INTEGRATED ACTIVITY FLAG:

This Abstinence and Be Faithful (AB) activity is linked to the entries for new umbrella grants management mechanisms under Basic Health Care and Support (#9436), OVC (#9438), ARV Drugs (#9439) and ARV Services (#9441).

SUMMARY:

Currently, USAID/South Africa (USAID) supports institutional capacity building of indigenous organizations that implement PEPFAR programs, including abstinence and fidelity focused prevention programs, through an umbrella grants management partner. In FY 2007, USAID will competitively identify at least two new umbrella grants management partners. The main purposes of these new umbrella organizations will be to: (1) to facilitate further scale-up of HIV and AIDS prevention services through local and international implementing partners in the short term; and (2) to develop indigenous capability thus creating a more sustainable program. The major emphasis area is local organization capacity development. Primary target populations are indigenous organizations, including governmental and non-governmental organizations (NGOs), faith-based organizations (FBOs) and community-based organizations (CBOs). Pact was selected through APS 674-07-001 to conduct umbrella grant management. This Activity is split with two organizations: Pact and FHI.

BACKGROUND:

USAID/South Africa's Health and HIV and AIDS strategy responds to the overwhelming challenges posed by the HIV and AIDS epidemic on individuals, families, communities and society in South Africa. Since 2004, USAID have obligated funds through an Umbrella Grant to over 30 partners and sub-partners in South Africa. These partners and sub-partners consist of indigenous NGOs, FBOs, and CBOs and all play valuable roles in the fight against HIV and AIDS. These partners and sub-partners were selected through the Inter-Agency PEPFAR Annual Program Statement (APS) and have met the criteria for full and open competition.

The umbrella organizations will not directly implement program activities, but rather act as a grants management partner to manage and mentor sub-recipients, who in turn, will carry out the assistance programs. The umbrella organizations function primarily as a sub-grant making entity. Typically, a relatively small percentage of overall funds are used for administrative purposes. In addition, in situations where an umbrella organization provides significant technical assistance and management support to grant recipients, the umbrella organization may devote a reasonable percentage of overall funding to providing this support. USAID has recently been allocated 11 new partners to manage for PEPFAR and this further necessitates the need for an umbrella grant mechanism.

USAID closely collaborates and coordinates with the South African Government (SAG) in supporting PEPFAR partners through the umbrella grant mechanism. Although some of the partners work closely with various SAG Departments, the umbrella grant's primary interface with the SAG is through the Senior Management Team (SMT), which includes key staff from USAID, the National Departments of Health and Social Development, and representatives from the provincial departments.

Under the existing umbrella grant mechanism, USAID is supporting approximately five indigenous and international FBOs providing abstinence and be faithful-focused prevention services to communities in all provinces. Prevention activities have to date resulted in partners and sub-partners reaching over 200,000 people with AB focused messages. Grants to prevention partners support the delivery of AB programs in a variety of settings including schools, churches, and outreach to communities. Services are delivered in accordance with the PEPFAR ABC guidance. Approaches include capacitating community volunteers to conduct age-appropriate youth activities, working with religious leaders to reach congregations with value-based prevention for men and women, conducting participatory personal risk assessments and promoting VCT and use of other HIV services.

ACTIVITIES AND EXPECTED RESULTS:

In FY 2007, USAID will recompete the existing umbrella grant and identify at least two new grants management partners. USAID will continue to support AB prevention activities through these new umbrella grants management partners. Funds budgeted under this narrative will support costs for administering and managing these AB prevention partners. Separate COP entries describe the prevention activities implemented by each partner. Institutional capacity building of indigenous organizations is a key strategy for achieving prevention, care, and treatment goals of PEPFAR to ensure long-term sustainability of programs.

ACTIVITY 1: Grant Management

The umbrella mechanisms will award and administer grants to partners selected through the PEPFAR APS competitive process to implement HIV and AIDS AB prevention activities. This involves an array of related activities including award and administration of grants, monitoring of grant progress, meeting reporting requirements, and grant closeout. The umbrella mechanisms will monitor prevention program implementation and adherence to financial regulations. This involves provision of extensive technical assistance to partners on project development and implementation, financial management, monitoring and evaluation, and reporting. All these functions provide key support to organizations so they better implement AB activities.

ACTIVITY 2: Capacity Building

The new umbrella mechanisms will support institutional capacity building of indigenous organizations, a key strategy for PEPFAR prevention goal, thus promoting more sustainable programs and organizations. (Capacity building activities are defined as activities that strengthen the skills of indigenous organizations to implement HIV and AIDS programs efficiently, with diminishing reliance on external technical assistance and support.) The umbrella partners will support activities to improve the financial management, program management, quality assurance, strategic information and reporting, and leadership and coordination of partner organizations implementing prevention activities. All these functions provide key support to organizations so they better implement AB activities.

ACTIVITY 3: Monitoring and Evaluation (and Reporting)

The umbrella mechanisms will provide support to prevention partners in monitoring and evaluation, in order to strengthen measurement of the implementation and impact of program activities, an eventual achievement of PEPFAR goals. Monitoring and evaluation (M&E) support of prevention partners include: measurement of program progress; provision of feedback for accountability and quality; surveillance; and implementation of information management systems. In addition, the umbrella mechanism will provide supportive supervision to provide guidance, monitoring, mentoring and oversight through site visits, technical assistance, and performance evaluation. All these functions provide key support to organizations so they better implement AB activities.

The umbrella grant mechanisms will contribute to the PEPFAR goals to provide treatment to 2 million HIV-infected people; prevent 7 million HIV infections; and provide care to 10 million people infected by HIV and AIDS, including orphans and vulnerable children.

INTEGRATED ACTIVITY FLAG:

This activity is related to the entries for new umbrella grants management mechanisms under Prevention/AB (#9435), OVC (#9438), ARV Drugs (#9439) and ARV Services (#9441).

SUMMARY:

Currently, USAID/South Africa (USAID) supports institutional capacity building of indigenous organizations that implement PEPFAR programs, including basic health care and support programs, through an umbrella grants management partner. In FY 2007, USAID will competitively identify at least two new umbrella grants management partners. The main purposes of these new umbrella organizations will be to: (1) to facilitate further scale-up of HIV and AIDS care services and (2) to develop indigenous capability, thus creating a more sustainable program. The emphasis area is Local Organization Capacity Development. Primary target populations are indigenous organizations. Pact was selected through APS 674-07-001 to conduct umbrella grant management. This Activity is split with three organizations: AED, Pact and FHI.

BACKGROUND:

Since 2004, USAID has obligated funds through an umbrella grant mechanism to over 30 partners and sub-partners in South Africa playing valuable roles in the fight against HIV and AIDS. These partners and sub-partners consisted of indigenous NGOs, FBOs, and CBOs. These partners and sub-partners were selected through the Inter-Agency PEPFAR Annual Program Statement (APS) and have met the criteria for full and open competition. The umbrella organizations will not themselves directly implement program activities, but rather act as a grants management partner to manage and mentor sub-recipients, who in turn carry out the assistance programs. The umbrella organizations function primarily as a sub-grant making entity. Typically, a relatively small percentage of overall funds are used for administrative purposes. In addition, in situations in which an umbrella organization provides significant technical assistance and management support to grant recipients, an umbrella may devote a reasonable percentage of overall funding to providing this support. USAID closely collaborates and coordinates with the South African Government (SAG) in supporting PEPFAR partners through the umbrella grant mechanism. Although some of the partners work closely with various SAG Departments, the umbrella grant's primary interface with the SAG is through the Senior Management Team (SMT), which includes key staff from USAID, National Departments of Health and Social Development, and representatives from the provincial departments.

Under PACT, the existing umbrella grant mechanism, USAID is supporting 8 partners who provide HIV-related palliative care services to communities in all provinces. Palliative care activities have to date resulted in partners and sub-partners reaching over 80,000 individuals infected and affected by HIV and AIDS. Grants to palliative care partners support government clinics and hospitals with human resources including doctors, nurses, pharmacists, and counselors. These partners also work closely with new and established hospices to ensure hospice accreditation in accordance with national and global standards of palliative care. Palliative care services supported by partners include holistic; family-centered; clinical, psychological, spiritual and social care services for PLHIV and their families, supported by multidisciplinary teams at facility and community levels. During their partnership with PEPFAR, these providers will increase their reach two to three-fold. This scale-up requires strong financial, monitoring and evaluation, and management systems to accommodate growth in reach and maximize sustainability.

ACTIVITIES AND EXPECTED RESULTS:

In FY 2007, USAID/SA will re-compete the existing umbrella grant and identify at least two new grants management partners. USAID will continue to support existing palliative care partners through these new umbrella grants management partners. Funds budgeted under this narrative will support costs for administering, managing and facilitating technical support for the palliative care partners. Separate COP entries describe the palliative activities implemented by each partner. Institutional capacity building of indigenous organizations is a key feature of the umbrella grant mechanism and is designed

to promote the sustainability of care programs and organizations.

ACTIVITY 1: Grant Management

The umbrella mechanisms will award and administer care grants to partners selected through a USAID/PEPFAR APS competitive process to implement HIV and AIDS activities. This involves an array of related activities including award and administration of grants, monitoring of grant progress, meeting reporting requirements, and grant closeout. The umbrella mechanisms will develop and monitor palliative care program implementation and adherence to financial regulations. This involves provision of extensive technical assistance to partners on palliative care project development and implementation, financial management, monitoring and evaluation, and reporting. A key result includes the development and monitoring of palliative care implementation plans which track critical program achievements in palliative care related areas such as service delivery, training, policy development, technical assistance, planning and evaluation.

ACTIVITY 2: Capacity Building

The new umbrella mechanisms will support institutional and technical capacity building of indigenous organizations. (Capacity building activities are defined as activities that strengthen the skills of indigenous organizations to implement HIV and AIDS programs efficiently, with diminishing reliance on external technical assistance and support.) The umbrella partners will support activities to improve the financial management, program management, quality assurance, strategic information (M&E) and reporting, and leadership and coordination of partner organizations implementing palliative care activities. The new umbrella mechanisms will also assess and facilitate critical palliative care technical support for partners such as technical trainings, program reviews, technical planning and sharing of lessons learned. Emphasis will be placed on partner implementation of evidence-based preventive care interventions which include OI screening and prophylaxis (including cotrimoxazole, TB screening/management), counseling and testing for clients and family members, safe water and personal hygiene strategies to reduce diarrheal disease, HIV prevention counseling, provision of condoms, referral for family planning services for HIV-infected women, appropriate child survival interventions for HIV-infected children and nutrition counseling as well as pain and symptom management and support for adherence to OI medications and antiretroviral therapy (ART).

ACTIVITY 3: Monitoring and Evaluation (& Reporting)

The umbrella mechanisms will provide support to palliative care partners in monitoring and evaluation, in order to strengthen measurement of the implementation and impact of palliative care program activities, an eventual achievement of PEPFAR goals. M&E support of palliative care partners include: measurement of program progress; provision of feedback for accountability and quality; surveillance; and implementation of information management systems. In addition, the umbrella mechanism will provide supportive supervision to provide guidance, monitoring, mentoring and oversight through site visits, technical assistance, and performance evaluation.

The management of service delivery programs under the umbrella grant mechanisms will contribute to the PEPFAR goals to provide treatment to 2 million HIV-infected people; prevent 7 million HIV infections; and provide care to 10 million people infected by HIV and AIDS, including orphans and vulnerable children.

INTEGRATED ACTIVITY FLAG: This Orphans and Vulnerable Children (OVC) activity is linked to the entries for new umbrella grants management mechanisms under Prevention/AB (#9435), Basic Health Care & Support (#9436), ARV Drugs (#9439) and ARV Services (#9441).

SUMMARY: Currently, USAID/South Africa (USAID) supports institutional capacity-building of indigenous organizations that implement PEPFAR programs, including OVC focused care programs, through an umbrella grants management partner. In FY 2007, USAID will competitively identify at least two new umbrella grants management partners. The main purposes of the new umbrella organizations are: (1) to facilitate further scale-up of OVC services in the short term and (2) to develop indigenous capability thereby creating a more sustainable program. The emphasis area is Local Organization Capacity Development. Primary target populations are indigenous organizations which refers to both Governmental and Non-Governmental Organizations (NGOs), Faith-Based Organizations (FBOs), and Community-Based Organizations (CBOs). PACT was selected through APS 674-07-001 to conduct umbrella grants management.

BACKGROUND: Since 2004, USAID has obligated funds through an umbrella grant mechanism to over 30 partners and sub-partners in South Africa playing valuable roles in the fight against HIV and AIDS, including organizations that are providing comprehensive services to OVC. These partners and sub-partners consisted of indigenous NGOs, FBOs, and CBOs. These partners and sub-partners were selected through the Inter-Agency PEPFAR Annual Program Statement (APS) and have met the criteria for full and open competition.

The umbrella organizations will not themselves directly implement program activities, but rather act as a grants management partner to manage and mentor sub-recipients, which in turn carry out the assistance programs. The umbrella organizations function primarily as a sub-grant making entity. Typically, a relatively small percentage of overall funds is used for administrative purposes. In addition, in situations in which an umbrella organization provides significant technical assistance and management support to grant recipients, an umbrella may devote a reasonable percentage of overall funding to providing this support.

USAID closely collaborates and coordinates with the Government of South Africa in supporting PEPFAR partners through the umbrella grant mechanism. Although some of the partners work closely with various Departments of the Government of South Africa, the umbrella grant's primary interface with the Government is through the Senior Management Team (SMT), which includes key staff from USAID, National Departments of Health and Social Development, and representatives from the provincial departments.

Orphans and vulnerable children: Under the existing umbrella grant mechanism, USAID is supporting 11 indigenous and international FBOs providing care and support services to 60,000 OVC in South Africa. Active in all provinces, these partners identify and train caregivers, establish community care centers, and provide psychosocial support.

Grants to OVC partners support a range of locally-driven best practices for orphan care using a variety of models of service delivery and working in collaboration with the South African Government's Department of Social Development. During their partnership with PEPFAR, OVC partners will increase their reach two to three-fold. This scale-up will require adequate financial, monitoring and evaluation, and management systems to accommodate growth and maximize sustainability.

ACTIVITIES AND EXPECTED RESULTS: In FY 2007, USAID will recompete the existing umbrella grant and identify at least two new management partners. USAID will continue to support current orphans and vulnerable children partners through these new umbrella grants management partners. Funds budgeted under this narrative will support costs for administering and managing these OVC partners. Separate COP entries describe the OVC activities implemented by each partner. Institutional capacity building of indigenous organizations is a key feature of umbrella grant mechanism and is designed to promote sustainability of care programs and organizations.

ACTIVITY 1: Grants Management The umbrella mechanisms will award and administer grants to partners selected through the PEPFAR APS competitive process to implement OVC activities. This involves an array of related activities including award and administration of grants, monitoring of grant progress, meeting reporting requirements, and grant closeout. The umbrella mechanisms will monitor OVC partners' program implementation and adherence to financial regulations. This involves provision of extensive technical assistance to partners on project development and implementation, financial management, monitoring and evaluation, and reporting.

ACTIVITY 2: Capacity Building The new umbrella mechanisms will support institutional capacity building of indigenous organizations. (Capacity building activities are defined as activities that strengthen the skills of indigenous organizations to implement HIV and AIDS programs efficiently, with diminishing reliance on internationally-based technical assistance and support.) The umbrella partners will support activities to improve the financial management, program management, quality assurance, strategic information (M&E) and reporting, and leadership and coordination of partner organizations implementing OVC activities.

