Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 10271
Country/Region: South Africa
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/HRSA
Total Funding: $0

Funding for Care: TB/HIV (HVTB): $0

This is a new PHE for FY09 that has been approved for $184,886.

PHE tracking number: ZA.09.0260

Title: Non-uptake of counseling and testing for HIV among TB patients in the Free State: research to inform

intervention

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Public Health Evaluation

Estimated amount of funding that is planned for Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.12:

Funding for Health Systems Strengthening (OHSS): $0

SUMMARY:

The awardee with work with four local universities (Walter Sisulu, University of Pretoria, Wits University and

the Medical University of South Africa) to develop their capacity to implement the Clinical Associates (CA)

program. The CA program is a new mid-level worker program which is a three-year degree program similar

to the Physician Assistant program in the United States (U.S.). The NDOH has requested assistance for the

universities to build their capacity through North-to-South and South-to-South mentorship from already

established programs.

BACKGROUND:

The CA program is a new mid-level worker category introduced by the NDOH in response to the HRH crisis

in the face of the HIV/AIDS pandemic. The South African universities, although willing to implement this

three-year degree program lack the experience to do so. The request from the NDOH is to establish

mechanisms for learning from other established programs through North to South and South to South

exchange.

ACTIVITIES AND EXPECTED RESULTS:

The awardee will carry out five separate activities in this program area.

ACTIVITY 1: North-to-South Twinning

The awardee will establish twinning relationships with U.S. universities to mentor local universities in

curriculum development, training of students, integrating HIV/AIDS management into the CA program,

assessment of and new program development. It is expected that the local universities will benefit from

other established programs in the design, implementation and assessment of the local CA program.

ACTIVITY 2: South-to-South Twinning

The awardee will establish a South-to-South relationship with other CA programs from Tanzania and

Malawi. This will strengthen the regional relationship by providing opportunities to share African

experiences, to adapt curriculum to fit local contexts and establish opportunities for South-to-South learning,

mentorship and academic exchange. The local universities will be provided with opportunities for learning

from other African countries on their experience in integrating HIV/ AIDS programs into the curriculum and

system for supervision of CA graduates in light of the critical shortage of doctors.

ACTIVITY 3: Establishment of Academic Forum

The awardee will establish a forum for ongoing academic exchange with universities both in Africa and in

the U.S.. This will be mainly through electronic medium e.g. video conferencing, internet group discussions

etc. This activity will also comprise a yearly academic meeting between other African CA programs for face

to face exchange of ideas and program development.

ACTIVITY 4: Establishment of a Sustainable Supervision Model for Students

The awardee will work with the universities to develop a model for supervision of the CA students and

graduates within the district health system. The awardee will do this by assisting the universities to draw on

experience and lessons learned especially from other African countries and experiences in other South

African programs to establish a mechanism for on-going supervision and support that can be sustained at a

district level.

ACTIVITY 5: TB/HIV

The awardee will provide training and mentoring to strengthen the ability of CHSR&D to manage data and

effectively disseminate research findings. The partnership will enhance the University of the Free State's

Centre for Health Systems Research and Development's (CHSR&D's) role as the critical link between

policymakers, care providers, and other stakeholders in translating research findings into effective policy

and practice. This will ensure the development of referral and supervisory systems for the management and

monitoring of TB/HIV co-infected patients; implementation of provincial TB registers to document treatment

outcomes; and surveillance for and management of drug-resistant TB. Through the partnership, CHSR&D

will have the capacity to play a central role in implementing, reporting, and recording systems for TB/HIV

surveillance data and M&E of TB/HIV integration.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Health-related Wraparound Programs

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18: