PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
ACTIVITY 1: Capacity Building
At the request of the provincial departments of health, Family Health International (FHI) activities will build
on COP 2008 and previous years' work with a focus on training health service providers in rural areas of
Western Cape, Limpopo, Free State and North West Departments of Health (DOH). Furthermore, all
trainings will be conducted using the revised National Department of Health (NDOH) prevention of mother-
to-child transmission (PMTCT) manual that includes the new guidelines on dual therapy, and that was
signed by the Minister of Health in December 2007. FHI will cease PMTCT support to the Northern Cape in
COP 2009 as sufficient PMTCT capacity has been built in the Northern Cape Department of Health over the
past three years, and the province will be ready, in FY 2009, to continue without ongoing support from FHI.
In 2008, FHI will work with the province to develop and implement an exit strategy to ensure that the current
gains because of FHI support are sustained. FHI developed an interactive tutorial with FY 2007 funds, and
this was saved on a CD-ROM. This CD-ROM was used for training and had been distributed in FY 2008,
and so will not be a component of activities in FY 2009.
Furthermore, in FY 2009 the FHI PMTCT program will support the national roll out of the revised PMTCT
policy through training health-care workers on the policy. FHI will work directly with the provincial
departments of health to disseminate and train providers at the facilities on the policy. FHI will also support
departments of health with training and methods to increase partner testing; implement prevention among
positives activities such as the counseling and provision of family planning; diagnose and manage sexually
transmitted infections; strengthen infant follow-up activities to assist with early infant diagnosis (this will also
support the FHI activities under pediatric care); strengthen systems; and integrate PMTCT within Maternal
and Child Health (MCH) services and programs.
A major part of the support to the DOH under this activity is the institutionalization of voluntary, age
appropriate referral for family planning as a routine part of the PMTCT MCH services. FHI will actively
encourage the DOH to ensure that protocols, staffing, supply chain and monitoring systems are optimally
integrated with family planning services and the broader health system. FHI will further work with the DOH
to ensure that as part of the multi-disciplinary HIV care services that access to family planning is increased
through the provision of family planning counseling and active referrals.
ACTIVITY 2: Technical Assistance
At the request of the provincial DOH, new sites will be selected for the provision of technical assistance
(TA), including mentoring and coaching in FY 2009. Furthermore, onsite mentoring and coaching will be
increased to enhance implementation of learnt skills. A PMTCT checklist, based on national and
international PMTCT standards, will be used on site visits to assure quality of services.
FHI will conduct an assessment of project progress in FY 2009 to provide information on current PMTCT
practices in selected sites and to document achievements made through all the previous years of FHI
training and TA support. This assessment will build on a similar assessment done by FHI and the DOH in
2005. Synthesis of information gathered through both assessments will document successes and lessons
learned since 2005 and will be used to inform selection of COP 2009 sites as well as identify priorities for
enhanced onsite mentoring and TA.
------------------------------------------------------
SUMMARY:
Family Health International (FHI) will collaborate with PEPFAR-funded prevention of mother-to-child
transmission (PMTCT) partners to strengthen PMTCT services in four provinces. FHI will provide a PMTCT
Training of Trainers (TOT) course designed for program implementers. Auxiliary nurses and lay counselors
will be equipped with appropriate knowledge and skills of PMTCT. With the provincial departments of health
(DOH), FHI will design and provide technical assistance (TA) to PMTCT facilities to improve the quality of
those services. This project will provide resources to other PEPFAR partners, including Elizabeth Glaser
Pediatric AIDS Foundation (EGPAF) and JHPIEGO. The target populations include men and women of
reproductive age, pregnant women, and people living with HIV and AIDS. The emphasis areas are
addressing male norms and behaviors, training and wraparound programs in family planning.
BACKGROUND:
Since FY 2004, with PEPFAR funding, FHI has provided TA to a number of South Africa provincial DOH
PMTCT facilities. The goal of this TA is to improve overall performance of selected PMTCT sites, with an
emphasis on promoting best practices including the provision of antiretroviral (ARV) prophylaxis and family
planning (FP) counseling and referrals. Since FY 2004, FHI has supported the provincial DOH in Limpopo
and Northern Cape provinces by providing training to over 211 PMTCT service providers, including nurses
and lay counselors, and on-site TA to 50 PMTCT facilities. In FY 2006 FHI continued to work in Limpopo
and Northern Cape provinces and extended TA to Free State. At the request of these provincial
Departments of Health and with endorsement from the national DOH, FHI is assisting in the development
and adoption of provincial PMTCT protocols. FY 2007 funding ensured that TA could continue to be
provided to Free State, North West, Limpopo and Western Cape provinces. With FY 2008 funding, the
project will build on the lessons learned from the two previous years of PEPFAR funding. FHI will develop
and make available on CD-ROM an interactive tutorial that can be used by other PMTCT implementing
agencies and the DOH. FHI will also continue to provide TA to improve overall PMTCT performance and
strengthen the systems necessary to support PMTCT programs (e.g. supervision and data management).
FHI, in conjunction with clinics, will also design strategies to improve outreach to male partners of women
availing themselves of PMTCT services, hence increasing gender equity in HIV programs and addressing
male norms and behaviors by providing training on couple counseling, and promoting male attendance at
antenatal visits with women (based on women's consent).
Activity Narrative: ACTIVITIES AND EXPECTED RESULTS: ACTIVITY 1: Capacity Building
FHI's activities will build on the FY 2006 and FY 2007 program in which FHI developed human capacity by
refining the current training course for auxiliary nurses and lay counselors and equipping them with the
knowledge and skills necessary to strengthen PMTCT services, including: (1) counseling and testing; (2)
provision of ARV prophylaxis; (3) counseling and support for safe infant feeding practices; and (4)
counseling on FP. Focusing on transferring skills to trainers to train providers, as well as to providers
directly, FHI will develop TOT training materials into a CD-ROM in FY 2007 and make it available as a
resource to the DOH, all PEPFAR partners, and other PMTCT stakeholders. The CD-ROM will include the
facilitator's guide and participant manual from the refresher course. Interactive in nature, the contents will
focus on the main components of a comprehensive PMTCT program and will have an emphasis on
increasing counselors' and nurses' knowledge of appropriate FP methods for women with HIV, including
those women receiving ARV treatment, strengthening counselors' communication and counseling skills
around FP for PMTCT clients, and providing referrals. In addition, FHI will continue to provide the TOT
course to other agencies supporting or implementing PMTCT programs (e.g., EGPAF, NDOH, JHPIEGO)
and work closely with them to provide additional TA to roll out the TOT curriculum through their programs.
