Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13577
Country/Region: South Africa
Year: 2012
Main Partner: HIV Managed Care Solutions
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,175,000

The aim for this project is to provide comprehensive HIV prevention services in six discrete mining communities in Mpumalanga province. Mpumalanga reportedly has the second highest provincial HIV prevalence in South Africa. The goal of the project is to reduce the number of new HIV infections in this community by a comprehensive HIV prevention service that includes behavioural, structural and biomedical strategies. The project objective is to reach a minimum of 80% of the community with a combination of interventions which include HIV training, HCT, behavioral change, referral to MMC and linkages to treatment for HIV, TB, STI and drug rehabilitation where appropriate. To achieve this reach, an innovative incentivized field marketing approach is proposed to gain community participation via word-of-mouth marketing and social entrepreneurship. Use will be made of new locally developed bio-metric technology to gather information anonymously on HIV status and to link it to changes in patterns of knowledge, attitude and practices (KAP) over time. Based on this information, it is intended to adjust the interventions to achieve the optimum reduction of the number of new HIV infections in this community over the 5-year period of the project. The project has a strong emphasis on developing indigenous capacity and coordination with South African, United States and international agencies. Over time, the functions will be transferred on a managed basis to the community and health systems so as to ensure sustainability on the conclusion of the project.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $1,000,000

In South Africa most men are not circumcised and if they are traditionally circumcised they are often not fully circumcised (and thus have no protection). As an HIV prevention intervention medical male circumcision requires a number of additional interventions in order to ensure it is effective. Firstly people have to know about MMC and men have to present themselves to the appropriate services. Post circumcision they have to remain abstinent until the wound is completely healed and then they have to continue to have safer sex for the rest of their lives. HIV Managed Cares social mobilisation intervention will work with male-dominated sectors (e.g., mining, transportation, and others) to provide education about MMC (both men and women) and establish direct link between mobilization and service delivery. HIV Managed Care has a proven track record of working with businesses to establish HIV prevention, care and treatment services, the MMC funds will be used to leverage those existing partnerships as well as expand to other areas. HIV Managed Care will work closely with service delivery partners in designated areas to ensure linkage between mobilization activities and service delivery. This activity is entirely PEPFAR funded.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $175,000

The target area of the project is six discrete communities totaling about 85,000 people situated in settlements adjacent to large mining activities in the Mpumalanga province of South Africa. The overall project goal to reach 80% of the target population with prevention interventions, including HIV training, HCT, behavioral change, referral to MMC and linkages to treatment for HIV, TB, STI and drug rehabilitation where appropriate. Annual targets for this project include conducting 19,500 HIV tests. Additionally, the 240 Peer Educators (PEs) will reach at least 4,800 individuals with HIV prevention messages, including referral to MMC services being offered by CDC-funded partners in the province. Additionally, those testing HIV-positive will be referred to HIV treatment services and receive a minimum package of Prevention with Positive services.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Mobile Populations