Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13789
Country/Region: South Africa
Year: 2012
Main Partner: Southern African Clothing & Textile Workers' Union
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $11,405,000

SACTWU Workers Health Programs (SWHP) overarching goal in support of SAGs national goal to reduce new HIV infections by 50%, is to circumcise 80% of target population i.e. HIV negative men between the ages of 15 49 years within the 5 years. Established SWHP objectives are to: (a) Implement MMC activities within high-volume regions; (b) Train all MMC activity staff, DOH staff, and private practitioners within the district according to NDOH / WHO guidelines to ensure sustainability; (c) Provide a comprehensive package of MMC services; (d) Strengthen and improve the quality of existing health care facilities and services through the scale up of MMC activities; (e) Establish referral systems and linkages with other public sector HIV care and treatment services; (f) Provide extensive community mobilization activities. SACTWU will provide MMC support in several districts within KwaZulu-Natal, Gauteng, Northern Cape, and Free State.. SWHPs program is configured around the Models of Optimizing Volume and Efficiency (MOVE). In terms of Monitoring and Evaluation SWHP will contribute by working closely with DOH and other PEPFAR partners to build the country capacity for implementing and maintaining a fully comprehensive data management system. This will include developing tools for performance assessment. To date, five vehicles have been requested under this award, three of which are pending approval from CDC PGO; however, in COP 2012 SACTWU plans to purchase up to 7 additional vehicles to accommodate more than three-fold program expansion.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $11,405,000

In response to the normative guidance and under the leadership of SAG, PEPFAR funds in SHWP will be utilized to support the implementation of safe voluntary medical male circumcision. Number of male Circumcisions to be performed according to national standards during the reporting period will be 50,000. SWHP overarching goal, in support of SAGs national goal to reduce new HIV infections by 50%, is to circumcise 80% of target population i.e. HIV negative men between the ages of 15 49 years within the 5 years. The proposed districts that will be provided with MMC support are Amajuba and UThukela and are currently underserved in terms of MMC. SWHP will integrate a minimum package of MMC services as per NDOH guidelines, in their provision of MMC activities. All clients accessing MMC services will be provided with pre-operative provider initiated HIV counseling and testing (HCT), which will include routine screening for the exclusion of symptomatic TB and STIs. Safe MMC surgical procedures will be conducted on a daily basis by appropriately trained clinical staff using models that optimize volume and efficiency (MOVE). Post-surgery, the client will again receive counseling on correct and consistent condom usage and post-operative care, including sexual abstinence during wound healing. SWHP will support the integration of MMC referral into all HIV services and will strengthen links with HIV care and treatment sites and non-medical HCT sites, to ensure the referral of HIV negative men to MMC service facilities. To increase informed demand for MMC services, SWHP will employ community based individuals to provide advocacy, community mobilization, and education. SWHP will deploy on-site mentors to support and provide mentorship and supportive supervision to DOH staff and private practitioners conducting MMC activities. SWHP will recruit and appropriately train M&E staff to provide quality assurance and monitor service delivery through the implementation of an effective and efficient M&E system, which will address all the required MMC activities.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Workplace Programs