FHI will continue to provide TA to the DOH in PMTCT facilities in four provinces (Free State, North West,
Limpopo and Western Cape) to improve program performance. Specifically, the scope of work for the TA is:
(a) conduct both pre-service and in-service training courses for auxiliary nurses and lay counselors to
strengthen the four main components of the selected PMTCT programs; and design the TA with the DOH to
ensure activities fit into the existing health system to help promote sustainability; (b) clarify performance
expectations for newly trained staff and managers and strengthen supportive supervision processes; (c)
strengthen referral systems to enhance continuity of care; (d) improve functional referrals from PMTCT to
FP services in order to promote healthy spacing of pregnancies and prevent unintended pregnancies
among post-partum PMTCT clients; (e) conduct training on couple counseling and create strategies to
involve male partners in PMTCT visits, and; (f) draw on the results of FHI's research on optimal timing for
FP counseling within PMTCT services to provide TA to facilities that will include the development of FP
messages to be incorporated into points in the service delivery system that have shown to increase the
likelihood of uptake of FP (e.g., pre-/post-test counseling, post-partum period, infant feeding counseling,
infant testing, or child health services).
This project contributes to PEPFAR 2-7-10 goals by reducing the number of new infections among infants
exposed to HIV and ensuring that HIV-infected pregnant women and infants are appropriately referred to
treatment, care and support services. In addition, by strengthening the FP component of PMTCT programs
FHI helps to prevent future unintended pregnancies in HIV-infected women.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13722
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
29299 29299.07 HHS/Centers for HHS/CDC 5612 3969.07 $195,600
Disease Control &
Prevention
29298 29298.07 HHS/Centers for HHS/CDC 5612 3969.07 $230,401
29297 29297.07 HHS/Centers for HHS/CDC 5612 3969.07 $40,500
29296 29296.07 HHS/Centers for HHS/CDC 5612 3969.07 $138,775
29295 29295.07 HHS/Centers for HHS/CDC 5612 3969.07 $104,975
29294 29294.07 HHS/Centers for HHS/CDC 5612 3969.07 $40,000
29293 29293.07 HHS/Centers for HHS/CDC 5612 3969.07 $10,000
29292 29292.07 HHS/Centers for Project Concern 5620 4115.07 $64,468
Disease Control & International
29291 29291.07 HHS/Centers for Project Concern 5620 4115.07 $16,117
29290 29290.07 HHS/Centers for Project Concern 5620 4115.07 $81,700
13722 2929.08 U.S. Agency for Family Health 6583 224.08 CTR $436,500
International International
Development
7587 2929.07 U.S. Agency for Family Health 4476 224.07 CTR $400,000
2929 2929.06 U.S. Agency for Family Health 2633 224.06 CTR $250,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $96,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
Family Health International South Africa (FHI SA) worked with the University of the Western Cape (WC) on
this program in FY 2005 and FY 2007 and will continue to work with them in FY 2008. In FY 2009, however,
FHI SA will cease work with the University of the Western Cape as their capacity has been developed
through the previous years' programming; reports indicate that their peer education system is now well
established and is able to sustain itself through other sources of funding.
In FY 2009 FHI SA will work with the Universities of the Free State and Limpopo and will provide training to
a new cadre of peer educators on these campuses. FHI SA will further provide refresher training to those
peer educators who were trained before. FHI SA will continue to provide technical assistance to both the
partners and universities to ensure proper implementation of the project. This will be accomplished through
establishment of quality assurance mechanisms -- such as internal and external monitoring systems, use of
program manager and peer educator checklists and job aids, and comprehensive documentation -- that
ensure quality of implementation. Peer educators will be trained and provided with refresher workshops that
continuously update them on new information and strengthen their skills. Equipping supervisors with skills to
provide supportive supervision, mentoring and monitoring to the peer educators will also be included
-------------------------
Family Health International (FHI) will provide technical assistance (TA) to three universities' peer education
programs to continue integration of abstinence and be faithful messages (AB) as well as life skills into the
ongoing activities of the peer education programs on university campuses. Using the curriculum developed
in FY 2005, the AB and life skills training will be extended to a cadre of peer educators (PEs) on each of the
campuses participating in this project. The PEs will then pass these skills on to other students on campus
primarily through interaction in ongoing, small behavior change groups. Emphasis areas are gender which
includes addressing male norms and behaviors, cross-generational sex and multiple sexual partnerships,
reducing violence and coercion, training, local organization capacity building, and wraparound programs in
family planning and education. Main target populations addressed are men and women of reproductive age
and people living with HIV.
Currently, most efforts addressing sexuality and reproductive health needs for young people are focused on
out-of-school youth and those in secondary school in South Africa. Youth at institutions of higher learning
represent a special group at risk as they are often left unsupervised by both parents and teachers, who are
under the assumption that they are mature enough to protect their sexual and reproductive health. Available
evidence suggests that these young men and women have high sexually transmitted infection (STI) and
unintended pregnancy rates, an indication that they are not yet equipped with the knowledge and skills
required to protect themselves from these adverse outcomes. In FY 2005, in consultation with the South
African Universities Vice Chancellors' Association (SAUVCA) and the Department of Education, FHI
implemented a project that took place on three university campuses in South Africa: University of the
Western Cape, University of the Free State, Qwaqwa campus and University of Limpopo, Medunsa
campus. Each campus contributed to the development of the AB/life skills curriculum which was
subsequently implemented among 26 PEs from each of the three campuses. After the training, PEs
recruited six students each to take part in ongoing behavior change communication (BCC) groups on their
campus, reaching in total 468 students. Life skills aim to enhance the students' ability to make responsible
sexual health decisions and adopt behaviors that will keep them free of STI and HIV infection, as well as
avoid unintended pregnancies. The curriculum included sessions on "Abstinence"; which promotes
delaying sexual debut for youth under 14, as well as secondary abstinence for older youth and "Be Faithful"
for youth and adults in long-term relationships, discouraging them to engage in multiple and concurrent
sexual relationships which are the drivers of the HIV epidemic. The AB prevention messaging will address
secondary abstinence, values clarification, self-esteem, communication, decision making and negotiation,
and utilized participatory learning techniques. Another key component of the AB/life skills training was a
session on gender equity. The curriculum complemented the universities' existing peer education curricula,
which provides basic information about prevention of HIV and AIDS. The BCC groups provided a safe place
to explore strategies for adopting and strengthening the AB life skills in their personal lives. Students were
able to support each others' behavior change process, including seeking counseling and testing (CT).
Through one-on-one and group interaction, the PEs took advantage of a variety of regularly scheduled
campus events-such as orientation week, condom week, and STI awareness week-to reach additional
students with basic information on STIs, HIV and unintended pregnancies and how to protect oneself and
maintain a healthy lifestyle. The program also promoted referrals between the PEs and student health or
community health services for CT as well as family planning (FP). Major accomplishments to date include
development of the AB life skills curricula and successful training of the PEs. The program has gone beyond
the university campuses and PE groups to be conducted in high schools in communities near the
campuses. A radio series was produced and launched on campus and community stations throughout
South Africa, reaching approximately 6,000,000 listeners. The show addressed issues related to risk-
reduction behaviors for STIs, HIV and unintended pregnancies that are relevant for university students. The
curriculum was also used by University of Nairobi for a similar intervention.The universities did not receive
PEPFAR funding for FY 2006, however the universities were committed to continue the BCC groups and
supervision activities. While the activities are expected to continue with the respective university funding,
additional resources are needed to strengthen the longer-term institutionalization of the life skills program.
ACTIVITIES AND EXPECTED RESULTS:
In collaboration with the Department of Education, in FY 2008 FHI will continue to work with the three
universities, University of the Western Cape, University of the Free State, Qwaqwa campus and University
of Limpopo, Medunsa campus, and explore opportunities to expand activities to tertiary institutions. FHI will
Activity Narrative: work in collaboration with JHU at the University of Western Cape and the University of Free State, Qwaqwa
campus to ensure that all PE programs are harmonized. To align the goals of the program with the
government goals, FHI will work closely with the Department of Education staff to further refine the program
and improve outreach. Further integrating AB life skills into their peer outreach program work plans, each
university will recruit new PEs for the AB life skills project, who will then recruit other students to participate
in small, ongoing BCC groups. TA will also be provided to strengthen supervision skills to ensure the quality
of the peer interactions, modeling problem solving skills, and shaping perceived peer/social norms on
sexual behaviors. The "Be Faithful" messages will also promote mutual monogamy, partner reduction and
full information on correct and consistent condom use will be provided.
Specific activities include: (1) Incorporating AB life skills program into existing peer education work plans in
a cost-effective manner; (2) Conducting AB life skills training for all PEs participating in the program; (3)
Providing refresher trainings to strengthen basic peer education/facilitation skills; (4) Standardizing job aids
and tools for PEs to use in small groups; (5) Conducting supervision skills training for and provide TA to
supervisors to help support PEs and the BCC group process; (6) Building and strengthening relationships
between PEs and student health services, and formalize referral links to health services; (7) Integrating
alcohol and substance abuse risk behaviors in the life skills program; and(8) Monitoring AB, life skills and
BCC group processes. The project will help decrease the number of new infections by achieving the
expected results which will ultimately lead to a delay in sexual debut, a reduction in sex acts, fewer partners
or a reduction in unprotected sex.The activities contribute to the 2-7-10 PEPFAR's goals of averting of
seven million new infections.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
Continuing Activity: 13723
29269 29269.08 HHS/Centers for US Centers for 11965 11965.08 CDC/Retro-CI $275,000
Disease Control & Disease Control PHE
Prevention and Prevention
29268 29268.08 HHS/Centers for To Be Determined 11964 11964.08 New CDC TA
Disease Control & mech / UTAP
Prevention follow-on
29267 29267.08 HHS/Centers for US National 11960 11960.08 NIH Fogarty $200,000
Disease Control & Institutes of Health M&E Fellowship
29266 29266.08 U.S. Agency for University of North 11963 11963.08 Measure $14,000
International Carolina Evaluation
29265 29265.08 U.S. Agency for University 11962 11962.08 University $200,000
International Research Research
Development Corporation, LLC Corporation,LLC
29264 29264.08 HHS/Centers for University 11961 11961.08 University $7,218
Disease Control & Research Research
Prevention Corporation, LLC Corporation,LLC
29263 29263.08 HHS/Centers for International 11959 11959.08 International $100,000
Disease Control & Center for AIDS Center for AIDS
Prevention Care and Care and
Treatment
Programs,
Columbia Programs
University
29262 29262.08 HHS/Health International 11958 11958.08 Health $50,000
Resources Training and Resources and
Services Education Centre Services
Administration for HIV
Administration I-
TECH CoAg
Supplement to
Existing HRSA
CoAg
13723 2926.08 U.S. Agency for Family Health 6583 224.08 CTR $145,500
7585 2926.07 U.S. Agency for Family Health 4476 224.07 CTR $200,000
2926 2926.06 U.S. Agency for Family Health 2633 224.06 CTR $0
* Increasing women's legal rights
Estimated amount of funding that is planned for Human Capacity Development $22,000
SUMMARY/BACKGROUND:
Family Health International South Africa (FHI-SA) worked with the University of the Western Cape (UWC)
on this program in FY 2005 and FY 2007. It will continue to work with UWC through FY 2008, but in FY
2009, the University of the Western Cape will no longer be a part of the program. Considering that UWC
has been well mentored under this program for two years, its peer education system is well established and
is able to sustain itself through other sources of funding.
In FY 2009 FHI-SA will work with the University of the Free State and the University of Limpopo and will
provide training to a new cadre of peer educators on these campuses. FHI-SA will further provide refresher
training to those peer educators who were trained before to update their knowledge and skills. FHI-SA will
continue to strengthen other prevention strategies, supporting community outreach programs like HIV
prevention awareness campaigns conducted by partners like the Department of Health and the Department
of Education within and beyond these two campuses.
