PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
SUMMARY:
Right to Care (RTC)'s Umbrella Grants Management (UGM) project will support several sub-partner
organizations through financial oversight, project management, human capacity development, training,
mentorship programs, program development, treatment expertise, and strategic planning in providing Adult
HIV Care and Support (ACS) services. With the variety of program activities that RTC currently implements
or oversees, they have developed a wide base of skills and capacity to manage a range of organization
activities, including organizations that provide prevention, training, HIV treatment care and support, pediatric
care and treatment, cervical cancer screening, care for orphans and vulnerable children (OVC), home-
based care and TB care and treatment.
BACKGROUND:
The following proposed activities are designed to support sub-partner initiatives to implement the goals of
PEPFAR and the South African Government (SAG)'s Comprehensive Plan. Over the last two years, RTC
has developed a UGM capacity while developing specific skill sets, competencies and capacity to support
many sub-grantee organizations. RTC has developed in-house capacity in financial management, pre-
award assessments, training functions in financial management and USAID regulatory compliance. In
addition, the technical expertise in medical aspects will be supported by internal RTC capacity and through
the Clinical HIV Research Unit, an extension of the ongoing activities of the current RTC grant.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: UGM Technical Assistance and Quality Assurance
Needs assessment and program planning will be done on a regular basis with sub-partners. Site visits will
be conducted alongside sub-partner staff to systematically evaluate needs of capacity, human resources,
facility planning, approaches to programmatic areas such as treatment and care, in order to effectively
reach determined targets and quality of care. The needs assessments will use the experience of RTC
clinicians and program staff to develop proper planning and forecasting to facilitate patient growth.
Programmatic technical assistance will be provided on an ongoing basis, with clinical mentors responding to
requests and providing treatment updates, ongoing training, updated guidelines, and case-specific support.
ACTIVITY 2: UGM Financial Management
The finance department at RTC has developed systems to support sub-partners that enable compliance
and capacity to manage PEPFAR funds effectively. Support includes a complete range of necessary
financial management. RTC will meet with sub-partners annually to align financial and programmatic
planning.
Regular oversight and support will be given with monthly financial reports required for all sub-partners.
Periodic internal audits will also be conducted at the sites of all sub-partners to establish the quality of
financial management and human resources (HR) management, review of asset control and alignment with
USAID financial management policies.
The finance department at RTC has developed a state-of-the-art financial software tool, which uses
Business Intelligent Tools, to monitor and track all sub-partner transactions against budget projections for
modeling and cash flow. This integrated program will allow proper management of budget at all sites.
Combined with the monthly financial reports, RTC will be able to use this system to produce up-to-date fund
accountability statements and fund balances for its sub-partners.
ACTIVITY 3: UGM Monitoring and Evaluation
RTC's monitoring, evaluation and reporting (MER) system (standards, systems, procedures and tools) is
established, documented and continuously improved, based on best practices and quality criteria, in the
programmatic areas of Adult Treatment, Adult Care and Support, Pediatric Treatment, Pediatric Care and
Support, TB/HIV, voluntary counseling and testing (VCT), Outreach and Training.
All implementation sub-grantees/programs will be provided with support, training and technical assistance to
necessary for sub-partners to effectively meet USAID reporting requirements. In addition, RTC
programmatic experts will monitor the reports for quality assurance.
ACTIVITY 4: UGM NGO Management and Sustainability
RTC supports NGOs with established policy guidance and procedures that meet the requirements of both
the South African labor law as well as the USAID regulations. All sub-partners will have access to the RTC
human resources capacity.
Support of infrastructure will be given through expertise within RTC for advice and consultation. Through
various infrastructure projects, RTC has developed expertise in proper clinic flow, effective interior space
design in both CCMT sites as well as TB clinics. Other sub-partners facing infrastructure challenges will be
able to make best use of limited resources which are necessary in increasing clinic capacity.
Sustainability of sub-grantees will be supported through RTC's continued relationship with the Department
of Health to ensure that continued HIV and AIDS response is in line with the strategic plan for South Africa,
ensuring that once the PEPFAR program is complete, that the activities of the NGO can be taken over by
the South African Government.
Where systems are identified to be inadequate, RTC aims to capacitate NGO organizations to manage their
programs independent of RTC. Within the implementation plan and budget, RTC has planned to provide
financial reporting systems, management SOPs, human resources policies and procedures, clinical
guidelines, and monitoring evaluation systems that will ensure sustainability beyond RTC support.
ACTIVITY 5: Technical Assistance (TA) for Adult Care and Support (ACS)
RTC will support its UGM sub-partners by disseminating policies and guidelines and providing quality
assurance through sharing best practices and monitoring. With FY 2009 funding, RTC will provide ongoing
Activity Narrative: training, staff counseling and supervision of counselors, and continued medical education to assure that
staff is aware of the latest guidelines. Non-governmental organization (NGO) clinicians will also be able to
participate in the mentorship program with doctor training and regular rounds at identified sub-partner sites
(according to province).
RTC will give TA to sub-partners to ensure that each HIV patient at RTC-supported facilities receives a
comprehensive basic package of ACS services and preventive care, including clinic, community and home-
based services. This minimum package includes clinical and pathology monitoring, management,
prevention and treatment of opportunistic infections, psychosocial counseling, healthy living education,
prevention with positives services, nutritional counseling, assessment, monitoring and referral, home-based
care, advice and assistance on welfare issues and applications for welfare grants, end-of-life care for
terminally-ill patients, and bereavement support for the family.
Emphasis will be placed on increasing the number of HIV-infected children and pregnant women in care.
Home-based care programs will be oriented around a family-approach, identifying family members who
have not yet tested for HIV or TB or who are positive but have not yet enrolled in HIV care; expanding
services to these other family members. Sub-partners will be encouraged to do nutritional counseling at
community level and refer for nutritional assessment and monitoring. Examples of non USG-funded
community activities include food gardens and income generating programs in order to support patients that
are on ART.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Family Planning
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $95,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
UGM non-governmental organization (NGO) Management and Sustainability:
Right to Care (RTC) will support sub-partners with established policy guidance and procedures that meet
the requirements of both the South African labor law as well as the USAID regulations. All sub-partners will
have access to the RTC human resources capacity.
Support of infrastructure is given through expertise within RTC for advice and consultation. Through
Where systems are identified to be inadequate, RTC aims to capacitate sub-partner organizations to
manage their programs independent of RTC. Within the implementation plan and budget, RTC has planned
to provide financial reporting systems, management standard operating procedures, human resources
policies and procedures, clinical guidelines, and monitoring evaluation systems that will ensure
sustainability beyond RTC support.
Adult Antiretroviral Therapy (AART):
RTC will help sub-partners to accelerate the implementation of AART and to support non-governmental
organization (NGO) treatment sites in districts where government provision has not yet been rolled out.
RTC, with its extensive treatment expertise, will give TA to sub-partners to ensure that each ART patient at
sub-partner-supported facilities receives a minimum package of ART services, including clinical and
pathology monitoring, adherence counseling and support, and follow-up of defaulting ART patients.
Adherence activities focus on reducing stigma and encouraging disclosure in order to enhance drug
compliance and to improve patient retention. Emphasis will be placed on an integrated, family approach,
increasing the number of HIV-infected children and pregnant women on ARVs, couple counseling,
prevention and disclosure, linkages and referrals to care for sexually transmitted infections (STIs), family
planning, and TB, and enrollment and retention in care.
Sub-partner pediatric treatment funding will be used for: (1) human capacity development and salaries --
NGO and faith-based organization (FBO) clinics receive sub-awards for doctors, nurses, pharmacists and
counselors (2) developing a training program for pharmacy assistants as human capacity development for
the distribution of ARVs and HIV services; (3) addressing minor infrastructure needs where necessary at
NGO, FBO sites, (4) procurement of health commodities; (5) procurement of laboratory services for
pathology monitoring; (5) provision of ARVs and related medications (i.e. cotrimoxazole prophylaxis)
RTC supports its AART providers by disseminating policies and guidelines and sharing best practices.
