Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7301
Country/Region: South Africa
Year: 2008
Main Partner: Right to Care
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $500,000

Funding for Treatment: Adult Treatment (HTXS): $500,000

This is a new activity in FY 2008.


Currently, the USG PEPFAR Task Force supports institutional capacity building of indigenous organizations

that implement PEPFAR programs through four competitively selected Umbrella Grants Mechanisms: Pact,

the Academy for Educational Development (AED), Family Health International (FHI) and Right to Care

(RTC). The main purposes of these new umbrella organizations are to (1) facilitate further scale up of HIV

treatment services; and (2) to develop indigenous capability, thus creating a more sustainable program. The

major emphasis area is local organizational capacity development. Primary target populations are

indigenous organizations, including non-governmental organizations (NGOs), faith-based organizations

(FBOs), and community-based organizations (CBOs).

RTC will use PEPFAR funds to support one or more NGO treatment organizations through financial

oversight, project management, human capacity development, training, mentorship programs, program

development, strategic planning, and audit readiness. PEPFAR funds will support components of UGM

within RTC, but the predominant focus will be on the pass through of funds to sub-grantee implementation.


RTC currently supports 12 NGOs, and under the new UGM, additional organizations will be supported with

FY 2008 funds. The following proposed activities are designed to support sub-grantee initiatives to

implement the goals of PEPFAR and the South African Government's Comprehensive Plan. Over the last

two years, RTC has developed an Umbrella Grants Management capacity while developing specific skill

sets, competencies and capacity to support additional PEPFAR-funded organizations that will provide ARV


RTC will work with Sustainability Solutions Africa, a financial management company, to conduct pre-award

assessments, and training in financial management and USAID regulatory compliance. RTC and the

Clinical HIV Research Unit, an extension of the current RTC PEPFAR-funded program, will provide

technical assistance in medical issues.

There are four main areas of activity:

ACTIVITY 1: Program Planning

Needs assessment, and program and budget planning are conducted regularly with new partners. Site visits

take place alongside sub-grantee staff to evaluate capacity, human resources, facility planning, and

approaches to treatment and care systematically. This evaluation helps sub-grantees meet determined

targets and ensure quality of care. The experience of RTC clinicians and program staff is extended to sub-

grantees to help develop proper planning and forecasting, and to facilitate organizational and program


ACTIVITY 2: Finance

The RTC finance department has developed systems to assist with sub-grantees' compliance and capacity

development to manage PEPFAR funds effectively. Support given to sub-grantees will include a complete

range of financial management tools, such as pre-award audits, regular budget reviews, and close-out

procedures. RTC currently meets with sub-grantees annually to align financial planning with programmatic


Regular oversight and support is extended to all sub-grantees, and monthly financial reports are required

from sub-grantees. Periodic internal audits are conducted at the sites of all sub-grantees to establish the

quality of financial management and asset control, and alignment with USAID financial management


The RTC finance department has developed a state of the art financial software tool, which uses Business

Intelligent Tools, to monitor and track all sub-grantee transactions against budget projections for modeling

and cash flow. This integrated program will allow for responsible management of budgets at all sites.

ACTIVITY 3: Monitoring, Evaluation and Reporting

RTC's monitoring, evaluation & reporting (MER) system (standards, systems, procedures and tools) is

established, documented and regularly updated. The system is based on best practices and quality criteria

in the programmatic areas of ARV treatment, HIV care and support, HIV/TB, counseling and testing,

outreach and training.

All sub-grantees will be provided with the support, training and technical assistance necessary to meet

USAID reporting requirements effectively. This includes data quality assessments (DQAs).

ACTIVITY 4: Technical Support

The Clinical HIV Research Unit will provide additional technical assistance on treatment issues to new sub-

grantees. Clinicians employed by NGOs will also be able to participate in the mentorship program that will

include doctor training and regular rounds at the Helen Joseph Hospital.

RTC will train NGOs on established policies and procedures that meet the requirements of the South

African labor laws as well as the USAID regulations.

RCT has had extensive experience in working on a variety of infrastructure projects, and the organization

has developed collective expertise in proper clinic flow and effective interior space design in care and

treatment sites, as well as in TB clinics. RCT staff will be able to advise sub-grantees on any infrastructure


Activity Narrative: The training department within RTC has trained healthcare professionals at all levels within the various

clinics and care organizations. Training will continue with doctors, nurses, social workers and counselors, as

well as with traditional healers, community members, and non-health staff members. This training will

continue to support new sub-grantees in increasing their expertise and capacity.

RTC's relationship with the Department of Health will continue to grow, to ensure that the response is in line

with the strategic priorities for South Africa will ensure sustainability, and hopefully the program will be

transferred to the South African government on completion of PEPFAR.

RTC aims to capacitate organizations who currently have inadequate programs and management systems.

Training and support will be provided to all sub-grantees so that they will be able to manage their programs

independently by the end of the training period. RTC plans to provide financial reporting systems,

management standard operating procedures, human resources policies and procedures, clinical guidelines,

and monitoring evaluation systems that will ensure sustainability beyond RTC support.