Partnership Framework (PF)/Strategy - Goals and Objectives
Number
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Goal / Objective Description
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Associated Indicator Numbers
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Associated Indicator Labels
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1
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PREVENT NEW HIV AND TB INFECTIONS
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1.1
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Expand biomedical and behavioral prevention interventions that address the various drivers of the epidemics
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P5.1.D
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P5.1.D Number of males circumcised as part of the minimum package of MC for HIV prevention services
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1.2
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Reduce vulnerability to HIV and TB infection, especially focusing on the needs of infants, girls and women
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P12.2.D
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P12.2.D Number of people reached by an individual, small group or community-level intervention or service that explicitly addresses gender-based violence and coercion
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1.3
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Increase the number of persons who know their HIV and TB status and link them to appropriate services
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P11.1.D
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P11.1.D Number of individuals who received Testing and Counseling (T&C) services for HIV and received their test results
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2
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INCREASE LIFE EXPECTANCY AND IMPROVE THE QUALITY OF LIFE FOR PEOPLE LIVING WITH AND AFFECTED BY HIV AND TB
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2.1
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Expand integrated treatment, care, and support services
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T1.1.D
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T1.1.D Number of adults and children with advanced HIV infection newly enrolled on ART
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2.2
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Decrease infant, child and maternal mortality due to HIV & AIDS and TB
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P1.2.D
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P1.2.D Number and percent of HIV-positive pregnant women who received antiretrovirals to reduce risk of mother-to-child-transmission during pregnancy and delivery
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2.3
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Mitigate the impact of HIV & AIDS and TB on individuals, families and communities, especially orphans and vulnerable children
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C1.1.N
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C1.1.N Number of eligible adults and children provided with a minimum of one care service
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3
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STRENGTHEN THE EFFECTIVENESS OF THE HIV AND TB RESPONSE SYSTEM
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3.1
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Strengthen and improve access to institutions and services, especially primary institutions
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H2.1.D
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H2.1.D Number of new health care workers who graduated from a pre-service training institution within the reporting period
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3.2
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Strengthen the use of quality epidemiological and program information to inform planning, policy and decision making
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H2.3.D
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H2.3.D Number of health care workers who successfully completed an in-service training program within the reporting period
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H2.1.N
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H2.1.N Number of new health care workers who graduated from a pre-service training institution within the reporting period
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3.3
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Improve planning and management of human resources to meet the changing needs of the epidemic
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H2.2.D
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H2.2.D Number of community health and para-social workers who successfully completed a pre-service training program
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H2.3.D
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H2.3.D Number of health care workers who successfully completed an in-service training program within the reporting period
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3.4
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Improve health care and prevention financing
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P12.2.D
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P12.2.D Number of people reached by an individual, small group or community-level intervention or service that explicitly addresses gender-based violence and coercion
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Engagement with Global Fund, Multilateral Organizations, and Host Government Agencies
How is the USG providing support for Global Fund grant proposal development?
In South Africa, USG was elected by the AIDS and Health Development Partners Forum to as one of three representatives of development partners on the Country Coordinating Mechanism (CCM) for the Global Fund. The CCM is a newly constructed committee that was created in 2012 during reorganization of South African National AIDS Council structures. As a voting member of the CCM, USG provides extensive input along with representatives from government and civil society into proposal development for Global Fund funding opportunities. The technical working groups of the PEPFAR team review multiple drafts during proposal development to provide both technical and programmatic feedback on the proposal to ensure grant proposals are aligned with National strategy and priorities and also complementary to PEPFAR investments in South Africa.
Are any existing HIV grants approaching the end of their agreement (Phase 1, Phase 2, NSA, CoS, or RCC) in the coming 12 months?
Yes
If yes, please indicate which round and how this may impact USG programming. Please also describe any actions the USG, with country counterparts, is taking to inform renewal programming or to enable continuation of successful programming financed through this grant(s).
