Reliable data does not exist for the HIV prevalence, current HCT coverage, nor the size of the sex worker population in this geographic area. Through this award Re-Action will establish and strengthen the provision of comprehensive HIV prevention services including the provision of mobile HCT services to sex workers at brothels, truck stops, and other venues where sex workers can be found with the goal of reaching 80% of identified CSWs in Nkangala district with HCT services. To ensure accuracy of mobile HCT, Re-Action will enroll in an external quality assurance program for rapid HIV testing and all test kits will be procured and stored following the NDOH HIV testing algorithm. Sex workers found to be HIV positive will be offered prevention with positives interventions tailored to the unique HIV risk profile of sex workers. Through the utilization of peer educators and outreach workers, Re-Action will improve referral to HIV care, treatment and support services. All HVCT funding provided through this cooperative agreement will support provision of HCT for CSWs, a most at-risk population.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVOP
540,000
0
Narrative:
Re-Action’s HCT program is complemented by the implementation of behavioral and biomedical prevention interventions that addresses substance abuse, gender-based violence and mental health as a component of HIV prevention. The aim of the project is to reach a minimum of 80% of the identified CSWs with the prevemtion interventions (STI diangosis and treatment, TB screening, behavioural interventions), provide referrals relevant prevention, care and treatment resources and services, including referrals to substance abuse counseling and life-skills mentoring. Mobile units conducting HCT will also be equipped to conduct syndromic STI screening and treatment for CSWs and offer condoms, lubricants and IEC material related to substance abuse, gender-based violence and provide individualized risk assessment and risk reduction counseling and support. Local networks will be strengthened to increase the availability of condoms (including female condoms) and water-based lubricants. To ensure sustainability and local ownership, Re-Action will conduct training for maser trainers, peer education/ outreach workers, NGO staff and department of health personnel, sensitize healthcare workers to the health needs of CSWs and promote community dialogues on sexuality, gender and beliefs/expectations/stigma regarding CSWs. Additionally, Re-Action will monitor technology and policy developments relevant to HIV prevention, care and treatment for CSWs such as vaginal microbicides, PrEP, PEP, etc.), and will integrate new technologies as approved and when available.
Implementing Mechanism Details
Mechanism ID: 13771
Mechanism Name: Howard University
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
The goal of this project is to develop and strengthen the pre-ART surveillance system and improve access to care and treatment. It will be built on the newly created platform of the HCT campaign mobilizing all South Africans to get HIV tested. The project activities will monitor disease progression, reduce morbidity through a package of preventive interventions, prepare patients for ART and assist clinicians to identify patients who are eligible for ART. The project will support the PF goal that seeks to prevent new HIV infections through linking persons who test HIV positive to treatment, care and prevention services. It will support and strengthen surveillance and the use of quality epidemiological data to inform policy, planning and decision making. GAPS analysis will be performed in all 52 districts and all government levels to determine policy and practice gaps by assessing: the existence of policies for pre-ART care surveillance, data collection tools , scope of data collection on pre-ART care by facility type, the competence of data collectors, existing data flow structures, type of information system, data management and analysis, linkages between point of testing and pre-ART care, the robustness of referral systems and establishing the presence of a unique patient identifier. This analysis will support PHC re-engineering and improve HIV management at district level. There will be close collaboration with the NDOH and other partners and will gradually relegate the responsibility of operating pre-ART surveillance to the NDOH to ensure sustainability of the program. Performance evaluation will be carried out at mid-term and end of program life and performance will be measured against the baseline values and targets in the M&E plan and protocol.
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:
13771
Howard University
Howard University
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Governance and Systems
HVSI
500,000
0
Narrative:
The goals of this project are to develop and strengthen the pre-ART surveillance system in South Africa and to improve access to care and treatment for patients who test positive. It will monitor disease progression, reduce morbidity through a package of preventive interventions, prepare patients for ART, and assist clinicians identify patients who are eligible for ART timely. This project supports the partnership framework goal that seeks to prevent new HIV infections through linking persons who test HIV positive to treatment, care, and prevention services early. It also seeks to strengthen and increase effectiveness of the HIV /TB response by supporting/strengthening surveillance and the use of quality epidemiological data to inform policy, planning, and decision making. There will be partnership with SANAC and SHSPH at University of Pretoria will focus on a GAPS analysis that will assess: the existence of policies for pre-ART care surveillance, data collection tools , scope of data collection on pre-ART care by facility type, the competence of data collectors, existing data flow structures, type of information system, data management and analysis, linkages between point of testing and pre-ART care, and the robustness of referral systems and establish the presence of a unique identifier for each patient who is tested positive to allow follow-up for the current system with the aim to guide the establishment of an improved system within the structures of the NDOH. Information will be collected on persons diagnosed with HIV who are not enrolled in ART care and treatment program and in partnership with other stakeholders, the system will be revamped and strengthened, and recommendations of the gap analysis will be implemented . Pre-ART register will be updated to ensure it captures the minimum data required for monitoring pre-ART care. Data capturers at various facilities will be trained on how to fill out the pre-ART register to strengthen data collection and reporting from service sites. Data transmission systems will be strengthened to allow timely reporting of data from facilities upward to the national M&E unit and enable timely feedback on data quality and performance of targets.
