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Cross-Border Health Integrated Partnership Project

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Cross-Border Health Integrated Partnership Project Cross-Border Health Integrated Partnership Project Cross-Border Health Integrated Partnership Project (CB-HIPP) is supported by the U.S. Agency for International Development (USAID) with funding CB-HIPP from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Overview The Cross-Border Health Integrated Partnership Project (CB-HIPP), supported by the U.S. Agency for International Development (USAID) with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), is designed to extend quality integrated health services in strategic border areas and other transport corridor sites in East, Central and Southern Africa. In addition to service delivery and the Southern African De- Goal focused on key and vulnerable velopment Community (SADC) The goal of CB-HIPP is to cata- populations, the project (Sep- will play a key leadership and lyze and support sustainable tember 2014-August 2019) partnership role on CB-HIPP. and African-led regional health recognizes the need for alterna- development partnerships Partners tive health financing to increase to improve health outcomes uptake and sustainability of • FHI 360 (Prime) among mobile populations and services within an enabling • Abt Associates vulnerable communities resid- • African Institute for Development policy environment. USAID’s Policy (AFIDEP) ing along Eastern, Central, and design highlights the substan- • (The) African Network for Strategic Southern African transport cor- tial progress made in regional Communication in Health and ridors and cross-border sites. integration, trade, and infra- Development (AfriComNet) structure development through • Development Alternatives Inc. (DAI) This goal will be achieved • Federation of East African Freight Power Africa and Trade Africa Forwarders Associations (FEAFFA) through three Results: (PATA) and other initiatives. It • Howard University also highlights the challenges • International Organization for 1. Increased access to and and opportunities this progress Migration (IOM) uptake of integrated presents for the health sector. • Medic Mobile health and HIV/AIDS • National Organization of Peer Intergovernmental bodies such Educators (NOPE) services at strategic cross- as the East African Community • North Star Alliance (NSA) border sites and a select (EAC), Intergovernmental Au- • Program for Appropriate few regionally recog- thority on Development (IGAD) Technology in Health (PATH) nized HIV transmission 1 Cross-Border Health Integrated Partnership Project “hotspots” along Eastern, Kenya Vision 2030, Rwanda Central, and Southern Vision 2020, Tanzania 2025, transport corridors. and Uganda 2040. In addi- Mitigation is critically impor- tion to focusing on health and tant in cross-border areas, 2. Alternative health-financ- governance, each vision high- other corridor hotspots, and ing models identified, lights trade and infrastructure water-ways. These environ- implemented, and tested development as key to achiev- ments are dynamic, with to strengthen the long- ing its goals. International frequent interaction between term sustainability of partners have launched a transport and other migrant networked health and HIV/ range of initiatives in support workers and vulnerable AIDS service delivery. of these visions, including the resident populations, including USG’s PATA and the Millen- economically disadvantaged 3. Strengthened leadership nium Challenge Corporation’s women and youth. Health and governance by inter- Compacts and Threshold services in these areas — HIV, governmental institutions Programs. PATA focuses on tuberculosis (TB), sexual and to improve the health of extending electricity to 20 reproductive health (SRH) in mobile and vulnerable million people in an initial six particular — are often weak, populations. countries in Eastern and West inaccessible, or unaffordable. Africa, and on increasing intra- Key challenges include lack of regional and international coordination leading to dupli- Context trade in EAC. Partners include cation of effort and poor tar- In all regions of sub-Saharan the African Development geting of resources; a policy Africa, countries have defined Bank, Japan International Co- environment that inhibits their visions for development operation Agency, the World access to affordable services over the coming decades Bank, and TradeMark East for key and other vulnerable with the intent of achieving Africa, which is developing populations, including mobile middle-income status. Within eight One Stop Border Posts populations; and difficulties EAC, Burundi has Vision 2025, (OSBPs) in East and Central sustaining service delivery. Africa during 2014-2017. 2 Cross-Border Health Integrated Partnership Project Target Populations CB-HIPP target EAC’s Regional Task Force for coordinating inter- populations include: key on Integrated Health and governmental groups to focus populations (female sex HIV and AIDS Programming on financing health services workers [FSW], men along Transport Corridors for cross-border communities having sex with men in East Africa. Integrated and mobile populations; 2) [MSM], people who inject services (e.g., HIV, TB, SRH) strengthen the sustainability drugs [PWID]); transport will be delivered using a of health facilities operating workers (truck drivers and client-centered approach in cross-border areas and their assistants); other mobile linked to evidence-based transport corridor hotspots; workers (miners, border agency demand-generation activities. and 3) design health-financing staff, fisher folk); people living A Learning Laboratory will schemes that promote with HIV (PLHIV) including channel lessons learned in willingness and ability to pay discordant couples; and delivering the integrated for the use of health services other vulnerable community package of services. among diverse segments of members, including vulnerable cross-border communities young women and girls. and mobile populations. Result 2 Programming CB-HIPP has identified Result 1 Programming three core solutions to Result 3 Programming Under Result 1, CB-HIPP enhance the sustainability CB-HIPP will help galvanise will support delivery of a of service delivery through political commitment, service package aligned with alternative health-financing leadership, policy and ongoing discussion within the models: 1) institute a means resource allocation, and 3 Cross-Border Health Integrated Partnership Project adoption of best practices for use at the country level to Year 1 Sites to improve health service galvanize policy and program Initial CB-HIPP programming delivery along transport action. The overall approach (Year 1) will be implemented corridors in the region. CB- involves mapping key in 10 cross-border sites in HIPP will help to optimize stakeholders and activities, East and Central Africa. adoption and application identifying policy and program The following 10 sites were of knowledge and lessons barriers, synthesizing evidence validated by the EAC and generated from the project to guide related policy action, Partner States in October in policy and practice within and monitoring performance 2014. partner states. Lessons and to accelerate implementation processes will be translated of policies and strategies. Approved Initial CB-HIPP Sites ROADS III Rwanda Sites Uganda 3 1 4 2 Kenya 1. Malaba, Kenya 5 2. Busia, Kenya i 3. Malaba, Uganda Rwanda 4. Busia, Uganda 7 5. Katuna, Uganda ii 8 6. Ruhwa, Burundi 6 9 7. Rusumo, Rwanda Burundi 8. Rusumo, Tanzania 10 9. Taveta, Kenya 10. Holili, Tanzania i. Gatuna, Rwanda ii. Bugarama, Rwanda Tanzania Period of Performance: September 2014-August 2019 Funder: USAID Prime Contractor: FHI 360 Chief of Party: Dorothy Muroki, [email protected] Twitter:www.twitter.com/CBHIPP 4 Cross-Border Health Integrated Partnership Project.
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