Detailed Mechanism Funding and Narrative

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

Details for Mechanism ID: 9562
Country/Region: South Africa
Year: 2012
Main Partner: National Alliance of State and Territorial AIDS Directors
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,200,000

National Alliance of State and Territorial Directors (NASTAD) continues to work in partnership with the Free State and Mpumalanga Provincial Department of Health (PDOH) Offices to institutionalize and standardize the implementation of the Integrated Access to Care and Treatment (I ACT) Program in line with the South African Government and the National Department of Health priorities. The goal of I ACT is to promote early recruitment and retention of newly diagnosed PLHIV into care and support programs. I ACT strives to reduce the high rate of loss to follow-up from the time of HIV diagnosis to successful commencement of ART. NASTAD will continue to provide provincial and district level technical assistance with the coordination, implementation, and monitoring and evaluation of I ACT activities. NASTAD will continue to play a lead role in developing systems for referral networks and linkages, as well as strengthening the I ACT implementation model and ensure quality through focused mentorship, coaching and regular review meetings at district, provincial and national levels. Both at provincial and district levels, NASTAD will continue to ensure the strong involvement of PDOH, regional training centers and PEPFAR and community based partners in the planning, and implementation of the program to ensure integration, sustainability and smooth transition of the program in the future. NASTAD will continue to refine data collection tools and instruments and provide ongoing technical assistance and training to I ACT implementing NGOs, partners and DoHs staff. In general, the result of the I ACT program evaluation that will be conducted in Free State in FY 2011 is expected to provide direction with regard to the improved implementation and scale-up of the program at all levels

Funding for Care: Adult Care and Support (HBHC): $1,200,000

In FY2012, NASTAD will continue to strengthen collaborative relationships among partners providing I ACT and other care and treatment services in Free State and Mpumalanga Provinces. NASTAD will ensure communication and information sharing among I ACT partners and stakeholders. NASTAD will continue to support provincial level I ACT quarterly stakeholder review meetings; actively participate and support provincial and district level I ACT working group meetings; conduct provincial level I ACT best practice documentation and evaluation dissemination meetings, and strengthen referral network and linkages between community based I ACT implementing partners(SGFs)and local health facilities.

In FY 2012, NASTAD will continue to provide technical and financial support to community based NGOs including PLWHA networks engaged in the delivery of I ACT. Efforts will continue to be made to connect and engage PLWHA networks through support groups to ensure that members have the opportunity for continued peer support after they leave the group. In Free State, I ACT implementing NGOs are expected to support SGFs with the active recruitment of PLWHA from local health facilities and the community, establish and strengthen referral network and linkages between SGFs and local health facilities. NASTAD will also continue to support existing and trained care workers who will be redeployed to support the implementation of the I ACT program. In Mpumalanga, NASTAD will continue to support Regional Training Centers (RTC) with the training of already existing home based care givers based at health facilities and the community to implement the program.

In FY 2012, NASTAD will continue to provide and coordinate periodic I ACT training sessions to new RTC trainers, SGFs, NGO implementing partners and health care providers from health facilities in both provinces in collaboration with other partners. RTCs in both provinces will take the lead in the facilitation and co-facilitation of I ACT training sessions to effectively transition the training responsibility. In FY 2012, NASTAD will support the training of 200 SGFs and plans to enroll 70,000 PLWHA into the program in both provinces.

Cross Cutting Budget Categories and Known Amounts Total: $200,000
Human Resources for Health $200,000
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services