Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 17038
Country/Region: South Africa
Year: 2014
Main Partner: University of the Witwatersrand
Main Partner Program: Maternal, Adolscent and Child Health (MatCH)
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $3,013,474 Additional Pipeline Funding: $3,106,526

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.

MatCH aims to build an effective and sustainable health system in SA by 2017, capable of responding to multiple disease burdens through coordinated use of resources and capacity building for successful implementation of national, provincial and district strategies, policies, standards, guidelines and implementation plans. MatCH is the district support partner in eThekwini and Umkhanyakude in KwaZulu-Natal (KZN) with a population of 4.1 million people (42% of KZN’s population). The program is designed to become more cost efficient over time, with the intensity and focus of the support reducing after year 3. MatCH’s roving teams provide mentoring in comprehensive HIV-related clinical care, management, monitoring and evaluation and quality assurance to improve TB and HIV patient outcomes. MatCH provides capacity development and training, including technical and managerial skills for provincial, district, sub-district and facility management teams to develop and implement costed workplans and to enhance facilities management, financial and HR planning, commodity and pharmaceutical supply, procurement, forecasting, and infrastructure. Rapid scale-up of successful practices and tools across all facilities will be facilitated through MatCH roving teams. MatCH’s support through human resources, technical assistance, capacity building and health systems strengthening will allow more people to access care and improve health outcomes of patients through capacitating district and sub-district management teams to sustain service delivery and quality of care. Monitoring will be via the District Health Information System and evaluation will include National Core Standards and other assessments, including review against District Health Plans and MatCH’s workplan.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $147,376
Care: TB/HIV (HVTB) $471,604
Care: Pediatric Care and Support (PDCS) $125,626
Health Systems Strengthening (OHSS) $116,449
Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT) $188,226
Treatment: Adult Treatment (HTXS) $1,518,244
Treatment: Pediatric Treatment (PDTX) $445,949
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
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Female 2015 26,048
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: <15 Male 2015 21,312
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Female 2015 234,432
HTS_TST Aggregated Age/sex - USE WITH HQ PERMISSION ONLY: 15+ Male 2015 191,808
HTS_TST By Test Result: Negative 2015 390,246
HTS_TST Number of individuals who received T&C services for HIV and received their test results during the past 12 months 2015 473,600
HTS_TST Sum of Aggregated Age/Sex <15 2015 47,360
HTS_TST Sum of Aggregated Age/Sex 15+ 2015 426,240
HTS_TST Sum of Aggregated Age/Sex disaggregates 2015 473,600
HTS_TST Sum of Test Result disaggregates 2015 473,600
HTS_TST_POS By Test Result: Positive 2015 83,354
PMTCT_ARV Maternal AZT (prophylaxis component of WHO Option A during pregnancy and delivery) 2015 1,968
PMTCT_ARV Number of HIV- positive pregnant women identified in the reporting period (including known HIV-positive at entry) 2015 19,363
PMTCT_ARV Number of HIV-positive pregnant women who received antiretrovirals to reduce risk of mother-to-child-transmission (MTCT) during pregnancy and delivery 2015 16,458
PMTCT_ARV Single-dose nevirapine (with or without tail) 2015 1,350
PMTCT_ARV Sub-Disag of Life-long ART: Already on treatment at the beginning of the current pregnancy 2015 6,583
PMTCT_ARV Sub-Disag of Life-long ART: Newly initiated on treatment during the current pregnancy 2015 9,875
PMTCT_ARV Sum of New and Current disaggregates 2015 16,458
PMTCT_ARV Sum of Regimen Type disaggregates 2015 3,318
PMTCT_STAT By: Known positives at entry 2015 11,153
PMTCT_STAT By: Number of new positives identified 2015 8,210
PMTCT_STAT Number of new ANC and L&D clients 2015 66,272
PMTCT_STAT Number of pregnant women with known HIV status (includes women who were tested for HIV and received their results) 2015 56,331
PMTCT_STAT Sum of Positives Status disaggregates 2015 19,363
TX_CURR Aggregated Age/Sex: <15 Female 2015 9,153
TX_CURR Aggregated Age/Sex: <15 Male 2015 9,154
TX_CURR Aggregated Age/Sex: 15+ Female 2015 142,031
TX_CURR Aggregated Age/Sex: 15+ Male 2015 87,051
TX_CURR Number of adults and children receiving antiretroviral therapy (ART) 2015 247,389
TX_CURR Sum of Aggregated Age/Sex <15 2015 18,307
TX_CURR Sum of Aggregated Age/Sex 15+ 2015 229,082
TX_CURR Sum of Aggregated Age/Sex disaggregates 2015 247,389
TX_CURR_NGI Aggregated Age/Sex: <15 Female 2015 9,153
TX_CURR_NGI Aggregated Age/Sex: <15 Male 2015 9,154
TX_CURR_NGI Aggregated Age/Sex: 15+ Female 2015 142,031
TX_CURR_NGI Aggregated Age/Sex: 15+ Male 2015 87,051
TX_CURR_NGI Number of adults and children receiving antiretroviral therapy (ART) 2015 247,389
TX_CURR_NGI Sum of Aggregated Age/Sex <15 2015 18,307
TX_CURR_NGI Sum of Aggregated Age/Sex 15+ 2015 229,082
TX_CURR_NGI Sum of Aggregated Age/Sex disaggregates 2015 247,389
Cross Cutting Budget Categories and Known Amounts Total: $317,756
Human Resources for Health $91,689
Food and Nutrition: Policy, Tools, and Service Delivery $7,719
Motor Vehicles: Leased $192,000
Gender: Gender Equality $4,876
Changing harmful gender norms and promoting positive gender norms
Capacity building
Equity in HIV prevention, care, treatment and support
Collection and Use of Gender-related Strategic Information
Implementation
Capacity building
Monitoring and Evaluation
Operation Research
Gender: Gender Based Violence (GBV) $5,099
GBV Prevention
Capacity building
Post GBV Care
Condoms: Policy, Tools, and Services $16,373
Key Issues Identified in Mechanism
Child Survival Activities
Safe Motherhood
Tuberculosis
End-of-Program Evaluation
Family Planning