Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 8681
Country/Region: South Africa
Year: 2009
Main Partner: South African Democratic Teachers Union
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,512,427

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $237,872

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

South African Democratic Teachers Union (SADTU) activities have been modified in FY 2009.

ACTIVITY 1: SADTU will train the school governing bodies on HIV prevention and treatment adherence to

create a supportive environment for staff and learners living with HIV and AIDS

ACTIVITY 2: Prevention messages in information, education and communication (IEC) materials will be

focused on, to support encouragement of alternative positive behaviors, to reduce incidence of concurrent

and multiple sexual partners, and to promote mutual fidelity and mutual respect of human rights in

relationships. SADTU will develop and distribute IEC materials with messages that promote correct and

consistent use of condoms in every sexual act in discordant couples and as additional protection for

circumcised males.

ACTIVITY 3: Gender sensitive activities in camps for boys and girls at regional sites will be conducted to

provide opportunities for key skills development, such as taking responsibility for oneself and reducing risk

behaviors. This will have the additional benefit of promoting access to continued education, resulting in a

bright future and HIV-free generation.

Activity 4: Conduct provincial Gender and HIV workshop for 300 young women leaders between ages 21-35

to address issues of HIV Prevention as they relate to gender, social norms, self esteem and human rights,

in skills building activities.

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

SUMMARY:

The South African Democratic Teachers Union (SADTU) project aims to reduce the impact of HIV and AIDS

by focusing on preventing transmission of HIV for teachers, their workplace community, and caring for

orphans and vulnerable children in the workplace. SADTU has existing national and provincial partnerships

with the Department of Education and was a member of the team that developed the National Strategic plan

with the Department of Health. SADTU has also established relationships with other HIV and AIDS

organizations around the country. This will ensure sustainability of program after PEPFAR funding. The

target population for these activities is teachers, their workplace community and primary and secondary

school learners.

BACKGROUND:

The HIV pandemic has created workplace environments that are not conducive to quality teaching and

learning for both educators and learners alike. Many schools have orphans and vulnerable children who

lack basic needs and therefore cannot perform optimally at school. Teachers often have to take care of

these situations themselves. Although some schools do have soup kitchens and food parcels for these

children, this does not address the learners psychosocial needs.

The school as a workplace is often plagued by high levels of stigma. This often results in educators

suffering silently and becoming victims of the pandemic despite high perceptions of knowledge of HIV and

AIDS. As a result many educators do not have the courage and support in the workplace to go for voluntary

counseling and testing, since knowing your status is not publicly encouraged. Consequently most

educators discover they are HIV positive when they start showing symptomatic illnesses that do not

respond to medications. By this time their CD4 counts are usually low and they can no longer function

optimally at their schools with compromised health. SADTU aims to address this by creating an caring

workplace environment for both learners and educators alike and focusing on HIV prevention and

increasing access to care and treatment services.

ACTIVITIES AND EXPECTED RESULTS:

Activity 1: Training union leaders as peer educators in the workplace

The SADTU workplace program will seek to sustain peer education for teachers using union leaders, who

already have positive influence and recognition amongst educators and good standing with senior

management. IEC materials focusing on prevention, knowledge of HIV and AIDS, PMTCT and human

rights will be used to ensure that the peer educators can implement activities after the initial training. The

focus of the prevention messages will be a comprehensive ABC approach with a focus on the be faithful

message. SADTU will work, through the trained peer educators to increase community involvement, and

increase male involvement and awareness around HIV prevention, PMTCT, the role of male norms and

behaviors in HIV transmission. In addition, through community involvement activities, SADTU will ensure

the distribution of IEC materials to educators and communities.

Activity 2: Increase access in local languages to HIV and AIDS prevention knowledge

The SADTU workplace teachers program will target educators and learners through age and gender

appropriate group activities and community mobilization to increase knowledge around HIV and AIDS

prevention. The program will focus on addressing gender by reducing violence and coercion, and

addressing male norms and behaviors. In addition community mobilization activities will focus on the

reduction of stigma and discrimination by increasing knowledge around HIV and running community

activities that focus on stigma reduction.

Activity 3: Implement HIV prevention activities for learners

As part of their OVC program, SADTU will integrate HIV prevention messages building on the existing

school life skills program. The focus of these messages will be on AB. These messages will be carried out

Activity Narrative: by both youth peer educators and teachers.

