Global Fund - HIV, TB and Malaria Programs

The Global Fund programs work across different countries to strengthen their response to end HIV, TB and Malaria. This program collaborates with the world leaders, communities, civil society, health workers and private  sector for a movement to defeat HIV, TB and Malaria to ensure a healthier, safer, more equitable future for all.

In Nepal, the Global Fund implements the programs through Save the Children International as the Principal Recipient (PR) of the grant and manages HIV, TB and Malaria grants in Nepal. These programs are implemented throughout Nepal in close collaboration with the government entities of the Ministry of Health and Population (MoHP), namely, National Centre for AIDS & STD Control (NCASC), National Tuberculosis Control Centre (NTCC) and Epidemiology & Disease Control Division (EDCD). Currently Nepal is implementing the New Funding Model (NFM) 3 grant cycle for the period 16 March 2021 till 31 July 2024.

 

HIV: Our goal is to accelerate the HIV response prioritized by NHSP to end the AIDS Epidemic by 2030 in Nepal.

Activities:

  • CONTINUUM OF CARE : PLHIVS are provided with free treatment and diagnostics services (to monitor their health status) through government service sites.
  • CARE AND SUPPORT FOR PLHIV: PLHIVs are also provided with community -based care and support services to ensure adherence to ART and enhanced quality of life.
  • PREVENTION PACKAGES FOR KEY POPULATIONS : KPs are provided with harm reduction, behavior change communication and commodities distribution services to ensure safer practices.
  • HIV SCREENING OF KEY POPULATIONS : KPs enrolled in the HR and BCC services are screened for HIV through the community led testing and reactive case referred for confirmatory HIV tests and it is ensured that positive cases are immediately enrolled in ART and subsequent care and support services.
  • COMMUNITY SYSTEM STRENGTHENING (CSS): Partnership with the key population and PLHIV networks for the implementation CSS activities encapsulate the engagement of community and the affected population in the implementation of the core components of the CSS framework of the Global Fund to support both community-led responses and community-based responses. 
  • BREAKING DOWN BARRIERS INITIATIVE (CATALYTIC FUND): Increasing health equity, gender equality, and human rights: Collaborate closely with the government and key stakeholders to create an inclusive and equitable environment for marginalized groups, key populations, and people living with HIV and TB, so that human rights violations, stigma, discrimination, and gender inequalities are effectively reduced, and HIV and TB prevention, treatment, and care services are made more accessible, affordable, and effective to all who require them, regardless of gender identity, risk behavior, or human rights status.

TB – Our goal is to achieve 80% reduction in the tuberculosis incidence rate and 90% reduction in the absolute number of tuberculosis death by 2030 as compared to the levels of 2015.

Activities:

  • EARLY DIAGNOSIS : Case notification of TB through active case finding among high-risk population. TB screening among children.
  • CASE MANAGEMENT : Availability of free first line and second line drugs, DOTS centers, DRTB management.
  • LAB & DIAGNOSTICS : Strengthening of microscopic centers, Gene-Xpert sites.
  • HEALTH INFORMATION MANAGEMENT SYSTEM : and M&E, program management along with capacity building of the government healthcare service provider.
  • PRIVATE SECTOR ENGAGEMENT : Bringing the private sector aboard the national programme and ensure TB diagnosis and treatment in accordance to the national TB management guidelines.

Malaria: Our goal is to reduce the indigenous cases to zero by 2022 and sustain zero malaria mortality.

Activities:

  • CASE MANAGEMENT : Universal access to testing and treatment, community management of malaria and integrated community testing for COVID-19, malaria, HIV and TB (under C-19RM). Follow up of confirmed malaria cases on treatment according to NMTP.
  • VECTOR CONTROL : Distribution of long-lasting insecticidal nets, indoor residual spraying (IRS), entomological monitoring.
  • SURVEILLANCE : Case based investigation (RACD) and foci investigation and response following 1 -3 -7 days surveillance approach. Active case detection and Proactive case detection.
  • HEALTH SYSTEM STRENGTHENING : Strengthening of M&E system, program management along with capacity building of the government healthcare service providers.
  • PRIVATE SECTOR ENGAGEMENT : Bringing the private sector on board with the malaria elimination strategy and support in the strengthening of the diagnostics and treatment capacity and quality of the private facilities.

COVID-19 RESPONSE MECHANISM (C19RM)

C19RM project is an addendum of the existing Global fund grant, and hence the activities are complementary. The grant was awarded to mitigate the impact of COVID-19 on effective implementation of the existing programs of three entities (NCASC, EDCD and NTCC). Therefore, the same SRs are engaged in the implementation of the C19RM project in the same districts where they have been implementing the Global Fund project. The primary aim of this project is to mitigate the impact of COVID-19 on HIV, Malaria and TB programs along with community and health system strengthening. It aims to:

  • Support in integrated testing of COVID-19, TB, HIV and Malaria in Point of Entry (PoEs) and Community for early test and prompt treatment to achieve intensified case diagnostic capacity and improved case notification coupled with capacity building of the human resources.
  • Community mobilization for improved awareness of COVID-19 and TB along with monitoring and follow-ups.
  • Train rapid response team and emergency medical teams at all levels and improve infrastructure at the health facilities.

 

* We ensure protection of gender and human rights and COVID-19 safety during the implementation of all these activities.

Last Updated: May 2023