Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 510
Country/Region: South Africa
Year: 2009
Main Partner: Soul City
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $7,981,189

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $5,436,095

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

A five-year HIV prevention strategy consolidates Soul City's Institute for Health and Development

Communication (SC:IHDC) activities across nine countries into one focused intervention, in line with SADC

recommendations and the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011. It focuses on

adults and youth to change population level norms, attitudes and beliefs and on developing individual skills

to support risk avoidance and risk reduction to promote abstinence, faithfulness and to decrease stigma.

The strategy addresses key epidemic drivers including the practice of and low risk perceptions related to

multiple concurrent partnerships (MCP), cross-generational and transactional sex. MCP will be the focus of

a major campaign. Violence and alcohol abuse are major aspects of the strategy and social norms are

addressed as underlying drivers of many HIV risk behaviors. Target audiences include youth and adults,

age 16-65. The 25-35 group are key audiences as are people in informal settlements and townships. Mobile

populations are targeted as part of the nine-country programs where the strategy has been jointly designed

to ensure consistent messages. Interventions for children continue, promoting abstinence and delayed

sexual activity. The primary audience is 8-14, with secondary audiences of older siblings, caregivers and

teachers.

SC:IHDC's interventions are based on WHO health promotion principles that emphasize an enabling

environment for behavior change. The strategy targets individuals, communities and the socio-political

environment through a combination of mass media, social mobilization, and advocacy to impart knowledge,

shift attitudes and norms, increase individual and community efficacy, social cohesion and healthy public

policy. It uses edutainment methodologies that integrate issues into prime-time entertainment programs,

attracting large audiences. Radio in particular reaches marginalized communities. Based on "parasocial

interaction" theory, edutainment creates characters with whom audiences identify and emotive stories as

powerful tools for social change. Print material linked to the drama provides a sustained resource. The

popular brand brings credibility to social mobilization initiatives. All interventions are based on social change

theory and are researched and evaluated. Materials are developed through a formative research process

with target audiences and key stakeholders. The strategy is conducted in partnership with key stakeholders

in government, people living with HIV, faith-based organizations and civil society. Soul City maintains a

close relationship with JHESSA and collaborates on many projects. This together with the multi-year, multi-

level nature of the strategy is important to maximize impact and sustain behavior change. SC:IHDC

collaborates with Johns Hopkins University and the Khomanani campaign on a joint evaluation.

ACTIVITY 1: Activity has been modified. The SC TV series broadcast in FY 2008 will be repackaged into

DVDs and with reprints of the accompanying booklet, will be distributed nationally. Research and

development of 2 new TV and radio series will take place in FY 2009; 1 series will be broadcast in FY 2009

together with 1 million copies of a new booklet for adults dealing with alcohol abuse.

ACTIVITY 2: Soul Buddyz will develop and broadcast a 13 part TV drama; distribute 1 million copies of a 42

-page color parenting book in four languages; a grade 7 life skills book will be distributed to all learners

nationally. A further TV series combined with a parenting book will be developed in FY 2009 for

implementation in FY 2010. The mass media activities are combined with community mobilization activities

and other forms of communication such as public service adverts, pamphlets and posters.

ACTIVITY 3: School-based activities will be expanded into a comprehensive primary and high school

intervention bringing community, private and government resources together for HIV prevention.

Participating schools will become HIV prevention, care and support "hubs" through Buddyz Clubs, Schools

as Nodes of Care" (SNOC) and Parenting Groups (the latter two are for adults). The hubs will extend into

the community to reach out of school youth. The intervention is developed in partnership with the

Department of Education (DOE). The high school component is a non-PEPFAR funded pilot. Soul Buddyz

Club focuses on life skills, peer pressure and self-esteem, as well as delaying sexual debut, the risks of

MCP and alcohol abuse. SNOC trains school governing bodies to support OVC and to promote HIV

prevention in schools. In FY 2009, 80 primary school parenting groups will be set up per province involving

14,400 parents; these will strengthen parenting skills, in relation to preventing alcohol abuse, promoting

abstinence and positive gender norms, and an understanding of HIV prevention. New facilitators (1,000) will

be trained through 108 sessions to support community mobilization. A trainer and two fieldworkers based in

each province constantly monitor quality and give support.

