Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13695
Country/Region: South Africa
Year: 2014
Main Partner: Epicentre AIDS Risk Management
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0 Additional Pipeline Funding: $1,792,290

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

In response to national and PEPFAR priorities, Epicentre is establishing an HIV incidence surveillance system in Sisonke District of KwaZulu Natal (KZN) Province. The objectives of the surveillance system are to 1) establish population-level adult HIV incidence and monitor changes in incidence trends over time, 2) determine programmatic factors associated with changes in new HIV infections, and 3) validate laboratory HIV incidence estimation assays against cohort incidence measurements.

This surveillance system will employ a cross-sectional approach with an embedded cohort and is designed to be complementary to the national household survey. The system is being established where PEPFAR partners and the district government are scaling-up intensive, multi-pronged prevention interventions including MMC, HCT and comprehensive prevention services. It will collect localized and detailed information about the HIV response in the geographic area and have the ability to look more closely at associations in scale-up of prevention efforts on changes in HIV incidence in a “real world”, non-trial setting. It will also establish population-level incidence and prevalence baseline in order to monitor future trends as new bio-medical technologies become available including pre-exposure prophylaxis (PrEP), post exposure prophylaxis (PEP) and vaginal or anal microbicides. In addition, it will provide the ability to validate different laboratory assays and algorithms against cohort-derived incidence as well as potentially introducing additional laboratory components. This activity is being conducted with the strong endorsement of the KZN provincial government and in close collaboration with government and PEPFAR partners in Sisonke District. No vehicles are being purchased.

Mechanism Allocation by Budget Code for Selected Year
Laboratory Infrastructure (HLAB) $0
Strategic Information (HVSI) $0
Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC) $0
Sexual Prevention: Other Sexual Prevention (HVOP) $0
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
HTS_TST Age/sex: 15-19 Female 2015 277
HTS_TST Age/sex: 15-19 Male 2015 277
HTS_TST Age/sex: 20-24 Female 2015 327
HTS_TST Age/sex: 20-24 Male 2015 327
HTS_TST Age/sex: 25-49 Female 2015 946
HTS_TST Age/sex: 25-49 Male 2015 946
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Female 2015 1,550
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Male 2015 1,550
HTS_TST By Test Result: Negative 2015 2,381
HTS_TST Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 3,100
HTS_TST Sum of Age/Sex disaggregates 2015 3,100
HTS_TST Sum of Aggregated Age/Sex <15 2015 3,100
HTS_TST Sum of Aggregated Age/Sex disaggregates 2015 3,100
HTS_TST Sum of Test Result disaggregates 2015 3,100
HTS_TST_POS By Test Result: Positive 2015 719
SITE_SUPP By program area/support type: HTC Direct Service Delivery (DSD) 2015 17
SITE_SUPP By program area/support type: TB/HIV Direct Service Delivery (DSD) 2015 17
SITE_SUPP Number of unique sites supported by PEPFAR 2015 17