ACTIVITY 3: Monitoring and Evaluation (& Reporting) The umbrella mechanisms will provide support to OVC partners on monitoring and evaluation, in order to strengthen measurement of the implementation and impact of program activities, an eventual achievement of PEPFAR goals. M&E support of OVC partners includes: measurement of program progress; provision of feedback for accountability and quality; surveillance; and implementation of information management systems. In addition, the umbrella mechanism will provide supportive supervision to provide guidance, monitoring, mentoring and oversight through site visits, technical assistance, and performance evaluation.

The umbrella grant mechanisms will contribute to the PEPFAR goals to provide treatment to 2 million HIV-infected people; prevent 7 million HIV infections; and provide care to 10 million people infected by HIV and AIDS, including orphans and vulnerable children.

INTEGRATED ACTIVITY FLAG:

This ARV Drugs activity is linked to the entries for new umbrella grants management mechanisms under Prevention/AB (#9435), Basic Health Care & Support (#9436), OVC (#9438) and ARV Services (#9441).

SUMMARY:

Currently, the USG PEPFAR Task Force supports institutional capacity building of indigenous organizations that implement PEPFAR programs, including ARV drugs, through an umbrella grants management partner. PACT was selected through APS 674-07-001 to conduct umbrella grant management. This Activity is split with three organizations: AED, Pact and FHI.. The main purposes of these new umbrella organizations are: (1) to facilitate further scale-up of HIV treatment services and (2) to develop indigenous capability, thereby creating a more sustainable program. The major emphasis area is commodity procurement, with a minor focus on local organization capacity development. Primary target populations are indigenous organizations, which refers to both Government and non-governmental organizations (NGOs), faith-based organizations (FBOs), and community-based organizations (CBOs).

BACKGROUND:

Since 2004, USAID obligated funds through an umbrella grant to over 30 partners and sub-partners in South Africa, playing a valuable role in the fight against HIV and AIDS, including ARV treatment services. These partners and sub-partners include local NGOs, FBOs, and CBOs. These partners and sub-partners were selected through the inter-agency PEPFAR Annual Program Statement (APS) and have met the criteria for full and open competition.

The umbrella organizations will not directly implement program activities, but rather act as a grants management partner to manage and mentor sub-recipients, who in turn implement programs. The umbrella organizations function primarily as a sub-grant making entity. Typically, a relatively small percentage of overall funds is used for administrative purposes. However, where significant technical assistance and management support to grant recipients is required, this percentage would be higher.

USAID closely collaborates and coordinates with the South African Government (SAG) in supporting PEPFAR partners through the umbrella grant mechanism. Although some of the partners work closely with various government departments, the umbrella grant's primary interface with the SAG is through the Senior Management Team (SMT), which includes key staff from USAID, National Departments of Health and Social Development, and representatives from the provincial departments.

Under the existing umbrella grant mechanism, USAID is supporting 4 partners providing ARV services to HIV-infected individuals. Partners under the current umbrella mechanism have to date initiated over 15,000 patients on antiretroviral treatment (ART) and their reach is expected to be substantially expanded, which includes the purchase of antiretroviral drugs, drugs for treating opportunistic infections, treatment of symptom and pain management, and other treatment-related commodities (e.g. test kits).

The umbrella grant mechanisms will contribute to the PEPFAR goals of providing treatment to 2 million HIV-infected people; preventing 7 million HIV infections; and providing care to 10 million people, including orphans and vulnerable children.

PACT was selected through APS 674-07-001 to conduct umbrella grant management. This Activity is split with three organizations: AED, Pact and FHI.

INTEGRATED ACTIVITY FLAG:

This ARV Services activity is linked to the entries for new umbrella grants management mechanisms under Prevention/AB (#9435), Basic Health Care & Support (#9436), OVC (#9438) and ARV Drugs (#9439).