----------------------
SUMMARY: Family Health International (FHI) will provide technical assistance (TA) to three universities'
peer education programs to continue integration of abstinence and be faithful messages (AB), condom and
life skills into the ongoing activities of the peer education programs on campus. Using the curriculum
developed in FY 2005, the AB and life skills training will be expanded to include other prevention strategies,
including condom use. A cadre of peer educators (PEs) on each of the campuses participating in this
project will be trained. The PEs will then pass these skills on to other students on campus primarily through
interaction in ongoing, small behavior change groups. Emphasis areas include addressing male norms and
behaviors, reducing violence and coercion, training, local organization capacity building, and wraparound
programs in family planning and education. Main target populations addressed are men and women of
reproductive age and people living with HIV and AIDS. BACKGROUND: Currently, most efforts addressing
sexuality and reproductive health needs for young people are focused on out-of-school youth and those in
secondary schools in South Africa. Youth at institutions of higher learning represent a special group at risk
as they are often left unsupervised by both parents and teachers, who are under the assumption that they
are mature enough to protect their sexual and reproductive health. Available evidence suggests that these
young men and women have high STI and unintended pregnancy rates, an indication that they are not yet
equipped with the knowledge and skills required to protect themselves from these adverse outcomes. In FY
2005, in consultation with the South African Universities Vice Chancellors' Association (SAUVCA) and the
Department of Education, FHI implemented a project that took place on three university campuses in South
Africa: University of the Western Cape, University of the Free State, Qwa-Qwa campus and University of
Limpopo, Medunsa campus. Each campus contributed to the development of the AB/life skills curriculum
which was subsequently implemented among 26 PEs from each of the three campuses. After the training,
PEs recruited six students each to take part in ongoing behavior change communication (BCC) groups on
their campus, reaching in total 468 students. Life skills programs aim to enhance the students' ability to
make responsible sexual health decisions and adopt behaviors that will keep them free of STI and HIV
infection, as well as avoid unintended pregnancies. The curriculum included sessions on AB, secondary
abstinence, values clarification, self-esteem, communication, decision making and negotiation, and utilized
participatory learning techniques. Another key component of the AB/life skills training was a session on
gender equity. In FY 2008, the training will be expanded to include other prevention messages beyond AB,
including messages on condom use and safe sex. The curriculum complemented the universities' existing
peer education curricula, which provides basic information about prevention of HIV and AIDS. The BCC
groups provided a safe place to explore strategies for adopting and strengthening the ABC life skills in their
personal lives. Students were able to support each others' behavior change process, including seeking
counseling and testing (CT). Through one-on-one and group interaction, the PEs took advantage of a
variety of regularly scheduled campus events-such as orientation week, condom week, and STI awareness
week-to reach additional students with basic information on STIs, HIV and unintended pregnancies and how
to protect oneself and maintain a healthy lifestyle. The program also promoted referrals between the PEs
and student health or community health services for CT as well as family planning (FP). Major
accomplishments to date include development of the AB life skills curricula and successful training of the
PEs. The program has gone beyond the university campuses and PE groups to be conducted in high
schools in communities near the campuses. A radio series was produced and launched on campus and
community stations throughout South Africa, reaching approximately 6,000,000 listeners. The show
addressed issues related to risk-reduction behaviors for STIs, HIV and unintended pregnancies that are
relevant for university students. The curriculum was also used by University of Nairobi for a similar
intervention.Although there was no FY 2006 funding, the universities were committed to continue the BCC
groups and supervision activities. While the activities are expected to continue with the respective university
funding, additional resources are needed to strengthen the longer-term institutionalization of the life skills
program. ACTIVITIES AND EXPECTED RESULTS: In collaboration with the Department of Education, in
FY 2008 FHI will continue to work with the three universities: University of the Western Cape, University of
the Free State, Qwa-Qwa campus and University of Limpopo, Medunsa campus, and explore opportunities
to expand activities to Technikons. FHI will work in collaboration with John Hopkins University (JHU) and
the Department of Education at the University of Western Cape and the University of Free State, Qwaqwa
campus to ensure that all PE programs are harmonized and do not overlap. To align the goals of the
program with the government goals, FHI will work closely with the Department of Education to further refine
the program and improve outreach. Further integrating ABC life skills into their peer outreach program work
plans, each university will recruit new PEs for the life skills project, who will then recruit other students to
participate in small, ongoing BCC groups. TA will also be provided to strengthen supervision skills to ensure
the quality of the peer interactions, modeling problem solving skills, and shaping perceived peer/social
norms on sexual behaviors. Specific FY 2008 activities include: 1) Continue to incorporate ABC life skills
program into existing peer education work plans in a cost-effective manner; 2) Conduct ABC life skills
Activity Narrative: training for all PEs participating in the program; 3) Provide refresher trainings to strengthen basic peer
education/facilitation skills; 4) Standardize job aids and tools for PEs to use in small groups; 5) Conduct
supervision skills training for and provide TA to supervisors to help support PEs and the BCC group
process; 6) Build and strengthen relationships between PEs and student health services, and formalize
referral links to health services; and 7) Monitor ABC, life skills and BCC group processes. The project
contributes to the prevention of 7 million new infections as per PEPFAR 2-7-10 goals. The project will help
decrease the number of new infections by achieving the expected results which will ultimately lead to a
delay in sexual debut, a reduction in sex acts, fewer partners or a reduction in unprotected sex.
Continuing Activity: 21081
21081 21081.08 U.S. Agency for Family Health 6583 224.08 CTR $48,500
Estimated amount of funding that is planned for Human Capacity Development $6,630
Table 3.3.03:
With FY 2009 funding, Family Health International South Africa (FHI) will strengthen existing quality
assessment systems, including the use of standard program monitoring indicators, on-site supervision for
care givers and supervision training for supervisors of care givers, monitoring and evaluation tools and the
application of standards in home-based care kits. Activities will also include wrap around activities such as
health sector linkages like family planning, safe motherhood, TB, etc. as part of their comprehensive, family
centered holistic care and support program.
Activity 1: Strengthening community-based organizations
At the request of the provincial Department of Health in the Eastern Cape and the local Chieftaincy of the
Abathembu people at Mvezo, FHI worked with the local communities in Mvezo, which has a 33% HIV
prevalence rate, to support comprehensive palliative care (PC) projects. In FY 2009, FHI will scale up this
intervention and work with the provincial government and the people of Mvezo through outreach to: 1)
Provide technical assistance (TA) to volunteers to identify PC, counseling and testing (CT), antiretroviral
therapy (ART) and family planning (FP) needs in the household and to refer to the Mobile Services Unit
(MSU) and other appropriate services; 2) Leverage government and partner resources by
building/strengthening formal referrals between home-based care (HBC) projects and CT sites, nearby ART
providers, and FP clinics; 3) Train HBC volunteers to assist clients with adherence to ART and care
interventions; e.g. referral for cotrimoxazole prophylaxis; 4) Strengthen TB management and nutritional
assessment, monitoring and supplements, including and referrals to government/non-governmental
organization (NGO) services for food parcels; 5) Support select HBC programs through financial assistance,
spportive supervision TA, and reporting and; 6) Provide PC training for health providers and HBC programs
using the nationally accredited curriculum. The intervention above is grounded in a family centered
approach to PC and a major emphasis will be placed on early referral to care and retention in care and
support services of HIV-infected individuals and their families.
Activity 2: Strengthening government programs
At the request of the National Department of Health (NDOH) and the provincial departments of health of
Limpopo and Northern Cape provinces, FHI will continue to provide support and technical assistance to
both community- and facility-based palliative care services at primary care and hospital level, while
strengthening the linkages/referral between PC, CT, ART and FP for comprehensive care and support. In
FY 2009, however, FHI will take the model further and scale up the intervention from the original four sites
to an additional two sites per province. As part of the FHI comprehensive family-centered PC program
which provides care in all the five care service categories, this program will work with multi-disciplinary
teams each project site to ensure that all the different care needs of clients are addresses. FHI will also
strengthen the integration of services within different facilities that may be provided by different providers as
well as strengthening linkages between programs, facilities, families and community programs and services.
Interactive sessions with HIV-infected persons and their families will also be conducted covering issues of
prevention among positives, disclosure, family planning, and disclosure.
FHI is currently assisting the NDOH with developing guidelines for Step Down Care facilities in addition to
assisting them with the guidelines for palliative care. In FY 2009, at the request of the Northern Cape and
Limpopo provincial departments of health and supported by the NDOH, FHI will assist the provincial
Departments of Health with setting up of at least one Step Down Care facility for each of these provinces.
The costs for infrastructure and the building will be provided by government, whilst FHI will provide technical
assistance to ensure the facilities are set up according to local and internationally recognized clinical
guidelines, and provide overall programmatic support.
Activity 3: Technical Assistance to Johannesburg Hospital Palliative Care Team (JHPCT)
FHI will continue to provide support and technical assistance to JHPCT. With FY 2009 funding, however,
FHI will link up with the newly formed Johannesburg Center of Excellence for Palliative care as was
requested by the NDOH. Stronger linkages will also be forged with the community-based PC services in
Johannesburg as part of the Integrated Community Palliative Care project.
Activity 4: Support to the NDOH
In FY 2009, FHI will support and strengthen the government's approach of including FP/HIV integration
activities in their yearly operational plans. This will include creating a fixed position in the NDOH of an HIV
and FP Integration Officer; there is a need for a dedicated person for these activities in order to make a
significant difference in prevention with positives programs. As requested by NDOH, FHI will provide
training, mentoring and coaching to HIV and FP providers to equip them to appropriately refer and link HIV
and FP services as part of the comprehensive palliative care package. This will take place in the Free
State, North West and Eastern Cape provinces.
FHI will continue to strengthen supportive supervision and revise daily routine monitoring forms to include
FP referral information. New data elements will be included to address FP/HIV integration in the monthly
data summary sheet of the facilities. To strengthen integration of FP and HIV services as part of the wrap
around activities at a facility level the National and provincial Quality Assurance Unit will be involved to
enhance quality improvement in the implementation and assessment of integration.
FHI will lead a collaborative initiative of developing an FP/HIV integration brochure that focuses on male
involvement. The brochure will be introduced and championed in the communities by community leaders
---------------------------
Activity Narrative: Family Health International (FHI) will continue to improve access to holistic services for people living with
HIV and AIDS (PLHIV) and their families by enhancing palliative care (PC) programs and strengthening
links to ARV, counseling and testing (CT), family planning (FP), and other essential services. Emphasis
areas are pre-service and in-service training, local organization capacity development and wraparound
programs in family planning. Target populations are people living with HIV and AIDS and men and women
of reproductive age.
The FHI-supported Integrated Community Palliative Care (ICPC) model is the first public sector palliative
care model at the district level funded by the South African Government with technical assistance from FHI.
As requested by the Departments of Health (DOH) and Social Development, FHI provides support to both
community- and facility-based PC services at the primary care and hospital level, while strengthening the
linkages between PC, CT, ARV and family planning (FP) for comprehensive care and support. FHI's
interventions strengthen the physical, spiritual, social, psychological and preventive aspects of PC, and
leverage government resources through service networks to meet multiple care needs. Tighter links
between PC, CT, ARV and FP services, in particular, afford men and women the opportunity to improve
their overall quality of life through integrated services. Since FY 2005, FHI and partners trained 828
community volunteers and provided services to over 12,000 home-based care (HBC) clients in Mpumalanga
and KwaZulu-Natal; trained 50 government HBC volunteers in Limpopo and Northern Cape using the
Health/Welfare Sector Education and Training Authority curriculum; trained 484 health care professionals in
PC; and provided support to the Johannesburg Hospital Palliative Care Team (HPCT), reaching out to more
than 4,000 clients. In the communities where they are working, FHI is expanding pediatric PC services to
ensure HIV-infected children are receiving appropriate care, and setting up a mobile clinic to improve
access to integrated services in remote HBC programs. FHI carries out PC activities with government and
community-based organizations (CBOs), including Project Support Association-South Africa (PSASA), the
South African Council of Churches, South Africa Red Cross, Nightingale Hospice and Evelyn Lekganyane
HBC.
FHI will continue to strengthen access to integrated services as a part of a comprehensive palliative care
package for PLHIV and their families in Mpumalanga, KwaZulu-Natal, Limpopo, Northern Cape and
Gauteng provinces. This includes the ICPC model in 2 provinces. Effort will be made to ensure equitable
access to care services for both males and females and increased participation by men will be encouraged
in service delivery. The activities expand existing services that CBOs and government care programs
currently provide with an emphasis on promotion of the HIV preventive care package. With FY 2008
funding, FHI will further institutionalize the program within government and CBOs, while also expanding its
reach. FHI will emphasize capacity building and local skills transfer, and will also stress gender sensitivity in
counseling and community outreach, promote couples counseling, and assist HBC programs to develop
strategies to alleviate the care burden on girls.
ACTIVITY 1: Strengthening community-based organizations
Benefiting HBC clients, family members and caregivers in Mpumalanga, KwaZulu-Natal, Limpopo, and
Northern Cape provinces, FHI will continue to work with community groups through outreach to :1) Provide
technical assistance (TA) to HBC volunteers to identify PC, CT, ARV and FP needs in the household and to
refer to appropriate services; 2) Leverage government and partner resources by building/strengthening
formal referrals between HBC projects and CT sites, nearby ARV providers, and FP clinics; 3) Train HBC
volunteers to assist clients with adherence to ARV therapy and care interventions; e.g. referral for
cotrimoxazole prophylaxis and caring for caregivers; 4) Strengthen TB management and nutritional
assessment, monitoring and supplements, including and referrals to government/NGO services for food
parcels; 5) Support select HBC programs through financial assistance, supportive supervision TA, and
reporting; 6) Provide PC training for health providers and HBC programs using the nationally accredited
curriculum, and expand services to include pediatric PC as appropriate, and; 7) Conduct trainings for ARV
providers on prevention with positives including FP referral for HIV-infected couples, including those on
ARVs. Addressing prevention with HIV-infected individuals is an important part of a comprehensive care
strategy. Through healthy living and reduction of risk behaviors, these prevention with positives
interventions can substantially improve quality of life and reduce rates of HIV transmission. The goal of
these interventions is to prevent the spread of HIV to sex partners and infants born to HIV-infected mothers
and protect the health of infected individuals.
ACTIVITY 2: Strengthening government programs
FHI will provide TA, training and financial support to four districts of Limpopo and Northern Cape.
Specifically, FHI will continue to work with government to: 1) Train district-level PC health providers in pain
and symptom assessment and management, TB and other opportunistic infection screening, pediatric PC,
psychosocial and spiritual needs of PLHIV and affected families, PMTCT and FP counseling; 2) Implement
mechanisms for quality assurance and supervision, as per standard operating procedures; 3) Conduct
district-level workshops for family members, traditional healers, and local AIDS councils to promote care,
support and treatment services; reduce discrimination and stigma; increase awareness of HIV-infected
individuals needs; and support pediatric PC, and; 4) Strengthen referral networks between primary health
care and CBO services, including linkages with health and social welfare sectors for grants, legal aid, micro-
finance, spiritual support, CT, ARVs, and FP.
ACTIVITY 3: Technical assistance to Johannesburg
HPCT FHI will continue to support the Johannesburg HPCT and other government-accredited ART sites by
increasing access to pediatric PC and reinforcing the integration of HIV and FP services. Through TA to
Activity Narrative: nurse managers, nurses, midwives, medical officers, coordinators and other providers in ART sites, FHI will
continue to improve the capacity of Johannesburg HPCT, including strengthening linkages with community-
based organizations to enhance client follow-up and contribute to identification of new clients. In addition,
FHI will provide TA to strengthen prevention with positives, including increasing providers' knowledge and
skills to address the FP needs of their ART clients.
ACTIVITY 4: Support to the NDOH
To guide the HIV/FP integration efforts described above, and in response to specific requests from the
DOH, FHI will support National DOH (NDOH) and provincial staff in Mpumalanga, KwaZulu-Natal, Northern
Cape, Limpopo and Gauteng provinces to strengthen integration of family planning and HIV services. With
separate funding, FHI will help the NDOH to revise the current sexual and reproductive health curriculum to
include guidelines for HIV-infected couples, including those on ARVs. In FY 2008, FHI will provide TA to the
NDOH on implementing the new curriculum and integrating HIV and FP services, particularly in PC service
sites. In FY 2008, FHI will continue to support NDOH and provincial staff to build on government operational
plans and address gaps, including: 1) Providing mentoring and on the job training to enhance prevention
with positives through integration of HIV and FP services; 2) Enhancing functional referrals between HIV
and FP services; 3) Providing technical assistance to the NDOH to continue to roll out the revised sexual
reproductive health (SRH) curriculum and ensure that more providers are equipped with skills to address
the SRH needs of HIV-infected women and men; 4) Collaborating closely with district DOH management to
strengthen supportive supervision for integrated HIV/FP services, including use of provider tools that
reinforce new FP counseling skills and revision of routine monitoring forms to include FP information and
indicators.
These activities contribute to the PEPFAR goal of providing care services to 10 million. The activities also
support the USG strategy for South Africa by collaborating closely with the DOH to improve access to and
quality of basic care and support.
Continuing Activity: 13724
29258 29258.09 Department of US Department of 11952 11952.09 ICASS $30,880
State / Office of State
the U.S. Global
AIDS Coordinator
29254 29254.09 HHS/Health University of 10351 1331.09 U69/HA00047 -- $515,000
Resources Washington I-TECH
Services
Administration
13724 2925.08 U.S. Agency for Family Health 6583 224.08 CTR $1,600,500
7584 2925.07 U.S. Agency for Family Health 4476 224.07 CTR $1,520,000
2925 2925.06 U.S. Agency for Family Health 2633 224.06 CTR $350,000
Estimated amount of funding that is planned for Human Capacity Development $260,000
Table 3.3.08:
In FY 2010, the core deliverables for Family Health International's (FHI) Adult HIV and AIDS treatment
section will be to provide outlets that will provide 1) assist in referrals to antiretroviral therapy (ART)
services; 2) provide counseling and testing (CT); 3) tracking and tracing of CD4 counts; 4) assessment,
diagnosis and management of sexually transmitted infections (STIs); 5) referral to family planning (FP)
services; 6) referrals to home-based care (HBC)/ palliative care (PC) programs for care services as well as
ART adherence counseling; 7) screening for tuberculosis (TB) in all clients and family members of
suspected TB clients; 8) cervical cancer education as part of prevention among positives; and 9) referrals
for clients' other needs, such as social and legal support. As part of the client tracking system and providing
quality services, monitoring and evaluation systems will be put in place and monitoring activities will
continue over the life of the project. Data from the mobile service unit (MSU) will also be reported to the
local government clinics and district officers that provide the commodities for the MSU.
