Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 17019
Country/Region: South Africa
Year: 2014
Main Partner: Anova Health Institute
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,673,312 Additional Pipeline Funding: $486,688

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.

Anova Health Institute (Anova) leads HIV interventions for MSM through its Health4Men project, which aligns with the NSP and PEPFAR MSM strategies. The project institutionalizes MSM competence into public health systems in Gauteng, North West, Mpumalanga, Western Cape and Limpopo. It includes managing two MSM Centers of Excellence (COE) and a network of satellite sites. Anova works with the Department of Health (DOH) to sensitize, train and mentor public health workers at selected DOH sites, transferring knowledge and skills developed at the COEs. Regional leadership sites (RLS) serve as provincial hubs in Limpopo, Mpumalanga and North West. Optimal access to MSM competent care, support and treatment will produce better health outcomes. Anova’s experience in MSM-community engagement addresses prevention and both linkage to, and retention in care. Anova’s wide range of MSM-specific media products cover combination prevention, treatment and care, adherence, STIs and substance abuse. Anova utilizes mHealth for MSM to access information on cell phones and to post anonymous questions to doctors. CEOs and RLSs are embedded within DOH sites to limit costs, with a favorable cost share ratio. M&E includes ongoing assessment of health workers’ competence by mentors, feedback from MSM groups, and an impact study according to DHIS standards. Sustainability is ensured by alignment to the NSP and active involvement of, and project integration within, all levels of DOH. The plan includes a 2-year period for complete transition with ongoing TA to DOH. Anova is partnered with PEPFAR supported projects (including DOH, UCSF and SWEAT) and is a member of the LGBTI sector of SANAC. A public-private partnership agreement is also being explored with the Elton John Aids Foundation.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $226,254
Care: TB/HIV (HVTB) $226,254
Sexual Prevention: Other Sexual Prevention (HVOP) $268,664
Treatment: Adult Treatment (HTXS) $952,140
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
GEND_GBV Number of people receiving post-GBV care 2015 20
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Male 2015 10
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Female 2015 50
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Male 2015 6,000
HTS_TST Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 6,060
HTS_TST Sum of Aggregated Age/Sex <15 2015 10
HTS_TST Sum of Aggregated Age/Sex 15+ 2015 6,050
HTS_TST Sum of Aggregated Age/Sex disaggregates 2015 6,060
KP_PREV By key population type: Males who inject drugs (Male PWID) (Numerator: Number of key populations reached with individual and/or small group level HIV preventive interventions that are based on evidence and/or meet the minimum standards required) 2015 105
KP_PREV By key population type: Men who have sex with men/Transgender (MSM/TG) (Numerator: Number of key populations reached with individual and/or small group level HIV preventive interventions that are based on evidence and/or meet the minimum standards required) 2015 15,212
KP_PREV By key population type: MSM/TG who are male sex workers (subset MSM/TG) (Numerator: Number of key populations reached with individual and/or small group level HIV preventive interventions that are based on evidence and/or meet the minimum standards required) 2015 250
KP_PREV Number of key populations reached with individual and/or small group level HIV preventive interventions that are based on evidence and/or meet the minimum standards required 2015 15,567
PP_PREV Age/sex: 10-14 Male 2015 95
PP_PREV Age/sex: 15-19 Female 2015 1,338
PP_PREV Age/sex: 15-19 Male 2015 5,915
PP_PREV Age/sex: 25-49 Male 2015 8,868
PP_PREV Number of the target population who completed a standardized HIV prevention intervention including the minimum components during the reporting period 2015 16,216
PP_PREV Sum of Age/Sex disaggregates 2015 16,216
TX_CURR Age/Sex: 15+ Female 2015 50
TX_CURR Age/Sex: 15+ Male 2015 1,350
TX_CURR Aggregated Age/Sex: 15+ Female 2015 50
TX_CURR Aggregated Age/Sex: 15+ Male 2015 1,350
TX_CURR Number of adults and children receiving antiretroviral therapy (ART) 2015 1,400
TX_CURR Sum of Aggregated Age/Sex 15+ 2015 1,400
TX_CURR Sum of Aggregated Age/Sex disaggregates 2015 1,400
TX_NEW Aggregated Grouping by Age/Sex: 15+ Female 2015 5
TX_NEW Aggregated Grouping by Age/Sex: 15+ Male 2015 465
TX_NEW By Age/Sex: 15-19 Female 2015 5
TX_NEW By Age/Sex: 50+ Male 2015 465
TX_NEW Number of adults and children newly enrolled on antiretroviral therapy (ART) 2015 470
TX_NEW Sum of Age/Sex disaggregates 2015 470
TX_NEW Sum of Aggregated Age/Sex disaggregates 2015 470
TX_RET Age: 15+ (Numerator: Number of adults and children who are still alive and on treatment at 12 months after initiating ART) 2015 150
TX_RET Number of adults and children who are still alive and on treatment at 12 months after initiating ART 2015 150
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 173
TX_RET_den Age: 15+ (Denominator: 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 173
Mechanism Allocation by Budget Code for Selected Year
16.7%33.3%50.0%000.511.522.53HBHCHVTBHVOPHTXS
Planned Funding by Program Area over Known Duration of Mechanism
201320142015201620172018$0$500,000$1,000,000$1,500,000$2,000,000$2,500,000$3,000,000$3,500,000CareGovernance and SystemsPreventionTestingTreatment
Cross Cutting Budget Categories and Known Amounts Total: $1,995,708
Human Resources for Health $241,797
Key Populations: MSM and TG $1,673,312
Training of health workers and community outreach workers
Implementation of core HIV prevention interventions for MSM/TG that are consistent with the current PEPFAR technical guidance
Collection and use of strategic information
Conducting epidemiologic, social science, and operational research among MSM/TG and their sex partners
Monitoring and evaluation of MSM/TG programs
Procurement of condoms, lubricants, and other commodities essential to core HIV services for MSM/TG
Gender: Gender Based Violence (GBV) $53,733
GBV Prevention
Collection and Use of Gender-related Strategic Information
Implementation
Capacity building
Monitoring and Evaluation
Operation Research
Post GBV Care
Collection and Use of Gender-related Strategic Information
Implementation
Capacity building
Monitoring and Evaluation
Operation Research
Condoms: Policy, Tools, and Services $26,866
Key Issues Identified in Mechanism
Tuberculosis