In South Africa, Phase 1 of the Single Stream Funding (SSF) grant has been implemented from July 2011. Under the Phase 2 renewal, the five Principle Recipients will now all align to the same grant implementation timeframe of October 2013 to March 2016. This realignment of implementation timeframes under the SSF will allow all grants to eventually align with national timelines (SAG fiscal year runs April - March). The Phase 2 renewal proposal will be submitted to the Global Fund at the end of March in order for review, revision, and grant negotiation to be finalized by an October 1 start date. The budget proposal for the Phase 2 timeframe is just under $250 million. In addition, the Global Fund recently notified the CCM that South Africa would have interim funding available under the new funding model. The Global Fund has indicated that additional funding of $55 million for TB and $37 million for HIV will be available for 2013 and 2014. The Global Fund has requested submission of a proposal for the $92 million by the end of April, so interim funding can be reviewed along with the Phase 2 renewal. USG, as a member of the CCM, has been closely engaged with the review of Phase 1 grants and the renewal proposal for Phase 2.
Redacted
To date, have you identified any areas of substantial duplication or disparity between PEPFAR and Global Fund financed programs? Have you been able to achieve other efficiencies by increasing coordination between stakeholders?
Yes
If yes, how have these areas been addressed? If not, what are the barriers that you face?
Redacted
Public-Private Partnership(s)
Created
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Partnership
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Related Mechanism
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Private-Sector Partner(s)
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PEPFAR USD Planned Funds
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Private-Sector USD Planned Funds
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PPP Description
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2012 COP
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Africa Health Placements
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16981:Africa Health Placements NPC
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Atlantic Philanthropies, DeBeers, Anglo American
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641,936
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703,063
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Africa Health Placements (AHP) supports and enhances healthcare systems in Africa by finding, placing, and retaining healthcare workers in rural and underserved areas. AHP has placed over 2,000 doctors in southern Africa, half of whom are foreign nationals.
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2012 APR
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Albertina Sisulu Executive Leadership Program in Health (ASELPH)
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16984:South Africa Executive Leadership Program for Health
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Harvard University School of Public Health, University of Pretoria, South Africa, University of Fort Hare, Atlantic Philanthropies, ELMA Foundation
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0
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1,500,000
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ASELPH aims to strengthen three components of health transformation in SA: Service Delivery Improvements - targeting the management and leadership capability of executive leadership at district level within the SA Public Health System, managers at provincial and national level responsible for district level services, and hospital CEOs at tertiary and health complex levels. Meeting Key Policy Operationalization Goals – through selection and training of executive level managers responsible for implementing policy such as the National Health Insurance Initiative and the Re-engineering of Primary Health Care; collaborative meetings with the NDoH to refine implementation plans for these policies. Excellence in Executive Level Training – to build capacity at two South African universities to establish and deliver executive leadership courses in health to address the country’s need for senior health managers.
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2012 COP
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Asibavikele
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DELL Foundation
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0
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0
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The purpose of the project is to build capacity of community care workers to provide care and support for child-headed households in Port St Johns Eastern Cape. USAID and the Dell Foundation jointly contribute to sustaining the Port St John's Asibavikele site for orphans and vulnerable children. In addition to contributing to the overall running costs of the sites, funds will be allocated to piloting a new model in caring for children living within child headed households.
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2012 COP
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Development, implementation, and evaluation of a comprehensive HIV prevention program for mobile populations, focusing on truck drivers and commercial sex workers.
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13567:GH1151
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Bill and Melinda Gates Foundation
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0
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0
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The proposed project is a partnership between CDC-South Africa, the Bill and Melinda Gates Foundation to support the South Africa Government (SAG) and other key partners to implement a comprehensive HIV prevention program for truck drivers and commercial sex workers in South Africa. The proposed activities build on the experience of the Gates Foundation’s work with the Avahan project in India to develop, implement and evaluate a comprehensive HIV and STI prevention program for key populations. The objectives of the program are; To map, quantify and assess the HIV situation and HIV programming needs key populations, including trucker and sex workers along a major transportation corridor; To implement a comprehensive HIV prevention program for truck drivers and sex workers along a major transportation corridor in South Africa.
