Operational Plan Report

Implementing Mechanism Details

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Implementing Mechanism Details

Mechanism ID: 13902	Mechanism Name: HSRC
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention	Procurement Type: Cooperative Agreement
Prime Partner Name: Human Sciences Research Council
Agreement Start Date: Redacted	Agreement End Date: Redacted
TBD: No	New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No	Managing Agency:

Total Funding: 2,000,000
Funding Source	Funding Amount
GHP-State	2,000,000

Sub Partner Name(s)

(No data provided.)

Overview Narrative

A HIV behavioral surveillance (household survey) will be conducted that will produce HIV prevalence and trend data since 2002. In addition, a new surveillance system will be established to estimate maternal mortality and improve death/birth notification systems. Data from the 2014 household survey will serve as a basis for the evaluation of the NSP for HIV and AIDS and STI 2012-2014 and will provide the baseline information for tracking the progress and impact of the next NSP 2012-2016. It will also enable the South African government to monitor and assess key health outcomes for the population that will provide data used in developing HIV prevention and treatment programmes for South Africa. The maternal/infant mortality surveillance will provide baseline data and allow comparison of South Africa with other countries. These projects meet the partnership framework goal of building South Africa’s capacity to collect and use surveillance data and manage national HIV/AIDS programs by expanding HIV/STI/TB surveillance programs and strengthening laboratory support for surveillance and supports PEPFAR’s efforts to develop, implement, and evaluate new HIV surveillance activities, where necessary, or to strengthen current HIV surveillance activities in South Africa.

Cross-Cutting Budget Attribution(s)

Key Populations: FSW	303,338
Key Populations: MSM and TG	303,338

TBD Details

(No data provided.)

Key Issues

(No data provided.)

Budget Code Information

Mechanism ID: Mechanism Name: Prime Partner Name:	13902 HSRC Human Sciences Research Council


Strategic Area	Budget Code	Planned Amount	On Hold Amount

Governance and Systems	HVSI	2,000,000	0
Narrative:
HSRC is a parasatatal mandated by the SAG to provide epidemiological data useful in directing the Country’s efforts in designing evidence based interventions. For FY 2012 it will be funded mainly to work towards conducting an HIV behavioral and prevalence surveillance (population-based survey) and establish maternal and infant mortality surveillance. These activities support the partnership framework goal that seeks to strengthen the effectiveness of the HIV /TB response by supporting/strengthening surveillance and the use of quality epidemiological data to inform policy, planning, and decision making. The 2014 survey will be the fifth in a series of national population-based surveys conducted for surveillance of the HIV epidemic every 3 years since 2002 in South Africa. The South African HIV population-based survey, unlike other surveys, includes children less than 15 years and adults aged 50 years and older and has provided planning data used in these age groups. In addition, these surveys sample participants from all races and locality types as well as in all nine provinces of South Africa. Data from the 2014 household survey will serve as a basis for the evaluation of the NSP for HIV and AIDS and STI 2012-2014 and will provide the baseline information for tracking the progress and impact of the next NSP 2012-2016. The maternal and child mortality surveillance, which aims to improve the design of the birth notification system by capturing data on factors associated with birth outcomes will focus on: establishing a project committee for scientific guidance and leadership of the project, evaluation of the existing birth and death notification systems and vital registration system, training of 70 fieldworkers per province on the implementation of the evaluation tools, conducting an assessment of the contributory causes of under-reporting at the different levels of collecting and processing of data related to births and infant and maternal deaths in the country, and mapping out of the service infrastructure from community to national level to assess availability and its ability to collect reliable and accurate information.

Implementing Mechanism Details

Mechanism ID: 13903	Mechanism Name: Community Media Trust
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention	Procurement Type: Cooperative Agreement
Prime Partner Name: Community Media Trust
Agreement Start Date: Redacted	Agreement End Date: Redacted
TBD: No	New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No	Managing Agency:

Total Funding: 700,000
Funding Source	Funding Amount
GHP-State	700,000

Sub Partner Name(s)

(No data provided.)

Overview Narrative

The goal of the project is to reduce the number of new HIV infections in the Eastern Cape Province focusing in three high-prevalence districts (i.e. Alfred Nzo, O.R. Tambo and Amathole). CMT’s activities will be conducted to support TB/HIV Care Association (funded to provide comprehensive HIV prevention services in the same areas). CMT’s role will be to mobilize the community in these areas by implementing HIV prevention awareness events, HCT promotion as well as community dialogue to promote community involvement, ownership, and knowledge to support prevention initiatives. Locations such as shopping malls, taxi ranks, and community centers together with door to door events will ensure that the program messaging is taken beyond the context of the health facility, reaching the community as a whole. The EMIT system will be used for CHWs and social mobilisers to report their daily activities, where data gathered will monitor the number of people reached with education and health promotion messages, either during facilitated sessions at health facility or in the community at open days/awareness events and where possible some indicators will be derived from the PEPFAR Indicator Reference Guide. The project objectives are aligned to both the South African Strategic Plan and Partnership Framework goal of impacting positively on the HIV prevention. The emerging CHW-Primary Health Care policy formulation speaks to the long-term sustainability of the program where the CHW’s trained and deployed by CMT can be absorbed into the formal health system, and they will have an invaluable role in maintaining the quality and integrity of the county’s CHW and Primary Health Care program.
The rural and hard-to-access nature of the target districts result in expenpensive transport.

