Emory will work with the CDC and NDOH to provide technical assistance purposed to improve the uptake and quality of Couple HIV Counseling and Testing (CHCT). NDOH has requested assistance with CHCT initiation support, which will be conducted by RZHRG in the budget year.
Emory University will conduct a one week training of the individuals who will conduct CHCT promoters training. Subsequently the promoters will undergo a one-week training session regarding the provision of community health education and mobilization for CHCT. This provides a powerful avenue for increasing community knowledge in regards to CHCT.
Additionally the leaders of the SAG CHCT initiative will visit Rwanda and Zambia in order to observe and assess RZHRG's CHCT programs. They will use this experience to influence their implementation methods. After these goals are achieved, RZHRG will visit South Africa and facilitate the implementation of CHCT services in their health facilities. RZHRG will provide South Africa with four visits to guide service implementation and provide ongoing support for CHCT.
The key activities will include:
1-week training of 25 promoters
The Paediatric Enhanced Surveillance Survey (PESS) proposes to routinely follow 500 children already on ART and 300 children who are newly initiated on ART in the Eastern Cape province. The children will be followed in term of clinical, immunologic, virological, metabolic, psychosocial and behavioral outcomes from the age of 4 weeks to less than 12 years. The survey has three parts: (1) a comprehensive record review of all HIV-infected children enrolled at five pediatric Wellness and ART clinics; (2) a cross sectional assessment; and (3) a two-year follow-up. The surveillance will be built upon and support the routine clinical care encounters, visit schedule and patient monitoring. As part of the two-year follow-up we will aim to collect information on children lost to follow-up, including causes of death through the review of death certificates in the clinical chart and through verbal autopsy reports. This work is designed in collaboration with the provincial health authorities of the EC, ICAP-SA and CDC-SA in support of the South African National ART Program for Children and aims to collect and analyze accurate, relevant and useful information on the children seen at the five Wellness and ART clinics. It is expected that the survey will provide insights into overall outcomes for the larger pediatric patient populations in the province and South Africa.
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:
16759
UTAP 2/HQ PESS
Columbia University Mailman School of Public Health
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Treatment
PDTX
600,000
0
Narrative:
The Paediatric Enhanced Surveillance Survey (PESS) proposes to routinely follow 500 children already on ART and 300 children who are newly initiated on ART in the Eastern Cape province. The children will be followed in term of clinical, immunologic, virological, metabolic, psychosocial and behavioral outcomes from the age of 4 weeks to less than 12 years. The survey has three parts: (1) a comprehensive record review of all HIV-infected children enrolled at five pediatric Wellness and ART clinics; (2) a cross sectional assessment; and (3) a two-year follow-up. The surveillance will be built upon and support the routine clinical care encounters, visit schedule and patient monitoring. As part of the two-year follow-up we will aim to collect information on children lost to follow-up, including causes of death through the review of death certificates in the clinical chart and through verbal autopsy reports. This work is designed in collaboration with the provincial health authorities of the EC, ICAP-SA and CDC-SA in support of the South African National ART Program for Children and aims to collect and analyze accurate, relevant and useful information on the children seen at the five Wellness and ART clinics. It is expected that the survey will provide insights into overall outcomes for the larger pediatric patient populations in the province and South Africa.
Implementing Mechanism Details
Mechanism ID: 16762
Mechanism Name: UNICEF
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: United Nations Children's Fund
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: Yes
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 750,000
Funding Source
Funding Amount
GHP-State
750,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
UNICEF has played a key role in the development of the country’s action framework for ‘No child born with HIV and improving the health and wellbeing of mothers, partners and babies in South Africa’ 2012-2016. There is renewed momentum and energy across the country as it responds to the 2011 global call for elimination of Mother to child transmission of HIV and keeping mothers alive and healthy. UNICEF will the development of tailored provincial and district action frameworks for eMTCT (2012-2016) using evidence and data for decentralized planning and action. UNICEF will provide technical support to national and provincial departments of health to implement these action frameworks focusing on quality of service delivery and using data for programme action.
UNICEF will support a greater understanding of existing community systems and gaps to increase demand and quality of services for PMTCT. Work will also be done to support the development of a national quality improvement framework for PMTCT defining standards of care and checklists to improve quality in service delivery, data management and performance management.
There are challenges in reaching universal coverage for women and children especially those living in hard to reach areas. A focus on strengthening the PMTCT continuum of care and decreasing loss to follow up of women and children, filling in gaps in service delivery through outreach and community based services and strengthening linkages between health and social protection programmes are all needed in order to reach the most marginalised women and children.
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:
16762
UNICEF
United Nations Children's Fund
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
MTCT
750,000
0
Narrative:
UNICEF will provide technical support in completion of the action framework at the national level, supporting completion of action frameworks at provincial and district levels. A midterm assessment in 2012 and 2013 of the progress towards elimination targets will be conducted UNICEF will also support setting up of a regular monitoring and mentoring system from national to provinces and districts to facilities ensuring full participation of all partners and stakeholders working on PMTCT. UNICEF will increase demand and access to PMTCT and paediatric care and treatment services at the community level and collaborate with all stakeholders to ensure Community systems are developed that will augment the demand and reach of primary health care, PMTCT and pediatric treatment services and ensure that most vulnerable communities in FS, MP, NC, NW and EC are reached. A situational analysis of available programme and demographic data at district level will be used to identify vulnerable communities and where significant bottlenecks exist, build capacity. Community agents will be used to influence positive PMTCT care seeking and IYCF amongst men and women.UNICEF will develop a framework for developing national standards of care for delivery of quality PMTCT and Paediatric ART services at facility and community level as a basis for quality improvement programming. These standards will be defined for each level of health care delivery and community based services. The framework will be piloted in at least two provinces.
Activities will include identification of quality of PMTCT and Paediatric care measure(s) or quality indicators; measurement of baseline performance on quality measures; identification of interventions designed to improve the quality measure, document and disseminate results.
Implementing Mechanism Details
Mechanism ID: 16772
Mechanism Name: NDOH new agreement
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: National Department of Health
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: Yes
Global Fund / Multilateral Engagement: PR/SR
G2G: Yes
Managing Agency: HHS/CDC
Total Funding: 8,900,763
Funding Source
Funding Amount
GHP-State
8,900,763
Sub Partner Name(s)
(No data provided.)
Overview Narrative
CDC aims to establish a new five-year cooperative agreement with the National Department of Health (NDoH) to implement evidence-based public health programs, surveillance and disease control, and prevention activities. PEPFAR funds will support the NDOH to incorporate results of program evaluations into operational disease prevention and control programs, ensure the sharing of expertise and lessons learned nationally, regionally and internationally, and use the results to develop science-based health policies and guidelines. Funds will be used to pay for staff to implement the vision of the Partnership Framework Implementation Plan including the transition activities within the NDOH. CDC activities will be integrated within NDOH operational plans for HIV and TB prevention, care, treatment, strategic information, laboratory systems strengthening, and health systems strenthening.