These activities contribute to the PEPFAR 2-7-10 goals and objectives by increasing knowledge of HIV

transmission and the prevention of new infections.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19441

Continued Associated Activity Information

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

System ID System ID

19441 19441.08 HHS/Centers for South African 8681 8681.08 $350,000

Disease Control & Democratic

Prevention Teachers Union

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's legal rights

* Reducing violence and coercion

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $192,341

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): $259,960

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

According to the COP technical considerations, peer education activities now fall under this program area.

The activity has therefore been removed from orphan and vulnerable children program care (previously

care).

ACTIVITY 3: Thirty-six peer education support group facilitators and AIDS ambassadors will be trained on

support group formation and on the curriculum issues to be followed in support groups.

ACTIVITY 4: The South African Democratic Teachers Union (SADTU) will establish 12 peer education care

and support groups in regions of high incidences of HIV infection. These will be organized for people living

with HIV and AIDS (PLWHA) and/affected individuals to promote healthy living, care, awareness of and

access to treatment of opportunistic infections (OIs) and sexually transmitted infections (STIs), positive

prevention including partner reduction and consistent and correct condom use, being faithful, coupled with

treatment access and strict adherence through treatment buddies will be promoted. Risk assessments and

risk reduction processes will be organized to address members' needs. Harmful behaviors leading to

increased risk and compromised health such as alcohol abuse and casual sex without a condom will be

addressed. Information sessions on good nutrition and use of nutritional supplements will be promoted.

Ongoing counseling including voluntary counseling and testing (VCT) campaigns for family members will be

organized to promote acceptance, support of PLWHA and allow families to respond to health needs and/or

protect the health of other family members. Meetings will be held fortnightly and facilitated by peer

education facilitators and AIDS ambassadors.

ACTIVITY 5: Regional meetings for out of school youth.

ACTIVITY 6: To take control of HIV prevention in all types of sexual partnerships, open adult debates will be

held to encourage partner reduction, correct and consistent condom use, recognition of sexual minority

groups and addressing HIV prevention strategies available to those groups. Activities aim to instill the need

for co-responsibility of the others' health and family in partners for mutual faithfulness and mutual

knowledge of one's status.

ACTIVITY 7: Local leaders will organize in accessible taverns and sheebens (township alcohol hotspots) to

introduce condom use and demonstrate correct condom use and supply and maintain supply for alcohol

addicts.

ACTIVITY 8: In order to support quality assurance, monitoring and evaluation mechanisms. peer education

facilitators (union leaders), support group facilitators, and orphan and vulnerable children caregivers will be

trained on inputs and outputs or each activity, and required outcomes and indicators for monitoring, support

and reporting processes. This will include:

-Establishing selection criteria for peer educators, caregivers and support group facilitators

-Selecting appropriate curricula and materials, that can be used in local trainings and implementation that

contributes towards achievement of objectives

-Reviewing of training and supervision approaches, including refresher trainings

-Implementing strategies for program monitoring using indicators, supportive supervision and observational

approaches

-All activities will be evaluated to improve the design, implementation, revision, messaging, focus and

relevance of prevention programming

- A monitoring and evaluation plan will be designed with data collection forms for each stage of

implementation per program area

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

SUMMARY:

The South African Democratic Teachers Union (SADTU) project aims to reduce the impact of HIV and AIDS

by focusing on preventing transmission of HIV for teachers and, their workplace community. This includes

both a comprehensive ABC prevention program through peer education but also improve condom

distribution at SADTU regional and branch offices.

BACKGROUND:

The HIV and AIDS pandemic has created workplace environments that are not conducive to quality

teaching and learning for both educators and learners alike. The school as a workplace is plagued by high

levels of stigma. This often results in educators suffering silently and becoming victims of the pandemic

despite high perceptions of knowledge of HIV and AIDS. As a result many educators do not have the

courage and support in the workplace to go for voluntary counseling and testing, since knowing your status

is not publicly encouraged. Consequently most educators discover they are HIV-infected when they start

showing symptomatic illnesses that do not respond to medications. By this time their CD4 counts are

usually low and they can no longer function optimally at their schools with compromised health. The

SADTU project aims to reduce the impact of HIV and AIDS by creating an caring workplace environment for

both learners and educators alike and focusing on preventing transmission of HIV for teachers and caring

for orphans and vulnerable children in the workplace. The target group for these activities is teachers.

ACTIVITIES and EXPECTED RESULTS:

Activity 1: Condom distribution

The SADTU workplace project will distribute male and female condoms to at least 500 regional and branch

offices. In addition as functioning as condom distribution points, each of the sites will provide educational

materials on HIV prevention including correct and consistent condom usage. The sites are easily

Activity Narrative: accessible and are frequently visited by teachers. IEC materials on correct and consistent condom usage

will be available in all relevant languages. SADTU will work with relevant government departments to obtain

free condoms.

