TrainPharm Project I & II

       SubAgreement between University of Medicine and Pharmacy in Cluj, Romania and HU-                                                                                      PACE
                                                     Agreement Number: 186-G-00-00-00114-00
                                                   Project Period: July 1999 to November 2002
                                                                      Location: Romania


The project, a collaboration between HUCE and the University of Medicine and Pharmacy in Cluj, Romania, began in 1999 in an effort to increase the contribution of pharmacists in primary health care. Funded by the United States Agency for International Development, the project was in support of the agency's objective 3.2, the Improved Welfare of Women and Children in Romania, with a primary emphasis on Women's Health Services, Reproductive Health and Family Planning. The project met this objective by conducting skills enhancement workshops for over 1000 pharmacists.


      Anglophone West Africa Pharmacists HIV/AIDS (AWAP)                                                           Project

    SubAgreement between United States Agency for international Development (USAID) and                                                                               HU-PACE
                                                 Agreement Number: 624-G-00-00-00243-00
                                 Project Period: September 28, 2000 to December 31, 2001
                                     Location: Gambia, Ghana, Liberia, Nigeria, Sierra Leone

United States Agency for international Development (USAID) collaborated with the Howard University Continuing Education's Pharmacist and Continuing Education (PACE) center, and the member societies of the West African Pharmaceutical Federation (WAPF) to highlight the significance and greater use of pharmacists and their network in the prevention of HIV/AIDS and STls in West Africa. The Anglophone West Africa Pharmacists HIV/AIDS (AWAP) project was mainly aimed at strengthening the ability of pharmacists to provide HIV/AIDS prevention information and referral services. The goal of the project was to enhance our knowledge on these encounters in the region, and to use this knowledge to enable USAID and other donors to consider increasing support for community pharmacists' participation in HIV/AIDS/STI prevention programs. The project collaborated with Family Health International (FHI). This project developed a practice log where pharmacists in the 5 project countries documented actual STI encounters and recorded their interventions using a syndromic treatment paradigm. Member pharmacists documented 1,372 STI-client encounters, distributed over the following five countries: Gambia (1.2%), Ghana (15.5%), Liberia (3.6%), Nigeria (76.2%), and Sierra Leone (3.6%). Sexual behavior was recorded and 60.7% reported having regular sex partners, 53.7% had multiple sex partners, and 36.1% were aware of a partner with STI symptoms. The majority (68.7%) of clients represented first time visits for current problems, yet a significant proportion (27.8%) were repeat visitors for the same problem (previous interventions were probably inadequate). The pharmacist-directed client log captured client demographics and this format may provide a cost-effective alternative to the use of simulated clients in evaluating pharmacists' practice patterns.


      AIHA Twinning Partnership (Howard University & Addis                                                Ababa University)

             SubAgreement between American International Health Alliance (AIHA) Twinning                                                                            Center and HU-PACE
                                            Agreement Number: H-F4-ETH-08-P-PTR-HUAA-00
                                      Project Period: October 1, 2007 to December 31, 2010
                                                                   Location: Ethiopia


Addis Ababa University (AAU) School of Pharmacy and Howard University’s Pharmacists and Continuing Education Center collaborated to strengthen AAU’s capacity to train current and future pharmacists to support HIV-related care and treatment, including the provision of high quality ART. Partners were supporting ART expansion in Ethiopia by establishing an accredited continuing education program at AAU School of Pharmacy and introducing a center of excellence for the clinical training of faculty, practitioners, and students who provide pharmaceutical care and services to PLWH. They also worked to improve access to unbiased, up-to-date, clinically oriented, and evidence-based pharmaceutical health information for HIV patients, healthcare professionals, students, faculty, and the public in general by building institutional capacity at AAU and Ethiopia’s Drug Authority and Control Administration, a federal agency that works closely with the partnership.


          Global HIV/AIDS Initiative Nigeria (GHAIN) Project

                  SubAgreement between Family Health International (FHI) and HU-PACE
                                           Agreement Number: 620-A-00-04-00122-00
                                   Project Period: August 23, 2004 to November 30, 2011
                                                                     Location: Nigeria

            The Global HIV/AIDS Initiative Nigeria (GHAIN) was the largest comprehensive HIV/AIDS project ever implemented in a single developing country. Funded by the President's Emergency Plan for AIDS Relief through USAID, the five-year GHAIN project strengthened and expanded a wide range of HIV/AIDS services to support the government of Nigeria's response to the epidemic. Technical leadership included strengthening pharmacy systems at health facilities and in the community, expanding pharmacists’ capacity to provide pharmaceutical care for HIV, STI, TB, and maintaining quality assurance for pharmacy services in supported states.


