HIV / AIDS / Tuberculosis

Military-Specific HIV/AIDS Prevention, Care, and Treatment Program


Location: Gabon

Duration: 2019-2023

Partners: Centre International de Recherches Médicales de Franceville (CIRMF)

Funder: Department of Defense HIV/AIDS Prevention Program (DHAPP)


Project Description: MCDI is implementing a four-year project to strengthen the Gabonese military’s capacity to deliver high-quality HIV/AIDS prevention, testing, care and treatment services to its members, their families, and surrounding communities. As a local partner, the Centre International de Recherches Médicales de Franceville (CIRMF) will support laboratory strengthening activities. The Project’s technical approach in Gabon is to strengthen the capacity of the Military Program for the Fight against AIDS (PMLS), its 9 HIV/AIDS cells, and health providers at 11 military health facilities and 7 military laboratories to provide a continuum of quality HIV/AIDS prevention, testing, care and treatment and laboratory services. MCDI will also help to protect Gabon’s special peacekeeping force on missions elsewhere in sub-Saharan Africa.


In line with UNAIDS’ 90/90/90 objectives, the Project’s objectives are:

  1. 90% of all people who receive care at military facilities know their HIV status;
  2. 90% of all people living with HIV/AIDS who receive care at military facilities are enrolled in care and treatment with ARVs; and,
  3. 90% of all people living with HIV/AIDS who are enrolled in HIV/AIDS treatment programs through the military have suppressed viral loads.

Project activities include:

  1. assessments of the Gabon Defense and Security Forces’ (GDSF) capacity in HIV/AIDS prevention and testing, care and treatment, laboratories, clinical data management and monitoring, and management of commodities;
  2. strengthening of prevention and testing services with a focus on index-case testing, peer outreach in military hot spots, and HIV testing in TB services;
  3. strengthening of care and treatment services with a focus on same-day ART registration for HIV+ clients, viral load monitoring, and adherence;
  4. updating GDSF policies, protocols and operational materials;
  5. training of trainers and supervisors; and,
  6. training and supportive supervision of frontlines military health workers on HIV/AIDS prevention, testing, care and treatment.

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