Implementing Mechanism Details
Mechanism ID: 9866
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Mechanism Name: NIAID/NIH Project Phidisa
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Funding Agency: U.S. Department of Health and Human Services/National Institutes of Health
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Procurement Type: Cooperative Agreement
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Prime Partner Name: South Africa National Defense Force, Military Health Service
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Agreement Start Date: Redacted
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Agreement End Date: Redacted
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TBD: No
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New Mechanism: No
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Global Fund / Multilateral Engagement: No
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G2G: No
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Managing Agency:
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Total Funding: 2,163,145
|
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Funding Source
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Funding Amount
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GHP-State
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2,163,145
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Sub Partner Name(s)
Henry M. Jackson Foundation Medical Research International, Inc.
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Scientific Application International Corporation
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Overview Narrative
This activity will support the continuation of ART for approximately 2744 South African National Defense Force (SANDF) personnel and family members (as of June 2011) that were previously receiving ARVs via a collaborative clinical trial with the SANDF, HHS/NIH/NIAID, and US DoD. By the end of FY12 we anticipate that the number of HIV+ patients who will be on ART will exceed 2,900 patients as they are identified from a natural history cohort. This PEPFAR funding will ensure continued ARV therapy for these individuals as they are transitioned from the clinical trial to HIV treatment and care still provided through Phidisa clinics and service delivery personnel. This is a very high priority for the SANDF and the South African Military Health Service (SAMHS) and all ART will be prescribed and managed (which will include lab testing and patient monitoring) according to SAG national guidelines. Patient monitoring will be done by dedicated personnel at Phidisa clinics. The labs monitoring tests done in accordance with guidelines will performed at the clinical sites in the same manner for the currently enrolled Phidisa patients. This is done through the current mechanism set by NIAID. PEPFAR funds allocated under this activity will be used by NIAID to procure and distribute ARV drugs to the 6 existing SAMHS clinical sites and for lab monitoring tests to continue coverage for these patients.
Background: Project Phidisa initiated Protocol II, a randomized clinical trial, was started in January 2004 at the request of the SANDF, with the support of the US Ambassador to South Africa, and the US DoD. It is the aim of this PEPFAR activity to maintain continuity of the ARV drug supply chain, which has been well integrated with the military clinical sites.
Cross-Cutting Budget Attribution(s)
Human Resources for Health
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2,163,145
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TBD Details
(No data provided.)
Key Issues
Military Population
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
|
9866
NIAID/NIH Project Phidisa
South Africa National Defense Force, Military Health Service
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Strategic Area
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Budget Code
|
Planned Amount
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On Hold Amount
|
Treatment
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HTXD
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0
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0
|
Narrative:
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Activities will be focused on procurement, accountability and storage measures. These drugs include: Lopinavir/Ritonavir, Saquinavir, Truvada, Emtricitabine/tenofovir/efavirenz , Atazanavir, and other ART drugs needed to continue therapy for these patients. Phidisa Pharmacist is to be accountable and responsible for acquiring, storing, dispensing and monitoring of Project Phidisa antiretrovirals (ARVs). Since the Project Phidisa began patient enrollment in 2003, there are a number of patients who had failed first line or second line antiretroviral therapy. In these cases, patients have been put on salvage ARVs that are currently not available in the SAMHS procurement supply chain management system. The US NIH-NIAID through an existing contract mechanism will assist with the procurement of these drugs. Since the NIAID contractor has been used in the ARV procurement since the beginning of Project PHIDISA, a fully-functional, effective, existing infrastructure and logistics strategy has already been in place.
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Strategic Area
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Budget Code
|
Planned Amount
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On Hold Amount
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Treatment
|
HTXS
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2,163,145
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0
|
Narrative:
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The activiites will include clinicians and other personnel, training of personnel, clinical monitoring, related laboratory services, and treatment and patient adherence activities.Training activities will include intermittent in-service training, mentorship to address clinical care and delivery of the HIV infected patients. Personnel will be dedicated to support treatment and monitoring of these patients. All Phidisa sites will continue efforts to improve efficiencies to allow for continued expansion of services and improved delivery of care and treatment. Efforts to retain patients iniated on antiretrovirals (ARV) and adherence modalities that is currently performed will continue at the Phidisa sites. Outcomes of these activities will be monitored periodically to include incorporating suggested performance improvement strategies.