SUMMARY:

Currently, the USG PEPFAR Task Force supports institutional capacity building of indigenous organizations that implement PEPFAR programs, including ARV drugs, through an umbrella grants management partner. In FY 2007, USAID will competitively identify at least two new umbrella grants management partners. The main purposes of these new umbrella organizations are: (1) to facilitate further scale-up of HIV treatment services and (2) to develop indigenous capability, thereby creating a more sustainable program. The emphasis area is local organization capacity development. Primary target populations are indigenous organizations, which refers to both Government and non-governmental organizations (NGOs), faith-based organizations (FBOs), and community-based organizations (CBOs).

BACKGROUND:

Since 2004, USAID obligated funds through an umbrella grant to over 30 partners and sub-partners in South Africa, playing a valuable role in the fight against HIV and AIDS, including ARV treatment services. These partners and sub-partners include local NGOs, FBOs, and CBOs. These partners and sub-partners were selected through the inter-agency PEPFAR Annual Program Statement (APS) and have met the criteria for full and open competition.

The umbrella organizations will not directly implement program activities, but rather act as a grants management partner to manage and mentor sub-recipients, who in turn implement programs. The umbrella organizations function primarily as a sub-grant making entity. Typically, a relatively small percentage of overall funds is used for administrative purposes. However, where significant technical assistance and management support to grant recipients is required, this percentage would be higher.

USAID closely collaborates and coordinates with the South African Government (SAG) in supporting PEPFAR partners through the umbrella grant mechanism. Although some of the partners work closely with various government departments, the umbrella grant's primary interface with the SAG is through the Senior Management Team (SMT), which includes key staff from USAID, National Departments of Health and Social Development, and representatives from the provincial departments.

Under the existing umbrella grant mechanism, USAID is supporting 4 partners providing ARV services to HIV-infected individuals. Partners under the current umbrella mechanism have to date initiated over 15,000 patients on antiretroviral treatment (ART) and their reach is expected to be substantially expanded. Treatment programs include patient uptake, counseling and testing, doctor consultations, laboratory testing, treatment management, adherence support, patient counseling, telemedicine, and quality assurance monitoring. The treatment partners work in both the public and private sector. Partners equip government clinics and hospitals with human resources (doctors, nurses, pharmacists, and counselors), management systems and community mobilization and outreach. Partners assist with infrastructure renovations when required. These programs also offer specialized training to improve the clinical, management, and leadership of health professionals to deliver ART services. Treatment partners engage private doctors, traditional healers, church groups, and people living with HIV to extend and enhance HIV care and treatment.

ACTIVITIES AND EXPECTED RESULTS:

In FY 2007, USAID will recompete the existing umbrella grant and identify at least two

new grant management partners that will support ARV treatment partners. Separate COP entries describe the ARV services activities implemented by each partner managed through this process. Institutional capacity building of local organizations is a key feature of the umbrella grant mechanism and is designed to promote the sustainability of HIV and AIDS treatment programs.

Activity 1. Grants Management

The umbrella mechanisms will award and administer grants to partners selected through the PEPFAR APS competitive process to implement HIV and AIDS activities, including treatment activities. This involves an array of related activities including award and administration of grants, monitoring of grant progress, meeting reporting requirements, and grant closeout. The umbrella mechanisms will monitor ARV services program implementation and adherence to financial regulations. This involves provision of extensive technical assistance to partners on project development and implementation, financial management, monitoring and evaluation, and reporting.

Activity 2. Monitoring and Evaluation and Reporting

The umbrella grant mechanisms will provide support to partners providing ARV services in monitoring and evaluation, in order to strengthen measurement of the implementation and impact of program activities. M&E support for ARV services partners include: measurement of program progress; provision of feedback for accountability and quality; and implementation of information management systems. In addition, the umbrella mechanism will provide supportive supervision to provide guidance, monitoring, mentoring and oversight through site visits, technical assistance, and performance evaluation.

The umbrella grant mechanisms will contribute to the PEPFAR goals of providing treatment to 2 million HIV-infected people; preventing 7 million HIV infections; and providing care to 10 million people, including orphans and vulnerable children.