The goal of this program is to provide comprehensive HIV prevention services in selected areas in the Northern Cape and North West Provinces. Activities will aim to: Change knowledge and social norms related to safer sex by promoting decreasing multiple and concurrent partners; binge drinking; intergenerational sex and transactional sex among youth and adults; and Change unsafe sexual behaviors including decreasing the proportion of men who have multiple partners in the past year; increasing consistent condom; decreasing the percentage of youths who have had sexual intercourse before 15 years, decreasing drunkenness during sex; and decreasing intergenerational and transactional sex.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVOP
1,400,000
0
Narrative:
• Increase the proportion of men who are circumcised;
• Decrease the number of babies getting infected;
• Increase access and utilization of HIV prevention services by linking people with services and increase numbers of people attending services for HCT, medical male circumcision, STI treatment (and ART), PEP and early attendance for the prevention of mother to child transmission.
• Change knowledge and social norms related to safer sex by decreasing multiple and concurrent partners; binge drinking; intergenerational sex and transactional sex among youth and adults;
• Change unsafe sexual behaviors including decreasing the proportion of men who have multiple partners; increasing consistent condom; decreasing the percentage of youths who have had sexual intercourse before 15 years, decreasing drunkenness during sex; and decreasing intergenerational and transactional sex;
• Decrease HIV and TB transmission between sero-discordant couples;
• Create an enabling environment for social change by engaging communities through dialogues, discussion, mass media and events that will assist in shifting norms and enabling communities to tackle the issues most relevant to HIV prevention at a local level;
• Promote structural changes in alcohol availability and laws pertaining to the sale of and access to alcohol, thus decreasing interpersonal violence, and decreasing alcohol related HIV infections;
• Shift gender norms to decrease male dominance and to change male attitudes to sexuality and gender based violence. strategic approaches to achieve these objectives include partnerships with provincial and local government departments with regards to service provision, training of providers, and procurement of commodities, as well as community mobilisation and mass media approaches. Partnerships SAG and with other NGOs - e.g. Positive convention and DENOSA will help to assist with service provision
The HIV and AIDS, STI and TB (HAST) National Strategic Plan (NSP) 2012-2016 plan and the US – SA PEPFAR Partnership Framework, provide a platform for increasing capacity and providing policy guidance at all levels to meet the demands of the TB/HIV/AIDS response. This Technical Assistnace therefore focuses to develop and establish an international accredited tertiary education center that will educate postgraduate HCW on TB/HIV, infection control, and operational research. The project will leverage South Africa’s TB and HIV response by expanding the number of trained HCW, enhancing support to the TB and HIV sector to build human resource capacity in TB, and improving collaboration between South Africa National Department of Health TB and HIV programs and TB partners. ICAP will work collaboratively with the Department of Health and the University of Cape Town’s Desmond Tutu HIV Centre (UCT-DTHC) and other partners to develop curricula and implement three courses: TB/HIV best practices, infection prevention/control programs, and operational research. The course content will primarily be delivered utilizing the blended learning platform, which combines face-to-face teaching with computer mediated instruction—a platform that is proving highly effective in building HCW capacity in Africa—complemented by a longitudinal mentoring program.
This new activity has four main goals that aim to reduce the TB/HIV burden by creating best practice guidelines, education, and training.The first goal of the project is to develop, implement, and monitor a TB/HIV course for clinicians and other professional health care worke• Develop a training course framework with course objectives, unit standards, and course modules for a four-day international TB/HIV course for clinicians and other HCW. • Build leadership, management, and OR skills in health care professionals by delivering TB/HIV training. • Evaluate the impact of the course on the knowledge of all participants by means of pre- and post-test surveys.• Evaluate the training course and curriculum.The second goal is to develop, implement, and monitor an infection control diploma course• Develop a national IC training strategy to meet the Strategic Plan. • Develop a training course framework with course objectives, unit standards, and course modules for an IC training program by the end of PY01. Include in each model, training, or education a practical component and research opportunity for participants• Increase capacity of SA DOH to implement TB/HIV-related projects that relate to IC training programs, environmental control evaluations, and general infrastructural, environmental health, or biomedical engineering input.The third goal is to develop, implement and monitor an OR training• Develop OR training strategy to meet the Strategic Plan. • Develop a training course framework with course objectives, unit standards, and course modules for an OR training program. • Develop a mentoring program for participant-conducted OR projects. Provide opportunities for participants in TB epidemiological surveillance and programmatic data collection; design of tools/materials for data collection; collection and analysis of information; and building statistical and epidemiological knowledge.
Implementing Mechanism Details
Mechanism ID: 13888
Mechanism Name: Population Services International
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: Population Services 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: 3,100,000
Funding Source
Funding Amount
GHP-State
3,100,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
Populations Services International (PSI) and its local affiliate Society for Family Health (SFH) will implement a comprehensive HIV prevention project in the Free State and Mpumalanga Province. The goal of this program is to contribute to the efforts of PEPFAR and the objectives of the HIV & AIDS and STI Strategic Plan for South Africa (NSP) to reduce the number of new HIV infections in Free State and Mpumalanga. Specifically, the objectives include: Increase knowledge of HIV sero-status through greater access to HCT; Promote safer sexual behaviors and sexual norms; Reduce multiple concurrent sexual partnerships;
Increase correct and consistent condom use; Increase safer sexual behaviors and promote prevention with positives to people living with HIV and AIDS and sero-discordant couples; and, Increase uptake of referrals to related services. Target populations for mobile HCT will be men and couples and for home-based HCT will be families and couples. Target populations for community- and school-based prevention interventions will be schoolchildren aged 15-19 and their parents as well as young adults 20-24. The focus for condom distribution will be bars, small late night shops, and other high risk outlets. Lubricant will be distributed primarily through organizations working with men who have sex with men. SFH will conduct rigorous internal and external quality assurance of testing. A monitoring and evaluation plan for the project will be developed. No vehicles will be purchased with the proposed COP 2012 funding. No new vehicles will be purchased with this funding. PSI will propose to transfer all vehicles purchased through the old agreement with PSI to be used with this current agreement.
Cross-Cutting Budget Attribution(s)
Gender: Gender Equality
50,000
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
13888
Population Services International
Population Services International
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Governance and Systems
HLAB
300,000
0
Narrative:
Laboratory funding will be used to support the incidence testing in the MMC program evaluation as well as other tests that are not routinely offered by the program.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVAB
200,000
0
Narrative:
SFH’s school-based YouthAIDS curriculum targets children aged 15-19 and takes place twice weekly during the school year. The program will take place in 10 schools in each of the four program areas. The “Safe from Harm” program reaches children aged 15-17 and their parents over a two week period through four sessions aimed at improving parent-child communication around sexuality and related prevention issues. Messaging for both YouthAIDS and Safe from Harm is focused on abstinence, delay of sexual activity, secondary abstinence, and related adolescent risk behaviors such as alcohol and drug abuse, intergenerational sex, and transactional sex. On the ground SFH YouthAIDS coordinators train and supervise peer educators operating in schools. All activities are conducted using standardized curricula and materials developed to address the key drivers of the epidemic among youth. A monitoring and evaluation plan will be developed. The YouthAIDS project has been approved by DOE provincial and district offices together with the participating schools.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVCT
1,250,000
0
Narrative:
Population Services International (PSI) and its local affiliate Society for Family Health (SFH) will provide mobile and home-based HCT through SFH’s New Start HCT network, South Africa’s largest NGO HCT network. The target population for mobile HCT services will be males aged 25-35 and couples. Testing rates among men remain lower than those among women. The target population for home-based HCT will be couples and families living in townships. Overall, approximately 50% of all South Africans have ever been tested. New Start uses a parallel testing algorithm. New Start develops a referral guide for all project areas that allows counselors to refer clients appropriately to follow on services. Referred clients are requested to give New Start their cell phone number and New Start referral coordinators follow up on all clients telephonically to ensure clients reach their referral point and to provide follow up counseling. This also allows New Start to evaluate the quality of services listed in the New Start referral directory. SFH has rigorous internal and external quality assurance procedures. SFH’s external quality assurance partner is the South African national reference laboratory, the National Institute for Communicable Diseases. SFH will conduct campaigns to promote both New Start and testing in general. SFH’s YouthAIDS, Safe from Harm, and MMC programs are also closely linked to New Start. Monitoring and evaluation allows for the gathering of all data needed to manage the program, report to government, and report to donors. SFH will test 100,716 individuals. 52% of clients will be male and 5% will test as a couple. New Start is a non-profit franchise network and HCT services will be provided by SFH and by two to-be-determined subaward franchisees. Franchisees are provided with financial, technical, M&E, marketing, and quality assurance support by SFH.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
HVOP
1,350,000
0
Narrative:
SFH’s YouthAIDS program targets children aged 15-19 in school but also provides community outreach activities aimed at reaching youth aged 20-25 with appropriate messaging that includes condom use, testing, MMC, concurrent sexual partnerships, abstinence, secondary abstinence, drug and alcohol abuse, intergenerational sex and transactional sex. YouthAIDS community activities are closely linked to SFH’s HCT and MMC programs. Community activities include community outreach events and community radio call in shows. All activities are conducted using standardized curricula and materials developed to address the key drivers of the epidemic among youth. A monitoring and evaluation plan will be developed in the first months of the project. SFH also will distribute the Government of South Africa’s free-issue Choice brand condom, responsible for distributing Choice condoms into high risk and non-medical outlets such as bars, taverns, and late night shops. These condom distribution activities will be carried out province-wide and SFH will distribute 21M condoms. SFH also will distribute 15,336 sachets of lubricants, primarily through organizations working with men who have sex with men.