Implementing Mechanism Details
Mechanism ID: 13789
Mechanism Name: SACTWU
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: South African Clothing & Textile Workers' Union
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 7,100,000
Funding Source
Funding Amount
GHP-State
7,100,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
SACTWU Workers Health Program’s (SWHP) overarching goal in support of SAG’s national goal to reduce new HIV infections by 50%, is to circumcise 80% of target population i.e. HIV negative men between the ages of 15 – 49 years within the 5 years. Established SWHP objectives are to: (a) Implement MMC activities within high-volume regions; (b) Train all MMC activity staff, DOH staff, and private practitioners within the district according to NDOH / WHO guidelines to ensure sustainability; (c) Provide a comprehensive package of MMC services; (d) Strengthen and improve the quality of existing health care facilities and services through the scale up of MMC activities; (e) Establish referral systems and linkages with other public sector HIV care and treatment services; (f) Provide extensive community mobilization activities. SACTWU will provide MMC support in several districts within KwaZulu-Natal, Gauteng, Northern Cape, and Free State.. SWHP’s program is configured around the Models of Optimizing Volume and Efficiency (MOVE). In terms of Monitoring and Evaluation SWHP will contribute by working closely with DOH and other PEPFAR partners to build the country capacity for implementing and maintaining a fully comprehensive data management system. This will include developing tools for performance assessment. To date, five vehicles have been requested under this award, three of which are pending approval from CDC PGO; however, in COP 2012 SACTWU plans to purchase up to 7 additional vehicles to accommodate more than three-fold program expansion.
Cross-Cutting Budget Attribution(s)
Human Resources for Health
1
Motor Vehicles: Purchased
38,857
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
13789
SACTWU
South African Clothing & Textile Workers' Union
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
CIRC
7,100,000
0
Narrative:
In response to the normative guidance and under the leadership of SAG, PEPFAR funds in SHWP will be utilized to support the implementation of safe voluntary medical male circumcision. Number of male Circumcisions to be performed according to national standards during the reporting period will be 50,000. SWHP overarching goal, in support of SAG’s national goal to reduce new HIV infections by 50%, is to circumcise 80% of target population i.e. HIV negative men between the ages of 15 – 49 years within the 5 years. The proposed districts that will be provided with MMC support are Amajuba and UThukela and are currently underserved in terms of MMC. SWHP will integrate a minimum package of MMC services as per NDOH guidelines, in their provision of MMC activities. All clients accessing MMC services will be provided with pre-operative provider initiated HIV counseling and testing (HCT), which will include routine screening for the exclusion of symptomatic TB and STIs. Safe MMC surgical procedures will be conducted on a daily basis by appropriately trained clinical staff using models that optimize volume and efficiency (MOVE). Post-surgery, the client will again receive counseling on correct and consistent condom usage and post-operative care, including sexual abstinence during wound healing. SWHP will support the integration of MMC referral into all HIV services and will strengthen links with HIV care and treatment sites and non-medical HCT sites, to ensure the referral of HIV negative men to MMC service facilities. To increase informed demand for MMC services, SWHP will employ community based individuals to provide advocacy, community mobilization, and education. SWHP will deploy on-site mentors to support and provide mentorship and supportive supervision to DOH staff and private practitioners conducting MMC activities. SWHP will recruit and appropriately train M&E staff to provide quality assurance and monitor service delivery through the implementation of an effective and efficient M&E system, which will address all the required MMC activities.
Implementing Mechanism Details
Mechanism ID: 13793
Mechanism Name: THCA - GH1152
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: TB/HIV Care
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: TA
G2G: No
Managing Agency:
Total Funding: 5,850,000
Funding Source
Funding Amount
GHP-State
5,850,000
Sub Partner Name(s)
Edzimkulu
Sonke Gender Justice
Overview Narrative
TB HIV Care Association (THCA) is implementing comprehensive HIV prevention programs in KZN (Sisonke District), WC (Cape Town and W.Coast) and EC (Alfred Nzo and OR Tambo Districts) and targets both men and women aged of 15-49. In its second year of implementation, THCA will expand its activities to include MMC in Northern Cape and Eastern Cape provinces as an additional intervention that will target HIV negative males of reproductive age (15-49 years).The goal of the program is to support the DOH to increase access to HIV and TB prevention, diagnosis, and treatment and adherence support. The objectives are to: prevent HIV through HCT and behavioral interventions; prevent HIV through biomedical interventions and structural interventions; and build capacity to strengthen TB/HIV integration. The program’s goals are aligned with the National Strategic Plan’s key priority areas (KPA) for prevention, treatment, and care and support. The project aims to build and strengthen capacity of all relevant actors and to work with the community to educate and empower them to demand better health services, take ownership, and drive improvements in the health system. Strategies to build capacity include training of CHWs and DOH staff. The training will also address gender equity and masculinity norms. THCA has a developed M&E system to track progress and ensure quality services. Indicators will be monitored and reported on a quarterly basis to the project team, the District, and to PEPFAR. In order to facilitate its expansion plans. THCA will work closely with the DOH to ensure that staff are absorbed over the 5 years of the project. THCA intends to purchase 10 4X4 Toyota Hillux vehicles for the combination Prevention Program.