Ongoing quality assurance and supportive supervision is undertaken by centralized treatment experts.
Clinical mentorship is provided in various forms. Doctors and nurses at sub-partner organization's sites can
spend time working at Themba Lethu clinic or other RTC-supported government sites, call hotline numbers
for urgent assistance, receive case-specific advise on patient management, and request mentors to see
difficult cases alongside as part of the learning process.
----------------------------------
This is a new activity in FY 2008.
Currently, the USG PEPFAR Task Force supports institutional capacity building of indigenous organizations
that implement PEPFAR programs through four competitively selected Umbrella Grants Mechanisms: Pact,
the Academy for Educational Development (AED), Family Health International (FHI) and Right to Care
(RTC). The main purposes of these new umbrella organizations are to (1) facilitate further scale up of HIV
treatment services; and (2) to develop indigenous capability, thus creating a more sustainable program. The
major emphasis area is local organizational capacity development. Primary target populations are
indigenous organizations, including non-governmental organizations (NGOs), faith-based organizations
(FBOs), and community-based organizations (CBOs).
RTC will use PEPFAR funds to support one or more NGO treatment organizations through financial
oversight, project management, human capacity development, training, mentorship programs, program
development, strategic planning, and audit readiness. PEPFAR funds will support components of UGM
within RTC, but the predominant focus will be on the pass through of funds to sub-grantee implementation.
RTC currently supports 12 NGOs, and under the new UGM, additional organizations will be supported with
FY 2008 funds. The following proposed activities are designed to support sub-grantee initiatives to
implement the goals of PEPFAR and the South African Government's Comprehensive Plan. Over the last
two years, RTC has developed an Umbrella Grants Management capacity while developing specific skill
sets, competencies and capacity to support additional PEPFAR-funded organizations that will provide ARV
services.
RTC will work with Sustainability Solutions Africa, a financial management company, to conduct pre-award
assessments, and training in financial management and USAID regulatory compliance. RTC and the
Activity Narrative: Clinical HIV Research Unit, an extension of the current RTC PEPFAR-funded program, will provide
technical assistance in medical issues.
There are four main areas of activity:
ACTIVITY 1: Program Planning
Needs assessment, and program and budget planning are conducted regularly with new partners. Site visits
take place alongside sub-grantee staff to evaluate capacity, human resources, facility planning, and
approaches to treatment and care systematically. This evaluation helps sub-grantees meet determined
targets and ensure quality of care. The experience of RTC clinicians and program staff is extended to sub-
grantees to help develop proper planning and forecasting, and to facilitate organizational and program
growth.
ACTIVITY 2: Finance
The RTC finance department has developed systems to assist with sub-grantees' compliance and capacity
development to manage PEPFAR funds effectively. Support given to sub-grantees will include a complete
range of financial management tools, such as pre-award audits, regular budget reviews, and close-out
procedures. RTC currently meets with sub-grantees annually to align financial planning with programmatic
Regular oversight and support is extended to all sub-grantees, and monthly financial reports are required
from sub-grantees. Periodic internal audits are conducted at the sites of all sub-grantees to establish the
quality of financial management and asset control, and alignment with USAID financial management
policies.
The RTC finance department has developed a state of the art financial software tool, which uses Business
Intelligent Tools, to monitor and track all sub-grantee transactions against budget projections for modeling
and cash flow. This integrated program will allow for responsible management of budgets at all sites.
ACTIVITY 3: Monitoring, Evaluation and Reporting
RTC's monitoring, evaluation & reporting (MER) system (standards, systems, procedures and tools) is
established, documented and regularly updated. The system is based on best practices and quality criteria
in the programmatic areas of ARV treatment, HIV care and support, HIV/TB, counseling and testing,
outreach and training.
All sub-grantees will be provided with the support, training and technical assistance necessary to meet
USAID reporting requirements effectively. This includes data quality assessments (DQAs).
ACTIVITY 4: Technical Support
The Clinical HIV Research Unit will provide additional technical assistance on treatment issues to new sub-
grantees. Clinicians employed by NGOs will also be able to participate in the mentorship program that will
include doctor training and regular rounds at the Helen Joseph Hospital.
RTC will train NGOs on established policies and procedures that meet the requirements of the South
African labor laws as well as the USAID regulations.
RCT has had extensive experience in working on a variety of infrastructure projects, and the organization
has developed collective expertise in proper clinic flow and effective interior space design in care and
treatment sites, as well as in TB clinics. RCT staff will be able to advise sub-grantees on any infrastructure
developments.
The training department within RTC has trained healthcare professionals at all levels within the various
clinics and care organizations. Training will continue with doctors, nurses, social workers and counselors, as
well as with traditional healers, community members, and non-health staff members. This training will
continue to support new sub-grantees in increasing their expertise and capacity.
RTC's relationship with the Department of Health will continue to grow, to ensure that the response is in line
with the strategic priorities for South Africa will ensure sustainability, and hopefully the program will be
transferred to the South African government on completion of PEPFAR.
RTC aims to capacitate organizations who currently have inadequate programs and management systems.
Training and support will be provided to all sub-grantees so that they will be able to manage their programs
independently by the end of the training period. RTC plans to provide financial reporting systems,
management standard operating procedures, human resources policies and procedures, clinical guidelines,
and monitoring evaluation systems that will ensure sustainability beyond RTC support.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15944
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15944 15944.08 U.S. Agency for Right To Care, 7301 7301.08 UGM $500,000
International South Africa
Development
Construction/Renovation
* Addressing male norms and behaviors
Table 3.3.09:
mentorship programs, program development, treatment expertise, and strategic planning in providing
Pediatric HIV Care and Support (PCS) services. With the variety of program activities that RTC currently
implements or oversees, they have developed a wide base of skills and capacity to manage a range of
organization activities, including organizations that provide prevention, training, HIV treatment care and
support, pediatric care and treatment, cervical cancer screening, care for orphans and vulnerable children
(OVC), home-based care and TB care and treatment.
PEPFAR and the South African government's (SAG) Comprehensive Plan. Over the last two years, RTC
many PEPFAR sub-grantee organizations. RTC has developed in-house capacity in financial management,
pre-award assessments, training functions in financial management and USAID regulatory compliance. In
Support, TB/HIV, Voluntary Counseling and Testing (VCT), Outreach and Training.
able to make best use of limited resources which are necessary in increasing clinic capacity. Sustainability
of sub-grantees will be supported through RTC's continued relationship with the Department of Health to
ensure that continued HIV and AIDS response is in line with the strategic plan for South Africa, ensuring
that once the PEPFAR program is complete, that the activities of the NGO can be taken over by the South
African government.
Activity Narrative: guidelines, and monitoring evaluation systems that will ensure sustainability beyond RTC support.
ACTIVITY 5: Technical Assistance (TA) for Pediatric Antiretroviral Therapy (PART):
RTC will help sub-partners to accelerate the implementation of PART at NGO treatment sites in districts
where government provision has not yet been rolled out.
RTC, with its extensive treatment expertise, will give TA to sub-partners to ensure that each pediatric ART
patient at sub-partner-supported facilities receives a minimum package of ART services, including clinical
and pathology monitoring, adherence counseling and support, and follow-up of defaulting ART patients.
Adherence activities will include a focus on reducing stigma and encouraging disclosure in order to enhance
drug compliance and to improve patient retention. At many RTC supported NGO sites, support groups are
helping families to deal with the issue of disclosure to older children. Emphasis will be placed on an
integrated, family approach, increasing the number of HIV-infected children and pregnant women on ARVs,
couple counseling, prevention and disclosure, linkages and referrals to care for STIs, family planning, and
TB, and enrollment and retention in care.
Sub-partner pediatric treatment funds will be used for: (1) human capacity development and salaries -- NGO
and FBO clinics receive sub-awards for doctors, nurses, pharmacists and counselors (2) developing a
training program for pharmacy assistants as human capacity development for the distribution of ARVs and
HIV services; (3) addressing minor infrastructure needs where necessary at NGO, FBO sites; (4)
procurement of health commodities; (5) procurement of laboratory services for pathology monitoring; and
(6) provision of ARVs and related medications (i.e. cotrimoxazole prophylaxis).
