Coordinators select projects that work to reduce vulnerability of people affected by HIV through timely treatment interventions, support groups, prevention campaigns and which adopt a multi-sectoral approach that includes partners across SA government departments, NGOs and other resources. Most of the projects being supported by Community Grants are home based care programs although there are some clinic projects that are receiving funding. Caregivers at projects provide care to terminally ill HIV+ patients throughout South Africa. They are usually work with their local clinics, sharing patient information, making referrals and training family members in home based care. All ages and gender receive care. Visits generally take place two to three times a week to ensure that patients adhere to treatment.
During visits, caregivers may help patient(s) or his/her family with cleaning the house, cooking a nutritious meal, bathing or providing transportation to the clinic. Door-to-door campaigns are regularly conducted to identify new beneficiaries. Caregivers frequently assist children in obtaining foster grants, identification cards and birth certificates. Compensation ranges for caregivers from volunteers to R700 per month for organizations supported by the Department of Health. Community Grant funds cannot be used for compensation of caregivers. These organizations must provide clinical care, plus one or more of the following psychological care, spiritual support, social assistance and/or preventative care. Programs must conform to the PEPFAR Community Grants Guidelines. Programs report beneficiaries based on PEPFAR’s indicators.
Projects are required to report not only on the number of patients served but on the successes and achievements which reflect the quality of care.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HKID
1,145,000
Narrative:
"Community Grants works with NGOs in rural or peri-urban communities. Community drop-in centers that offer a safe place for children (under 18) to play. Target groups are orphaned and vulnerable children. Caregivers working in these after-school programs usually assist children with homework; orchestrate sport, dance and drama groups; bathe children when necessary; wash clothes; offer daily nutritious meals; and provide emotional/spiritual support. Caregivers frequently assist children in obtaining foster grants, identification cards and birth certificates. They work closely with local educators to monitor school progress and identify children who may be struggling due to complications at home. Many of the organisations work closely with the local schools and educators to identify children at risk and will often make continued home visits to these identified children in order to strengthen their coping strategies at home, identify and report abuse and work with the family to absorb an orphaned or vulnerable child more smoothly into their family unit.
Compensation ranges for caregivers from volunteers to R700 per month for organizations supported by the Department of Social Development. The average drop-in center serves 75-150 children per day. These organizations must provide one or more of the following services: food and/or food parcels, shelter intervention, child protection, general healthcare, HIV prevention, psychological care or referral, general education, vocational training, economic strengthening, prevention and referral of children with HIV+ status to clinics for antiretroviral treatments.
The small community based organizations that are supported by Community Grants are being linked with PEPFAR district partners where possible for mentoring and resource sharing. This strategy is aimed at improving opportunities for sustainability and reducing duplication of services although is not possible across the spectrum of community grants.
During FY 2012/13, WAMTech will continue to support the South African Department of Health (DoH) at all levels, i.e. national, provincial, district, sub-district and facility levels with software development, maintenance, project management, equipment acquisition/configuration, end-user support, training and implementation assistance for the national TB and DR-TB surveillance tools, i.e. ETR.Net and EDRWeb. In addition to ongoing software maintenance and improvements, it is expected that the major software development activities during this period will revolve around integration of ETR.Net and EDRWeb with other relevant, authorized software systems used by NDoH.
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:
12509
WAMTechnology
WamTechnology
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HVTB
900,000
0
Narrative:
During FY 2012 and beyond, WAMTech will continue to support the South African Department of Health (DoH) at all levels, i.e. national, provincial, district, sub-district and facility levels with software development, maintenance, project management, equipment acquisition/configuration, end-user support, training and implementation assistance for the national TB and DR-TB surveillance tools, i.e. ETR.Net and EDRWeb. Currently ETR.Net has ±450 users, while EDRWeb has ±100 users. It is expected that by 2014 the user base for EDRWeb would have grown to ±250, owing to NDoH’s move towards decentralization of DR-TB management. For this reason, end-user support and training activities will probably need to be intensified. During implementation, it might be required from WAMTech to provide new equipment or upgrade existing equipment in order to facilitate the implementation process and the smooth running of the systems. In addition to WAMTech’s normal services (listed above), we will guide and train NDoH personnel in preparation for the transitioning of certain functions performed by WAMTech to the NDOH. In doing so, we hope to further the transfer of ownership of the software systems to NDoH and to ensure their long term sustainability. The activities which will be targeted are: (i) system requirements definition,
(ii) software compliance testing,
(iii) maintenance of the national databases,
(iv) end-user support,
(v) end-user training and sponsorship of equipment and
(vi) other direct expenses (e.g. travel) related to the project. Transitioning of the ownership of the system to NDOH will ensure country ownership and sustainability as it will be done in a manner so as to build the capacity of the NDOH.