ACTIVITY 4: More than 200 new ETD training sessions will be conducted in FY 2009 with an average of 30

people per session.

ACTIVITY 5: Heartlines has been modified. As a result of the success of the first children's book, the DOE

has requested a sequel for ages 6-10. This will be developed in FY 2008 and in FY 2009 translated into 11

languages; 100,000 copies will be distributed to 17,000 primary schools to help children to build the

necessary skills to make their eventual transition to sexual activity, safer and healthier.

ACTIVITY 6: "Communities with Soul" KWANDA is a new activity designed to strengthen community

mobilization. It consists of 13-episode TV reality show, 13 week radio show on 5 radio stations and multiple

community stations. It will highlight a social mobilization process to prevent HIV, violence, alcohol abuse

and strengthen livelihoods, where 7,500 people in 5 communities, will transform their communities. The

project is a partnership with all levels of government. The media will inspire audiences to initiate similar

programs in their own communities this will be assisted by 500,000 community mobilization toolkits. This

program links to the Presidential Right to Work Programme.

-------------

SUMMARY:

Soul City has received PEPFAR funding since FY 2005 to implement a media and community-driven

program to strengthen prevention, and increase awareness of and demand for HIV care and treatment

services. The major emphasis area is community mobilization/participation. Other emphasis areas include:

Activity Narrative: information, education and communication; local organization capacity development; and training. There are

five activities. Three activities target adults and children nationally using multimedia, and two activities build

on this through training and community mobilization of adults and children.

BACKGROUND:

The activities are ongoing. Soul City has a long history of partnership with the South African Government,

collaborating with the National Departments of Health (NDOH), Education (DOE), Social Development

(DOSD), Transport, and Public Service and Administration, which includes financial support from NDOH,

and potentially DOSD in the future. In addition, Soul City partners with 18 non-governmental organizations

(NGOs) to implement the community mobilization program. All Soul City interventions address gender

issues, particularly those associated with driving the epidemic (e.g., power relations and cross generational

sex). In September 2007 Soul City and its sub-partners are planning a major planning retreat to design its

five year prevention strategy, and the USG will be important contributors to this process. Violence and

partner reduction will be a focus over the next five years as will the issues that promote violence, like

substance abuse.

ACTIVITIES AND EXPECTED RESULTS:

ACTIVITY 1: The Soul City Series

The Soul City TV series,13 episodes for a family audience, broadcast during primetime in October 2008; 30

radio drama episodes in nine languages in November 2008; and a 36-page color booklet for adults printed

in four languages, with one million copies distributed through newspapers, health facilities, partners and

community organizations. The booklet will focus on HIV and relationships, particularly concurrent partners.

Other issues addressed are HIV prevention that promotes abstinence and faithfulness, and decreasing

stigma. The series will cover gender in HIV prevention, violence reduction and substance abuse. PEPFAR

funds will be used for 30% of this activity, with other donors funding the remaining 70%.

ACTIVITY 2: Soul Buddyz

Soul Buddyz is aimed at children, 8 to 12 years of age and comprises: (1) 13 TV drama episodes for

children and their parents, broadcast in primetime October 2008; (2) development, printing and distribution

of one million copies of a 42-page color parenting book in four languages from April 2008; (3) development

of a 116-page grade 7 life skills book distributed to pupils in April 2008; and (4) marketing to promote and

link these materials. This activity contributes to PEPFAR objectives by averting new infections through

behavior change. The topics the Soul Buddyz series will cover are HIV prevention, in particular the

promotion of abstinence and faithfulness, and youth sexuality. The Soul Buddyz intervention deals with a

range of developmental topics relevant to children's lives and not only to HIV and AIDS. It will also deal with

violence reduction, reduction in substance abuse, gender and building self esteem. PEPFAR funds will be

used to support 30% of this activity, with other donors funding the remaining 70%.

The following two activities depend on the media activities for their credibility and impact at a community

level.

