Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 16762
Country/Region: South Africa
Year: 2013
Main Partner: United Nations Children's Fund
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $750,000

UNICEF has played a key role in the development of the countrys action framework for No child born with HIV and improving the health and wellbeing of mothers, partners and babies in South Africa 2012-2016. There is renewed momentum and energy across the country as it responds to the 2011 global call for elimination of Mother to child transmission of HIV and keeping mothers alive and healthy. UNICEF will the development of tailored provincial and district action frameworks for eMTCT (2012-2016) using evidence and data for decentralized planning and action. UNICEF will provide technical support to national and provincial departments of health to implement these action frameworks focusing on quality of service delivery and using data for programme action.

UNICEF will support a greater understanding of existing community systems and gaps to increase demand and quality of services for PMTCT. Work will also be done to support the development of a national quality improvement framework for PMTCT defining standards of care and checklists to improve quality in service delivery, data management and performance management.

There are challenges in reaching universal coverage for women and children especially those living in hard to reach areas. A focus on strengthening the PMTCT continuum of care and decreasing loss to follow up of women and children, filling in gaps in service delivery through outreach and community based services and strengthening linkages between health and social protection programmes are all needed in order to reach the most marginalised women and children.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $750,000

UNICEF will provide technical support in completion of the action framework at the national level, supporting completion of action frameworks at provincial and district levels. A midterm assessment in 2012 and 2013 of the progress towards elimination targets will be conducted UNICEF will also support setting up of a regular monitoring and mentoring system from national to provinces and districts to facilities ensuring full participation of all partners and stakeholders working on PMTCT. UNICEF will increase demand and access to PMTCT and paediatric care and treatment services at the community level and collaborate with all stakeholders to ensure Community systems are developed that will augment the demand and reach of primary health care, PMTCT and pediatric treatment services and ensure that most vulnerable communities in FS, MP, NC, NW and EC are reached. A situational analysis of available programme and demographic data at district level will be used to identify vulnerable communities and where significant bottlenecks exist, build capacity. Community agents will be used to influence positive PMTCT care seeking and IYCF amongst men and women.UNICEF will develop a framework for developing national standards of care for delivery of quality PMTCT and Paediatric ART services at facility and community level as a basis for quality improvement programming. These standards will be defined for each level of health care delivery and community based services. The framework will be piloted in at least two provinces.

Activities will include identification of quality of PMTCT and Paediatric care measure(s) or quality indicators; measurement of baseline performance on quality measures; identification of interventions designed to improve the quality measure, document and disseminate results.