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2012 COP
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Ikhwezi mHealth: Mobile technology for HIV/AIDS in South Africa
Mobile technology for HIV/AIDS in South Africa
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17043:Ikhwezi MAMA - Monitoring & Evaluation & Vodacom Ikhwezi mHealth Program
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TBD, Cell Life, Vodacom Foundation, GeoMed, Praekelt Foundation
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Redacted
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Redacted
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This three-year, information, communication, and technology (ICT) for HIV/AIDS program uses mobile technology to support the South African Government's response to HIV/AIDS. Mobile heath (mHealth) technologies are implemented on a national scale in South Africa, supporting a broad spectrum of HIV-related interventions, namely: prevention, diagnostic, treatment, patient support and overall health systems strengthening.
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2012 COP
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Increasing Services for Survivors of Gender Based Violence
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14623:Increasing Services to Survivors of Sexual Assault
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MAC AIDS
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0
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1,000,000
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USAID and The MAC AIDS Fund (“MAF”) share a common goal of empowering marginalized individuals and addressing health issues affecting vulnerable populations around the world. For this reason, USAID and MAF seek to share their respective strengths, experience, technologies, methodologies, and resources (including human, in-kind, and financial, subject to the availability of funds) in order to decrease gender-based violence (“GBV”) and HIV/AIDS. The objectives of this PPP are: increasing awareness of the services provided at the Thuthuzela Care Centers (TCCs) rape crisis centers, and increasing and improving services provided by the TCCs and in TCC catchment areas in response to sexual violence in South Africa. The first year of implementation will by FY 2012.
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2013 COP
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Intervention with Microfinance for AIDS and Gender Equity (IMAGE)
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17030:Intervention with Microfinance for AIDS and Gender Equity (IMAGE)
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Anglo American, Chevron Corporation
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369,517
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334,056
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Intervention with Microfinance for AIDS and Gender Equity (IMAGE) is a PPP funded under the Global Development Alliance. It is a sub-partner to Wits Health Consortium. IMAGE provides microfinance and gender/HIV training to women to empower them economically and build their resilience against HIV as well as reduce Gender Based Violence. This project has been funded for 3 years to be implemented in 3 provinces, namely Gauteng, North West and KwaZulu Natal. IMAGE's strategic objectives include: To improve women’s economic wellbeing and financial independence; Reduce vulnerability to HIV and gender-based violence; and to foster wider community mobilization to address the key drivers of HIV.
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2012 COP
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Johns Hopkins Health and Education in South Africa
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Mediology, South Africa Broadcasting Corporation (SABC), SABC Radio, Mango Airlines
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3,050,393
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4,782,486
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JHHESA partners with Mediology for the broadcast of the Brothers for Life television commercials and a TBD women and girls campaign that promotes HIV prevention . These advertisements are supplemented with an in-kind contribution from the broadcasters. SABC and the Department of Trade and Industry have contributed towards the first series of Intersexions. SABC Radio will cost share with the broadcast of 26 episodes of the radio talk show and 13 episodes of Brothers for Life on 11 SABC radio stations. JHHESA partners with Mango Airlines for 20 free flights per annum.
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2012 COP
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Lesedi-Lechabile Primary Care
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TBD, GIF Mining, Harmony Mines
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Redacted
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Redacted
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Lesedi-Lechabile works in a high transmission area of the mining community of Welkom in the Lejwelephutswa District in the Free State Province. The partnership with the mines arose from a community study undertaken at the onset of the project. Lesedi outreach teams train peer educators working in the mines in Peer Education and the provision of IEC on HIV, AIDS, STI’s and TB to mine employees. HIV Counseling and Testing activities are undertaken in the mine and include STI screening and treatment, condom distribution, HIV testing, cancer screening, medical male circumcision, and family planning.
