AIDS Foundation of South Africa (AFSA) will work with four community-based organizations (CBOs) in uMgungundlovu District to increase the number of people who know their HIV status and are linked to prevention, care, and treatment services. AFSA will work with four CBOs to implement gender-responsive prevention interventions, provide HIV counseling and testing, promote the prevention of mother-to-child transmission,refer HIV-negative men to medical male circumcision services, and implement sexual behavior change interventions . This includes: 1) equipping the CBOs with organizational development and management resources ; 2) developing capacity to strengthen intervention planning, implementation, monitoring and evaluation; 3) building the organizational capacity to improve governance; and 4) providing support for an inclusive, multisectoral, community-based HIV prevention response. Vehicles for use by sub-contractors: 4 vehicles for use by community based sub-contractors to conduct field work. The purpose is to mobilise the communities for uptake of HCT and to bring services within reach and make referrals. Vehicle Purchased for sub contractors (community organisations) Nissan Hardbody 2.5 litre double cab vehicle x 4 vehicles for use by sub-recipient community organisation- @ $ 34,000 per vehicle. TOTAL= $134,223.62. AFSA vehicle: AFSA to purchase 1 x Nissan for use by Project Officers for the purpose of travelling for site visits. Vehicle for AFSA - Nissan for use by AFSA Project Officers x 1 vehicle- Vehicle cost @ $34722 per vehicle. GRAND TOTAL= $ 154,394.04. COP FY 2012: no procurement of vehicles between period: October 2012-Sept. 2013.

The activities include: 1) soliciation and selection of CBOs; 2) producing a synthesis report of the epidemic and response in the district; 3) capacity building and training ; 4) conducting onsite visits and mentoring ; 5) reporting and monitoring; and 6) implementing HIV evidence based risk reduction education and campaigns. Using open competition best practices, AFSA will screen and select four CBOs with the best potential to implement evidence based HIV prevention interventions and health promotion services that reduce risk behaviours and determinants , including gender-based violence in the selected four areas of the Umgungundlovu district. After selection and project orientation, AFSA will produce a synthesis report of the district HIV epidemic, response, and current HIV services in selected areas. The prevention interventions and awareness campaigns will be informed by this report. To effectively deliver , AFSA will build organisational management capacity of CBOs by conducting training workshops, onsite support and mentoring to enhance skills for project management and implementation and monitoring and financial accounting and organizational governance. Workshops will focus on HIV & AIDS Counseling and HIV (HCT) screening (accredited course); gender, culture and HIV; strategies for community mobilization and consultation; and financial accounting & compliance. AFSA is an accredited training service provider with the Health and Welfare SETA . AFSA will establish and strengthen ward-level community dialogue groups to address structural, social HIV determinants, including culture, masculinity and gender relations. CBOs will gain capacity to produce workplans, budgets, project reports and establish governance, financial and operational structures and policies to implement prevention interventions. Through this activity, 24 CBO project coordinators will be trained; 72 project reports with 20 audited annual income & expenditure verification reports will be produced; 240 onsite support and mentoring visits wil be conducted and 28 080 beneficiaries reached .

AFSA works with four community-based organizations (CBOs) to: increase the number of people who know their HIV serostatus; provide HCT training to peer educator and lay counselors, and implement mobile HCT. AFSA will train six HIV & AIDS lay counselors from CBOs to become educators and perform HIV screening tests at local level with the delivery of HCT at mobile clinic service points and in non-health care environments. The CBOs will mobilize and advise community members of the dates and venues for HCT and specially organized health screening days in their communities. In addition the CBO sub-contractors will be equipped with portable equipment to set up temporary HCT facilities (AFSA will purchase the equipment and loan this to the CBO sub-contractors for use). In addition, CBOs will procure mobile HCT equipment; provide HCT education and information group sessions on HCT, SRH, MMC, PMTCT; conduct HIV screening testing and refer HIV negative men to MMC and HIV positive clients to DoH professional health care practitioner (on site) for CD4 count. Through this activity, 12,960 community members will undergo HCT.

The target populations for the HIV prevention intervention include: men & boys, communities residing in rural areas and informal settlements, traditional medical practitioners and their clients, women & girls in vulnerable households, people in polygamous relationships, out-of-school youth, and LGBTI groups. To increase the uptake of MMC and ensure appropriate education and information on the MMC procedure, AFSA and its CBOs will:Work with mens groups to initiate discussion on the subject of HIV and MMC;Conduct education workshops and provide individual counseling for boys and men interested in undergoing MMC; Organize with the DoH for groups of men and boys to undergo MMC; Conduct follow-up visits or ensure that men who have undergone MMC visit the clinic for post-procedural care and to promote sustained behavior change. To increase the uptake of PMTCT, AFSA will: Educate women and men on the benefits of antenatal care and facilitating early access to quality care via local clinics; Assist the local antenatal clinics with HCT and patient preparedness education and treatment compliance as requested by the DoH; Conduct family visits to provide advice and monitor health of mother and baby; Facilitate support groups to promote mens active participation in securing the health, safety and wellbeing of their female partners and children. The project will promote increased access and uptake of appropriate and high quality sexual and reproductive health services, focusing on:Sensitizing public health facility staff to the diverse needs of target communities (including LGBTI, single people, children and youth, and people in polygamous unions); and promoting safer sexual behaviors, including consistent and correct use of barrier methods, increased sexual responsibility, and reduced gender-based violence. Through this activity, 12,960 community members will be referred for MMC, PMTCT, and/or SHR services.