Cross-Cutting Budget Attribution(s)

(No data provided.)

TBD Details

(No data provided.)

Key Issues

Implement activities to change harmful gender norms & promote positive gender norms

Increase gender equity in HIV prevention, care, treatment and support

Budget Code Information

Mechanism ID: Mechanism Name: Prime Partner Name:	13903 Community Media Trust Community Media Trust


Strategic Area	Budget Code	Planned Amount	On Hold Amount

Prevention	CIRC	100,000	0
Narrative:
Community Media Trust (CMT) will build off of its successful social mobilization efforts to specifically target and link males aged 15-49 to medical male circumcision (MMC) services in the Eastern Cape province. CMT will target males in various districts across Eastern Cape province where traditional circumcision is widely practiced. CMT is currently funded to implement social mobilization activities in conjunction with TB/HIV Care, who provides the clinical services; these funds will provide MMC-specific activities such as community outreaches, interpersonal communications, standardized sexual and reproductive health messages and HIV prevention information. Because traditional circumcision is widely practiced in Eastern Cape, and there has been a strong opposition to MMC, targeted efforts are needed to ensure MMC services can be provided in a culturally-appropriate and sensitive manner.
Strategic Area	Budget Code	Planned Amount	On Hold Amount

Prevention	HVOP	600,000	0
Narrative:
The CMT program will consists of the following three complimentary and integrated activities:• The provision of 30 well-trained CHWs as envisaged in the emerging CHW Primary Health Care Policy in South Africa. CHWs will be placed at selected feeder clinics and district hospitals, with a referral system from the community to the facilities. This team will be supported by 1 Trainer per district to mentor and support CHWs to ensure quality of information given by CHWs and to provide training for partner organizations within the district as well as 2 Data Officers per district to improve data collection and accuracy of DHIS data collected in clinics in order to have accurate measures for overall program impact.• A Social Mobilization team, consisting of 3 social mobilizes to work with local community workers, NGOs and others to implement target awareness events, HCT promotion, and testing services as well as community dialogues to promote community involvement, ownership, and knowledge to support prevention initiatives.• A mass media campaign to provide prevention messages through local print media and community and regional radio; saturating target districts and the provinces as a whole to reinforce prevention messages, promote safer sexual norms in communities, and promote access to health services – particularly for PMTCT, HCT, MMC, and sexual and reproductive health. This campaign will make use of 1 Community Journalist per district to produce inserts on HIV prevention and treatment literacy for community and regional radio and web use, together with newspaper articles on related HIV topics – providing comprehensive, relative health messages.

Implementing Mechanism Details

Mechanism ID: 13904	Mechanism Name: Tuberculosis Care Association - 1151
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: No
G2G: No	Managing Agency:

Total Funding: 1,810,000
Funding Source	Funding Amount
GHP-State	1,810,000

Sub Partner Name(s)

(No data provided.)

Overview Narrative

TB HIV Care Association will strengthen the current health care system to provide accessible and sustainable HIV, STI and TB prevention services to sex workers (CSW) in collaboration with the South African DOH in Cape Town Metro, Western Cape, and eThekweni Metro Area, KwaZulu-Natal. The project aims to provide client-centered prevention services to CSW within the current health system and will contribute to the PEPFAR goals of preventing 12 million new infections by 2013, by preventing new HIV infections among CSW, by strengthening systems to prevent HIV transmission, and by promoting HCT to identify CSW with HIV and linking them to HIV/STI/TB care and treatment services. The project’s strategy aligns with SAG’s NSP to reduce vulnerability to HIV infection and the impacts of HIV/AIDS and reduce transmission of HIV and has been designed to encourage and promote stronger collaboration with existing service providers and promote local ownership and sustainability for the future. Training and mentorship will be aligned with South African DOH policies and plans, using materials adopted by the DOH. HCT and STI screening will be strengthened at health facilities and community-based services will be provided to reach CSW who don’t access health facilities. Clinicians will be trained, mentored, and supported on CSW sensitivity and CSW-specific risk reduction counseling. The project will be monitored using an activity chart, work plan, GANNT chart, and reports on progress towards set targets relevant to the objectives. An M&E plan and system will be developed to measure prevention indicators, and the success of the program will be measured and a communication strategy will be developed to report on the success of the project. No vehicles will be purchased.

Cross-Cutting Budget Attribution(s)

Human Resources for Health	1
Motor Vehicles: Purchased	310,164

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