Implementing Mechanism Details
Mechanism ID: 12510
Mechanism Name: South Africa Partners
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
JRI Health Center for Traning and Professional Development
Masibambane
University of Fort Hare Psychological Services Centre
Zoe-Life
Overview Narrative
SA Partners (SAP) has a dual role in Integrated Access to Care and Treatment-(I ACT) Program: 1) Expansion of I ACT in Eastern Cape (EC) working with ECDOH on implementation in 7 districts; 2) Provision of a technical advisor for expansion of I ACT nationally. SAP coordinates with NDOH quarterly National Working Group, Task Team and Annual Stakeholder meetings. They provide training of partners and DOH to apply IACT. Goal of I ACT is to promote early recruitment of PLHIV into care & support programs, reducing loss to follow-up rate from time of diagnosis until commencing ART. SAP objectives include to increase early identification and referral of PLHIV into Care and support services; Increase retention of PLHIV in Care & support services; Empower PLHIV to advocate and manage their healthcare needs; Strengthen active engagement of PLHIV, families, healthcare providers & communities in the continuum of Care & Support and Prevention with Positives. I ACT supports Goal 2 of the partnership framework in support of SA’s National HIV/AIDS and TB response. I ACT supports PHC re-engineering by Group Facilitator training through an in-service program for clinic staff collaborating with ECRTC; I ACT groups include content on the identifying of chronic illness and opportunistic infections, e.g. TB. I ACT is implemented in EC districts and nationally in collaboration with other Partners; target population is adult diagnosed PLHIV. I ACT’s strategy to be more cost efficient is to include I ACT into ECDOH strategic plan. I ACT will transition to SAG, through National discussions to include I ACT in NDOH policy and implementation plans. Transition to a local organization will ensure sustainability of the program. One Vehicle request: $15,000 for EC staff travel.
Cross-Cutting Budget Attribution(s)
Human Resources for Health
180,000
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
12510
South Africa Partners
South Africa Partners
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HBHC
1,200,000
0
Narrative:
I ACT group is a psycho-social support activity for PLHIV and their families in the community and health facility. Type of Care and Support given is an interactive group activity facilitated over 6 weeks that follows a set curriculum aiming to empower participants to manage their care. Target audiences include all who test, focusing on persons 15 years and above. The program is health facility and community based and is implemented nationally and specifically by SA Partners within all districts of Eastern Cape. Collaboration with DOH, partner NGOs and PEPFAR funded partners is essential for success. Participants are referred by health facilities and partners who do HCT. The aim is to place I ACT group activities firmly in Provincial and National Strategic Plans and policy. Mapping of program and HIV care, treatment and prevention sites in districts is done as part of implementation process ensuring referral between program sites is effective. Participants are referred to NGO activities where there are I ACT Groups assisting to retain PLHIV in a support structure that is in the communities. Provision of Training for implementing partners is a big focus of SA Partners role as a national TA organization. Training is also provided in all Provinces. In Eastern Cape there is a Community Based Income Generating Small Grant Program implemented through I ACT program. NGOs are assisted to commence small projects to provide skills development and support to past participants of I ACT Groups. SA Partners has a sub agreement with HISP (Health Information Systems Program) to administer the monitoring and evaluation. A sub agreement with the University of Fort Hare Psychological Services Centre provides aspect of Caring for the Carer by providing a program of self-reflection and debriefing for facilitators of I ACT Groups. Target participants in the program for Eastern Cape for FY2012 = 40 000 scaling up to FY2013 = 60 000. I ACT program supports goal 2 of SAG-USG Partnership Framework, “increasing life expectancy and improve the quality of life for people living with and affected by HIV and TB.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
PDCS
200,000
0
Narrative:
South Africa Partners has an existing partnership with Zoe Life in Kwa Zulu Natal who will be sub-granted to develop paediatric materials for Integrated Access to Care and Treatment (I ACT) programme. These materials will be used to implement the I ACT programme for children and will provide a link and retention of these children to other care and support programmes. Zoe Life is a provincial lead partner in the roll-out of the now Department of Health's I ACT programme in KwaZulu Natal and has exceptional expertise in children and adolescent health programmes.
Implementing Mechanism Details
Mechanism ID: 12840
Mechanism Name: Pathfinder
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: Pathfinder 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: 900,000
Funding Source
Funding Amount
GHP-State
900,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
Pathfinder International will 1) improve HCT access; 2) strengthen the capacity of youth-friendly clinics to provide comprehensive HCT services 3) improve access to youth-friendly MTCT services including: prevention of HIV, prevention of unwanted pregnancies, protection and treatment of positive mother and baby and support and treatment for the mother and baby; 4) expand access to youth friendly sexual and reproductive, STI, TB and HIV/AIDS care and treatment services including treatment of opportunistic infections; and 5) improve the quality of life of young PLHA.. The goal is to reduce HIV rates among youth aged 10-24 years and reduce MTCT.. This includes expanded prevention, treatment and care coverage, as tracked through the national HIV/AIDS indicator surveys. For those infected through MTCT, services will be available at the clinic. These people transitioned to adult clinics at age 25. In order to contribute to the PHC re-engineering, the project will work with school health to address issues such as contraceptive health rights, teenage pregnancy, drugs and alcohol in schools, and HIV and AIDS among learners. The project is being implemented in Amathole District in the Eastern Cape, Uthukela district in KwaZulu Natal, Orange Farm in Gauteng and North West and Mpumalanga provinces. Where NAFCI clinics existed, the project will work with the clinic staff so needs of young people are served using the youth friendly approach. Target group is young people aged 10-24 years. Vehicles - None purchased so far. New request is for 2 vehicles. Total purchased vehicles will be 2. The purpose of the vehicles is for ongoing monitoring and support of the sites in the Eastern Cape and Kwa Zulu Natal. The cost of the vehicle is approximately US$ 38500 each.