ACTIVITY 3: Community Mobilization

Based on the Soul Buddyz intervention, Soul Buddyz Club is a community mobilization intervention aimed

at children, largely at schools and facilitated voluntarily by teachers. Children in the clubs learn about life

skills covered in the Soul Buddyz series (that stress abstinence and being faithful (AB) messages) and are

encouraged to do outreach work in their schools, families and communities. Nationwide, 3000 clubs already

exist, and in FY 2008 Soul City will establish another 1000 clubs. To achieve this, it will conduct 20 training

sessions for facilitators; develop, print and distribute 6000 annual club guides; hold a national congress for

clubs and their facilitators; develop, print and distribute 80,000 magazines to each club member bi-annually;

and run Buddyz club competitions. The clubs will focus on preventing HIV infection, AIDS and its impact on

schools; youth sexuality focusing on skills development; and violence reduction, reduction in substance

abuse, gender and building self esteem. PEPFAR funds will be used to support approximately 80 percent of

this activity, with other donors funding the remaining 20%. Soul City emphasizes building the capacity of

facilitators so they can support clubs into the future. This will be done in partnership with the DOE at both

national and provincial levels. This activity contributes towards PEPFAR objectives by averting new

infections through increasing self esteem and behavior change.

ACTIVITY 4: Material Development

Soul City develops flexible training materials in five local languages to use in facilitated learning settings,

and in the general public, with a focus on parents. They will build parenting skills and equip them to educate

their own and other children about prevention using an AB approach. They also deal with all other aspects

of the epidemic, including, antiretroviral therapy support, and support for home-based care and orphans and

vulnerable children. These materials will also be used to train school governing bodies to create schools as

nodes of care for vulnerable children. These materials are also used by businesses and workplace

programs. These materials are used by 18 partner NGOs in a cascade training model. Trainees are given

the support and skills with which to become mobilizers in their community. More than 200 training sessions

will be conducted in FY 2008 with an average of 30 people per session. In addition, materials are made

available to a wide range of institutions that make use of the materials in their work. A minimum of one

million copies of materials will be made available. PEPFAR funds will be used to support approximately 70

percent of this activity, with other donors funding the remaining 30%.

ACTIVITY 5: Heartlines

Heartlines is a sub-partner of Soul City: IHDC uses a values-based approach to HIV prevention. It is fully

Activity Narrative: described in Other Prevention A children's book aimed at children 5-8 years old was produced in FY 2007.

FY 2008 funding will be used to translate the book into 11 languages and 100,000 copies will be distributed

to 17,000 primary schools. In partnership with DOE, teachers will also be trained to use the materials.

The long-term sustainability of Soul City is addressed by diversifying its funding sources and by establishing

a broad-based empowerment company which can take ownership of shares and whose dividends will

accrue to Soul City. An empowerment company is one that aims to strengthen small businesses and

expand them in order to encourage investments from outside investors.

To determine the impact of the activities, Soul City and another PEPFAR partner, Johns Hopkins University

Center for Communication Programs, will implement a nationally representative longitudinal panel design

evaluation, which, together with propensity score analysis, enables one to attribute change to the

intervention with a high degree of certainty, as the change is clearly measured in a time sequence, and the

"control" is controlled for demographics, other interventions, other attitudes and behaviors. This allows a

high degree of certainty about what the cause of the change is. (This activity is funded under the Johns

Hopkins University PEPFAR program and described in that COP entry.) Soul City has reached over 6

million children and 22 million adults with AB prevention messages. A further study (not PEPFAR-funded) is

planned in partnership with the University of the Witwatersrand which will be a randomized intervention

study comparing the impact of the school based intervention on child resiliency

New/Continuing Activity: Continuing Activity

Continuing Activity: 13810

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13810 3055.08 HHS/Centers for Soul City 6620 510.08 $5,090,000

Disease Control &

Prevention

7395 3055.07 HHS/Centers for Soul City 4400 510.07 $2,000,000

Disease Control &

Prevention

3055 3055.06 HHS/Centers for Soul City 2687 510.06 $2,000,000

Disease Control &

Prevention

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Reducing violence and coercion

Health-related Wraparound Programs

* Child Survival Activities

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,144,839

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

ACTIVITY 1: Existing training and resource materials produced during previous COP periods will continue

to be produced and disseminated to at least 10,000 faith-based organization (FBO) leaders. A particular

emphasis will be placed on making sure that the existing materials focus on helping FBOs address the key

drivers of the epidemic, in particular multiple and concurrent partners, cross generational sex, prevailing

social norms, gender stereotypes, abuse of alcohol and other substances, and perception of risk. They will

be modified accordingly. The focus for FY 2009 will be on translating the materials (DVD and print manual),

produced in FY 2008 around organizing for action, into five languages and, based on initial user feedback,

making modifications. The materials will help FBOs to plan and implement initiatives that focus on

comprehensive HIV prevention activities both for young people and adults. Particular emphasis will be

placed on the key drivers of the epidemic. Soul City materials will be used to give people appropriate

information to support their activities. Materials will be distributed on a demand basis to 35,000 FBO leaders

nationally. A minimum of 40 training events will be held in support of these materials. Heartlines has high-

level partnerships with large national FBO structures who are supportive of the development and

dissemination of these materials that support their efforts to get their members to take social action

particularly around all aspects of the epidemic. These structures, media as well as the Heartlines database

of 15,000 leaders, and the cell/web communications platform referred to in Activity six (in the FY 2008 COP

narrative) will be used to promote organized action as well as the materials and training.

ACTIVITY 2: Activity two in the FY 2008 narrative has enabled the development of a very successful

partnership with the Department of Correctional Services, whereby both staff and inmates have been

reached in all facilities across the country. Master training was done in the course of FY 2007 and FY 2008,

and this programme has now been incorporated into the Department's core activities. In FY 2009 emphasis

will be on making the materials available to the Department for ongoing use both by the Department as well

as other groups active in prisons. The Department will be assisted with further training as and when

necessary. Soul City will use this partnership to ensure that Soul City publications are distributed to all

correctional facilities in particular those resources that support a comprehensive prevention approach.

ACTIVITY 3: The materials disseminated in FY 2008 have been well received and the results of an

evaluation are being prepared. In FY 2009 emphasis will be on ensuring that schools have the materials

and that they are being used. Additional training for district life skills coordinators will be offered.

ACTIVITY 4: Based on research, the youth intervention will be changed to be one that promotes

mentorship. This will be a partnership with the Department of Arts and Culture as well as other non-

governmental organizations (NGOs), FBOs and community-based organizations (CBOs). The change is

based on the theory of positive deviancy, which shows that young people who moved out of difficult

circumstances and have made positive life choices, have often been mentored by one or more people as

they we growing up. The intervention will be aimed at identifying and supporting people who want to mentor

youth aged 12-25 with emphasis on those in informal settlements, townships, and woman. The process of

mentoring has been shown to benefit both the mentor and mentee and creates an enabling environment

conducive to the adoption of safer prevention behaviors. To this end, a training manual and DVD will be

produced in FY 2008. These materials will place particular emphasis on skills necessary to support

behaviour change in young people, perception of risk and interrogation of harmful social norms. These will

be complimented by Soul City materials that deal with multiple and concurrent partners, substance abuse

and violence prevention. Mentors will also be supported by a cell web-based platform, as well as by training

through FBO and other partner organizations. Through mass media partners the FBO network, government

and other partners, the concept of mentoring will be promoted. Once people identify themselves as willing to

mentor others, they will be sent support resources and will be networked nationally with one another as well

as at a local level. They will also be supported by a minimum of one training event per province. By the end

of FY 2009 the aim is to have a minimum of 35,000 people involved in a mentor/mentee relationship. A

longitudinal study will be put in place at the end of FY 2008 that tracks the impact of the programme on the

behaviour and norms of those that are being mentored.

ACTIVITY 5: More than 220 training sessions will be conducted with an average of 30 people per session.

