In the NSP, the NDOH recognized the need to address growing HIV epidemics in the key populations of commercial sex workers (CSW), men who have sex with men (MSM), injecting drug users, and mobile populations However, South Africa’s ability to monitor progress towards meeting the targets for these populations has been hampered by poor coordination of program activity and lack of data. To date, there has been little coordination on inputs, outcome measures, and feedback of ethnographic, survey, and program monitoring and evaluation (M&E) data to understand the dynamics of these epidemics and to effectively allocate resources to the areas of greatest need among these high-risk populations. The strategy of this project is to work with local institutions to provide the training, technical assistance and long-term capacity building to improve the quality of HIVprevention interventions by enhancing local organizations’ capacity to conduct routine HIV surveillance and program M&E related to high-risk, underserved populations of MSM, IDU, and SW; and to utilize surveillance and M&E data to guide planning, program improvements and allocation of resources for these populations. The proposed project will build local institutional capacity to sustainably reduce HIV transmission and improve the capacity for collecting and using high-quality data among high risk populations. In addition, UCSF will also be implementing a Public-Private Partnership (PPP) with the Gates Foundation targeting HIV prevention activities among truck drivers and commercial sex workers along one high volume trucking corridor in South Africa by conducting the baseline assessment including mapping, population size estimations and a bio-behavioral survey in the target geographic area.
This is Year 2 of a surveillance activity targeting high risk populations including mapping, population size estimation, and bio-behavioral surveillance. FY 2011 activities for UCSF focused on female commercial sex workers include baseline assessments and community mapping, stakeholder sensitization and buy-in, protocol and tool development, ethical clearance, training for study team members and data collection in two sites. In year two, FY 2012 data collection will take place at two additional surveillance sites including HIV and STI testing and a behavioral interview for each participant. In addition, UCSF will also be implementing Year 2 surveillance activities truck drivers and commercial sex workers along one high volume trucking corridor in South Africa by conducting a bio-behavioral survey including HIV and STI biomarkers and a behavioral survey among these two populations in the targeted geographic area. UCSF will also implement the MPowerment MSM HIV prevention program in Mpumalanga. (Note: this should be under HVOP but the box cannot be edited)
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Governance and Systems
HVSI
400,000
0
Narrative:
This is Year 2 of a surveillance activity targeting high risk populations including mapping, population size estimation, and bio-behavioral surveillance. FY 2011 activities for UCSF focused on female commercial sex workers include baseline assessments and community mapping, stakeholder sensitization and buy-in, protocol and tool development, ethical clearance, training for study team members and data collection in two sites. In year two, FY 2012 data collection will take place at two additional surveillance sites including HIV and STI testing and a behavioral interview for each participant.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVOP
1,169,900
0
Narrative:
This is Year 2 of a surveillance activity targeting high risk populations including mapping, population size estimation, and bio-behavioral surveillance. FY 2011 activities for UCSF focused on female commercial sex workers include baseline assessments and community mapping, stakeholder sensitization and buy-in, protocol and tool development, ethical clearance, training for study team members and data collection in two sites. In year two, FY 2012 data collection will take place at two additional surveillance sites including HIV and STI testing and a behavioral interview for each participant. In addition, UCSF will also be implementing Year 2 surveillance activities truck drivers and commercial sex workers along one high volume trucking corridor in South Africa by conducting a bio-behavioral survey including HIV and STI biomarkers and a behavioral survey among these two populations in the targeted geographic area.
Implementing Mechanism Details
Mechanism ID: 13570
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: Population Services International
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 3,500,000
Funding Source
Funding Amount
GHP-State
3,500,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
Through its consolidated local affiliate SFH, Population Services International (PSI) will contribute to the goals of PEPFAR and the objectives of NSP by preventing new HIV infections through supporting SAG to increase the prevalence of MMC in underserved areas of Gauteng, KwaZulu Natal and Mpumalanga. The target population is HIV-negative males aged 15 and higher.SFH will set up six high volume medical male circumcision (MMC) centers. Two of the sites will be managed by SFH. The remaining four will be managed by to-be-determined franchise subawardees. SFH will provide financial, training, quality assurance, marketing and technical support to franchisees. All MMC centers will be located on the grounds of SAG health facilities for seamless transition to SAG ownership at the completion of project; mobile teams will be used for hard-to-reach populations. SFH will coordinate with a wide variety of on the ground partners including government, other PEPFAR-funded partners and other NGOs to optimize service delivery efficiency and coverage in target areas. SFH will implement an internal and external quality assurance system to ensure that services provided are in line with South African and international standards. A monitoring and evaluation plan will be developed in the first months of the program and include monthly, quarterly, semi-annual and annual reports. PSI requires 7 vehicles for all the MMC sites to be opened within COP2011. Each MMC site requires a vehicle in order to provide mobile services. 3 sites will use vehicles purchased through previous CDC CoAgs and SFH plans to purchase 4 vans for program implementation at the other sites. The estimated unit cost for the vans is based on current market prices at $28,571 per van.
Cross-Cutting Budget Attribution(s)
Gender: Gender Equality
50,000
Human Resources for Health
20,000
TBD Details
(No data provided.)
Key Issues
Increase gender equity in HIV prevention, care, treatment and support
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
13570
GH1151
Population Services International
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
CIRC
3,500,000
0
Narrative:
SFH will maintain high volume MMC sites in KwaZulu-Natal, Gauteng, and Mpumalanga provinces, accomplishing 48,600 MMCs (at $142/MMC) in FY2012 and 134,400 MMCs (at $51/MMC) in FY2013. SFH will conduct MMC on SAG facility premises and deploy one additional team per catchment area to perform mobile outreach and MMC. Unit costs per MMC will decrease as site efficiencies are established and a trained cadre of staff amass the skills to manage the patient volumes of high through-put sites. SFH will operate against a sustainability plan to transfer their skill set to facility staff for impact past the completion of the project. SFH will support SAG monitoring efforts by using reporting mechanisms that fold into district, provincial and national systems, avoiding parallel reporting structures. The MMC program will build on best practices including forceps-guided surgery, using models to optimize volume and efficiency (MOVE), incorporating gender messaging on male norms and proper treatment of females, and delivering these as part of a package of HIV prevention services, including HCT, age-appropriate risk reduction counseling, condom demonstration, provision and promotion, and linkages to family planning, STI, HIV, TB, and other treatment services. Partner will make efforts to retain patients in care through healing to minimize complications and reinforce risk reduction messages. Demand creation will be essential and entail community dialogues, mass media, local media, engagement of female partners and caregivers, engagement of key influencers, employers, and community stakeholders, peer referral networks, “word of mouth” campaigns, and strong linkages from HCT, PMTCT and other touch points within the health system. The MMC activities are intended not only as a single biomedical intervention to reduce HIV acquisition risk, but also an opportunity to engage men in health services and maximize linkages to other key resources for males’ improved long-term engagement in the health sector, increasing their likelihood to seek support for sexual and reproductive health and chronic disease management.
Implementing Mechanism Details
Mechanism ID: 13577
Mechanism Name: GH1152
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