      Strengthening Integrated Delivery of HIV/AIDS Services                                                (SIDHAS) Project

                SubAgreement between Family Health International (FHI360) and HU-PACE
                                                 Agreement Number: AID-620-A-11-00002
                                                Project Period: October 5, 2011 to Present
                                                                     Location: Nigeria


This project will build on the program supported through the Global HIV/AIDS Initiative Nigeria (GHAIN), which among other objectives supported the expansion of access to HIV testing and counseling (HTC), prevention of mother-to-child transmission (PMTCT), treatment (ART) and care services in the state. Specifically, the SIDHAS project aims to assist the Government of Nigeria (GON) to reduce the burden of HIV/AIDS by building sustainable local capacity to deliver high-quality, comprehensive prevention, treatment, care and related services.

HU PACE in SIDHAS will build on the successes and lessons learnt from the GHAIN project to further strengthen the involvement of key and relevant officers of the GON in all pharmacy- related activities by building capacity to independently undertake the leadership role. HU-PACE will work collaboratively with State Ministry of Health, the Local Government Authorities and the Association of Community Pharmacists of Nigeria (ACPN) to obtain greater involvement of stakeholders from inception to ensure sustainability of the system in order to improve the current programs. HU-PACE will continue to support senior management level pharmacists as trainers in HU-PACE organized workshops and onsite trainings on pharmacy best practices and in joint supervisory visits to health care facilities providing HIV and TB services. In addition, their leadership at bimonthly/quarterly feedback and peer review meetings that highlight key performance data, successes recorded and any challenges existing in the facilities will improve ownership.



   Strengthening Comprehensive HIV/AIDS Response through                                   Partnership (SCHARP) Project

                 SubAgreement between Achieving Health Nigeria Initiative (AHNi) and HU-PACE
                                                     Agreement Number: 1U2GGH000551-01
                                    Project Period: October 1, 2011 to September 29, 2012
                                                                       Location: Nigeria

The overall goals of this grant were to achieve primary prevention of HIV infection, improve the care and treatment of HIV/AIDS, STIs, and related opportunistic infections, and strengthen the capacity of Nigerian organizations to manage HIV/AIDS programs.  Within the SCHARP consortium, Howard University Pharmacists and Continuing Education Centre (HU-PACE) had the mandate to strengthen pharmacy systems and pharmacy services to support the Government of Nigeria and provide high quality pharmaceutical care services to HIV infected men, women and children in 28 selected public sector primary, secondary and tertiary facilities spread across the 5 states of Osun, Ondo, Ogun, Lagos and Ekiti in the South Western Zone of Nigeria. The SCHARP project was to maintain the clients already on antiretroviral therapy while initiating more clients on treatment and providing facility-based care and support services.  The project also provided facility based PMTCT services to HIV positive women and their babies.

     Sustaining Comprehensive HIV/AIDS response through                                 Partnership in Oyo and Ogun (SCHARP+)

              SubAgreement between Achieving Health Nigeria Initiative (AHNi) and HU-PACE
                                                     Agreement Number: SPP-IP-067-000
                                        Project Period: October 1, 2013 to June 30, 2014
                                                                     Location: Nigeria


The SCHARP-Plus project worked to achieve primary prevention of HIV infection, improve the care and treatment of HIV/AIDS, and worked in a wide variety of clinical and programmatic areas related to HIV. SCHARP-Plus also worked to strengthen the capacity of Government of Nigeria to collect and use surveillance data and manage national HIV/AIDS programs and strengthen laboratory support services. It also developed, validated and/or evaluated public health programs to inform decisions for appropriate interventions in HIV/AIDS prevention, care, and treatment. Under the SubAgreement, HU-PACE provided technical leadership to sustain quality service delivery through the provision of pharmacy best practices in patient-centered care and patient management to support HIV prevention, care and treatment services at tertiary, secondary and primary health facilities. HU-PACE worked to build the capacity of Pharmacists and other pharmacy staffs in two states (Ogun and Oyo) in the South West geopolitical zone to improve access, address pharmacovigilance and strengthen existing drug inventory control to ensure the provision of high-quality pharmacy services.



