Differentiated HIV Prevention and Testing Services:

• Provide stationary and outreach HIV testing and counseling services to KVPs, as well as STI counseling, Hepatitis B and C, Syphilis testing on demand, and TB screening;
• Provide care coordination from diagnostic to treatment services including PrEP;
• Ensure availability and access to community network HIV testing and counseling services for MSM and TG individuals;
• Organize facility based and mobile community network testing week campaign on semiannual basis; Promote of HIV, Hepatitis C and B testing through social media campaign including development of IEC materials;
• Provider Initiated Testing (PIT) for HIV at Primary Health Care; expansion to additional 5 regions (procurement of equipment for new testing centers);
• Delivery of defined package of HIV prevention services for MSM, PWID, SW and their sexual partners in seven regions of the country.
• Provide peer-to-peer education, referral to on-site testing services and community outreach testing through mobile unit and organize community network meetings with the purpose to scale-up testing and PrEP uptake.
• Provision of psychological support services to MSM and TG communities;
• Support the implementation of facility-based PrEP program targeting KVPs;
• Delivery of defined harm reduction package of services for PWID in six municipalities.
• Psychosocial support, basic medical services and counselling by family doctors, self-help groups (community-based care to PWID and their partners/families), and psychiatric check-up for co-morbidities;

Treatment, care and support:

• Psycho-social services and care coordination for living support and mental health to PLHIV and family members/partners
• Provide “Special Support Food and Hygienic Packages” to PLHIV to ensure treatment adherence.

TB Care and Prevention:

• Support MOH NTP and Central and Regional Coordination of the NTP;
• Provide TA to update and consolidate NTP policies and guidelines based on WHO policies and guidelines, with the inclusion of all main TB control components;
• Train health workers involved in NTP implementation (Pulmonologists, Family Physicians, private providers, lab staff, nursing / patronage staff and prison health staff) on PCA, Contact Investigation (CI) and Active Case Finding (ACF);
• Implementation of Patient Centered Approach (PCA) decentralization model in 6 Municipalities;
• Scale-up of contact investigation and implementation of TPT by providing TA and tuberculin;;
• Implement VOT for DR-TB patients in selected PCA pilot sites
• ICF activities in high-burden municipalities and hard to access areas by the trained Mobile TB screening Team and procurement of the vehicle and Ultra-Portable Digital X-Ray with accessories and CAD AI Software;
• Public-Private Mix for TB prevention and Care including mapping of private providers and types of agreements with National TB Programs (public-private agreements) as part of the PPM roadmap;
• Develop and implement the Xpert optimization/expansion plan and procurement of Xpert GXMTB/RIF and Xpert GXMTB/XDR cartridges;
• Improve access to molecular testing and liquid media culture with DST;
• Increasing NRL capacity on Whole Genom Sequencing to investigate TB micro-epidemics inc. MDR-TB cases;
• Community TB Care – Home Care for TB patients during outpatient phase; Enhance contact tracing and community based care
• Enhance MDR-TB patient management
• Ensure treatment adherence of MDR/X TB patients through provision of social packages;
• Provide health education sessions and social packages for minority Roma, Ashkali and Egyptian communities; Capacity building and engagement of municipal NGOs to perform TB ACSM activities;
• Implement community MDR TB care delivery.

Reducing human rights-related barriers to HIV/TB services and Removing human rights and gender related barriers to TB services:

• Advocacy TA for planning, design, training and implementation of community-led advocacy campaigns and facilitating Program Advocacy Group meetings;
• Conduct health promotion and advocacy activities on HIV and TB – Marking of World AIDS Day and TB World Day; organizing round table discussions with national stakeholders, inclusive of CS organizations, community representatives and with public engagement of people living with the disease;
• Conduct Ex-officio investigation with Ombudsperson Institution on right to health/access health services

RSSH: Community systems strengthening:

• CSOs capacity building on strategic planning and resource mobilization;
• Social mobilization, building community linkages, collaboration and coordination.

RSSH: RSSH: Health financing systems:

• Capacity building of CSOs and CBOs to develop fund raising capacity, budget advocacy participation in National tenders and public relations to engage with government and donors for domestic resource mobilization for HIV and TB;
• TA for health expenditure tracking, including National Health Accounts, joint expenditure analysis of disease programs.

RSSH: Monitoring and evaluation systems:

• Strengthen national M&E, reporting and coordination capacities;
• Engagement of international TA to support NIPHK to conduct PLHA estimation using Spectrum analysis and data cleaning;
• Integrated Behavioral and Biological Survey with KPs;
• HIV Program Review and TB Program Review;
• Support capacity building of programmatic human resources at all levels, by supporting their continuous medical education (participation to professional trainings, seminars, International Conferences etc.).

RSSH: Health sector planning and governance for integrated people-centered services:

• TA to support MOH to draft/review and approve a standard package of services to be provided by CSOs for both, HIV and TB programs and define cost per client;
• Support MoH in drafting National HIV case management guideline (including case finding), ART protocol and HIV testing algorithm based on WHO policies;
• Develop and approve policy/regulation and/or administrative instruction laying out criteria and procedures for contracting out CSOs for the provision of health-related services including HIV and TB.