The above are in addition to the services described above (FY 2008 COP content) and are based on
requests from the department of health (DOH). The additional services are also consistent with the
changes already made in the MSUs that are currently functioning.
All staff for the MSUs will have been hired and trained using the DOH approved and certified curricula by
the FY 2009 COP. FHI will coordinate with the DOH and other training groups to ensure that MSU staff
attends refresher trainings on the services provided by the MSUs.
Starting in FY 2008 COP, FHI will manage all four of the MSUs directly and will continue to do so in the FY
2009 COP as per discussions to date with Project Support Association of Southern Africa (PSASA) and
USAID. FHI-SA will continue to work with HBC volunteers in mobile clinic service sites to provide referrals
for CT, TB, STI, FP and ART services and to conduct, and continue to conduct, outreach to HBC projects
and communities through Information, Education, and Communication (IEC) materials and household visits.
In FY 2009 COP, FHI will thus work directly with the communities and the provincial departments of health
of Mpumalanga, KwaZulu-Natal, Limpopo and Eastern Cape provinces to scale up community outreach
activities in support of the four MSUs through the provision of technical assistance (TA) including training to
HBC volunteers to identify PC, CT, ARV, FP and other needs in the household and to refer appropriately.
With FY 2009 funding, FHI will further work with the provincial departments of health in assisting them with
their strategies and plans for taking over the functioning of the MSUs as per the MOU agreements. The
above will include MSU handover preparations. As part of the handover preparations, FHI will develop and
review existing tools and logarithms for services to facilitate and ensure mobile services are in line with the
DOH policies and guidelines.
To facilitate quality assurance and quality improvement, and as part of MSU performance assessments, FHI
conducts quarterly MSU costs analysis, report analysis and feedback and random MSU visits on-site. FHI
also worked with PSASA to develop management guidelines and service protocols for the MSUs, which
follow both national and international standards.
----------------------------
This is a new activity in FY 2008.
Family Health International (FHI) will use FY 2008 funding to continue to expand access to integrated
services for HIV-infected and affected individuals in home-based care (HBC) programs by strengthening the
linkages between HBC and counseling and testing (CT) through establishing additional mobile clinics in
underserved areas in Mpumalanga and KwaZulu-Natal provinces. FHI will work with the Departments of
Health as well as PEPFAR partners, Project Support Association of Southern Africa (PSASA), Right to Care
(RTC), and BroadReach, and will refer patients in need of antiretroviral treatment (ART) to government-
accredited institutions for ART initiation. The emphasis areas for the following activities are in-service
training, local organization capacity building, and health-related wraparound programs in family planning,
safe motherhood, and tuberculosis. Target populations addressed are people living with HIV and AIDS and
men and women of reproductive age.
In response to requests from the national and provincial Departments of Health and Social Development,
FHI has been strengthening the linkages between home-based care (HBC), counseling and testing (CT),
TB, antiretroviral treatment (ART) and family planning (FP) services for comprehensive treatment, care and
support. This project addresses the need to establish formal referral and follow-up mechanisms for CT and
ART and other essential healthcare services, such as FP, in HBC programs where clients are often in need
of ART. Experience suggests that improved access to ARV services in South Africa is improving the health
status of many HIV-infected individuals, leading to a return of libido and sexual activity, and this also
requires careful decisions about their sexual and reproductive health. Tighter links between palliative care
(PC), TB, CT, ARV and FP services, in particular, afford men and women the opportunity to improve their
overall quality of health through integrated services. FHI is creating and strengthening functional referral
mechanisms between CT, HBC, ARV and FP service programs in Mpumalanga and KwaZulu-Natal in
collaboration with PSASA and the South African Council of Churches (SACC) HBC programs. To date, over
500 new clients have initiated ARVs through the program referral network. Access to ART is still a major
constraint in these rural programs. PSASA's and SACC's HBC programs typically reach out to low-resource,
isolated communities where HIV service needs are high and transport to services is prohibitively expensive.
In FY 2006, FHI and its partners established a mobile clinic to provide better access to CT,
diagnosis/treatment of sexually transmitted infections (STI), ARV services, and FP. These integrated mobile
services target HBC caregivers, clients and their families, as well as the surrounding communities.
Activity Narrative: Additional units are being added in FY 2007 to reach those who reside in remote, underserved areas in
Mpumalanga and KwaZulu-Natal. This will enable project partners to cover a larger geographical area and
meet the needs of more HBC clients and family members.
In close collaboration with the Mpumalanga and KwaZulu-Natal Departments of Health (DOH), PSASA,
SACC, RTC and BroadReach, FHI will expand access to quality integrated services for infected and
affected individuals in HBC programs through a continuation of the project and through continued support to
four mobile service units to provide CT, ARV services, STI screening and FP services in rural, underserved
areas. PSASA and SACC will provide basic care and support services and refer clients for services offered
by the mobile clinics and provide follow-up and ART adherence at the HBC level. Nearby DOH facilities will
process lab work for CD4 counts and place clients on ARVs according to clinical protocols. Specifically FHI
will continue to (1) support the four mobile clinics that were established in FY 2006 and 2007, based in
Mpumalanga and in KwaZulu-Natal; (2) serve remote HBC sites in Mpumalanga and KwaZulu-Natal of
which the program participants and immediate community will have access to the mobile clinics; (3) hire and
supervise local mobile clinic staff (professional nurse and one counselor in each mobile clinic) to provide
CT, STI and FP services and ARV referrals as it is anticipated that patients' treatment by the mobile clinic
staff will be transferred to public sector sites as soon as these sites have the necessary capacity; (4) train
four professional nurses and four counselors to oversee the quality of CT, ARV screening, TB screening
and treatment, STI testing and treatment, FP services and counseling; (5) train four professional nurses and
four counselors on couple counseling and gender awareness, and ensure it is staffed by qualified health
professionals; (6) work with HBC volunteers in mobile clinic service sites to provide referrals for CT, TB,
STI, FP and ARV referrals services; (7) conduct outreach to HBC projects and communities through IEC
materials and household visits; and (8) use the mobile clinics to transport clients to doctors or facilities for
urgent care.
FHI will leverage resources from partners and the DOH for all commodities. FHI will support a Management
Information System to collect service and referral data relating to all patients. A monitoring and evaluation
specialist, who will be hired to spearhead this effort in FY 2007, will continue to be supported in FY 2008.
Also, in FY 2008, COP activities will be expanded to train approximately 40 government officials (10 per
mobile support unit) on maintenance and management. All activities will be implemented closely with local
partners with an aim towards bolstering capacity to take ownership of the mobile clinics by September 2009.
These activities will contribute to the PEPFAR 2-7-10 goals by increasing the number of people receiving
ARV treatment.
Continuing Activity: 13725
29279 29279.08 U.S. Agency for Abt Associates 11968 11968.08 Health Systems $50,000
International 20/20
29278 29278.08 U.S. Agency for Abt Associates 11968 11968.08 Health Systems $200,000
29277 29277.08 U.S. Agency for Abt Associates 11968 11968.08 Health Systems $150,000
29276 29276.07 HHS/Centers for University 11957 11957.07 University $100,000
Prevention Corporation, LLC Corparation
29275 29275.06 HHS/Centers for JHPIEGO 11967 11967.06 New JHPIEGO $135,000
Disease Control & GAP
13725 2927.08 U.S. Agency for Family Health 6583 224.08 CTR $970,000
7586 2927.07 U.S. Agency for Family Health 4476 224.07 CTR $850,000
2927 2927.06 U.S. Agency for Family Health 2633 224.06 CTR $400,000
* TB
Estimated amount of funding that is planned for Human Capacity Development $136,485
Table 3.3.09:
FY 2008 COP activities will be expanded to include:
-Early identification and enrollment of children into care and support services; and
-Training of home-based care volunteers and professionals who will in turn provide training to the family
members and caregivers to equip them to provide quality pediatric HIV care and support.
Family Health International (FHI) provides support to both community- and facility-based palliative care (PC)
services at the primary care and hospital level, while strengthening the linkages between PC, counseling
and testing and antiretroviral treatment for comprehensive care and support. FHI's interventions strengthen
the physical, spiritual, social, psychological and integrated preventive aspects of pediatric PC, and leverage
government resources through service networks to meet multiple care needs. Children often present to the
health system with advanced disease and are members of families in need of knowledge and support
related to HIV. By providing pediatric services in the communities where FHI has been providing PC
activities, FHI will take a family-centered approach to pediatric palliative care through this program to ensure
early identification and enrollment of children into care and support service through mobile service units'
clinics to improve access to integrated services in remote HBC programs. This will improve the ability to
address the multigenerational effects of HIV, integrate care, decrease stigma and promote family wellness
benefiting infants, children, adolescents and their parents. Despite the crucial roles caregivers play, they are
often not adequately equipped with the knowledge and skills they need to provide holistic care and support
for HIV-exposed and HIV-infected children. Caregivers are not always aware of how to access care,
support, and other child services like ART, TB treatment. FHI will carry out pediatric PC activities with
government and community-based organizations (CBOs), the South African Council of Churches, South
Africa Red Cross, Nightingale Hospice and Evelyn Lekganyane HBC. FHI will provide training of Home-
based care volunteers and professionals who will in turn provide training to the family members and
caregivers to enable them to provide quality pediatric HIV care and support. Training content will include:
diagnosing common childhood illnesses, providing support and accessing ART, referral for appropriate
services such as child protection services, social services like fostering and adoption and accessing child
support grants
Pediatrics includes HIV-exposed children (children born to HIV-infected mothers and not yet with a final
infection status), "HIV-infected" children (known infected), and HIV-affected children (uninfected children in
a family with one or both parents HIV-infected). A family centered approach to care and support in all five
delivery categories of clinical/physical care, psychological care, spiritual care, social care and integrated
prevention services will be encouraged. Children often present to the health system with advanced disease
and are members of a family in need of knowledge and support related to HIV. Caregivers, who have been
providing care to adults will need to learn about how to treat symptoms, assess pain and other problems as
relevant for children. Managing care alongside parents and transferring skills is another key element of
pediatric palliative care. A referral network with relevant services is also critical to providing pediatric
palliative care and will need to be expanded to fill identified gaps. The areas of bereavement counseling for
children whose parents were HIV-infected are often required and will be supported through the palliative
care training. Disclosure support for parents will also be a component of the pediatric palliative care service.
Working with other important persons in the child's life (teachers, friends, extended family) helps to bring
both support to the child and also to those who would like to be of help but need to know how. The
caregivers training and role will be expanded to support these important people. Adherence support for
parents and children for ART will also be an area of the service.
ACTIVITY 1: Strengthening government programs
package for HIV-infected children and their families in Mpumalanga, KwaZulu-Natal, Limpopo, Northern
Cape and Gauteng provinces. This includes the Integrated Community Palliative Care (ICPC) model in 2
provinces. Efforts will be made to ensure equitable access to child care services for both males and
females. The activities expand existing services that CBOs and government care programs currently
provide with an emphasis on promotion of the HIV preventive care package.
ACTIVITY 2: Strengthening community-based organizations
In the communities where FHI is working, pediatric PC services will provide for early identification and
enrollment of children into care and support services, through mobile clinics to improve access to integrated
services in remote HBC programs. FHI will carry out pediatric PC activities with government and community
-based organizations (CBOs), the South African Council of Churches, South Africa Red Cross, Nightingale
Hospice and Evelyn Lekganyane HBC.
ACTIVITY 3: Training of Home-based care volunteers and professionals
FHI will train home-based care volunteers and professionals who will in turn provide training to the family
members and caregivers to equip them to provide quality pediatric HIV care and support. Training content
will include: diagnosing common childhood illnesses, providing support and accessing ART, referral for
appropriate services such as child protection services, social services like fostering and adoption and
accessing child support grants. This activity will contribute to one of PEPFAR's goal of 10 million people in
care.
* Child Survival Activities
Estimated amount of funding that is planned for Human Capacity Development $25,125
Table 3.3.10:
