Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 14616
Country/Region: South Africa
Year: 2012
Main Partner: Palladium Group (formerly Futures Group)
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $8,771,014

The Sexual HIV Prevention Program (SHIPP) is a bilateral partnership agreement between USAID and SAG. SHIPP supports SAG to deliver measurable HIV prevention outcomes by building capacity at national, and select provincial, district, and community levels to coordinate, implement, and evaluate HIV prevention programs. SHIPP provides technical assistance (TA) to strengthen strategic and operational leadership capacity in NDoH, DBE, DSD, DHET, and SANAC with a focus at local level to increase the demand for and access to high-quality HIV prevention services. SHIPPs TA builds SAG capacity to understand the local epidemic and implement an optimal combination of HIV prevention approaches, biomedical, behavioral, structural, addressing drivers of the epidemic. TA includes long and short term staffing support, training, mentoring and coaching based on SAG needs. SHIPPs TA is focused in local areas that are in the most impoverished sub-districts with high prevalence in KZN, Mpumalanga, and Gauteng provinces. In these areas SHIPP strengthens DAC and LAC leadership to improve HIV prevention responses. The DAC/LACs will use the Local Epidemic Assessment Process, a data collection and analysis tool, designed to help understand the local epidemic to improve planning, budgeting, and monitoring systems. SHIPP will support SAGs PHC re-engineering and build capacity for community outreach programs amongst MARPs and vulnerable populations as defined by the epidemic in the focus areas. SHIPPs Small Grants component will build capacity of CBOs and focus on scaling HIV prevention support beyond health facilities, including supporting innovative interventions for individual and social norm change to address gender dynamics, keeping girls in school, and violence against women.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $4,971,014

SHIPP provides technical assistance (TA) to relevant national and provincial governments to develop combination prevention packages that address key drivers of HIV infection at local level, to reduce new HIV infections. SHIPP is working with target SAG departments to develop, finalize, and implement the NSP and PSP 2012-2016, focusing on combination HIV prevention activities. TA is through a multi-sectoral approach to strengthen government systems at various levels. Targeted TA focuses at thirteen high HIV prevalence sub-districts in KZN, Mpumalanga and Gauteng provinces, and support is for planning, monitoring, and coordinating optimal combination HIV prevention interventions that are evidence-informed and measurable. TA is specifically aimed at supporting DACs and LACs to align HIV prevention interventions with NSP priorities and also helps to these structures to develop programs that address social, economic and behavioral drivers of HIV to reduce infection in high transmission area located in high density informal settlements such as Diepsloot, Orange Farm, and Ivory Park; and rural and remote villages in KZN and Mpumalanga. SHIPP will also provide TA for the development of tools and processes for District AIDS Councils (DACs) to conduct spatial mapping of prevention interventions targeting young adults (aged 15 49) and key populations, and include gender sensitive HIV prevention packages focusing on sexual reproductive health and rights and HIV and alcohol and substance abuse in the above target locations. SHIPP will build M&E capacity within the NDOH, DBE, and SANAC to improve HIV/TB prevention systems, and contribute to the development of evidence-based combination prevention packages in areas of highest transmission. SHIPP will support and strengthen DBE systems to disseminate life skills and sexual reproductive health curricula that are aligned with the new DBE HIV strategy targeting school-going youth aged 10 -19. SHIPP will improve targeted components of the school health program to deliver adolescent health interventions in collaboration with NDOH. Activities are aligned with the new OGAC Prevention Strategy to improve measurable prevention outcomes, increasing program sustainability, integration and strengthening systems in close partnership with SAG and civil society. SHIPP will help build capacity for the DACs to operationalize and disseminate revised guidelines to local stakeholders and expanding HCT beyond formal health care settings; and provide capacity to contribute to national HIV prevention targets.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $3,800,000

SHIPP will support the implementation of the NSP in target provinces KZN, Mpumalanga and Gauteng, specifically strengthening combination prevention approaches, targeting high transmission areas. SHIPP will provide technical assistance (TA) at national level to revise policies and guidelines and analyze research findings on HIV counseling and testing, voluntary medical male circumcision, post-exposure prophylaxis, commercial sex workers, and anti-retroviral and sexually transmitted infection syndrome management. SHIPP will provide TA to build capacity for the South Africa National AIDS Council, Department of Basic Education, Department of Health, District AIDS Councils (DACs), and local AIDS Councils (LACs) to operationalize and disseminate guidelines and to develop functional HIV/TB plans aligned with the NSP 2012 - 2016. SHIPP will also develop the Local Epidemic Assessment Response Process to identify combination prevention activities and targeted approaches supporting districts and sub-districts in identifying appropriate combination prevention activities. SHIPP will support the DACs and LACs to assess and analyze data, assist in developing spatial mapping systems that help the DACs to determine the local HIV spread patterns, provide projections for new HIV infections, and develop strategies to curb infections at the local level. SHIPP will work in partnership with other community-based organizations and non-governmental organizations to build capacity to strengthen country ownership, and improve leadership structures at the local level to integrate combination HIV prevention programs in work place activities and community programs for key populations. SHIPP will provide TA in developing a comprehensive gender integration framework, including the development of a manual for planning, implementing and evaluating and sustaining gender integration. SHIPP will help in strengthening referral systems for school-going youth aged 10 -19 and community based HIV prevention interventions. Community based programs will also target youth friendly services in support of HIV prevention interventions.

Subpartners Total: $0
The Centre for AIDS Development, Research and Evaluation: NA
EngenderHealth: NA
Futures Group: NA
University of the Witwatersrand: NA
Cross Cutting Budget Categories and Known Amounts Total: $4,000,000
Education $500,000
Gender: Reducing Violence and Coercion $1,000,000
Human Resources for Health $2,500,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Increasing women's legal rights and protection
Mobile Populations
Safe Motherhood
Workplace Programs
Family Planning