ACTIVITY 6: This activity will enable follow-up for trainees, where gaps have been identified. In FY 2008, in

partnership with the private sector and the SAG, Heartlines developed a technology platform that can be

accessed via the web or cell phone. This platform combines the best of social networking with the best of

web information applications like Wikipedia. The platform has two objectives. First, it customizes and

presents information, services and contacts for each user based on his/her profile (age, language,

geography, interests). Comprehensive prevention information, access to appropriate resources and

services in people's areas will be included on the site, along with other information supporting testing,

treatment, care and support. The second objective is to connect people and services to each other in

particular geographic areas, also based on their profile. Thus, FBOs in the same geographic area

embarking on similar initiatives will be connected. Similarly, youth mentors in the same area would also be

connected. This platform allows for ongoing support of people and institutions reached by both Heartlines

and Soul City. This platform is also a useful resource for other PEPFAR partners to scale up by providing a

useful networking mechanism. The platform will also be the basis of a virtual social movement called

Forgood. Due to its ability to connect with an ongoing way with users and to segment them in multiple ways,

the platform also serves as a useful evaluation tool. As of August 2008, the platform had 22,000 users. By

the end of FY 2009 the aim is for a minimum of 150,000 users.

------------------------------

SUMMARY:"Heartlines" is a values-based, media-led intervention that aims to mobilize the faith-based

community in Southern Africa to prevent the spread of HIV by promoting abstinence and faithfulness, as

well as decreasing stigma and increasing care for those infected or affected by HIV and AIDS. The major

emphasis area is information, education, and communication. Minor emphasis areas include community

mobilization/participation and linkages with other sectors and initiatives. Target populations include children

Activity Narrative: and adults, people living with HIV and AIDS, communities, teachers and faith- and community-based

organizations.BACKGROUND: This is an ongoing activity and was first funded by PEPFAR in FY 2006.

This intervention complements Soul City's existing activities; targeting faith-based organizations (FBOs)

nationally using prevention messages that will best resonate with this group. It also complements the AB

Soul City activities described elsewhere in the COP. Mass Media Project (MMP), a Soul City sub-partner, is

implementing the project. It is an NGO set up in 2001 with seed financing and with technical support from

Soul City. The MMP works with the Government Communications and Information Services as well as the

Department of Education. Decreasing gender disparity especially in an FBO context is a key

focus.ACTIVITIES AND EXPECTED RESULTS:"Heartlines" aims to revive in South and Southern Africans

the positive value system that traditionally prevailed. In so doing, it will lead to the re-examination of

people's norms and values. It aims to lead to the prevention of new infections, decreased stigma and

increased levels of care for those already infected with HIV. It aims to mobilize at least 50 percent of all

FBOs in South Africa in support of this objective. Implementation started in July 2006. All major FBO

leadership have actively supported "Heartlines" to date and have pledged support for the future. FBOs will

be mobilized through the provision of training materials and training. Committees in each province have

been established to coordinate FBO activities and to facilitate the dissemination of materials and training. In

order to create focus for mobilization a concerted period of action of 6 weeks annually has been identified.

This intervention is a partnership with the Nelson Mandela Foundation, a major South African Bank and the

Public Broadcaster, along with four other smaller donors. Between them, they have already contributed over

$6 million to this intervention to date. In September 2007 Soul City and its sub-partners are planning a

major planning retreat to design its 5-year prevention strategy, and the USG will be important contributors to

this process.ACTIVITY 1:Distribution of eight TV drama films and a story book for use in multiple FBO

settings The eight films and the book were produced in FY 2006 with other donor funding. They were aired

at primetime across all public broadcast TV stations and were hugely popular. Each film focused on a

different value: abstinence and delayed gratification, self-control, perseverance, tolerance and acceptance

of difference (stigma reduction), positive parenting with an emphasis on men, forgiveness and integrity and

grace (second chances), as well as fidelity and partner reduction. A spiritual dimension was introduced in

the dramas, which is, for most Africans, the highest source of moral authority. Multiple other media

platforms in radio, TV and print media were used in the period of broadcast to integrate the values raised, in

particular in relation to HIV and AIDS and other contributing social issues such as violence against women

and so stimulate a national debate. These films were complemented by a book for parents on teaching

values to children. The book includes ten stories to be read to 3-6 year olds, focusing on the same values

as the films. Adult components are described here and in other sections of the COP. Both the children's

book and films were adapted in the course of FY 2007 for use in FBOs; and a facilitator guide will be

produced. They will be duplicated and distributed in the course of FY 2008 to at least 30,000 FBOs. Further

training materials will be produced which are focused on assisting FBOs to organize for action around these

values. They will enable the FBOs to review and respond to needs both within their congregations as well

as in their communities. Through ongoing mass media programming these actions will be reported on so as

to encourage others to also take action. The materials will be adapted for different settings, thus it is likely

that the resource for a rural FBO will differ to that of an urban one, although the objectives will be the same.