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Strategic Area
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Budget Code
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Planned Amount
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On Hold Amount
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Treatment
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PDTX
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0
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0
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Narrative:
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The primary activities and strategies will be aimed at building the capacity of health care providers and facilities to treat children that are being treated at Phidisa sites. This includes training clinicians and other providers, clinical and laboratory monitoring of children on treatment. There are a limited number of pediatric patients as most are treated at SAMHS rollout sites. As these rollout sites expand, activiites will be made to faciliate transitioning of these patients.
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Implementing Mechanism Details
Mechanism ID: 11498
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Mechanism Name: U.S. Peace Corps
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Funding Agency: U.S. Peace Corps
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Procurement Type: USG Core
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Prime Partner Name: U.S. Peace Corps
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Agreement Start Date: Redacted
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Agreement End Date: Redacted
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TBD: No
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New Mechanism: No
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Global Fund / Multilateral Engagement: No
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G2G: No
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Managing Agency:
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Total Funding: 425,000
|
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Funding Source
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Funding Amount
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GHP-State
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425,000
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Sub Partner Name(s)
(No data provided.)
Overview Narrative
Peace Corps South Africa PEPFAR program is a hybrid program consisting of two-year PEPFAR funded Volunteers and Response Volunteers working to support the HIV strategic goals of the South African Government through the placement of Volunteers at different organizations; and provide technical training and funding through Volunteer Activity Support and Training (VAST) to support community driven HIV/AIDS activities. Peace Corps in collaboration with Civil Society Organizations and Government Departments will strengthen and support the capacity of communities to meet the community and development needs of vulnerable groups including those infected and affected by HIV/AIDS. Peace Corps have 182 Volunteers, including Peace Corps Response Volunteers working in the following provinces: Eastern Cape, Free State, Limpopo, Mpumalanga, Northern Cape, North West, Kwa Zulu- Natal, and Western Cape. These Volunteers are working under two programs, The Community HIV/AIDS Outreach (HIV/Health) and Schools and Community Resources (Education) projects. Currently, thirteen two-year Volunteers are funded under PEPFAR. Peace Corps focuses primarily at the grass-root level responding to needs of the community. In FY 12, Peace Corps plans to fund more two-year Volunteers and Peace Corps Response Volunteers with whom Volunteers will work in schools, local Non-Government Organizations and other South African government agencies to strengthen HIV/AIDS programs.
Cross-Cutting Budget Attribution(s)
(No data provided.)
TBD Details
(No data provided.)
Key Issues
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's access to income and productive resources
Child Survival Activities
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
|
11498
U.S. Peace Corps
U.S. Peace Corps
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Strategic Area
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Budget Code
|
Planned Amount
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On Hold Amount
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Care
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HBHC
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52,200
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0
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Narrative:
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Peace Corps Volunteers work in civil society organizations focusing on home based care activities aiming to address stigma and discrimination against those with HIV and AIDS. PEPFAR funds are used to train Volunteers and their Counterparts in organizational capacity building which helps in strengthening of organizational and human capacity. Volunteers provide caregivers with support that enables them to meet the physical and psycho-social needs of those living with HIV/AIDS. Employees of the civil organization together with the HBC Volunteers are also empowered by Peace Corps Volunteers on addressing discrimination and gender-based violence. Peace Corps Volunteers are primarily based in rural areas of the provinces that PC in operating in Eastern Cape, Limpopo, North West, Northern Cape, KwaZulu-Natal, Mpumalanga, and Western Cape. Peace Corps Response Volunteers serve in most of the Provinces where there are two-year Volunteers. Funds requested in FY12 will cover the costs of training PCVs and their counterparts through VAST funding, capacitating the Civil Society Organizations, People Living with HIV/AIDS and Home Based caregivers. Peace Corps will also conduct In-service training on developing economic and household strengthening activities appropriate for child headed households and adults. Appropriate prevention messages will be communicated to individuals, groups and to the community as a whole. Peace Corps is assisting communities by developing skills in permagarden as a means of providing food assistance and income generating projects for people infected and affected by HIV/AIDS.
