Service Delivery and Support for Families Caring for Orphans and Vulnerable Children (OVC) - National Association of Childcare Workers (Roll-out of ISIBINDI model)
National Association of Childcare Workers
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HKID
4,046,785
0
Narrative:
Under this activity the NACCW will support the Department of Social Development (DSD) to create safe and caring communities caring for children in the context of HIV and AIDS through the delivery of community based child and youth care services to OVC by trained child and youth care workers (CYCW). As NACCW provides support to the DSD to scale up and roll out the Isibindi model and train new CYCW a key focus will be on supporting DSD to incorporate indicators measuring numbers of CYCW trained and services provided to OVC into a national M&E system. NACCW has developed a successful system of monitoring and evaluating their current 67 Isibindi projects. For scale up intensive planning, coordination and implementation of a national M&E system in partnership with DSD will be required. Regular monitoring and evaluation of all Isbindi projects is a key component of this program with a baseline evaluation underway in 2013.2300 CYC workers will be trained by December 2014 and over 40,000 children will be provided with high quality services. In addition the CYCW will be provided with in services training to improve their skills in grief work; family preservation, stimulation and education of the 1 to 6 year age group; disability awareness and succession planning. A continued emphasis on care for the caregiver will be maintained throughout this program.
Implementing Mechanism Details
Mechanism ID: 17018
Mechanism Name: HIV Innovations for Improved Patient Outcomes in South Africa (Innovation for HCTC)
Funding Agency: U.S. Agency for International Development
Procurement Type: Cooperative Agreement
Prime Partner Name: AgriAIDS
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: Yes
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 1,700,000
Funding Source
Funding Amount
GHP-State
1,700,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
AgriAids (AA) specializes in the organization and implementation of HIV/TB/Wellness programs for farm workers. Its main task is to reduce the direct effects of HIV/Aids and TB on permanent- and migrant farm workers and their dependents.The average HIV+ prevalence ratein farming communities is 25% .AgriAids promotes an integrated approach where HIV/TB awareness, information, biannual testing, and treatment are essential to fight the pandemic. AgriAids identifies areas with hard to reach populations and a lack of HIV/TB services, share the information with the local Department Of Health (DoH) and acts as a liaison between the DoH and the farms. AA will continue its work on combating HIV/AIDS and decreasing the burden of disease from TB for farm workers and their partners through improved models. The first improved model will include a NIMART trained AA employed registered nurse, providing PHC supplied pre-pack ARV’s, TB and STI treatment and concomitant medication on site, with ongoing pathology through National Health Laboratory Services The second improved model will have a clinic on-site that is accredited by the DoH and paid for by the farm owners. This clinic will serve satellite farms and hence reduce the number of clients at local DoH sites.
Cross-Cutting Budget Attribution(s)
Motor Vehicles: Purchased
95,800
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
17018
HIV Innovations for Improved Patient Outcomes in South Africa (Innovation for HCTC)
AgriAIDS
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HBHC
452,246
0
Narrative:
AgriAIDS supports HBHC as essential activity to assess clients on their HIV and wellness status, while subsequently enabling the project to provide appropriate HBHC services (both for HIV- and HIV+ people). By the end of COP 12 approximately 19,000 farm worker and family will have undergone HVTB services (for more details see the HVTB section). With an average HIV prevalence rate of 25% in farming communities, it is expected that out of this total (19,000) 4,700 people will be HIV+, thus qualifying them for care and support services. Meanwhile, follow-up support as part HBHC will continue to be provided to the 14,250 HIV- people to maintain their HIV-negative status.
The type of HBHC service provided by AgriAids to support HIV+ people to access care services are: HIV+ FWs are supported by AgriAids District Coordinator (DC) to get access to the local clinic to care and treatment. The DC will collect results for CD4 and TB and discuss the outcome with the FW. FWs with still a high CD4 will be linked to a local facility for care, monitoring and development of CD4 count and opportunistic infections. Services geared towards improving the health of HIV+ farm workers and family members will include education, coping with being HIV+, treatment adherence training on site, condom use, treatment initiation and support to the wealness clinic to track the defaulter from the farms . Ongoing individual counselling and homogeneous group sessions/discussions. This project will recieve $452,246 in HBHC pre-COP funding.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HVTB
162,001
0
Narrative:
AgriAIDS supports HVTB services for farm workers and their families . AgriAids SA professional nurse ensures that frequent screening and testing on TB take place on farms. TB campaigns will be conducted for farm workers and educate people on hygine. AgriAids' SA HVTB is aligned to the SAG requirement that HVTB is part of the continuum of prevention, care, treatment and support. TB treatment will be deliveered on the farm door step and people HVTB is an essential component within the prevention, care, treatment and support continuum. AgriAids continues therefore to emphasise on HVTB.