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2013 COP
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Life Line Southern Africa
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Absa Bank
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This partnership implements HIV and AIDS prevention interventions through activities such as face to face/individual interaction, house visits, community dialogues, campaigns and events, including pre and post counseling at Primary Health Care facilities, high schools, Military Bases, Prisons, including Local Soccer Teams. They also promote and distribute male and female condoms within villages and townships. Services are offered in Limpopo and Northern Cape Provinces.
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2012 COP
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Mobile Alliance for Maternal Action
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17043:Ikhwezi MAMA - Monitoring & Evaluation & Vodacom Ikhwezi mHealth Program
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Johnson and Johnson, mHealth Alliance, UN Foundation, Baby Center
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|
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MAMA, a partnership between Wits Reproductive Health Institute (WRHI), Cell-Life, and Praekelt Foundation and largely funded by Johnson and Johnson, harnesses the power of mobile technology to deliver vital health information to new and expectant mothers. With guidance and input from SAG, the partners hope to create a locally-owned service that will be scaled up nationally over the next three years.
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2012 COP
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Mothusimpilo
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Gauteng Provincial Department of Health, Driefontein Mine, Anglo Gold Ashanti
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246,512
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160,000
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This is a PPP between the Department of Health (DoH), Driefontein mine and Ashanti. Mothusimpilo works in the high transmission mining area of Carletonville in Gauteng Province. Mobile outreach teams supported by peer educators undertake individual or group discussions, door to door, community meetings and awareness campaigns on sexual prevention. They also promote and distribute male and female condoms, STI awareness, screening, syndromic management, and referral.
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2013 COP
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Partnership for Management Development
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Johnson and Johnson, DELL Foundation, MAC AIDS, Department of Health/Mpumalanga
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0
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0
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Partnership for Management Development (PMD) is a year-long management training program designed to accelerate the elimination of vertical transmission of HIV in the Eastern Cape by developing the leadership skills and management capacity of health managers. The PMD is a partnership between the Eastern Cape Department of Health, the University of Cape Town Graduate School of Business, local implementing partners, Johnson & Johnson and the MAC AIDS Fund.
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2012 APR
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Pharmacy Assistant Training
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16988:Kheth''Impilo Pharmacist Assistant PPP
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TBD, Elton John AIDS Foundation
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Redacted
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Redacted
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The program aims to expand high quality pharmaceutical services through training followed by placement and mentoring of pharmacist assistants at PHC level with eventual takeover of these staff by the SAG as part of a health systems strengthening program.
The project will:
• Deliver at least 500 trained and registered pharmacist assistants with additional knowledge in ARV&TB drug management.
• Address the skills shortages gap currently experienced in the pharmacy sector.
• Supply previously unemployed individuals with job opportunities and a qualification they can pursue in their own community based health care facilities.
• Support NDOH to improve pharmaceutical service delivery by increasing and developing human resources specifically for pharmacies within the primary health care sector.
• Provide increased access to good quality health care for disadvantaged communities
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2012 COP
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PMTCT Management Development (PMD)
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Johnson and Johnson, MAC AIDS
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|
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USAID has been working with Johnson & Johnson and the University of Cape Town to support the roll-out of a management training program for the Department of Health in Mpumalanga. The goal of the program is to increase the effectiveness, coverage, and quality of PMTCT services. Program participants learn management tools, frameworks and knowledge that will enable them to increase the effectiveness, efficiency, quantity, and quality of services they provide to ultimately support the DOH’s goal of eliminating mother to child transmission of HIV.
