Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 2803
Country/Region: South Africa
Year: 2009
Main Partner: Olive Leaf Foundation
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: USAID
Total Funding: $3,220,150

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

ACTIVITY 1: (a) HwwSA will increase the participation of schools in the community. An internationally

recognized tool, the UNDP's Community Capacity Enhancement (CCE) program will be used. Most

community methodologies focus on awareness raising and discussion; CCE focuses on interactive dialogue

on the epidemic's deeper causes (e.g., power relations, gender issues, stigma or discrimination) and,

through a facilitated process, community decision-making and action. New activities will include consultation

with community stakeholders including the school governing bodies, school learners, teachers and parents;

community mapping with stakeholders; facilitation of focus group discussions to assess HIV competence;

facilitation of community conversations to identify issues in the school setting; participatory planning

workshops to address concerns; facilitation of access to community resources; and working sessions to

refine initial plans and strategies for the school. The revised strategy should benefit 20 schools in 4

provinces reaching an estimated 30,000 individuals with abstinence and be faithful (AB) interventions.

(b) The peer education (PE) training target will increase by a third. Measuring the quality of interventions

and tracking behavior change outcomes will be emphasized. The PE model will be implemented in

collaboration with Harvard School of Public Health and the Centre for the Support of Peer Education

(CSPE). The Rutanang model will be used, which dictates ten standards for PE, namely, planning,

mobilizing, supervisor infrastructure, linkages, learning program, peer education infrastructure,

management, recognition, monitoring & evaluation and sustainability. These standards will ensure that key

PE roles are executed and that significant life skills are developed, including decision-making; access to

and empowerment to facilitate peers' access to counseling and testing; and strengthening civic virtue to

address issues fuelling the HIV pandemic among youth. One component of HwwSA's PE program is being

evaluated at Donaldson Primary School in collaboration with the Human Sciences Research Council

(HSRC), CSPE, and CDC. The study runs from September to November 2008 and aims to interview one of

the Community Action Teams (CAT). CATs are comprised of 8 peer educators (between the ages of 15-19)

who facilitate two OVC groups consisting of 30 participants per group. The evaluation will provide

information on the quality and effectiveness of the PE model. It will also inform program development for FY

2008 and FY 2009. In addition, a national post-assessment evaluative study is scheduled to take place at

the end of September with youth in the PE program. This evaluative report will be compared to the baseline

evaluation KAP study conducted in the inception of the program with the same target group.

ACTIVITIES 1-3 have been modified to address the 50% decrease in funding for FY 2009, from $ 1,455,000

in FY 2008 to $701,750 in FY 2009. The following cuts will be made: 100% in capital expenditure, 100% in

Social Researcher salary (HR), 100% for the Impact Evaluation Study, and the travel budget will be

decreased to accommodate the budget cut. This will not compromise the quality of service delivery as

systems will be put in place to maintain and enhance quality approaches. Service delivery sites will not be

cut, but FY 2008 plans to expand to Limpopo will be delayed until further funding can be leveraged.

HwwSA will not employ new staff on permanent contracts, but current staff will be maintained and carried

through FY 2009.

ACTIVITY 4: Due to budget limitations, HwwSA will not provide a sub-grant to GATEWAY International in

FY 2008 and 2009. Instead HwwSA will provide organizational capacity development through mentoring

and training, which will allow GATEWAY to transition from sub-grantee to self-sufficient partner. Creative

Concept Mapping (CCM) will be used to assist GATEWAY with capacity building and sustainability. CCM

identifies factors influencing individual's life and determines behavior by mapping the relationship between

factors. HwwSA will be trained on, and partner with organizations who implement this tool, including Holistic

Soul-Body Institute. Mentoring GATEWAY will take the form of monthly partner meetings with project

coordinators, to monitor the implementation of AB Community outreach activities including, training PEs,

forming CATs, CCE and the CCM. In addition, quarterly site visits will be conducted and training on good

governance, facilitation skills, strategic planning, as well as guidance on program development will be

provided.

The goals of the HIV & AIDS and STI Strategic Plan for South Africa, 2007-2011 (NSP) include reducing the

number of new infections by 50%; reducing the impact of HIV and AIDS on individuals, families and

communities by expanding access to appropriate treatment, care and support to 80% of all diagnosed with

HIV. The NSP states that young people aged 15-24 years be the focus of all interventions, especially

behavior change prevention. A priority intervention is prevention. The NSP recognizes that keeping HIV

negative people negative is the most effective and sustainable intervention. HwwSA's AB prevention

intervention is aligned with the NSP as it partners with other prevention programs in South Africa to offer a

comprehensive package to communities at risk of HIV. Key activities include training PEs in comprehensive

life skills. Moreover, other prevention activities include the CCE (involving community members). Lastly,

youth aged 15-24 years are emphasized.

Gender activities will be incorporated into the school programs to ensure that youth are reached in a

controlled and conducive learning environment. Gender and leadership camps will increase awareness of

gender-based violence as gender is mainstreamed in all of HwwSA's programs to reach more boys and

vulnerable girls. The Men as Partners (MAP) component of the program is a community-based intervention

that aims to reduce violence and coercion as men are trained as PEs. A life skills gender-based curriculum

is used to promote gender sensitivity and healthy lifestyle behaviors.

-----------

SUMMARY:

HOPE worldwide South Africa (HWSA) will continue activities in abstinence and being faithful (AB) to

support the expansion of a comprehensive HIV prevention program through a skills-based, gender-focused

program for young boys and men and the promotion of AB messages for young people within designated

communities.

The activity targets children and youth (both in- and out-of-school), adults, parents, teachers, religious and

community leaders, mobile populations and non-governmental organizations (NGOs). The emphasis areas

Activity Narrative: for the project are gender addressing male norms and behaviors, reducing violence and coercion and

human capacity development. The target populations are adolescents and adults.