At least 26 training/mobilization events will be held nationally with FBOs in support of the materials and their

messages PEPFAR funding will contribute 80 percent of this budget, with other donors funding the

remaining 20%. ACTIVITY 2: Adaptation of the films for use in workplace programs and prisons

Considerable interest has been forthcoming for the use of these films in workplace management and HIV

and AIDS programs as well as from the Department of Correctional Services. Consequently an adaptation

of the films will be made with support training materials for this purpose. PEPFAR funding will contribute to

the development of the materials. The major emphasis area is information, education, and communication.

ACTIVITY 3: Adaptation of the films for use in schools These films were adapted in FY 2006 for use in

grade 10 classes and an accompanying facilitator manual was produced. In FY 2008 30,000 copies of the

DVD and manual will be distributed to 6000 high schools for use in grade 10. In partnership with DOE,

teachers will also be trained to use the materials. ACTIVITY 4: Out of school youth Based on the positive

reception to "Heartlines" by youth, an initiative will, in the course of FY 2008, be rolled out that will target at

risk and out of school youth. The initiative will mobilize youth using hip hop music through a series of

competitions across the country, which will get youth to use hip hop to challenge their peers to live positive

values. Radio and TV will cover these events. These events and the media coverage will be used to select

youth ambassadors who "walk the talk". They will be trained in leadership, enterprise development and will

be trained to be peer educators in their communities. FY 2008 funding will be used to establish this initiative

but by FY 2009,"Heartlines" will be working with at least 500 youth across the country.ACTIVITY 5: Soul

City trainingTraining is conducted by 18 partner NGOs in a cascade-training model. Trainees are given the

support and skills with which to become mobilizers in their community. More than 200 training sessions will

be conducted in FY 2008 with an average of 30 people per session. Although trainees will be equipped to

teach parenting skills and AB prevention to parents in particular they themselves will be trained in ABC

prevention as well .In the course of FY 2008 further values-based media programs will be developed under

the "Heartlines" brand as an HIV intervention. They may include an initiative targeting preschool children

and one aimed at teenagers. These will initially not require PEPFAR funding and will be funded by other

donors. These materials will first have impact in South Africa and then be available for use across the

region through Soul City's regional program. A major public-private partnership has been forged by the

MMP, which sees approximately 50 percent of project funding provided by a South African bank, with a

commitment to funding till 2010. Further funding will be forthcoming from the national public broadcaster as

well. As the MMP is a relatively new organization, work will be done on career development and other

organizational development. These activities contribute to the PEPFAR goal of averting 7 million new HIV

infections.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13811

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13811 6567.08 HHS/Centers for Soul City 6620 510.08 $1,700,000

Disease Control &

Prevention

7397 6567.07 HHS/Centers for Soul City 4400 510.07 $1,000,000

Disease Control &

Prevention

6567 6567.06 HHS/Centers for Soul City 2687 510.06 $1,000,000

Disease Control &

Prevention

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Reducing violence and coercion

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Treatment: Adult Treatment (HTXS): $400,255

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

ACTIVITY 2: The materials were updated and translated into local languages with FY 2008 funding. In FY

2009, more than 200 new training sessions will be conducted with an average of 30 people per session. At

least 425,000 copies of these materials will be distributed through Soul City's training partners and to

facilities providing antiretroviral therapy (ART), including those of other PEPFAR partners. These materials

are also distributed to health facilities, through a partnership with the Department of Health. All Soul City

Materials are updated regularly (with each reprint) and checked by experts in the field for quality and

accuracy. The training is focused around schools, but is largely with the adult community of the school: the

school governing body, teachers and parents. In this way, many adults and children will be assisted to get

into ART programs.