      Strengthening Surveillance of HIV Positive PRE‐ARTS                                                        Persons Project

                    SubAgreement between Centers for Disease Control and Prevention (CDC)
                                                                   and Howard University
                                                       Agreement Number: 5U2GGH000391
                                      Project Period: September 30, 2011 to September 30, 2016
                                                                     Location: South Africa


Pre-ART surveillance was a project designed to monitor newly diagnosed HIV positive patients between diagnosis and treatment. The initial phase of the program involved a comprehensive gap analysis to identify areas of improvement and need in the surveillance of newly diagnosed HIV positive Pre‐ ART persons in South Africa.  The project was in collaboration with South African National AIDS Council (SANAC), School of Health Systems and Public Health at University of Pretoria (SHSPH ‐ UP) and M&E unit of National Department of Health (NDOH).  The well‐designed and functional surveillance system was fundamental for providing the necessary information for appropriate and timely action and response, monitoring disease trends and defining public health priorities to reduce morbidity and mortality, and achieve improved health. Surveillance strengthening of HIV Positive pre‐ART persons was critical to the response of HIV/AIDS programs in South Africa.  Howard University, in collaboration with its partners, aimed at developing surveillance protocols with detailed methodology and data analysis plans that guided surveillance activities of HIV/AIDS throughout the project’s lifespan.




      Clinical HIV/AIDS Systems Strengthening (CHASS) Project

                    SubAgreement between Family Health International (FHI360) and HU-PACE
                                             Agreement Number: AID-656-A-00-10-00113-00
                                                Project Period: October 1, 2015 to Present
                                                                 Location: Mozambique

The overall aim of the Clinical HIV/AIDS Systems Strengthening (CHASS) project is to improve the quality, coverage, and effectiveness of high-impact, evidence-based HIV/AIDS interventions to improve the health status of target populations and meet country-specific goals and objectives within Mozambique. The populations targeted by these high-quality, high-impact, evidence-based HIV services include: HIV infected adults and children, pregnant and lactating women, TB/HIV co-infected patients, and other at-risk groups (youth, serodiscordant couples, and orphans and vulnerable children). Specifically, the project will focus on increasing coverage of antiretroviral therapy (ART), reducing the rate of transmission of HIV from mother to child, and reduce the number of new infections in line with the HIV/AIDS Acceleration Plan for Mozambique.

            This grant will support Howard University in CHASS activities geared towards strengthening quality HIV/AIDS/TB pharmaceutical care services at both the health facility and community levels. This will be done through strengthening pharmaceutical systems and engaging pharmaceutical personnel in both the public and private sectors in Manica, Sofala, Tete and Niassa. The focus will be to improve patient linkages, retention and improved treatment outcomes; including pharmaceutical care interventions at community level, facility level and strengthening Public-Private Partnerships.


                        USAID Open Doors - Zambia Project

           Subcontract between Family Health International (FHI360) and Howard University
                                               Agreement Number: AID-611-A-16-00005
                                 Project Period: February 1, 2017 to September 30, 2018
                                                                      Location: Zambia


The project’s goal was to increase access to and use of comprehensive HIV prevention, care and treatment services by key populations (KPs) in selected districts of Central, Copperbelt, Lusaka, North-Western and Southern provinces. The project worked to build on USAID’s previous investments under Corridors of Hope (COH), which had targeted female sex workers (FSW) as a primary target audience. The USAID Open Doors project extended its reach beyond FSW to other key populations, such as men who have sex with men (MSM), and transgender (TG) individuals.

Howard University (HU) promoted and strengthened adherence counseling and support within existing pharmaceutical training schools. Based on the successes of its pilot program for training/orienting such private providers on KP-awareness, ART adherence, and counseling, Howard University worked with the National Pharmaceutical Regulatory Authority and Registered Pharmacy Training Institutions to institutionalize ART adherence training and KP sensitivity training into their curricula, so these successful approaches could be carried forward beyond the life of project. HU initially focused its work in the USAID Open Doors project districts of Lusaka and Livingstone with the view of expanding to other project sites.


                              Tulonge Afya - Tanzania Project

              Subcontract between Family Health International (FHI360) and Howard University
                                                Agreement Number: AID-621-A-17-00002
                                           Project Period: December 22, 2017 to Present
                                                                     Location: Tanzania


The goal of this formative research study is to identify social, behavioral and structural barriers, including facilitators to care-seeking, initiation and adherence as part of the Test and Start program where pregnancy is the entry point (Option B+) and among other people living with HIV (PLHIV). The activity will involve examination of social, structural and behavioral differences among stable clients (those initiated on antiretroviral therapy (ART) with adherence at six-months, and good viral load results) and unstable clients (children under 5, pregnant women, HIV clients who do not adhere) as well as key and vulnerable populations (KVPs). The overall objective of this study is to inform the Test and Start communication strategy that will focus on improving the uptake and adherence of HIV/AIDS care and treatment services as part of USAID Tulonge Afya FY2018 activities.


                                      HBCU - Zambia Project

           Subgrant between American International Health Alliance (AIHA) Twinning Center
                                                                   and Howard University
                                         Agreement Number: H-FD-HBC-18-P-PTR-HWRD-00
                                                   Project Period: October 1, 2017 – Present
                                                                       Location: Zambia


The purpose of this Subgrant is to develop strategies to address the social determinants and health inequalities found within the context of the provision of HIV/AIDS services in Zambia. As part of the larger Historically Black Colleges and Universities Global Health Consortium, this subgrant seeks to train healthcare workers within high-burden HIV settings on how to reduce stigma and discrimination, while providing training on the impact of social determinants of health on health outcomes along the HIV care continuum. Ultimately, the goal is to improve the quality of healthcare, clinic workflow, and team-building which will in turn lead to improved health outcomes within Level 1 district hospitals as fully detailed in the Partnership Workplan.



                              Sudan HIV/AIDS Program (SHAP)

                 Subcontract between Family Health International (FHI) and Howard University
                                                  Agreement Number: GHH-I-02-07-00043-00
                                                 Project Period: April 1, 2010 to June 28, 2012
                                                                              Location: Sudan

Under this subcontract, Howard University was able to build the capacity of 250 pharmacy and drug store personnel from 9 SHAP sites on HIV/AIDS prevention, treatment and care through training workshops and subsequent follow-up supports. HU also organized community outreach activities and one-to-to interventions to reach 20,000 targeted individuals, including truckers, cross border traders, women who interact with mobile population and the general youth population in the communities with sexual and other behavioral risk prevention messages. Lastly, HU organized and facilitated consultative forums with stakeholders in HIV treatment modalities of designing a development of ART-associated side effects monitoring and management.



    Regional Outreach Addressing AIDS through Development                                            Strategies (ROADS)

                       SubAgreement between Family Health International (FHI) and HU-PACE
                                                   Agreement Number: 623-A-00-05-00320-00
                                        Project Period: August 23, 2005 to November 30, 2008
    Location: Rwanda, Kenya, Sudan, Tanzania, Uganda, Ethiopia, Democratic Republic of                                                                                            Congo

Funded by the U.S. Agency for International Development (USAID) through a five-year cooperative agreement, the Regional Outreach Addressing AIDS through Development Strategies (ROADS) Project began in August 2005. The project was designed to reduce HIV transmission, improve care, and reduce the impact of HIV and AIDS along major transport corridors in East Africa. The HU pharmaceutical care program in the ROADS project involved training and working with personnel in selected project sites who handle medication for prophylaxis and treatment (OTC and prescription medication) through pharmacies, drug shops, private clinics, hospitals and some laboratories. The training was aimed at strengthening their position as community healthcare resources particularly in HIV and AIDS.




    Regional Outreach Addressing AIDS through Development                                          Strategies II (ROADS II)

                       SubAgreement between Family Health International (FHI) and HU-PACE
                                                  Agreement Number: Multiple (See Below)
                                              Project Period: October 1, 2008 to July 31, 2015
                                                            Location: Multiple (See Below)


The goal of the ROADS II projects was to expand access to quality HIV & AIDS prevention information and services in the local community and mobile population through pharmacies and drug shops. This involved providing trainings and mentorship for drug shop, pharmacy, and clinic personnel on STI and HIV/AIDS prevention, treatment & care through in-facility interventions and community outreaches in the Democratic Republic of Congo, Sudan, Uganda, Rwanda, Burundi, Tanzania, Zambia, and Kenya. The community was also trained on proper use of barrier methods and/or contraceptive medicines. HU-PACE was able to build the capacity of local organizations in the administration and dissemination of sexual risk prevention & family planning messages, as well as strengthen referral systems for at-risk groups and individuals. HU-PACE also developed an integrated continuing education program for the Pharmaceutical Association of Rwanda to build their capacity in the development of "HIV prevention message dissemination" at pharmacies and drug shops. ROADS II – Lost to Follow project specifically focused on a patient retention evaluation program across 3 countries on the transport corridor that culminated in the harmonization of interventions to improve patient HIV treatment, retention, and decrease lost to follow up.