The activities include: 1) soliciation and selection of CBOs; 2) producing a synthesis report of the epidemic and response in the district; 3) capacity building and training ; 4) conducting onsite visits and mentoring ; 5) reporting and monitoring; and 6) implementing HIV evidence based risk reduction education and campaigns. Using open competition best practices, AFSA will screen and select four CBOs with the best potential to implement evidence based HIV prevention interventions and health promotion services that reduce risk behaviours and determinants , including gender-based violence in the selected four areas of the Umgungundlovu district. After selection and project orientation, AFSA will produce a synthesis report of the district HIV epidemic, response, and current HIV services in selected areas. The prevention interventions and awareness campaigns will be informed by this report. To effectively deliver , AFSA will build organisational management capacity of CBOs by conducting training workshops, onsite support and mentoring to enhance skills for project management and implementation and monitoring and financial accounting and organizational governance. Workshops will focus on HIV & AIDS Counseling and HIV (HCT) screening (accredited course); gender, culture and HIV; strategies for community mobilization and consultation; and financial accounting & compliance. AFSA is an accredited training service provider with the Health and Welfare SETA . AFSA will establish and strengthen ward-level community dialogue groups to address structural, social HIV determinants, including culture, masculinity and gender relations. CBOs will gain capacity to produce workplans, budgets, project reports and establish governance, financial and operational structures and policies to implement prevention interventions. Through this activity, 24 CBO project coordinators will be trained; 72 project reports with 20 audited annual income & expenditure verification reports will be produced; 240 onsite support and mentoring visits wil be conducted and 28 080 beneficiaries reached .
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVCT
400,000
0
Narrative:
Target population for the HCT will include men and boys; communities residing in rural areas and informal settlements; traditional medical practitioners and their clients; women & girls in vulnerable households; people in polygamous relationships; and youth out of school.
Approximately, 2000 households will be visited per quarter to promote individual, couple and family HCT. The HCT will be complimented by general health screening for TB; STI, hypertension, PMTCT and diabetes. Those tested positive and presenting with other health problems will be referred to public health facilities for further testing, clinical staging and treatment. HCT service will ensure referral to community-based PHDP programs; community based programs for key population and VMMC services . In addition, AFSA ‘s sub-partners will offer ongoing community-based couple and family counselling. Through this activity, 40,000 households will be visited and offered HCT and approximately 20,000 people expected to get tested annually.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVOP
460,000
0
Narrative:
Target population for the HIV prevention intervention include men and boys; communities residing in rural areas and informal settlements; traditional medical practitioners and their clients; women & girls in vulnerable households; people in polygamous relationships; and youth in and out of school. To increase access to community based positive health dignity and prevention programs for people living with HIV , AFSA will:
• Build capacity and provide mentorship to sub-partners to identify opportunities for the implementation of PHDP
• Assist in early detection; referral and uptake of HIV treatment, as well as as well as preventing secondary infection and promoting adherence to treatment. Assist sub-partners to integrate PHDP into community-based prevention and care and support programs. It is expected that about 6000 people will benefit from the program and staff will undergo training on PHDP using materials developed by CDC-SA and I-TECH.
To ensure appropriate education and information on the VMMC procedure, AFSA and sub-partners will :
• Conduct education workshops and provide individual counselling for boys and men interested in undergoing MMC;
• Collaborate with the PEPFAR funded partners to create referral linkages and access for groups of men and boys to undergo VMMC;
• Conduct follow-up visits or ensure that men who have undergone MMC visit the clinic for post-procedural care and to promote sustained behavior change.
To increase the uptake of PMTCT, AFSA will:
• Educate women and men on the benefits of antenatal care and facilitating early access to quality care via local clinics;
• Assist the local antenatal clinics with HCT and patient preparedness education and treatment compliance as requested by the DoH;
• Conduct family visits to provide advice and monitor health of mother and baby;
• Facilitate support groups to promote men’s active participation in securing the health, safety and wellbeing of their female partners and children.
The project will promote increased access and uptake of appropriate and high quality sexual and reproductive health services, focusing on:
• Sensitize communities to the gender based violence and other social issues including alcohol and drugs that increase the vulnerability and risk to HIV infection
• Sensitize health care workers to unmet HIV prevention needs of under-served communities (including LGBTI and people in polygamous unions).
• Promote safer sexual behaviours, including consistent and correct use of barrier methods and STI screening and referral amongst sexual partners.
Through this activity, 40,000 community members will be reached; educated, served and referred and 156 community dialogues per year.
Implementing Mechanism Details
Mechanism ID: 13000
Mechanism Name: Council of Scientific and Industrial Research
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Prime Partner Name: COUNCIL OF SCIENTIFIC AND INDUSTRIAL RESEARCH
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: Yes
Managing Agency: HHS/CDC
Total Funding: 1,000,000
Funding Source
Funding Amount
GHP-State
1,000,000
Sub Partner Name(s)
University of Cape Town
University of Pretoria, South Africa
University of Venda, South Africa
Overview Narrative
Under its objective to assist the South African National Department of Health (NDoH) and provincial departments of health to integrate TB/HIV, counselling and testing, and care and treatment in the Republic of South Africa via a set of identified activities which form the basis of the South African NDoH policy analysis and systems strengthening program, a PEPFAR Cooperative Agreement 1U2G/PS002710-01 was awarded to the Council for Scientific and Industrial Research (CSIR). This award is to allow the CSIR and its sub-contracted partners to provide a programme in assistance for strengthening the NDoH, provincial governments and PEPFAR partners on infection control. The project is undertaken in close collaboration with the CDC SA, NDoH, provincial government departments of health, and PEPFAR partners. CSIR has formally engaged the Healthcare Technology Management programme at the University of Cape Town, and the Division of Infectious Diseases in the Department of Internal Medicine at the University of Pretoria. The CSIR has informally engaged the Medical Research Council (Tuberculosis Epidemiological) to support this objective.The CSIR Infection Prevention and Control Support Project addresses the challenges of South African NDoH policy analysis and systems strengthening program via four project activities enhancing enabling systems (Activity 1); providing implementation support (Activity 2); capacity development (Activity 3) and education support (Activity 4).