--------------------------------

SUMMARY:

Soul City is implementing a media and community-driven program to strengthen prevention, and increase

awareness of and demand for HIV care and treatment services, including treatment literacy. There are two

activities which target adults and children through training and community mobilization nationally. The

emphasis areas gender, education, human capacity development and local organization capacity building.

BACKGROUND:

Soul City has received PEPFAR funding since FY 2005 to implement a comprehensive HIV and AIDS

program that includes improving access to treatment and adherence counseling. Soul City has a long

history of partnership with the South African Government (SAG), collaborating with the National

Departments of Health (NDOH), Education (DOE), Social Development (DOSD), Transport, and Public

Service and Administration, which includes financial support from NDOH, and potentially DOSD in the

future. All Soul City interventions pay particular attention to addressing gender issues particularly those that

are associated with driving the epidemic. These include power relations and gender violence. Violence

reduction will be a particular focus of Soul City over the next five years as will those issues that promote

violence such as substance abuse. There are 18 partner NGOs which currently implement training and

community mobilization activities across the country.

ACTIVITIES AND EXPECTED RESULTS:

ACTIVITY 1: Soul Buddyz Club

Based on the Soul Buddyz media intervention (described under Prevention), Soul Buddyz Club is a

community mobilization intervention aimed at children, based mainly at schools and facilitated voluntarily by

teachers. Children in the clubs learn about life skills covered in the Soul Buddyz series and are encouraged

to do outreach work in their schools, families and communities. The content focus of the clubs is mainly on

prevention, but the Clubs offer a major opportunity to educate children on all aspects of antiretroviral

treatment. These children then become peer educators as well as being able to support people in their

communities on treatment. PEPFAR funding will be used to support approximately 80 percent of this

activity, with other donors funding the remaining 80%. This activity will be implemented in partnership with

the DOE at both a national and provincial level. This activity contributes towards PEPFAR objectives by

promoting treatment literacy and treatment compliance.

ACTIVITY 2: Information, Education and Communication (IEC) materials

This activity relates to information and training materials for use in facilitated learning settings, as well as the

general public. Soul City develops flexible training materials in five local languages. These deal with all

aspects of the epidemic, in particular prevention stressing AB as well as antiretroviral treatment (ART)

support and support for home-based care and orphans and vulnerable children. These materials are used

by 18 sub-partner NGOs in a cascade training model. Through this training, trainees are given the support

and skills with which to become mobilizers in their community. More than 200 training sessions will be

conducted in FY 2008 with an average of 30 people per session. Soul City has produced the following

treatment literacy materials: a booklet for people newly on ART; a booklet for healthcare workers providing

ART; and a booklet for people who are caring for children on ART. In FY 2008 these materials will be

updated and translated into other languages if necessary. At least 500,000 copies of these materials will be

distributed through Soul City's training partners and to facilities providing ART, including PEPFAR partners.

These materials are also distributed to health facilities, through a partnership with the Department of Health.

PEPFAR funding will be used to support approximately 70 percent of this activity, with other donors funding

the remaining 30%. This activity addresses gender, stigma and discrimination and education with particular

attention to building the organizational capacity and sustainability of the implementing NGO sub-partners in

the form of organizational and human resource development assistance. This activity contributes towards

PEPFAR goals by promoting treatment literacy and treatment compliance.

The long-term sustainability of Soul City is being addressed through diversifying its funding sources as well

as through the establishment of a broad-based empowerment company which can take ownership of shares

and whose dividends will accrue to Soul City.

By providing clear and relevant messages regarding ARV treatment and adherence, Soul City's activities

will have a direct and measurable impact on demand for and effective use of ARV treatment in South Africa.

These achievements will contribute to the realization of the Emergency Plan's goal of treating 2 million

people, and support the treatment goals outlined in the USG Five-Year Strategy for South Africa.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13812

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13812 3056.08 HHS/Centers for Soul City 6620 510.08 $485,000

Disease Control &

Prevention

7396 3056.07 HHS/Centers for Soul City 4400 510.07 $3,000,000

Disease Control &

Prevention

3056 3056.06 HHS/Centers for Soul City 2687 510.06 $1,000,000

Disease Control &

Prevention

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* Child Survival Activities

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09: