Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13903
Country/Region: South Africa
Year: 2013
Main Partner: Community Media Trust
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $700,000

The goal of the project is to reduce the number of new HIV infections in the Eastern Cape Province focusing in three high-prevalence districts (i.e. Alfred Nzo, O.R. Tambo and Amathole). CMTs activities will be conducted to support TB/HIV Care Association (funded to provide comprehensive HIV prevention services in the same areas). CMTs role will be to mobilize the community in these areas by implementing HIV prevention awareness events, HCT promotion as well as community dialogue to promote community involvement, ownership, and knowledge to support prevention initiatives. Locations such as shopping malls, taxi ranks, and community centers together with door to door events will ensure that the program messaging is taken beyond the context of the health facility, reaching the community as a whole. The EMIT system will be used for CHWs and social mobilisers to report their daily activities, where data gathered will monitor the number of people reached with education and health promotion messages, either during facilitated sessions at health facility or in the community at open days/awareness events and where possible some indicators will be derived from the PEPFAR Indicator Reference Guide. The project objectives are aligned to both the South African Strategic Plan and Partnership Framework goal of impacting positively on the HIV prevention. The emerging CHW-Primary Health Care policy formulation speaks to the long-term sustainability of the program where the CHWs trained and deployed by CMT can be absorbed into the formal health system, and they will have an invaluable role in maintaining the quality and integrity of the countys CHW and Primary Health Care program.

The rural and hard-to-access nature of the target districts result in expenpensive transport.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $100,000

Community Media Trust (CMT) will build off of its successful social mobilization efforts to specifically target and link males aged 15-49 to medical male circumcision (MMC) services in the Eastern Cape province. CMT will target males in various districts across Eastern Cape province where traditional circumcision is widely practiced. CMT is currently funded to implement social mobilization activities in conjunction with TB/HIV Care, who provides the clinical services; these funds will provide MMC-specific activities such as community outreaches, interpersonal communications, standardized sexual and reproductive health messages and HIV prevention information. Because traditional circumcision is widely practiced in Eastern Cape, and there has been a strong opposition to MMC, targeted efforts are needed to ensure MMC services can be provided in a culturally-appropriate and sensitive manner.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $600,000

The CMT program will consists of the following three complimentary and integrated activities: The provision of 30 well-trained CHWs as envisaged in the emerging CHW Primary Health Care Policy in South Africa. CHWs will be placed at selected feeder clinics and district hospitals, with a referral system from the community to the facilities. This team will be supported by 1 Trainer per district to mentor and support CHWs to ensure quality of information given by CHWs and to provide training for partner organizations within the district as well as 2 Data Officers per district to improve data collection and accuracy of DHIS data collected in clinics in order to have accurate measures for overall program impact. A Social Mobilization team, consisting of 3 social mobilizes to work with local community workers, NGOs and others to implement target awareness events, HCT promotion, and testing services as well as community dialogues to promote community involvement, ownership, and knowledge to support prevention initiatives. A mass media campaign to provide prevention messages through local print media and community and regional radio; saturating target districts and the provinces as a whole to reinforce prevention messages, promote safer sexual norms in communities, and promote access to health services particularly for PMTCT, HCT, MMC, and sexual and reproductive health. This campaign will make use of 1 Community Journalist per district to produce inserts on HIV prevention and treatment literacy for community and regional radio and web use, together with newspaper articles on related HIV topics providing comprehensive, relative health messages.

Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support