Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12508
Country/Region: South Africa
Year: 2010
Main Partner: National Institute for Communicable Diseases - South Africa
Main Partner Program: Sexually Transmitted Infections Reference Centre
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $250,000

The National Institute for Communicable Diseases (NICD) came into being in January 2002 following the restructuring of the public sector medical laboratory services of South Africa and the creation of the National Health Laboratory Service (NHLS) from the previous South African Institute for Medical Research (SAIMR) together with various governmental and provincial laboratories. The NICD serves as a resource of knowledge and expertise in regionally relevant communicable diseases to the South African

Government and assists in the planning of policies and programs to support appropriate responses to communicable disease problems and issues.

In support of strengthening the delivery and quality of Sexually Transmitted Infections (STI) Prevention and Control Programs, under this award the NICD will support and implement activities which: • Improve the understanding of STI burden through the use of laboratory-based surveillance; • Improve access to and quality of STI care in South Africa by supporting capacity for integrated STI services as part of new or existing services in high risk populations; • Enhance laboratory capacity and programmatic evaluation in supporting universal Syphilis screening and other STI testing among pregnant women seeking antenatal care; • Support laboratory-based pubic health/prevention evaluations to support the national program in providing enhanced STI services for HIV/STI prevention; and • Establish a model CDC/WHO Regional Reference Laboratory or Collaborating Center.

The activities of the NICD will continue work began in the Alexandra Township, Johannesburg, Gauteng Province and will rapidly expand. Health systems strengthening and capacity building will be advanced through the development and offering of laboratory training programs and assisting other African countries with lab-based surveillance of STIs in collaboration with ACILT and the CDC Lab Branch. These training programs will address the skills needed to provide quality and expert laboratory diagnostics which will assist in enhanced public health measures and better control of STIs. Approximately 50 trainees are expected to complete the training over the duration of the project, contributing to the PEPFAR Reauthorization goals to build sustainable local capacity by supporting training of at least 140,000 new health care workers in HIV/AIDS prevention, treatment, and care.

Funding for Strategic Information (HVSI): $125,000

None

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $125,000

This project, over its duration, will also impact HIV prevention through the behavioral evaluation, detection, and treatment of STIs in high risk populations (to include youth, MSM, sex workers, and other HIV negative patients), decreasing cost that would otherwise be incurred subsequent to new infections and additional funding required for HIV/AIDS care and treatment. Several activities will specifically target these populations:

• Establishment of screening services for MSM • Establishment of clinic for surveillance and HIV testing for female sex workers • Completion of evaluation and provision of recommendations to improve treatment of trichomoniasis among HIV+ women • Evaluation and provision of recommendations to improve risk reduction counseling for HIV - negative STI patients • Establishment of STI surveillance activities among antenatal patients

Key Issues Identified in Mechanism
Safe Motherhood
Family Planning