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2012 COP
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PPP: integrating water and sanitation into HIV/AIDS programs, nutrition
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14292:PPP: integrating water and sanitation into HIV/AIDS programs, nutrition
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Coca-Cola
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|
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This is a continuation of the work being done under the Water and Development Alliance (WADA), which is a partnership between USAID and the Coca Cola Company. This project addresses community water needs in targeted areas of high HIV prevalence. The partner works with vulnerable communities to provide appropriate mapping of access to water and sanitation points. This addresses challenges that are characterized by unavailability of clean safe drinking water, and limited access to sustainable and safe potable water. The project also trains community healthcare workers on basic WASH skills at the household level, and links to education and training. This improves quality of life through sanitation and access to water. The project also supports the appropriate infant feeding for mothers who choose replacement feeding.
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2012 APR
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Public Private Alliances in Practice
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17012:Public Private Alliances inPractice Africa Program
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Abbott Laboratories, Gilead Sciences, Janssen Pharmaceutica (Pty.) Ltd., Merck &Co, Clinical Care Options
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0
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0
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inPractice Africa is an innovative pilot program for South African Clinicians that provides CPD-certified interactive online and offline digital training and certification on the management of HIV-infected and HIV/TB-co-infected patients for physicians and nurses. The program adapts Clinical Cate Options' groundbreaking proprietary technologies, developing new functionality and content that are customized for South African clinicians. The program which is provided at no cost to the clinician or nurse practitioner, provides a comprehensive interactive digital curriculum on HIV and TB medicine on mobile phones that is available when the clinicians see patients. Clinicians and nurse practitioners also have access to expert support to answer questions and the content meets their CPD requirements.
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2012 COP
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Skillz Health Initiative: Sports based interventions to strengthen combination HIV prevention in at risk South African communities
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Nike, Comic Relief, MAC AIDS
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0
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0
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Grassroot Soccer uses the power of soccer to reach at risk youth in South Africa. The SKILLZ Health Initiative, delivered through a public private alliance between GRS, Nike, Comic Relief,
the MAC AIDS Fund (MAF), and USAID, focuses on preventing new HIV infections in South
African youth age 10W19 years old. Through the SKILLZ curriculum, GRS tackles the key drivers
of the HIV/AIDS epidemic in South Africa - multiple partners, age-disparate sex, alcohol, and
gender-based violence. In addition, the SKILLZ curriculum addresses the damaging social norms
and imbalances of power that exist between genders.
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2012 COP
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Utah/Nyathi clinic
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Buffelshoek Trust, Department of Health/Mpumalanga, Royal Netherlands Embassy
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|
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The Ndlovu Care Group will construct, staff, equip, run, ensure quality, accredit, and manage a primary healthcare facility, Nyathi Community Health Center, including accreditation of Nyathi as an Antiretroviral (ARV) rollout site. Buffelshoek Trust provided the capital expenditure to erect the building for the Nyathi Community Health Center. The structure will be donated to the Department of Health (DOH) of Mpumalanga. The DOH is responsible for the running costs of the clinic as a primary health care facility after the accreditation of Nyathi as an independent ARV roll out site. USAID’s funding for Ndlovu Care Trust, a sub-partner of Right to Care, would bridge the gap between the initial capital expenditures and DOH operational costs after accreditation.
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2012 APR
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Xstrata ( Current CDC PPP ending in June 2012). The No Cost Extension of 6 months was granted and revised NOA was issued to the grantee.
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Xstrata
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"Reaction! provides comprehensive TB/HIV/AIDS care support in selected districts located in three provinces i.e. Mpumalanga, Northern Cape and North West. In the two latter provinces, they provide community based support. Reaction! has been receiving PEPFAR funding to implement its projects since 2007 and has established working relationship with mining and other private companies in the areas of operation. The program includes Adult and pediatric treatment; adult and pediatric care & support; HIV counseling & testing; TB services; orphans & vulnerable children; and healthy systems strengthening. The support has been increasing consistently and it includes PMTCT. Reaction! implements Private-Public Mix model and receives support from the mining companies. They have built strong relationship with some of the mining and other private companies in their areas of operation. Reaction! has established a strong working relationship with SAG from district to provincial level. The provision o
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