Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 11500
Country/Region: South Africa
Year: 2012
Main Partner: U.S. Department of State
Main Partner Program: NA
Organizational Type: Other USG Agency
Funding Agency: enumerations.State/African Affairs
Total Funding: $1,490,000

"Community Grants assist grassroots, community-run projects throughout South Africa. It aims to strengthen health service delivery in communities affected by HIV and AIDS who provide OVC and HBC support with an emphasis on economic strengthening activities such as income generation and organizational capacity building. Coordinators strive to link predominantly rural community and faith-based organizations with larger PEPFAR partners and SAG departments to build capacity and ensure project sustainability.Only projects that are working with local SAG departments (DOE, DSD and DOH) are accepted for funding. Organizations providing HBC services and community awareness activities must partner with local clinics with respect to messages, information and programs supported. In addition, the NSP calls for a greater focus on TB and many of the grant partners are being equipped with training in TB treatment in FY11.Community Grants continues implement cost efficient mechanisms. Grouping visits to potential recipients, combining workshops and evaluating staffing needs are examples of cost saving measures.Grants must conform to the PEPFAR Community Grants Guidelines. Coordinators vet the potential recipients by phone and a site visit. Projects are reviewed by Community Grants Mission Coordinator, Grants Officer, local review committee at the Consulate and Embassy, a technical Mission Health Committee and the Ambassador. Once awarded recipients receive training on implementation, expenditure documentation and documentation of beneficiaries based on PEPFARs indicators. This training is aimed at increasing their accountability and equipping them to be stronger SAG partners to enable a transition from direct USG funding support to a NGO-SAG relationship."

Funding for Care: Adult Care and Support (HBHC): $345,000

Coordinators select projects that work to reduce vulnerability of people affected by HIV through timely treatment interventions, support groups, prevention campaigns and which adopt a multi-sectoral approach that includes partners across SA government departments, NGOs and other resources. Most of the projects being supported by Community Grants are home based care programs although there are some clinic projects that are receiving funding. Caregivers at projects provide care to terminally ill HIV+ patients throughout South Africa. They are usually work with their local clinics, sharing patient information, making referrals and training family members in home based care. All ages and gender receive care. Visits generally take place two to three times a week to ensure that patients adhere to treatment.During visits, caregivers may help patient(s) or his/her family with cleaning the house, cooking a nutritious meal, bathing or providing transportation to the clinic. Door-to-door campaigns are regularly conducted to identify new beneficiaries. Caregivers frequently assist children in obtaining foster grants, identification cards and birth certificates. Compensation ranges for caregivers from volunteers to R700 per month for organizations supported by the Department of Health. Community Grant funds cannot be used for compensation of caregivers. These organizations must provide clinical care, plus one or more of the following psychological care, spiritual support, social assistance and/or preventative care. Programs must conform to the PEPFAR Community Grants Guidelines. Programs report beneficiaries based on PEPFARs indicators.Projects are required to report not only on the number of patients served but on the successes and achievements which reflect the quality of care.

Funding for Care: Orphans and Vulnerable Children (HKID): $1,145,000

"Community Grants works with NGOs in rural or peri-urban communities. Community drop-in centers that offer a safe place for children (under 18) to play. Target groups are orphaned and vulnerable children. Caregivers working in these after-school programs usually assist children with homework; orchestrate sport, dance and drama groups; bathe children when necessary; wash clothes; offer daily nutritious meals; and provide emotional/spiritual support. Caregivers frequently assist children in obtaining foster grants, identification cards and birth certificates. They work closely with local educators to monitor school progress and identify children who may be struggling due to complications at home. Many of the organisations work closely with the local schools and educators to identify children at risk and will often make continued home visits to these identified children in order to strengthen their coping strategies at home, identify and report abuse and work with the family to absorb an orphaned or vulnerable child more smoothly into their family unit.Compensation ranges for caregivers from volunteers to R700 per month for organizations supported by the Department of Social Development. The average drop-in center serves 75-150 children per day. These organizations must provide one or more of the following services: food and/or food parcels, shelter intervention, child protection, general healthcare, HIV prevention, psychological care or referral, general education, vocational training, economic strengthening, prevention and referral of children with HIV+ status to clinics for antiretroviral treatments.The small community based organizations that are supported by Community Grants are being linked with PEPFAR district partners where possible for mentoring and resource sharing. This strategy is aimed at improving opportunities for sustainability and reducing duplication of services although is not possible across the spectrum of community grants."

Cross Cutting Budget Categories and Known Amounts Total: $1,850,000
Economic Strengthening $1,100,000
Education $250,000
Human Resources for Health $400,000
Water $100,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection