scale-up HIV/TB services; and
• manage the HIV program effectively.

TB

Under the responsibility of the National TB and Leprosy Program, the activities implemented under this grant include:

• procurement and supply management of the 1st line and 2nd line TB drugs;
• strengthening of the collection and transport of sputum samples;
• strengthening laboratory capacity through the roll-out of new technologies: procurement  of GeneXperts, X rays, and MGIT (liquid culture);
•  roll-out of GeneXpert to detect RR-TB cases among retreatment cases, PLHIV, extrapulmonary TB, and children;
• establish culture and drug susceptibility testing to confirm MDR-TB cases;
• systematic TB screening among PLHIV, HIV testing among TB patients, ART provision for co-infected patients, and roll out of isoniazid preventive therapy (IPT) among eligible PLHIV;
• scale-up active case finding in slums communities in 7 counties;
• community interventions will be scaled up to promote social mobilization using the effective EVD community approach; community health workers (CHWs) will ensure treatment adherence, defaulter tracing and household contact tracing, and community referrals;
•  strengthening health information system and M&E, timely reporting through DHIS II (from facilities to counties and from counties to DHIS II) will also improve;
•  scale-up HIV/TB services; and
•  effective program management.