In April 2019, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the U.S. Agency for International Development (USAID) awarded FHI 360 the Meeting Targets and Maintaining Epidemic Control (EpiC) project. This five-year global initiative provides strategic technical assistance and direct service delivery to achieve HIV epidemic control and promote self-reliant management of national HIV programs by improving HIV case finding, prevention, treatment programming and viral load suppression. EpiC builds on the USAID- and PEPFAR-funded LINKAGES project, which focuses on addressing the HIV epidemic among key populations.
EpiC is led by FHI 360 with core partners Right to Care, Palladium, Population Services International (PSI) and Gobee Group. The project also draws upon regional resource partners (Africa Capacity Alliance, Enda Santé, Thai Red Cross AIDS Research Center, University of the West Indies and VHS-YRG Care) to provide technical assistance, as well as global resource partners who bring unique capacities (Aurum Institute; Dimagi; Johns Hopkins University Key Populations Program; JSI Research & Training Institute, Inc.; MTV; and World Vision International).
The project works in partnership with and strengthens the capacity of governments, civil society organizations, other PEPFAR implementing partners and the private sector to introduce innovations and expand evidence-based HIV services to unprecedented levels of scale, coverage, quality, effectiveness and efficiency.
- Attain and maintain HIV epidemic control among at-risk adult men, women and priority populations
- Attain and maintain HIV epidemic control among key populations
- Improve program management, health information systems, human resources for health and HIV financing solutions to attain and maintain epidemic control
- Support the transition of direct funding and implementation to capable local partners to meet PEPFAR’s goal of providing 70 percent of its funding to local partners by 2020
What EpiC means for key and priority populations
- Increased access to pre-exposure prophylaxis, voluntary medical male circumcision and tuberculosis prevention services
- Expanded implementation of HIV self-testing, index testing and network testing strategies
- Improved treatment literacy, including transformative undetectable = untransmittable messages
- Wider range of differentiated and key-population-competent health services, including violence prevention and response
- Better access to new first-line antiretroviral therapy and viral-load testing services
- Increased use of online platforms to engage previously unreached individuals and connect them to HIV services
How EpiC bolsters local programs
- Mobilizes increased domestic, sustainable funding sources for national HIV programs
- Provides technical assistance to local partners to help prepare them to accept direct funding
- Helps to identify ways to capitalize on local technical and management expertise
- Promotes unified leadership and management at all levels to control local epidemics
- Supports the integration of HIV services into national and local government budgets
EpiC and COVID-19
Although designed as an HIV project, EpiC has been modified to accept funding to prevent, prepare for, respond to and bolster health systems to address COVID-19. Currently, EpiC is implementing COVID-19 activities in Africa (Egypt, Eswatini, Liberia, Nigeria), Asia and the Pacific (Fiji, Indonesia, Kiribati, Maldives, Nauru, Papua New Guinea, Philippines, Sri Lanka, Thailand) and Latin America (El Salvador, Honduras, Panama, Paraguay). EpiC offers technical assistance for emergency, mid-term and longer-term responses. Read more about EpiC’s COVID-19 efforts. EpiC has developed technical resources to help HIV programs mitigate the impact of COVID-19.
Meeting Targets and Maintaining Epidemic Control (HIV fact sheet)
Collaboration for HIV Prevention Options to Control the Epidemic (CHOICE) (fact sheet)