Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014

Details for Mechanism ID: 13685
Country/Region: South Sudan
Year: 2013
Main Partner: RTI International
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USDOD
Total Funding: $100,000

Findings from the 2010 and 2011 SPLA BBSS demonstrated the SPLA were highly mobile, predominantly young males with many reporting having multiple wives or partners. Major gaps in basic knowledge of HIV transmission, HIV prevention measures, and awareness of HIV testing were seen. Other findings included relatively low reports of condom use and knowledge on how to use condoms. High risk sexual behaviors included a large number of married individuals reporting other sexual partners with over one-fifth of sexually active participants reporting multiple sexual partners and approximately 15% of individuals reporting having had a sexually transmitted infection (STI). The HIV prevalence was 5.0%.

The SPLA and its HIV/AIDS Secretariat aim to control the spread of HIV/AIDS and mitigate the negative impact of HIV and other STIs among its population and communities. Program components include sexual and other behavioral risk prevention, HIV testing and counseling.

RTI will work directly with SPLA to support the military in its ability to plan, implement, monitor and evaluate HIV program activities. Given the high mobility and broad geographic distribution of the SPLA and its approximately 150,000-200,000 members throughout the ten states in South Sudan; program areas will concentrate in areas of highest SPLA population density and HIV prevalence.

Funding for Strategic Information (HVSI): $50,000

Research Triangle Institute will provide technical assistance to the SPLA in terms of data dissemination and the translation of data to information to program activities. These efforts were begun in FY12 and will continue into FY13, with increasing ownership of the SPLA in data analysis and dissemination activities in localized military command contexts.

Research Triangle Institute will work with the SPLA to strengthen linkages between data collection and program design, implementation and monitoring using simple monitoring tools across program areas that allow decentralized implementers (e.g. focal persons in the field, lay counselors providing PHDP interventions in the community) to transmit program information in a more efficient and timely fashion, and allow the central HIV SPLA secretariat routine access to information for analysis and corrective program changes/improvement. Research Triangle Institute will support a decentralized tracking and monitoring tool to monitor patients (cotrimoxazole provision, TB and other symptom screening, provision of education and referral services) to allow the SPLA HIV coordinating body, the HIV/AIDS secretariat, and the SPLA medical corps to ability to maintain a feedback monitoring loop for continuous quality improvement and corrective action as operational work plans are implemented.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $50,000

The BBSS conducted in 2010-2011 indicated HIV prevalence rate of 5.0% among the SPLA population sampled, gaps in knowledge of HIV transmission and prevention, relatively high level of AIDS related stigma, and low overall condom use (44% ever used). Strong correlations between STIs and risk factors including depression, probable PTSD (23%), alcohol dependency, and sexual coercion beliefs among men) were also observed. In response to this information, a pilot alcohol risk reduction project was implemented in a partnership between Research Triangle Institute and the SPLA, in FY12, the project will be evaluated in FY13 and, if found to be effective, rolled out by the partner in a larger context in FY 13.

Research Triangle Institute will support prevention assessment and planning collaborations between the SPLA and the Uganda Peoples Defense Force (UPDF). UPDF was instrumental in the formation of the SPLA HIV/AIDS Secretariat in 2006 and is viewed by the SPLA as a valuable partner in program planning and design. Visits between the two military HIV/AIDS program and Research Triangle Institute staff in Uganda will be facilitated by Research Triangle Institute.

Key Issues Identified in Mechanism
Military Populations