RTC will support its PART providers by disseminating policies and guidelines and sharing best practices.
Ongoing quality assurance, clinical mentorship, and supportive supervision will be undertaken by
centralized treatment experts. Doctors and nurses at sub-partner organizations' sites can spend time
working at Themba Lethu clinic or other RTC-supported government sites, call hotline numbers for urgent
assistance, receive case-specific advise on patient management, and request mentors to see difficult cases
alongside as part of the learning process.
Table 3.3.11:
HIV Care and Support (ACS) services. RTC currently implements or oversees a wide variety of program
areas, and in response, has developed a wide base of skills and capacity to manage a range of
PEPFAR and the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011 (NSP). During the past
two years, RTC has developed a UGM capacity while developing specific skill sets, competencies and
capacity to support many sub-grantee organizations. RTC has developed in-house capacity in financial
management, pre-award assessments, training functions in financial management and USAID regulatory
compliance. In addition, the technical expertise in medical aspects will be supported by internal RTC
capacity and through the Clinical HIV Research Unit, an extension of the ongoing activities of the current
RTC grant.
be conducted alongside sub-partner staff to evaluate needs of capacity, human resources, facility planning,
approaches to programmatic areas such as treatment and care, in order to reach determined targets and
quality of care. The needs assessments will use the experience of RTC clinicians and program staff to
develop proper planning and forecasting to facilitate patient growth. Programmatic technical assistance will
be provided on an on-going basis, with clinical mentors responding to requests and providing treatment
updates, on-going training, updated guidelines, and case-specific support.
Support, TB/HIV, VCT, Outreach and Training.
All implementation sub-grantees/programs will be provided with the support, training, and technical
assistance necessary for sub-partners to meet USAID reporting requirements effectively. In addition, RTC
RTC supports non-governmental organizations (NGOs) with established policy guidance and procedures
that meet the requirements of the South African labor law as well as the USAID regulations. All sub-partners
will have access to the RTC human resources capacity.
design in both Comprehensive Care Management and Treatment sites as well as TB clinics. Other sub-
partners facing infrastructure challenges will be able to make best use of limited resources which are
necessary in increasing clinic capacity. Sustainability of sub-grantees will be supported through RTC's
continued relationship with the Department of Health to ensure that continued HIV and AIDS response is in
line with the strategic plan for South Africa, ensuring that once the PEPFAR program is complete, that the
activities of the NGO can be taken over by the South African government.
Where systems are identified as inadequate, RTC aims to capacitate NGOs to manage their programs
independently of RTC. Within the implementation plan and budget, RTC has planned to provide financial
Activity Narrative: reporting systems, management standard operating procedures, human resources policies and procedures,
clinical guidelines, and M&E and evaluation systems that will ensure sustainability beyond RTC support.
ACTIVITY 5: Technical Assistance for TB/HIV
RTC supports the South African government's TB program and the World Health Organization's policy on
collaborative TB/HIV activities. RTC will provide technical assistance (TA) to sub-partners on integration of
the services aimed at TB/HIV co-infected patients at sub-partner NGO or faith-based organization (FBO)
sites. Sub-partner PEPFAR-funded TB/HIV activities at the sites will include (1) access to HIV counseling
and testing for patients with TB, (2) improved linkages between the HIV and TB programs at each of the
sites through referral, notification, and follow-up; and (3) appropriate infection control procedures to prevent
the transmission of TB. FBO/NGO clinics focusing on underserved populations in rural areas, industrial
areas and informal housing sectors as well as targeted gender specific support groups and family-centered
approaches will be targeted. The programs will promote sustainability through training health-care workers
and partnerships with the National Department of Health (NDOH) to provide partial funding for the ongoing
running costs and staff components over time.
Sub-partner TB/HIV treatment activities will emphasize identification of co-infected individuals, through
promoting routine HIV counseling and testing for TB patients and TB screening of HIV patients who present
with risk factors. Co-infected patients will be evaluated for correct application of ARVs and TB medications.