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Strategic Area
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Budget Code
|
Planned Amount
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On Hold Amount
|
Care
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HKID
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172,800
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0
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Narrative:
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FY12 funds will be used to train Volunteers and Counterparts to strengthen community structures to be able to respond to children and families in need by providing knowledge needed to meet the physical, psycho-social and financial needs of the OVC and caregivers. Peace Corps will also use the funds to train Volunteers and counterparts working within NGO and schools on organizational development, covering areas such as strategic management, leadership, fund development strategies and monitoring and evaluation. Peace Corps Volunteers will work with their community counterparts to implement the life skills education through after school clubs and peer education groups that focus on OVC between the ages of 15-18 years, these are boys and girls. Volunteers and Counterparts will gain knowledge and skills to be better prepared to identify resources such as child protection agencies, health referral centers, educational facilities that addresses children in need. As a result of the Organizational Development training, Volunteers have been able to improve government and management of civil society and schools.
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Strategic Area
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Budget Code
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Planned Amount
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On Hold Amount
|
Prevention
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HVAB
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100,000
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0
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Narrative:
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Peace Corps will target Volunteers and Counterparts working with OVC between the ages of 0-14years for training on Life skills education. Peace Corps will administer Volunteer Activities Support and Training (VAST) grants to Volunteers and Counterparts to develop projects that seek to educate children on HIV/AIDS appropriate messages, child protection rights and advocacy training in communities. Projects may be after school clubs and peer education groups. PEPFAR funds will train Volunteers and Counterparts in interactive and experiential training methods and the use of appropriate AB messages for children at school.
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Strategic Area
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Budget Code
|
Planned Amount
|
On Hold Amount
|
Prevention
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HVOP
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100,000
|
0
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Narrative:
|
Peace Corps will target Volunteers and Counterparts working with youth between the ages of 15-18 years on appropriate prevention messages, reduction of concurrent partners, and through promotion of counseling and testing services. Peace Corps will administer VAST funding to Volunteers and counterparts to develop sound and appropriate HIV related community projects base upon the needs of specific target population. Violence against women, including sexual violence, is widespread in South Africa. Peace Corps Volunteers hope to address the inequalities through the VAST funding that are granted to Volunteers to address life skills programs for boys and girls through educational camps, girl’s leadership programs and life skills programs at schools. Peace Corps Volunteers also work with rural women to empower them on economic strengthening programs.
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Implementing Mechanism Details
Mechanism ID: 11500
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Mechanism Name: Community Grants
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Funding Agency: U.S. Department of State/Bureau of African Affairs
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Procurement Type: Cooperative Agreement
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Prime Partner Name: U.S. Department of State
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Agreement Start Date: Redacted
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Agreement End Date: Redacted
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TBD: No
|
New Mechanism: No
|
Global Fund / Multilateral Engagement: No
|
G2G: No
|
Managing Agency:
|
Total Funding: 1,490,000
|
|
Funding Source
|
Funding Amount
|
GHP-State
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1,490,000
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Sub Partner Name(s)
(No data provided.)
Overview Narrative
"Community Grants assist grassroots, community-run projects throughout South Africa. It aims to strengthen health service delivery in communities affected by HIV and AIDS who provide OVC and HBC support with an emphasis on economic strengthening activities such as income generation and organizational capacity building. Coordinators strive to link predominantly rural community and faith-based organizations with larger PEPFAR partners and SAG departments to build capacity and ensure project sustainability.
Only projects that are working with local SAG departments (DOE, DSD and DOH) are accepted for funding. Organizations providing HBC services and community awareness activities must partner with local clinics with respect to messages, information and programs supported. In addition, the NSP calls for a greater focus on TB and many of the grant partners are being equipped with training in TB treatment in FY11.
Community Grants continues implement cost efficient mechanisms. Grouping visits to potential recipients, combining workshops and evaluating staffing needs are examples of cost saving measures.
Grants must conform to the PEPFAR Community Grants Guidelines. Coordinators vet the potential recipients by phone and a site visit. Projects are reviewed by Community Grants Mission Coordinator, Grants Officer, local review committee at the Consulate and Embassy, a technical Mission Health Committee and the Ambassador. Once awarded recipients receive training on implementation, expenditure documentation and documentation of beneficiaries based on PEPFAR’s indicators. This training is aimed at increasing their accountability and equipping them to be stronger SAG partners to enable a transition from direct USG funding support to a NGO-SAG relationship.
"
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