BACKGROUND:

The FY 2008 funded activities are part of an ongoing HIV prevention program of HWSA, funded by

PEPFAR since 2003. HWSA will continue its programs in Gauteng, KwaZulu-Natal, Western Cape and

Eastern Cape provinces to promote and strengthen abstinence and faithfulness prevention behaviors within

its community outreach efforts that include communities of faith. With FY 2008 funding, HWSA will expand

to new areas, and in particular to peri-urban and rural areas in South Africa, where the HIV prevalence is

high. HWSA has reached 300,000 individuals with A and AB messages through 32 faith-based

organizations (FBOs) and 73 schools, and other community-based awareness campaigns in 26 clinics and

hospitals through support groups. The HWSA prevention program is aligned to the South African

Government's (SAG) prevention strategy in its promotion of abstinence, fidelity and the correct and

consistent use of condoms (ABC) for sexually active youth at risk and older youth.

ACTIVITIES AND EXPECTED RESULTS:

ACTIVITY 1: AB Community Outreach

HWSA's AB program follows a standard Peer Educator model of training small groups of change agents,

through age-appropriate activities, to impact their immediate and broader communities. The first part of the

activity entails the establishment of an abstinence-based program for youth aged 10-14 years who have not

initiated sexual activity. The program educates children on the basic facts about HIV prevention and AIDS,

addresses stigma and discrimination and how to avoid and report abuse. The second part of the activity will

be targeted at the 15-24 year old age group and will establish an abstinence and fidelity-based approach

(AB) focusing on HIV prevention messages and AIDS awareness, the importance of abstinence in reducing

the transmission of HIV, the importance of delaying sexual activity until marriage, the development of skills

for practicing abstinence, and where appropriate secondary abstinence, personal self-esteem, the reduction

in the number of sexual partners, the importance of mutual faithfulness in reducing HIV transmission,

dangers of alcohol and substance abuse and the importance of HIV counseling and testing. The activity will

reach youth through school programs, faith-based organizations, recreational activities, health care services

and the workplace. HWSA will expand its services to new areas and focus on improving the quality of the

services offered based on lessons learned using PEPFAR funding. Key areas to be addressed include the

need to incorporate components on culture and personal leadership into the AB program

The HWSA program will also target out-of-school youth through youth clubs, community-based

organizations and sports groups. HWSA will provide full information regarding the correct and consistent

use of condoms and refer youth at risk of HIV infection to condom outlets and health facilities where

necessary as a way to reduce the risk of HIV infection for those who engage in risky behaviors. This

element of the program will be closely linked to HWSA's OP activity.

ACTIVITY 2: Men as Partners (MAP)

HWSA's MAP program is part of the national Men as Partners network initiated by Engender Health. The

MAP program creates community commitment and involvement in the reduction of violence against women

and children, community interventions that will challenge male norms and behavior about masculinity, early

sexual activity, multiple sexual partners and transactional sex for boys and men and will establish new

norms. FY 2008 funding will support school-based violence prevention programs, promote abstinence and

the development of skills for practicing abstinence and skills training for peer educators to promote HIV

counseling and testing. The MAP program will continue to build its public-private partnerships (with Coca

Cola, South African Airways and the National Department of Arts and Culture), which provide corporate

funding for workplace MAP workshops and awareness activities in the communities adjacent to these

companies. The MAP program will be modified to be age-appropriate for school children and older youth

reached by the school-based program. MAP project will focus on educating both young and older men to

respect and protect the rights of women and girl children. Lessons learned through program implementation

indicate the need for as a greater emphasis on gender issues in particular the vulnerability of girls and

young women and discourage sexual abuse, violence and coercion of women and girl children.

The activity will target young men aged 15-24 years and their communities. PEPFAR funding will be used to

maintain current staff of three coordinators, and eight peer educators.

ACTIVITY 3: Parent Empowerment

HWSA will scale up its Parent Empowerment program with FY 2008 funding. This activity started in FY

2006 and has been progressively scaled up in FY 2007. The need to scale up this activity and to empower

and capacitate parents, caregivers and guardians with skills to interact with children and youth about

sexuality and to create an enabling environment for AB messages has become increasingly evident over

the last program year. The scaling up of this activity will involve more sessions on personal growth; enhance

self awareness, personal values, and parenting skills. In addition much of the focus will be placed on

creating spaces where both youth and parents/caregivers are able to interact. Camps, child-parent days

and joint campaigns of youth Community Action Teams (CATs) and parent CATs will form a key part of this

component of the activity. Target audiences for this activity include parents of youth involved in the A

activities, members of FBOs and adults from the communities at large. The activity will also be linked to the

OVC program with a focus on empowering parents and guardians in vulnerable households and working

with granny-headed households. The practice and role-modeling of fidelity or partner reduction that forms a

part of the parenting activity will contribute to the number of beneficiaries reached through the indicator for

number reached with community outreach HIV prevention promoting AB. This activity will build on work

done with FBO networks and school governing bodies in FY 2007.

Activity Narrative: ACTIVITY 4: Sub-grant to Gateway for AB Prevention for In-school Youth

HWSA's new partnership with Gateway, an NGO working in rural communities of South Africa, will assist in

scaling up AB activities in areas where HWSA does not currently operate. As Gateway works predominantly

in schools with in-school youth, these activities will focus on including AB peer education, AB MAP activities

and the mobilization of Community Action Teams. The program will be expanded to new areas in Limpopo

Province (Musina, Duiwelskloof, Makhado, Lephalale, Modimolle, Bela-Bela, Vaalwater), North West

(Klerksdorp), Free State (Riebeekstad, Kroonstad, Welkom, Odendaalsrus, Ventersburg), KwaZulu-Natal

(Utrecht, Newcastle), Mpumalanga (Volksrust) and Northern Cape (Kimberly and Douglas). These

provinces have a high HIV prevalence according to the Human Sciences Research Council (HSRC)

research study. This strategic partnership will enable HWSA to expand its capacity to work in additional

areas through providing human resources and utilizing Gateway's established links and track record in the

new communities. HWSA will train Gateway staff on its Peer Education, AB and MAP curricula and provide

mentoring and coaching on a regular basis. This partnership will build on Gateway's success for 2006 in

which 338,464 individuals were reached. Gateway's work with youth has been funded by SAG grants and

other corporate sponsors.

These HWSA activities will contribute to the PEPFAR objectives of averting 7 million infections, and support

the USG PEPFAR Five-Year Strategy for South Africa by improving AB HIV prevention behaviors among

youth and adults.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13959

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13959 3302.08 U.S. Agency for Olive Leaf 6669 2803.08 $1,455,000

International Foundation

Development

7607 3302.07 U.S. Agency for Olive Leaf 4485 2803.07 $900,000

International Foundation

Development

3302 3302.06 U.S. Agency for Olive Leaf 2803 2803.06 $900,000

International Foundation

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $340,666

NO FY 2009 FUNDING IS REQUESTED FOR THIS ACTIVITY:

This activity was approved in the FY 2008 COP, is funded with FY 2008 PEPFAR funds, and is included

here to provide complete information for reviewers. No FY 2009 funding is requested for this activity.

PEPFAR funds were allocated to scale up Hope worldwide (HWW) South Africa activities in other

prevention activities specifically in prevention with positives and condom education. HWW will continue its

prevention activities with a specific focus on abstinence education at both primary and secondary schools.

HWW will continue to implement the other prevention activities specified in the FY 2008 COP and these will

be completed according to schedule in 2008. The outcome of the PEPFAR South Africa Interagency

Partner Evaluation was that HWW should focus only on AB, where they have a strong program, but not to

continue support HWW in Other Prevention. Therefore there is no need to continue funding this activity with

FY 2009 COP funds.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13960

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13960 12323.08 U.S. Agency for Olive Leaf 6669 2803.08 $48,500

International Foundation

Development

12323 12323.07 U.S. Agency for Olive Leaf 4485 2803.07 $50,000

International Foundation

Development

Table 3.3.03:

Funding for Care: Adult Care and Support (HBHC): $572,130

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

ACTIVITY 1 (Support Group Mechanism):

A) Hope worldwide South Africa's (HwwSA) 10 week 'Living with Hope' education series has been revised

based on input received from people living with HIV (PLHIV) support group members and support group

coordinators. Prevention with Positives, Parenting skills, and Therapeutic Measures for Self Care topics will

be added to the series.

The HwwSA-adapted Nutritional Guideline will be implemented during FY 2009. Topics on Nutritional

Education which will also be included in the series in line with the guidelines. Topics that will be included

are: energy requirement of PLHIV and pregnant woman infected with HIV; food and safety

recommendations; recommendations for treatment; and management of opportunistic infections and ART

side effects.

The education program has now been extended to 15 weeks. PLHIV will meet once a week with HwwSA

support-group coordinators. Coordinators will continue to facilitate the sessions in an interactive manner,

covering a range of topics relevant to HIV and AIDS. A pre- and post-questionnaire will be used to evaluate

the effectiveness of the series and its impact on participants.

B) HwwSA will pro-actively facilitate income generating partnerships between the private sector and the

support group members who have already graduated from the 'Living with Hope' education series and

formed their own support groups ('open' support groups). Support from the private sector will contribute to

sustaining income generating activities established within the 'open' support groups.

C) Gender-related activities: Care and Support and Abalingani program collaboration

Program activities will include: facilitating workshops and training to support group members on gender-

related issues, providing mentoring after workshops, establishing male support groups that focus on

particular issues of masculine health and referring PLHIV and their family members to service providers as

appropriate.

The expected outcome of the collaboration is to reduce gender-based violence, to increase male

involvement in care and support of the sick, and to improve communication within families and awareness

of sexual rights amongst PLHIV.

D) Several trainings will be outsourced and will mostly target PLHIV support group members in order to

empower PLHIV with the ability to partake in economic strengthening activities. These include Gardening,

Nutrition, Entrepreneurial Skills, and Catering.

ACTIVITY 2 (Home-based Care):

A) A proactive approach to identify clients infected by TB will be encouraged. During routine home visits,

clients that present with symptoms of TB (based on the Centre for Disease Control's symptom based

questionnaire) will be referred to the closest clinical support structure (CSS) and follow up will be done

regarding test results and treatment adherence.

Clients infected with TB will be visited regularly to ensure treatment adherence. Vitamin B6, ready to use

therapeutic food and a basic food parcel will be provided to TB infected clients based on the outcome of

nutritional assessments. Weak clients will by accompanied by fieldworkers to the closest CSS for further

care and support.

B) PLHIV will receive a broader spectrum of services during routine home-based care visits. Such services

will include education on issues related to chronic disease and treatment, support through nutrition and

therapeutic measures and education on the use of therapeutic measures for self care. The overall outcome

of the above mentioned strategies will ensure a more holistic care package for PLHIV.

C) The HwwSA-adapted Nutritional Guideline will be implemented in FY 2009. Activities will include a

baseline nutrition and dietary assessment when a client is first met; ongoing nutritional information

education and counseling; follow up assessments based on initial findings and guidelines; food distribution

to clients meeting the criteria stated in the guideline; food preparation education; supplementation and

micronutrient provision (according to the guideline); referral to clinical (e.g. South African Government

Clinics) or non-clinical ( e.g. Department of Social Development) support structure.)

D) Training specifically focused on improving care and support activities will be provided to HwwSA staff,

stakeholders and PLHIV, by HwwSA.

The full 69 day 'Home-based care training' will not be provided in FY 2009 as a result of budget constraints.

Rather, four adapted five-day trainings will be provided. The modules included in the trainings will be

adapted from the 69 day 'Home-based care' training. The trainings will include: Basic ART Information and

Adherence Counseling; Gender-based Issues, Nutrition, and a Home-based Care refresher course provided

only to people previously completing the 59- or 69 day Home-based Care course.

Secondary Cross-Cutting Budget Attributions Description:

Food and Nutrition: Policy Tools and Service Delivery

HwwSA will adapt national and international nutritional guidelines for PLHIV to better address issues that

have been identified as challenges in FY 2007. The resulting internal guidelines will inform changes that will

be made to the training curriculum and implementation plans for FY 2009 that will ultimately improve the

quality of services delivered at community and household levels. The nutritional enhancement activities will

be incorporated within the program's home-based care, training, and support group activities.

Food and Nutrition: Commodities

Activity Narrative: In accordance with the PEPFAR HIV and Food Security Conceptual Framework, HwwSA will provide

therapeutic measures and treatment addressing dietary complications caused by HIV infection and ART.

The following will be provided by the HwwSA care and support program:

i) Ready-to-use therapeutic foods will be procured and provided to clients suffering from mild to moderate

malnourishment, oral and oesophageal ulcerations and candidiasis. Vitamin B6 (micronutrient

supplementation) for the treatment of peripheral neuropathy will be administered intramuscularly by the

HwwSA professional nurses during home-based care visits.

ii) Multi-vitamin supplementation and food parcels will be provided to the following beneficiaries: Pregnant

woman infected by HIV and challenged by the affects of ART and/or those infected by TB (pre- and post-

natal)

iii) Food parcels will be delivered to clients meeting the food parcel eligibility criteria.

iv) Referring severely malnourished clients to Clinical Support Structures (CSS) and accompanying the

weak. HwwSA has developed well established referral networks with CSS throughout the South African

sites.

-------------------------------------

SUMMARY:

Hope worldwide South Africa (HWSA) will continue activities to provide and strengthen comprehensive care

and support of people living with HIV (PLHIV) and their families through community-based support groups

and home-based care (HBC) programs. Activities will use a family-centered approach and HWSA will

receive support from HPCA to strengthen clinical care services provided to its clients. The target

populations are PLHIV and their families and the emphasis area is increasing women's access to income

and productive resources, and human capacity development through in-service training.

BACKGROUND:

The activities described below are part of an ongoing Basic Care and Support program of HWSA, funded by

PEPFAR since FY 2004. HWSA and their community partners will implement all activities. The HWSA

project is managed through an umbrella agreement with PACT, Inc.

ACTIVITIES AND EXPECTED RESULTS:

HWSA collaborates with over 52 local government clinics to provide care and support services. HWSA has

established 52 support groups for PLHIV, most of which are integrated into the existing health care system.

In FY 2006, HWSA provided 5520 clients and 734 family members with palliative care services. Through a

sub-grant to the Soweto Hospice, HWSA has provided 609 home-based care (HBC) clients palliative care

services through HBC visits. HWSA has three separate activities in this program area. A family-centered

approach will be implemented to ensure that both clinical and supportive needs of HIV-infected adults,

children and family members, including OVC, are addressed. Care and support field staff will work in

tandem with OVC staff and volunteers. Both care and support and OVC activities at site level will be

centralized and managed by the site coordinator.

ACTIVITY 1: Support Groups

The first activity is to provide and strengthen comprehensive care and support of PLHIV through community

support groups. HWSA has reached over 6000 PLHIV through its 52 support groups to date. HWSA will

continue to facilitate 52 support groups in disadvantaged communities covering 5 national sites located in

the Gauteng province, Mthatha and Port Elizabeth in the Eastern Cape province, in Durban in KwaZulu-

Natal and in Cape Town in the Western Cape.

PLHIV support groups operate primarily out of local health facilities. The integration into DOH facilities will

help ensure government collaboration and facilitate access to appropriate clinical services for clients,

including ARV services. At clinics that do not provide ARVs the clients will be referred to appropriate SAG

hospitals or clinics. Facility staff will be trained to provide basic clinical services including screening for

symptoms and pain management. In addition, HWSA will work closely with provincial government to

collaborate and report on progress. New PLHIV referred to support groups will attend HWSA's basic HIV

and AIDS education course 'Living with Hope' in which clients meet with facilitators weekly over a period of

10-weeks.The course will be revised and updated to strengthen topics such as prevention with positives,

ARVs and adherence, and nutrition. Addressing prevention with HIV-infected individuals is an important part

of a comprehensive care strategy. Through healthy living and reduction of risk behaviors, these prevention

with positives interventions can substantially improve quality of life and reduce rates of HIV transmission.

The course will be disseminated as a training resource to key stakeholders, allowing for the scale-up of

community support groups. Selected PLHIV graduates of the course will be invited to assist with facilitation

of support groups as well as the course.

ACTIVITY 2: Home-based care services

The second activity is providing HBC for PLHIV. HWSA at all its sites will provide a range of HBC services

to clients, including psychosocial support, nutritional support, spiritual support, referrals, clinical support and

integrated prevention services. Levels of clinical support include screening for pain and symptoms,

screening for STIs and OIs with appropriate referral including referral for cotrimoxazole. HWSA will work

closely with government HBC efforts for necessary referrals and follow up.

Ongoing psychosocial and spiritual support will be offered to all clients and their family members with a

special focus on elderly female caregivers. Through wraparound programming, non-USG funded food

parcels sourced from partners such as Tiger Brands and supermarket outlets will be provided to needy

clients identified by staff and volunteers.

Activity Narrative: Income generation activities, supported by organizations such as Golden Cloud/Tiger brands, will support

livelihood strengthening and job creation. These activities will principally target HIV-infected and affected

women. Human capacity development at community level will be strengthened through training PLHIV in

facilitation of support groups, peer education, ART, facilitation skills and counseling. As a result, trained

PLHIV will facilitate support groups and other services to members. This will promote GIPA (Greater

Involvement of People Living with HIV and AIDS).

Home-based care sites will be strengthened with Nursing staff in all the sites. Nurses will then train staff,

volunteers and caregivers on pain, screening and basic symptoms management. HWSA will also

collaborate with hospices that are not PEPFAR funded to ensure greater reach, especially with clinical

services

Home-based carers will be trained by SAG-approved service providers in the government HBC training

program. The HBC program will continue to collaborate with a host of community partnerships in Hospices

and other HBC and community support organizations.

Ongoing training of staff on nutrition will be conducted by partners such as AED and Nestle. AED will also

train HWSA staff to conduct nutritional assessments of their clients and educate caregivers and their clients

on good nutrition and hygiene practices.

All HIV-infected individuals will receive at least one clinical service and one other category of palliative care

services. All family members of HIV-infected individuals and OVC will receive palliative care from at least

two of the five categories of service.

ACTIVITY 3: Providing care for caregivers

HWSA will train and educate caregivers on new developments in relation to HIV and AIDS. HWSA will

facilitate workshops, in partnership with HWSA's prevention program. HWSA will also strengthen referrals to

organizations providing debriefing sessions of caregivers. This activity will be facilitated through camps

and /or one-on-one counseling. Using non-PEPFAR funding, HWSA will also help to set up and strengthen

Income Generating Activities such as food gardening and sewing.

Through these activities, HWSA contributes to the PEPFAR goal of providing care to 10 million HIV-infected

and affected individuals. These activities also support the PEPFAR vision in South Africa as outlined in the

Five-Year Strategy by expanding local communities' capacity to deliver quality care for PLHIV in their

communities. In addition, HWSA will increase PLHIV access to government support systems and

strengthen linkages and referral systems with other social services such as Health and Social Development.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13961

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13961 3303.08 U.S. Agency for Olive Leaf 6669 2803.08 $727,500

International Foundation

Development

7608 3303.07 U.S. Agency for Olive Leaf 4485 2803.07 $750,000

International Foundation

Development

3303 3303.06 U.S. Agency for Olive Leaf 2803 2803.06 $450,000

International Foundation

Development

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Health-related Wraparound Programs

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $21,000

and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $18,680

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $102,857

Water

Table 3.3.08:

Funding for Care: Orphans and Vulnerable Children (HKID): $2,071,910

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

ACTIVITY 1: The curricula on the Peer Education and Structured Group Therapy will include an Adolescent

Sexual Reproductive Health component, which will address prevention messages, education on rights to

access healthcare, and contraception options for the 14-18 year olds. HwwSA will review the best models of

youth-friendly clinics and implement lessons learned at five pilot government clinics. HwwSA will facilitate

training, work with clinics to strengthen the implementation of Youth Friendly Services guidelines and

continued monitoring to ensure quality services.

ACTIVITY 2: HwwSA will pay attention to Food and Nutrition Policy informed by the Hearth Model and

guidelines derived from the quality assurance program for child care centers. Upon the completion of the

internal policy, HwwSA will engage communities to draw up guidelines which will inform the training

curriculum. A toolkit will be developed in partnership with Save the Children who has implemented this

model in reducing malnutrition in Asia. HwwSA aims to train 400 people on the implementation of Food &

Nutrition guidelines.

ACTIVITY 3: HwwSA will change focus from sub-grant support to focus on capacity building, training and

mentoring of other NGOs, and Community Child Care Forums (CCCF). One of the tools that will be used in

providing capacity building targeting these groups is the Community Capacity Enhancement Program

(CCEP). The aim of the CCEP is to ensure that ownership is successfully transferred from the implementing

partner to the community. HwwSA will implement this by enhancing existing CCCF to be equipped to form

new CCCF in the community through training in governance, fundraising, event organizing and mapping to

examine areas of need. This will ensure sustainability by capacitating the communities to replicate the

CCCF models without external support. The goal is to train 649 people from the above mentioned groups.

ACTIVITY 4: HwwSA will link older OVC (15-18yrs) to vocational skills training programs and gender

sensitization. Activities will include:

(A) Introduction of the 'Umzi Wethu' Model, which links OVC to industry specific vocational skills training and

mentoring. The program is sponsored by the Department of Tourism and has links to other PEPFAR

partners. Corporate partnerships will be pursued to ensure sustainability. The pilot program will be

duplicated in all 5 provinces to benefit an estimated 200 OVC.

(B) Refinement of the current strategy to include an exit plan for older OVC by replicating the Youth

Empowerment Project (YEP), which was initiated by an 18-year old OVC who exited the program in the

KwaZulu-Natal province. HwwSA will strengthen networks with other NGOs that have young adult specific

interventions. These OVC will be linked to career guidance/counseling, training on grant/loan applications

for tertiary education, how to access services for grants and housing, political involvement and community

leadership.

HwwSA plans to integrate training on Youth Adult Partnership, which encourages greater involvement of

OVC in decision making. 400 OVC will benefit from this activity.

ACTIVITY 5: Introduction of training sessions targeting pregnant OVC in: the Prevention of Mother to Child

Transmission, parenting, health, food/nutrition education. Findings from the field indicated that pregnancy

among OVC is escalating and this necessitates a need to encourage behavior change which can be

facilitated by using tools such as the Hearth Model for the OVC "mothers" and mentors. The synergy

between OVC and Abalingani Gender Program focuses on addressing the harmful impact of gender

imbalance on the implementation of OVC-centered interventions. Enhancements to the secondary cross-

cutting budget attributions are as follows: HwwSA will develop human capacity through 3 levels (child,

family and community) that will ensure quality service delivery through training and mentoring. Food and

nutrition policy tools and delivery will be addressed through the development of an internal food security

policy, a consultative process with all stakeholders to develop guidelines that will inform the training

curricula. For Food and Nutrition commodities, HwwSA will establish food gardens to augment food items

handed out at Kids Clubs to assist OVC and their families with nutritional supplements. This will be done in

partnership with the Rock Angel foundation, Nestle and Tiger Brands.

-------------------------

SUMMARY:

Hope worldwide South Africa (HWSA) will continue to strengthen and develop community orphans and

vulnerable Children (OVC) support groups, facilitate kids clubs, strengthen community child care forums,

train partner organizations and provide small sub-grants to community-based organizations (CBOs).

Primary target populations reached include OVC, youth, and people living with HIV and AIDS. The major

emphasis area for the program is training. There will also be a strong focus on educating boys and girls on

gender issues. HWSA will also embark on a strong prevention program for older OVC. Older OVC and their

families will also be assisted with income generating activities development through public-private

partnerships (PPPs).

BACKGROUND:

The OVC program is one of the five focus areas funded by PEPFAR since 2004. The program's main

objective is to strengthen and scale-up community-based interventions to provide comprehensive care and

improve the quality of life of OVC in areas where HWSA operates. The three activities described below

began in 2004 and will be strengthened and scaled-up in FY 2008. HWSA has a PPP with Coca Cola which

started in the Western Cape. HWSA will increase care and support of OVC and their families as outlined in

the South African Government (SAG) OVC National Plan of Action and National Strategic Plan. HWSA is an

active member of the National Action Committee for Children affected by Aids (NACCA) implemented

through Department of Social Development (DOSD) in collaboration with other departments to address the

OVC National Plan of Action. In FY 2006, HWSA reached almost 14,000 OVC across 4 provinces.

ACTIVITY 1: Training and Capacity Building

Activity Narrative: HWSA in partnership with ROSI (Regional OVC Support initiative), will continue to provide training to

NGOs, CBOs and FBOs in working with children and Psychosocial Support, Kids Clubs, Community Child

Care Forums, Basic Play skills, Basic Counseling for Children and support groups to partner organizations.

This partnership will enhance HWSA's capacity to offer quality training, enhance capacity of communities to

provide comprehensive care and support to orphans and help scale up the OVC reach across the country.

In FY 2008 ROSI will train HWSA site coordinators and fieldworkers who will then conduct training of other

organizations, Caregivers, Community Child Care Forums and Kids Club Leaders. ROSI trainers will follow

up on trained organizations and staff to observe implementation. HWSA continues to emphasize the

importance of youth participation in all its activities, and a key component of the Kids Clubs is that the

children themselves lead the discussions. To encourage child and youth participation, Kids Club leaders will

be trained on Basic HIV/AIDS and knowledge on how to run Kids Clubs (e.g. facilitation skills, lesson plans,

games etc.). During Kids Club Activities the HWSA fieldworkers observe, and then organize workshops to

help Kids Club Leaders improve their skills.

ROSI's expert on Child protection has sensitized HWSA managers on the need for the organization to

adhere to Child Protection. HWSA is drafting a Child Protection Policy which will ensure that all staff and

Caregivers working with OVC have been checked and qualify to work with OVC.

Caregivers and family members will be trained on succession planning, children's rights, child participation

and child protection. The Children Commission, in collaboration with HWSA and local police, conduct

annual campaigns on Children's Rights and Child Protection. These campaigns will be held in schools and

community centers and will educate OVC on their rights and responsibilities and help them identify and

address physical and sexual abuse issues.

ACTIVITY 2: Comprehensive OVC support

The OVC program will continue to provide comprehensive care and support to OVC and their families. OVC

are identified by the program through schools, referrals from Community Child Care Forums, Adults from

HWSA's Care and Support program. All OVC referred are assessed and registered on HWSA's database,

HWSA conducts baseline surveys when entering communities and establishes networks of service

providers and NGOs to facilitate referrals. Services such as access to education, social security grants,

health care, legal aid, targeted food, nutrition and psychosocial support will be provided to OVC through

activities Kids Clubs lead by trained OVC, Home Visits will be done by Caregivers to ensure OVC receive

comprehensive care. OVC will be counseled will be done by trained HWSA field workers, coordinators and

trained caregivers either one on one in groups. HWSA field workers, coordinators and caregivers will

educate OVC and refer others for services not provided directly by HWSA. OVC will receive ART treatment

and adherence support at the closest SAG accredited treatment site. In the Soweto area abused children

will be supported and referred for special treatment to Harriet Shezi Clinic in Soweto, where they will receive

psychosocial support and ART treatment. In addition, through HWSA's partnership with Tiger Brands (the

largest cereal producer in South Africa), local markets, churches and schools. With non-PEPFAR funds,

OVC will receive food parcels at least once a month; others may receive more regular food parcels

depending on the need. HWSA will provide a meal to every OVC during activities like Kids Clubs and

Support groups on a weekly basis. Various other services will be provided in partnership with the local

schools, women's groups, community and youth centers, clinics and government departments. For

example, ABSA a major South African banking group, is supporting Kids Clubs with educational and life

skills material with funding raised from the public through Special Campaigns for the purpose of assisting

OVC educational needs. HWSA's caregivers who do home visits then identify educational needs and

provide educational material to OVC identified as in need. This is supervised by coordinators and tracked

through HWSA's procurement procedures. Through the Kids Clubs and support groups, HWSA conducts

life skill activities, organize leadership camps, and provides one-on-one and group counseling to children

with special needs.

ACTIVITY 3: Sub-grants

NGOs such as VUKA and Emthonjeni will assist in scaling-up OVC activities in the areas where they

operate. The objective is to expand programs in rural areas of Eastern and Western Cape provinces. Sub-

grants will be awarded for OVC support to provide nutritional, psychosocial and material support. Technical

assistance will be provided on organizational capacity development where necessary to improve the care

and support of OVC. In addition, regular mentoring and feedback sessions will be held to review progress.

ACTIVITY 4: Public-Private Partnership with Coca Cola

HWSA will pioneer a Vendor Employment Model for orphans and vulnerable children in South Africa.

Through a public-private partnership with Coca Cola, HWSA will explore a vendor economic support activity

for OVC/child-headed families and granny support groups. HWWSA has recruited 20 OVC and this number

will be increased in FY 2008. The children will be provided training in small business management, money

management and how to save and reinvest in their business. OVC will also be trained on basic business

skills, marketing and budgeting. In addition, psychosocial training, support and supervision will be provided

by HWSA. The necessary trolleys, uniforms, umbrellas and the first inventory of Coca-Cola will be provided

to the children. The Coca-Cola management assigned the children in the most appropriate areas where

they can sell Coca-Cola. This income generating activity will bring revenue autonomy and new skills into the

lives and homes of the OVC which will contribute to reducing the susceptibility of the OVC to HIV.

ACTIVITY 5: HIV Prevention and Gender Socialization

HWSA will use the funds as follows: a) To strengthen adolescent OVC program to focus on HIV Prevention

including reproductive health education. OVC face pressures to engage in risky sexual behavior like any

other adolescents, but their situation is magnified due to their increased vulnerability because of lack

adequate parental guidance. HWSA has undergone training on conducting prevention activities for

adolescent OVC to enhance their knowledge, skills and capacity to prevent HIV infection. HIV prevention

Activity Narrative: messages will be incorporated into Kids Clubs and Support group activities. Kids Club leaders, HWSA field

workers and coordinators who conduct Kids Clubs and support groups will all be trained on HIV prevention

messages for OVC. b) To integrate gender issues within the OVC program: While caregivers and

adolescent OVC (especially child-headed households) face serious challenges due to illnesses and

bereavement, the realities of gender inequalities and social norms contributes to their vulnerability. HWSA

Coordinators and fieldworkers, as well as Caregivers and members of CCFs will undergo training and

mentoring support on how to conducting gender socialization messages for adolescent OVC to enhance

their knowledge, skills and capacity and to build resilience to face gender related issues. Gender

socialization messages will be incorporated into Kids Clubs and Support group activities.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13962

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13962 3304.08 U.S. Agency for Olive Leaf 6669 2803.08 $2,667,500

International Foundation

Development

7609 3304.07 U.S. Agency for Olive Leaf 4485 2803.07 $1,860,000

International Foundation

Development

3304 3304.06 U.S. Agency for Olive Leaf 2803 2803.06 $1,260,000

International Foundation

Development

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $21,340

and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities $20,000

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $100,000

Education

Water

Table 3.3.13:

Funding for Testing: HIV Testing and Counseling (HVCT): $235,444

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The Abalingani Gender Program (AGP) within HOPE worldwide South Africa (HwwSA) will be incorporated

into counseling and testing (CT) activities to achieve the specific objective of increasing the uptake of

voluntary counseling and testing (VCT) among men. The AGP focuses on achieving gender equality and

preventing HIV infections by increasing men's involvement in health seeking behaviour. Anecdotal evidence

suggests that a significant number of men report that they perceive clinics as unfriendly and claim that they

are told their (STI) results in a manner that does not respect confidentiality and is perceived as being

derogatory. Men are also perceived by female nurses as naughty and the cause of spreading HIV infection

to women. The results from the survey will be utilised to develop and conduct a three-day workshop

targeting men utilizing a curriculum developed in 2007 in partnership with the Department of Health (DOH),

which addresses broad topics related to the HIV/AIDS epidemic such as gender-based violence, violence in

general, and alcohol abuse. HwwSA will utilize street campaigns and soccer tournaments to attract more

men to take up VCT services. The findings of the survey will be used formally to advocate for more male

friendly clinics. HwwSA will reach 3,000 men through this activity.

HwwSA will offer CT services at the AGP workshops for men and provides information and referrals to

appropriate HIV/AIDS services. Men will also be encouraged to accompany their partners in attending

prevention of mother-to-child transmission (PMTCT) classes, to gain better understanding on feeding

options and providing support to their partners. CT counselors will assist participants of AGP workshops

through discussions addressing the benefits of supporting PMTCT and VCT along with the dangers of

activities related to risky sexual behaviour. Topics related to the spread of HIV infections are dealt with in

order to encourage people to get tested and know their status. Pre- and post-workshop assessments will be

conducted and willing participants will be encouraged to enroll as community action teams (CATS). CATS

are groups that have attended an AGP workshop and, from lessons learnt, are willing to change their

behaviour and help other people as well. They volunteer their time and resources to communicate what they

have learnt to their peers and the community at large. The CATS will become the custodian of ongoing

discussions and will be provided with skills and a toolkit by HwwSA.

Activity two has been modified as follows: The lack of male counselors in the program has impacted CT

negatively. It has been recognised that more males were tested at the HwwSA supported "Male Clinic" in

Khayelitsha township Cape Town in 2008 than any other site. Only male counselors are employed in this

clinic. 1,500 men were tested at the clinic compared with 590 women. This result is the opposite of what is

found at other clinics where HwwSA is providing services. These other clinics utilize primarily female

counselors. This suggests that men are more at ease with being counseled by other men. HwwSA will

select and train 60 additional male counselor volunteers from AGP workshop / CATs on the VCT Protocol.

In order to refine HwwSA's strategy to increase participation and buy-in of clinics and hospitals in the

communities targeted, HwwSA introduced the Community Capacity Enhancement Program (CCEP).

HwwSA will conduct community conversations with clinics and hospitals to bring out burning issues and

concerns about HIV/AIDS. This approach will help in formulating strategies that will address the underlying

concerns about the epidemic in public health sectors. The CCEP is an integral part of the United Nations

Development Program's Leadership for Results Program, and is based on a methodology known as

Community Conversations. CCEP deals with the underlying causes of HIV including power relations,

gender issues, stigma and discrimination. Most community methodologies focus on awareness-raising and

discussion, however, the CCEP focuses heavily on interactive dialogue on the epidemic's deeper causes

through a facilitated process which results in community decision-making and action.

Alignment with South African Government (SAG) Policies or Plans: The HIV & AIDS and STI Strategic Plan

for South Africa, 2007-2011 (NSP) seeks to establish a national culture in which all people in South Africa

regularly seek VCT. HwwSA will promote CT activities in communities and increase visibility through

community meetings, community gatherings and community campaigns. HwwSA aligns with the NSP by

educating communities on CT services, to increase accessibility of CT services to communities, engage

communities in reducing stigma and to promote individuals to know their status, access treatment and other

social services. Counselors have been placed in the public health centres in the four provinces serviced by

HwwSA..

Another NSP goal is strengthening the health and other systems to create the conditions for universal

access to a comprehensive package of treatment for HIV, including ART and the integration of HIV and TB

care. HwwSA aligns with the National Strategic Plan by providing pre-test counseling sessions, referring

clients for testing, providing results, and providing post-test counseling sessions. HwwSA will refer clients to

CD4 count testing and treatment.

------------------

SUMMARY:

HOPE worldwide SA (HWWSA) will use FY 2008 PEPFAR funds to continue its work in partnership with

local Departments of Health (DOH) to increase access to quality counseling and testing (CT) services at

public sites in the Eastern Cape, Gauteng, KwaZulu-Natal, and Western Cape provinces. Counseling and

testing targets adolescents from 15-24 years both in and out-of-school through the abstinence and being

faithful (AB) program, adults from 25 years and over and nurses in the public sector. The main emphasis

areas for this CT activity are to increase gender equity in HIV and AIDS programs and to build capacity at

local organizations.

BACKGROUND:

CT is acknowledged within the international arena as an entry point to HIV prevention and AIDS care.

HWSA's CT strategies strengthen provincial government's capacity to manage counseling and testing

centers and so to create demand for the services. In addition, HWSA has developed 35 CT partner sites

Activity Narrative: around South Africa.HWSA plans to use FY 2008 funds to continue existing activities, but focusing on

increasing the uptake of CT services. Currently the uptake of CT services in South Africa is still

predominantly by women and HWSA will attempt to increase the number of males being tested and to

promote couple and family counseling. HWSA, in conjunction with Engender Health, developed the Men As

Partners (MAP) program to increase male involvement. HWSA's FY 2008 CT strategy is to educate and

sensitize men, women, and youth (in- and out-of-school) about HIV and AIDS to increase CT uptakes.

HWSA undertakes to train of male counselors. The continued mentoring of counselors to ensure a high

level of competency will remain imperative.HWSA, through PEPFAR-funded counseling activities, will, in FY

2008, build on successes achieved in FY 2006. HWSA provided CT services to 12,000 people in FY 2006,

and CT is integrally linked with all other programs at HWSA. If a client has tested HIV-infected, the client is

referred to care and support and the children are referred to the orphans and vulnerable children (OVC)

program. If the client has tested negative the risk reduction plan is repeate to the client to encourage

him/her to maintain their negative status. The following factors will be considered and addressed to counter

low male uptakes at CT sites: proxy testing (using partner status as theirs); gender socialization; an

unfriendly health care system; fear of dying; and stigma. The partnership between HWSA and the

departments of health has ensured the establishment of a male clinic and a CT/MAP program to ensure

education and sensitization on these factors.Although uptakes of men are steadily rising, they still show a

resistance to HIV testing. HWSA found that its male-targeted campaigns tended to increase demand for

testing by men.

ACTIVITIES AND EXPECTED RESULTS:

ACTIVITY 1:

Provision of CTPre- and post-test counseling will continue to be rendered at 30 existing DOH CT sites as a

strategy for preventing the further spread of HIV infection. Part of the HWSA FY2007 strategy will be to

increase the number of CT visits by men. Strategies to promote couple-oriented CT will be enhanced and

referrals to antiretroviral treatment centers increased to encourage the CT demand. HWSA CT continues to

be implemented as part of integrated healthcare services, directly linked to existing HIV care and treatment

services. HWSA will continue to support referrals from OVC and prevention activities and will continue to

refer clients testing positive to HWSA's support groups. FY 2008 PEPFAR funding will be used to conduct,

workshops and campaigns addressing constructive male involvement in CT, gender-based violence and

HIV and AIDS. Reduction of HIV and AIDS stigmatization, staffing of new sites, and outreach to workplaces

will be a focus of this activity.

ACTIVITY 2:

Training CT Counselors Ongoing emphasis will be laid on training more male counselors, to further

capacitate CT counselors on MAP methodologies and to equip the latter with skills to pre- and post- test

counsel men. This supports HWSA's strategy to reach more men. There will be a two-week CT training and

orientation session to capacitate counselors to run CT/MAP workshops. For newly appointed peer

educators and CT counselors there will be a 5-day Peer Education training course and a 10-day counseling

course on CT protocols. In addition, a MAP facilitator/trainer will be hired to engage CT counselors on how

to involve men on HIV and AIDS issues. HWSA also aims to capacitate counselors with adherence and

couple counseling.Regular assessments and mentoring of participants will take place during and after

training. The latter group's reach will be tracked. HWSA will examine the CT protocol and solicit feedback

from the trainer/learner assessor after each training session. HWSA activities in FY 2008 will include further

training of existing and new CT counselors with an emphasis on couple counseling, CT protocol, and CT

training and technical support of other CT organizations. In FY 2006, HWSA capacitated 100 CT

counselors. HWSA CT trainers will continue to provide their services to partner organizations while the use

of international CT protocols to ensure standardization of services will be ensured.

ACTIVITY 3:

Expansion of CT ProvisionHWSA will conduct community campaigns to promote the uptake of CT services

and to reduce the stigma associated with HIV testing. Trained community volunteers will conduct activities

in workplaces, at community meetings, and through door-to-door visits. Strategies to promote the uptake of

CT services will include providing information on CT, awareness-raising on the benefits of HIV testing,

promoting couple counseling, and marketing CT as an entry point for ARV treatment.HWSA will use a

mobile CT truck to provide CT services at educational campaigns and to provide CT services in areas

and/or sites that lack CT provision. HWSA will also ensure that two-way referral systems between their

OVC, prevention, care and treatment support programs are strengthened to ensure that clients receive

appropriate services as determined by their HIV status. HWSA will also advocate for the provision of

confidential and voluntary CT in the public sector.HWSA has learnt that that counseling and testing works

best if you take the services to - and involve the communities. Activities like campaigns within the

communities have been one of the successful methods used to reach more community members, especially

men who feel that clinics are unfriendly and impersonal.HWSA will maintain the 35 public and private sites

from which HWSA CT program has been operating. Introducing the MAP program at these sites will

enhance the quality of the CT services provided, and consequently, HWSA will reach more men. Efforts to

engage private doctors as partners in the CT will continue. HWSA will identify areas without CT service and

attempt to extend HWSA coverage to these areas by establishing new partnerships. The PEPFAR program

contributed, through these partner sites, to reach over 11,000 people through the CT services. HWSA will

also work very closely with South African prisons to increase the uptake of males who are accessing CT

services. HWSA will initially start work with the Johannesburg prison, which has given approval for the

provision of CT and training (protocol). This activity will (a) promote the benefits of CT during peer education

in all the medium security centers within the prison, and (b) promote referral of inmates to counseling and

testing. If tested positive the client will be referred to support groups. Inmates will be identified and screened

for training. The counseling and testing protocol will be used for counseling. Inmates from Johannesburg

prison will be trained to become counselors and a refresher course will be done for those who were trained

by other organizations. Existing HWSA staff members will be trained on couple counseling and further

Activity Narrative: training will be extended to organizations that have already been trained by HWSA on counseling and

testing. These activities contribute to the PEPFAR goal of providing care and support to 10 million HIV-

affected individuals. Consistent with the USG Five Year Strategy for South Africa, these activities also

strengthen community demand for CT services; engaged communities on reducing the stigma associated

with low CT uptakes; strengthen partner capacities through training. Therefore, through these interventions

HWSA CT will strengthen community resolves on knowing their sero-status, promote and engage

communities on reducing the stigma associated with low uptakes at CT sites, promote and expand the

partner network with the goal of identifying additional resources for the sustainability of the program and

identify and strengthen partner capacities through training.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13963

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13963 3305.08 U.S. Agency for Olive Leaf 6669 2803.08 $242,500

International Foundation

Development

7610 3305.07 U.S. Agency for Olive Leaf 4485 2803.07 $250,000

International Foundation

Development

3305 3305.06 U.S. Agency for Olive Leaf 2803 2803.06 $250,000

International Foundation

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.14:

Cross Cutting Budget Categories and Known Amounts Total: $283,877
Food and Nutrition: Policy, Tools, and Service Delivery $21,000
Food and Nutrition: Commodities $18,680
Education $102,857
Food and Nutrition: Policy, Tools, and Service Delivery $21,340
Food and Nutrition: Commodities $20,000
Economic Strengthening $100,000