Those on combined ARV and TB treatment will be monitored for the development of Immune Reconstitution
Inflammatory Syndrome. Emphasis is placed on adherence support to address the increased risk of non-
compliance due to high pill burden, and overlapping toxicities, particularly hepatotoxicity. Human capacity
development in the management of anticipated drug interactions and shared adverse effects is an additional
expected result.
At sub-partner TB/HIV treatment sites, the family and community support network will be educated and
trained in basic TB knowledge to help screen clients and family members of clients for TB and to refer for
testing and treatment, to trace family members of patients with TB, and to support the client with his/her
treatment to improve compliance. NGO clinics that have not been accredited to provide TB services will
strengthen referral links to government clinics that provide TB services so that co-infection can be
managed.
Table 3.3.12:
mentorship programs, program development, treatment expertise, and strategic planning in providing adult
HIV care and support (ACS) services. With the variety of program activities that RTC currently implements
activities, including organizations that provide prevention, training, HIV treatment, care and support
services, as well as pediatric care and treatment, cervical cancer screening, care for orphans and
vulnerable children (OVC), home-based care and tuberculosis (TB) care and treatment.
PEPFAR and the South African Government (SAG)'s comprehensive plan. Over the last two years, RTC
RTC will carry out five separate activities in this program area.
Programmatic technical assistance will be provided on an on-going basis, with clinical mentors responding
to requests and providing treatment updates, on-going training, updated guidelines, and case-specific
support.
business intelligent tools to monitor and track all sub-partner transactions against budget projections for
programmatic areas of adult treatment, adult care and support, pediatric treatment, pediatric care and
support, TB/HIV, VCT, outreach and training.
ACTIVITY 4: UGM Non-Governmental Organization (NGO) Management and Sustainability
Infrastructure support will be given through expertise within RTC for advice and consultation. Through
design in both comprehensive care, management and treatment (CCMT) sites, as well as TB clinics. Other
sub-partners facing infrastructure challenges will be able to make the best use of limited resources which is
necessary for increasing clinic capacity.
of Health to ensure that the continued HIV/AIDS response is in line with the strategic plan for South Africa,
Activity Narrative: the South African Government.
financial reporting systems, management standard operating procedures (SOPs), human resources policies
and procedures, clinical guidelines, and monitoring and evaluation systems that will ensure sustainability
beyond RTC support.
ACTIVITY 5: Technical Assistance (TA) for HIV Counseling and Testing (CT):
RTC will help sub-partners to support the implementation of CT services through supporting selected
antiretroviral treatment (ART) sites and through direct, community-based CT access. CT is used as a
prevention mechanism to promote abstinence, being faithful and condom use, as well as an entry point into
care, support and ART. It is also an essential tool for fighting stigma and discrimination. Specific sub-partner
target populations include adults, pregnant women, HIV-infected infants, couples (including discordant
couples), youth, and public and private sector healthcare providers.
FY 2009 sub-partner CT funds will largely be used for human capacity development and for the
procurement and distribution of HIV test kits for NGOs and faith-based organizations (FBOs). RTC will also
encourage and support sub-partners in obtaining SAG accreditation as CT sites, which would increase
sustainability through the SAG's provision of stipends and test kits.
Sub-partners will support healthcare providers in an NGO treatment site to implement provider-initiated
testing and counseling (PITC) as recommended in the HIV & AIDS and STI Strategic Plan for South Africa,
2007-2011.
The strengthening and expansion of referral networks and linkages with care and treatment services for
clients identified as HIV-infected remains one of the central focus areas of RTCs CT TA activities. Sub-
partner NGOs will be linked with community mobilization and outreach activities and will continue to
promote the uptake of CT services and to normalize CT-seeking behavior using community lay counselors
and educators. These linkages and capacity building with indigenous organizations will affect long-term
sustainability. Prior to all CT activities, referral linkages will be established for direct referral at the time of
CT with the network of other RTC-supported NGO, FBO and government clinics.
Table 3.3.14:
