Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 9572
Country/Region: South Africa
Year: 2012
Main Partner: Population Council
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

This activity will be funded using reprogrammed FY 2011 funds. Post-exposure prophylaxis (PEP) is an essential part of a comprehensive package of HIV prevention services and is a foundational part of combination prevention, critical to sustainable, long-term HIV prevention. The goal of this program is to enhance SAG capacity for sustainable nationwide access to post-rape, occupational, and voluntary post-PEP for HIV through support for policy development, building capacity for provision of PEP, and creating demand for PEP at the community level. This is a national project that will focus on women and girls, and will address other vulnerable populations such as migrants, men who have sex with men, and incarcerated populations. Focus districts for this program have been identified based on sexual assault rates and HIV prevalence.Population Council South Africa (PCSA) will work closely with district and ward based teams identified as key pillars for the Primary Health Care re-engineering model for the adoption and implementation of policies and guidelines for PEP for sexual assault, occupational PEP, and PEP for voluntary exposures. Capacity building interventions for management in all departments and at all levels will include policy review, development and review of data collection tools, support for utilization of the tools to strengthen data quality and systematize data collection, and training on the available data to support policy development/alignment/implementation to improve the local capacity for monitoring and evaluating the HIV response. Overall training will utilize a master trainer model and the provinces will assume responsibility for all training over time. All PCSA interventions will be promoted for inclusion in subsequent district health plans.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

This activity will be funded using reprogrammed FY 2011 funds.PEP is a key component of combination prevention that effectively reduces risk of HIV infection. This program will support policy development and strengthen SAG systems and capacity to deliver PEP through technical assistance, training, and dissemination of PEP policies and guidelines to all government partners. Target populations for PEP provision include children (ages 0-19), women and men (ages 20-54), incarcerated populations, MSM, and migrants. Baseline facility assessments for the Department of Health (DOH) will inform technical assistance and site support in identified select provinces focusing on areas of highest HIV transmission.PCSA will train master trainers and link with Regional Training Centers transfer skills to to roll-out training to districts and future transition of PEP services. PEP training and services will be acessible to Health care workers and South Africa Police Service (SAPS) and Department of Correctional Services (DCS) staff for sexual assault; DOH, DCS and SAPS staff for occupational PEP. PCSA will provide implementation tools and registers to facilities. PCSA will work with NDBE and NDOH to reach out to children and youth to sensitize them, raise awareness on PEP and promote access to available PEP services. PCSA will monitor the transition of interventions to the appropriate government unit. They will be reviewed on a quarterly basis with the government partners to ensure timely adherence to a decreasing level of responsibility for PCSA. M & E plans and system will be in place to track progress, perfomance and implementation of the PEP Program.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
enumerations.Impact/End-of-Program Evaluation
Increasing gender equity in HIV/AIDS activities and services
Military Populations
Mobile Populations
Workplace Programs