Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 16808
Country/Region: South Africa
Year: 2014
Main Partner: University of KwaZulu-Natal
Main Partner Program: Nelson Mandela School of Medicine, Comprehensive International Program for Research on AIDS
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $3,660,000 Additional Pipeline Funding: N/A

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.

This new cooperative agreement is intended to support the South African Department of Health (DOH) to provide effective clinical management for adult and pediatric patients with complicated HIV and HIV/TB treatment.

The treatment management includes providing 2nd/3rd line and alternative antiretroviral treatment (ART) through funding; capacitating regional Centers for Advanced Clinical Management of HIV/AIDS; providing high quality referral or tertiary-level HIV and HIV/TB services; and supporting the development of sustainable capacity for effective management of patients with such needs at district level DOH facilities. While the cooperative agreement will support Regional Centers for Advanced Management of HIV/AIDS as referral facilities for more complicated cases, it will also support capacity building for the management of complicated patients at district level and strengthening of up/down referral systems. PEPFAR considers most of the need in this area to be for greater access to expert outpatient clinical management services for patients with complicated ART requirements.

The costs of inpatient services are expected to be covered largely by the public sector. The costs of antiretroviral drugs for patients with complicated ART requirements are also not expected to be covered under this cooperative agreement. Support through this new cooperative agreement will be limited to three provinces (KwaZulu-Natal, Free State, and Eastern Cape) for the first two years of the program, but may subsequently be expanded to additional provinces based on identified need and availability of funding.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $270,000
Care: TB/HIV (HVTB) $630,000
Care: Pediatric Care and Support (PDCS) $180,000
Laboratory Infrastructure (HLAB) $300,000
Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT) $50,000
Treatment: Adult Treatment (HTXS) $1,260,000
Treatment: Pediatric Treatment (PDTX) $970,000
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
LAB_ACC Number of PEPFAR-supported testing facilities (laboratories) that are recognized by national, regional, or international standards for accreditation or have achieved a minimal acceptable level towards attainment of such accreditation 2015 2
LAB_CAP Number of PEPFAR-supported testing facilities with capacity to perform clinical laboratory tests 2015 2
TX_CURR Aggregated Age/Sex: <15 Female 2015 100
TX_CURR Aggregated Age/Sex: <15 Male 2015 100
TX_CURR Aggregated Age/Sex: 15+ Female 2015 1,200
TX_CURR Aggregated Age/Sex: 15+ Male 2015 600
TX_CURR Number of adults and children receiving antiretroviral therapy (ART) 2015 2,000
TX_CURR Sum of Aggregated Age/Sex <15 2015 200
TX_CURR Sum of Aggregated Age/Sex 15+ 2015 1,800
TX_CURR Sum of Aggregated Age/Sex disaggregates 2015 2,000
TX_RET Number of adults and children who are still alive and on treatment at 12 months after initiating ART 2015 1,600
TX_RET Total number of adults and children who initiated ART in the 12 months prior to the beginning of the reporting period, including those who have died, those who have stopped ART, and those lost to follow-up 2015 2,000
Cross Cutting Budget Categories and Known Amounts Total: $1,833,000
Human Resources for Health $1,833,000