Activity 2: Community Involvement

SADTU will work with trained peer educators to increase community involvement, and increase male

involvement and awareness around HIV prevention, PMTCT, the role of male norms and behaviours in HIV

transmission. In addition, through community involvement activities, such as sports and culture events,

municipal imbizos, Department of Education campaigns, youth conferences, road shows in schools and

community etc. SADTU will ensure the distribution of IEC materials to educators and communities.

The targets for the number of people reached through the comprehensive peer education program are

counted under AB.

This project contributes to PEPFAR 2-7-10 goals and objectives by ensuring access to male and female

condoms hence preventing new HIV infections.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19447

Continued Associated Activity Information

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

System ID System ID

19447 19447.08 HHS/Centers for South African 8681 8681.08 $450,000

Disease Control & Democratic

Prevention Teachers Union

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $89,671

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 Care: Orphans and Vulnerable Children (HKID): $288,844

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The OVC school committee will be elected to give better insight into identifying and meeting the needs of

OVC.

Two caregivers will be trained per school since there are 50 OVC to be cared for in each.

On school wellness days, parents, teachers and learners will provide health assessments and counseling

including VCT and HIV Prevention knowledge sharing.

Infected guardians will be referred to health services (PMTCT, treatment including TB), social support

services and Peer education support groups in the area.

Lastly, debriefing sessions will be held for caregivers. The partner will carry out mentoring, support and

monitoring of project implementation and review of OVC policy and implementation in OVC schools.

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

SUMMARY:

The South African Democratic Teachers Union (SADTU) workplace program aims to provide support to 50

eligible orphans and vulnerable children in two schools per SADTU region out 17 regions in the three

provinces, NW, FS, GP.

BACKGROUND:

The HIV and AIDS pandemic has created workplace environments that are not conducive to quality

teaching and learning for both educators and learners alike. The SADTU project aims to reduce the impact

of HIV and AIDS by focusing on preventing transmission of HIV for teachers and caring for orphans and

vulnerable children (OVC) in the workplace.

ACTIVITIES AND EXPECTED RESULTS:

ACTIVITY 1: Establish school-based care and support for OVC

In collaboration wit the Department of Social Development (DOSD), the South African Social Security

Agency and the Department of Education, SADTU will work with schools to identify OVC and establish

school-based care and support centers to support these children. School-based interventions will be

established in two schools in each of the seventeen regions with FY 2007 funds. SADTU will ensure that

OVC are registered with the DOSD. SADTU will work with each school to identify and prioritize the needs of

OVC. This could include, but is not limited to, paying school fees in schools that require this, supplying them

with school uniforms, educational necessities not provided for, community gardens, and ensuring OVC have

access to social services through the DOSD. They will also build upon existing life skills programs to ensure

that HIV prevention messages are integrated into the OVC program.

ACTIVITY 2:

SADTU will train 1 caregiver per school in the 34 identified OVC schools.

Children's rights, first aid including universal precautions, HIV Transmission & prevention; positive living; life

skills; substance abuse, violence including sexual abuse, sexuality, study skills. Entrepreneurship skills,

health and hygiene.

ACTIVITY 3:

SADTU will establish a further 10 peer education support groups in regions to bring the number to 20.

These will be organized for PLWA and/affected individuals to promote positive living, care and treatment

access thus further reducing HIV transmission. Monthly meetings will be facilitated by the PE facilitators and

AIDS ambassadors.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19452

Continued Associated Activity Information

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

System ID System ID

19452 19452.08 HHS/Centers for South African 8681 8681.08 $350,000

Disease Control & Democratic

Prevention Teachers Union

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

Estimated amount of funding that is planned for Human Capacity Development $43,910

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $24,286

Education

Water

Table 3.3.13:

Funding for Testing: HIV Testing and Counseling (HVCT): $436,907

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

- Couple counseling and testing at community support group family wellness days will be organized to

encourage knowledge of spouse and children status, as the first step in HIV prevention and treatment.

- School-based family wellness days will be carried out to provide health assessments of a range of

diseases including blood sugar levels and HIV testing for learners, parents, guardians and educators.

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

SUMMARY:

South African Democratic Teachers Union (SADTU) will expand counseling and testing services for

teachers, learners and their workplace community in three provinces and refer them for care and treatments

services.

BACKGROUND:

The HIV and AIDS pandemic has created workplace environments that are not conducive to quality

teaching and learning for both educators and learners alike. The school as a workplace is plagued by high

levels of stigma. This often results in educators suffering silently and becoming victims of the pandemic

despite high perceptions of knowledge of HIV and AIDS. As a result many educators do not have the

courage and support in the workplace to go for voluntary counseling and testing, since knowing your status

is not publicly encouraged. Consequently most educators discover they are HIV-infected when they start

showing symptomatic illnesses that do not respond to medications. By this time their CD4 counts are

usually low and they can no longer function optimally at their schools with compromised health. The

SADTU project aims to reduce the impact of HIV and AIDS by focusing on preventing transmission of HIV

for teachers and caring for orphans and vulnerable children in the workplace. The SADTU will implement

routine access to VCT services in its events making it possible for union members to participate in VCT

without having to go to clinics or health centers. Partnerships are already in place with local public clinics

and mobile clinics. Any union member testing positive will be referred to the partner health facility for

treatment, care and support services. At each of the health facilities the SADTU project will support 2

additional community health workers trained in local languages to assist in fast tracking union members who

have been identified as HIV-infected at union events.

ACTIVITITES AND EXPECTED RESULTS:

Activity 1: Training of community health workers

17 community health care workers will be trained as lay counselors for VCT. They will be placed at partner

clinics in each of the three provinces. They will also offer VCT at union events and those who test positive

will be referred to treatment, care and support services at the referral clinics. Pregnant women will be

referred for PMTCT.

Activity 2: Workplace counseling and testing

At any SADTU event taking place, union members will have the opportunity to access VCT. VCT will be

conducted using the national protocol for testing. Community health care workers will be trained to conduct

VCT, and make appropriate referrals to treatment, care and support services. In order to ensure that

referrals are made, SADTU has established partnerships with health facilities in each of the districts/regions

where SADTU activities will take place.

Activity 3: AIDS Ambassadors

The SADTU project subscribes to the "greater involvement of people with AIDS" principle. As a result the

project supports people living with HIV to engage in project planning of union events and the participation in

HIV testing campaigns. These AIDS Ambassadors have a great impact on union events, including on

workshops aimed at encouraging union members to participate in VCT.

The SADTU project contributes to the PEPFAR 2-7-10 goals and objectives by encouraging educators and

union members to participate in VCT activities being conducted at union events. This ensures that more

union members are aware of their HIV status early, and can be referred to treatment, care and support

services timely.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19517

Continued Associated Activity Information

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

System ID System ID

19517 19517.08 HHS/Centers for South African 8681 8681.08 $450,000

Disease Control & Democratic

Prevention Teachers Union

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

* Increasing women's legal rights

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 3.3.14:

Funding for Health Systems Strengthening (OHSS): $288,844

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Provincial coordinators will primarily be dedicated to monitoring and evaluation (M&E). Regional leaders will

be specifically trained on M&E, data quality and effective data use to guide program implementation in their

areas.

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

Technical support, training and financial support will be provided to strengthen the capacity of the trade

union movement to participate in the development of public policies and policies within the union structures

and at the workplace, in this case, within schools. Technical support and training will be provided via

workshops on ways senior school management, employers, senior union leadership and co-workers can

mainstream HIV and AIDS issues into routine workplace activities. Support will also be provided to develop

workplace policies and strategies on HIV and AIDS.

ACTIVITY 1: Capacity Building and Mentorship Program

PEPFAR funds will be used to train and establish a mentorship program for a large number of peer

educators, within the union. These peer educators will be provided with technical assistance to conduct HIV

and AIDS prevention education programs for fellow educators, and community members. Peer educators

will be responsible for the following key HIV and AIDS prevention efforts: 1) develop strategies to increase

awareness of HIV and AIDS, sexual transmitted infection and tuberculosis among union members; 2)

increase the involvement of unions in the development, implementation and monitoring of HIV and AIDS

workplace policies and programs.; 3) increase the involvement of men in HIV prevention efforts and in

efforts to combat violence against women; and 4) develop strategies to reduce stigma and discrimination

against HIV-infected members in the workplace; and finally, 5) develop strategies to promote healthy

lifestyles and the adoption of risk reduction behaviors among union members.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19528

Continued Associated Activity Information

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

System ID System ID

19528 19528.08 HHS/Centers for South African 8681 8681.08 $350,000

Disease Control & Democratic

Prevention Teachers Union

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing women's legal rights

* Reducing violence and coercion

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:

Cross Cutting Budget Categories and Known Amounts Total: $350,208
Human Resources for Health $192,341
Human Resources for Health $89,671
Human Resources for Health $43,910
Economic Strengthening $24,286