Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13750
Country/Region: South Africa
Year: 2012
Main Partner: Stellenbosch University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $898,161

In line with the PF priority to achieve HIV prevention through the expansion of HIV counseling and testing (HCT) programs linked to evidence based behavioral change, this proposal aims to expand and enhance six existing community based, NGO-led HIV HCT centers into Community HIV Prevention Centers. The overall goal is to reduce the number of New HIV infections within the Cape Metropole and specifically within the targeted geographical areas highlighted below, where HIV prevalence is high and the incident rate is growing. During the first six months of the project, a situational analysis will be undertaken to understand the needs and gaps in HIV prevention strategies, in each of the chosen communities, staff will be trained accordingly and a monitoring system will be developed to track progress. The proposed project will be carried out within the Cape Metropole of the Western Cape. The project will be carried out in partnership with government (Provincial Department of Health and City of Cape Town Health Department) and various NGOs. Such activities include but may not be limited to, condom distribution and referral and follow up of clients for (a) male medical circumcision (b) STIs (c) HIV care (d) TB treatment and (e) pregnant women to PMTCT program. The proposed project will allow for transference of skills to and increased capacity for local indigenous organizations i.e. NGOs to provide HIV prevention interventions in their communities. Activities will be constantly monitored through the use of specific M&E tools developed, so that a model of a best practices for a Community HIV Prevention Centre may be established and potentially replicated in other areas of South Africa, through local organizations. No vehicle will be procured in this program for two years.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $300,000

The overall goal is to reduce the number of New HIV infections within the Cape Metropole and specifically within the targeted geographical areas. Activities will be aimed at young adult men and women aged 18-35. Target for COP 2012 is 5000. HIV Prevention activities will include: addressing delay of sexual debut, safer sex practices, risk behaviour reduction practices, HCT, and MMC. All routine data (indicators) will be collected on a monthly basis at each centre and sent to the project manager for collation. Monthly meetings will be held with the project manager, PNs and NGO representatives to assess progress against measurable outputs. This will allow for monthly planning and adaptations being made to existing plans to reach targets set. Database shall be used to input data and for reporting means.

Funding for Testing: HIV Testing and Counseling (HVCT): $270,000

The overall goal is to reduce the number of New HIV infections within the Cape Metropole and specifically within the Eastern, Northern Mitchells Plein & Klipfontien Sub-Districts. Activities will be aimed at young adult men and women aged 18-35. HCT target for COP 2012 is 4500 aggregated by 2500 male and 2000. HCT activities will be conducted to create a gateway to HIV prevention, care and treatment services. Additionally, HCT activities will be used to: provide individual and couple counseling; conduct screening to the clients for STIs and refer if symptomatic for treatment; provide support to Sero-discordant partners, as well as those who have the same status; explore topics such as substance abuse with clients during post-test counseling sessions, as part of a clients risk reduction plan, and enroll in external quality assurance program for rapid HIV test. All test kits will be procured and stored following the NDOH rapid testing guidelines.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $328,161

The overall goal is to reduce the number of New HIV infections within the Cape Metropole and specifically within the Eastern, Northern Mitchells Plein & Klipfontien Sub-Districts. The program will target young adult men and women aged 18-35. In COP 2012, 6000 target is set. Activities will include but not limited to: Conduct referrals of heterosexual males to medical male circumcision (MMC); Distribution of male and female condoms; Screening and Referrals for STI patients treatment. Provision of youth and HIV Prevention Sessions to promote awareness/ education around HIV, including addressing delay of sexual debut, safer sex practices and risk behaviour reduction practices. Strengthens monthly youth groups at each identified site. Incorporate sport, games, movies, life skills, motivational speakers, job skills, assistance with homework etc. Referral of pregnant women for midwife obstetric unit (MOU) for entry into the PMTCT program. All routine data (indicators) will be collected on a monthly basis at each centre and sent to the project manager for collation. Monthly meetings will be held with the project manager, PNs and NGO representatives to assess progress against measurable outputs. This will allow for monthly planning and adaptations being made to existing plans to reach targets set. Databases shall be used to input data and for reporting means.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Tuberculosis
Workplace Programs