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Cross-Cutting Budget Attribution(s)
(No data provided.)
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
13000
Council of Scientific and Industrial Research
COUNCIL OF SCIENTIFIC AND INDUSTRIAL RESEARCH
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HVTB
1,000,000
0
Narrative:
The CSIR is providing assistance to the South African National Department of Health and the Provincial and District Departments of Health on the improvement of infection control measures in hospitals, primary health care facilities, community health centers and other settings where infection control needs to improve. The CSIR is supporting the DOH with the development of one integrated infection control program that combines bio-medical, financial, sociological and psychological knowledge to educate healthcare workers and hospital managers to follow best practice models in infection control. Tools will be developed to monitor and evaluate the effectiveness of infection control practices in order to reduce and limit infection control risks to service providers. This will cover a range, including the effectiveness of DOTS (direct observed treatment strategy), the efficacy and adverse implications of technical infection control interventions, the management impacts on infection control, the financial implications of infection control for service, home based versus facility infection control management. The clinical associate program will iniate the program into at least eighteen hospitals. The CSIR will iniate establishment of one national UV measuring instrument calibration laboratory, will develop and consolidate ongoing continued education courses related to Environmental Health, Facility Design and Engineering Approaches to Airborne Infection control for TB/HIV, will develop an integrated healthcare infrastructure postgraduate program, will continue in the development of the strategic planning framework GIS tool.
Implementing Mechanism Details
Mechanism ID: 13558
Mechanism Name: GH1151
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: Human Science Research Council of South Africa
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 606,676
Funding Source
Funding Amount
GHP-State
606,676
Sub Partner Name(s)
(No data provided.)
Overview Narrative
The goal of this project is to pilot and field test culturally adapted prevention with positives (PwP) material for use by health care providers and lay counselors providing services to HIV-infected MSM and CSWs. These materials will be piloted and field tested in Gauteng, KwaZulu-Natal and Western Cape for future use throughout South Africa. The aim of this project is to develop population appropriate PwP materials to increase the number of HIV infected MARPs receiving appropriate PwP messages and interventions. Upon finalization, materials will be made available to the DoH and trainings and training of trainers will be conducted to ensure sustainability and local ownership. The successful implementation of this project will contribute directly to PEPFAR’s overall goal to reduce new HIV infections in South Africa among MARPs and their partners by: (i) Achieving prevention of HIV infection through evidence-based activities (ii) integrating new effective technologies and innovative HIV prevention intervention when found efficacious (iii) promoting a comprehensive package of prevention services for HIV-positive individuals in the target populations, including better integration of these individuals into care and treatment programs, to reduce the potential for further spread of HIV among MARPs. Additionally, by targeting HIV-positive MARPs with prevention interventions (preventing secondary transmission), this project contributes to the PEPFAR goal of preventing 12 million new infections by 2013. HSRC’s project information system includes a customized module developed for this project designed to support reporting requirements. As such HSRC plans to comply with all CDC and PEPFAR reporting requirements and submit interim and annual progress and financial reports.
Cross-Cutting Budget Attribution(s)
(No data provided.)
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
13558
GH1151
Human Science Research Council of South Africa
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Governance and Systems
HLAB
206,676
0
Narrative:
In FY13, HLAB funding will support lab costs associated with the Methods of Prevention Packages Program (MP3) Pilot Study. The overarching objective is to develop a combination package of biomedical, behavioral and community-level HIV prevention interventions and services for men who have sex with men (MSM) in Southern Africa. The sample will consist of 400 MSM, 200 in each Cape Town and Port Elizabeth, South Africa, and up to 5 female sex partners referred by each enrolled MSM, with a maximum of 75 female participants per study city.The MSM target population will be men aged 18 years and older who self-report that they had anal intercourse with men in the past year, and must be current residents of the study city. Female participants will be female sex partners of MSM enrolled in the study, over the age of 18, and current residents of the study city. Lab costs include HIV, syphilis, urine, rectal swabs, hepatitis B serology, creatinine and related equipment.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVOP
400,000
0
Narrative:
In FY2012 HSRC will conduct focus groups and key informant interviews with health care providers (professional nurses, doctors and lay counselors) to obtain feedback on PwP material that have been adapted for most at-risk populations (MARPs) in South Africa. These materials were initially developed by CDC-HQ and have been used elsewhere in sub-Saharan Africa (Tanzania, Namibia, etc). HSRC will introduce these material and train health care providers on their use. Health care providers will pilot the developed materials in their clinic settings and feedback information to HSRC regarding acceptability, utility and appropriateness of the provided materials. The information collected during interviews and focus groups will be used to refine PwP materials to be used by service providers and outreach workers addressing the prevention needs of MARPs. In each of the pilot sites, monitoring and evaluation reports will be compiled as to the implementation of the intervention by health care workers. In addition a report on the lessons learnt during the pilot will be compiled. Through the development of PwP materials appropriate for use with MSM and CSW clients, this project will build the capacity of the health sector to respond to the prevention needs of HIV-positive MSM and CSWs and allow for greater integration of PwP services for MARPs with other HIV services. In the later years of the project, distribution of materials and training will be scaled up (through trainings and training of trainers) to promote sustainability. In FY2012, $225,000 will be used to pilot materials and conduct focus groups and key informant interviews with service provider.
