Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12187
Country/Region: eSwatini
Year: 2010
Main Partner: Johns Hopkins University
Main Partner Program: NA
Organizational Type: University
Funding Agency: USAID
Total Funding: $350,000

Project SEARCH Supporting Evaluation and Research to Combat HIV/AIDS (SEARCH) is an Indefinite Quantity Contract (IQC) from USAID awarded to five organizations to support HIV/AIDS research and evaluation in developing countries. Project SEARCH may be used for:

Developing and evaluating models of HIV/AIDS prevention, care, and treatment programs

Conducting public health evaluations to investigate effectiveness of interventions and translating results into public health guidelines

Identifying and disseminating best practices to improve program efficiency and effectiveness

Developing national and international standards and indicators for the purpose of program monitoring and evaluation

Conducting analysis of clinical, community-level, and population-based epidemiologic, demographic, and surveillance data

Testing program implementation models including research on practical applications of new technologies and intervention models in resource-poor settings

Carrying out feasibility studies, community preparedness studies, and policy analyses

Developing local capacity in applied research and ethical procedures by increasing technical skills of in-country investigators and providing technical assistance to local institutions

PEPFAR Swaziland began providing resources into Project Search with FY08 PF funds, and then again with FY09 PF funds. Additional resources provided with FY10 funding will allow for three activities to be fully realized that will complement national prevention priorities and fit into the Partnership Framework sexual prevention pillar. The three activities are:

- An assessment of HIV risks amongst key Most At Risk Populations (MARPs) and the development of a pilot program targeting those groups. This will support PEPFAR's PFIP commitment to elevate programming in support of MARPs.

- Capacity development of students spearheading HIV prevention efforts at UNISWA to support the PFIP commitment to address youth as a priority population.

- An assessment of multiple concurrent partners (MCPs) and their role as a key driver in the HIV epidemic in Swaziland. This will support the PFIP commitment to address the key drivers of the epidemic in developing a national SBCC strategy.

The geographic coverage of this survey will be national, while the MARPS and University activities will be confined to the specific localities where the target populations congregate.

Male norms will be addressed through all three activities

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $150,000

In COP10 HVAB funds will be allocated to Project Search to continue a study of MCPs, an undisputed, driving force of the HIV/AIDS epidemic in Swaziland. While some data have been collected in the recent DHS and other national samplings, no survey to date has effectively mapped this driver to fully understand the underlying factors of the particular context in Swaziland. To better inform future prevention programming, MCPs must be more fully understood so that all interventions can be data driven. With the COP 10 allocation and this additional one-time funding, sufficient funds will be available for Project Search to complete this critical assessment as an early Framework benchmark.

Funding to support capacity development of UNISWA students to further HIV prevention efforts amongst their peers will be split between HVAB and HVOP funds. Support to college students is severely limited in Swaziland, yet they remain a population significantly at risk of contracting HIV. It is promising that UNISWA students have been motivated to begin programs to support and educate one another. Efforts to expand and enhance their work will be sought from long-term technical assistance providers affiliated with JHU.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $200,000

In COP10 HVOP funds will be allocated to Project Search to finalize a pilot program serving MARPs in Swaziland. In the context of a generalized epidemic, MARPs represent a very small proportion of new infections, but even so, warrant a targeted approach to HIV prevention due to their unique risk factors. Key programs for men who have sex with men (MSM), commercial sex workers (CSWs), mobile populations and other groups as they are identified in the initial assessment will be developed. This activity will be linked to prevention activities that are undertaken by other PEPFAR Swaziland partners to ensure coordination throughout the Kingdom.

Funding to support capacity development of UNISWA students to further HIV prevention efforts amongst their peers will be split between HVAB and HVOP funds. Support to college students is severely limited in Swaziland, yet they remain a population significantly at risk of contracting HIV. It is promising that UNISWA students have been motivated to begin programs to support and educate one another. Efforts to expand and enhance their work will be sought from long-term technical assistance providers affiliated with JHU