By the end of COP 13 approximately 2,500 farm worker and family will have undergone HVTB services. At least 1,250 clients have been refered and 20% are on treatment. AgriAids SA implements a client-initiated approach by implementing a comprehensive HCT package including HIV testing, TB screening, distribution of condoms, glucose testing, blood pressure testing and weight measurements. HIV+ clients that are screened and tested for TB and their results come negative. they will be monitored and referd to the clinic for further investigation.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVAB
0
0
Narrative:
**Not Provided**
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVCT
350,000
0
Narrative:
AgriAIDS considers HVCT as an opportunity to become responsive in providing the right service to clients, participants will be informed of their HIV status and other chronic diseases. HCVT will be provided to targets at their workplace-delivered services in-cooperation with the PHC system. During COP 13, 9,856 farm workers and family members will have undergone HVCT. For HCVT to become a success AgriAids SA will use the mobile units to implement a comprehensive approach in the farming communities. AgriAids' SA HVCT is aligned to the SAG requirement working toward zero infection of HIV. AgriAids SA will provide the following activities at the door step of the farm workers; prevention, care, treatment and support.
9,856 people will be reached for COP 13 and the general prevalence is 25% as indicated above. Occasionally these figures can increase to even 40% in some farms. In general the prevalence amongst women is higher. As stated above the number of people testing HIV + will receive HBHC & HTXS services as described in the HBHC & HTXS programme component. AgriAids SA implements a client-initiated approach by implementing a comprehensive HCT package including HIV testing, TB screening, distribution of condoms, glucose testing, blood pressure testing and weight measurements. CD4 counts are drawn on site as well as sputum from TB suspects by a professional nurse. Referral notes that have been developed will be used for PAP smear, MMC and screening of opportunistic infections services. More people working on the farms have access to HVCT, HBHC, HTXS and other services at their door-step on a regular basis.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Treatment
HTXS
735,753
0
Narrative:
AgriAIDS sees HTXS as an important programmatic pillar . Farm workers are geographically living and working in remote locations, thus denying them access to health/wellness facilities and related information and services. These factors contribute to increased vulnerability to HIV/TB infection and also increses loss to initiation. The programmatic interventions to farm workers by AgriAids SA are in alignment with the NSP.
AgriAids SA HTXS activity does not exist in silos, HVTB is an essential activity in ensuring HIV+ FWs are supported and receive the right services. We have an average HIV+ prevalence rate of 25% in farming communities and 10% prevalence of TB. Of the posite tested cleints 4,700 people will be HIV+, thus qualifying them for care and support services. 10% of the positive tested will be allergible for treatment. A full-time NIMART trained nurse will be employed by AA. The nurse will be assigned to a mobile unit, 1 mobile unit will service 2 district in a Province. For production and adherance to be increased on farms, the nurse will work in close collaboration with the local PHC. The nurse will ensure HIV+ &TB positive clients receive the following services at their doorstep: Treatment adherance training, initiate treatment , providing PHC supplied pre-pack ARV’s for stabilised cleints, TB and STI treatment and concomitant medication on site, with ongoing pathology through NHLS. This will improve the uptake of ARV’s and helps to prevent stigma. Implementation of the above activities will take the burden from the PHC. Farm workers' burden of losing a day of work will also be dealt with, more people will have access to treatment and care at their doorstep. The above activities will also minimise loss to initiation. Will receive an additional $407,667 in pre-COP funding.
Implementing Mechanism Details
Mechanism ID: 17019
Mechanism Name: HIV Innovations for Improved Patient Outcomes for Priority Populations (Innovative Models for Capacity Building & Support of Scale Up of Effective HIV-related Services for MSM)
Funding Agency: U.S. Agency for International Development
In 2008 Anova Health Institute (Anova) responded to a request by the South African Department of Health (DOH) to implement sexual health services for men who have sex with men (MSM). With funding from USAID/PEPFAR Anova undertook a rapid assessment and initiated an MSM-focused project, Health4Men, to address prevention, treatment and care among MSM, developing a model that could be replicated in diverse South African environments.
Anova established Africa’s first two Centers of Excellence (COE) in MSM healthcare, located in the Western Cape and Gauteng respectively. Each COE is supported by a number of additional MSM-competent sites, providing an essential platform for ongoing operational research to understand the needs of MSM. All sites are embedded within existing public health facilities, cementing partnerships between Anova and the DOH on national, provincial, district and sub-district levels.
Based on sound research Anova has developed public messaging to address prevention and to attract MSM into treatment and care. Anova has trained and mentored health workers enabling scale-up of MSM-competent services. This training had been successfully implemented in various environments, allowing for a carefully nuanced skills-transferal program. These are supported by national annual MSM-focused symposia.
Anova will extend MSM-competent services in Gauteng and the Western Cape, and introduce such services into Limpopo, Mpumalanga and North West provinces. This process is underpinned by Anova’s active leadership role within the South African National AIDS Council (SANAC) and ongoing consultation with DOH, guided by the National Strategic Plan on HIV, TB and STIs for 2012 - 2016 (NSP) highlighting MSM as a key population.
