Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2014 2015

Details for Mechanism ID: 9590
Country/Region: South Africa
Year: 2012
Main Partner: LifeLine International
Main Partner Program: Mafikeng
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $325,000

The goal of this project is to provide Mobile HIV Counselling and Testing Services (HCT) in the two districts Ngaka Modiri Molema (NMM) and Dr Ruth Segomotsi Mompati (DRSM) in North West province. The target population includes farm workers, men, and first time testers. There are areas which we would want to further develop strategies, in order to strengthen the activities that we have implemented. As well as continuing the processes that have been effective during the last three years of operation and activities we have conducted over the past 16 years. The following areas have been identified for the next financial year (Year 5): Increase the uptake of HCT; Further strengthen the referral system especially for those who require care and support, in the form of treatment and support structures; strengthen partnerships to ensure effective and efficient service delivery of wellness programs within the communities that served; enhance monitoring and evaluation tools, and; continued implementation of quality assurance management. We have formed strong partnerships with the Department of Agriculture (DACE), AgriNW (Farmers Union) and Department of Health (DoH), in working within the farming communities of the two districts. This partnership will assist in providing HCT services to farm workers and also ensure the assistance of the DoH mobile services for access to HIV treatment as well as other medical issues and immunization of children.

Funding for Testing: HIV Testing and Counseling (HVCT): $325,000

The geographic area where the mobiles operate is; Ngaka Modiri Molema District- Estimated population between 15 and 64 years is 481,473 (797,10) with HIV prevalence 13.2% and, Dr Ruth S. Mompati District estimated population between 15 and 64 years is 265,596 (456,346), with HIV prevalence 16.3%. The main target population for mobile VCT services is individuals between 15 years to 49 years, residing on farms. Our secondary target is couples.The total population HIV tested in the past twelve months (July 2010 July 2011) was .42%. Our main approach is client initiated, however, we do door to door offering counselling and testing. The clients have the option to decline, however, the numbers are very low. The setting is mobile HVCT services using rapid test kits. We participate in the SAG initiated HVCT campaigns.Target for HVCT for the current year is 5760 and of those 288 couples. Results achieved to date is i.e. October 2010 to Jun 2011 is 3154 .Total number of couples tested was 153. Targets for the COP FY 2010 is 10,952, for couples is 548. We have a referral system in place to track clients to health care facilities, which includes follow up calls to the clients and follow up visits to the health care facilities. All clients are screened for TB and those who present symptoms are referred directly to health care facilities or we inform the DoH mobiles to visit the farm. HVCT statistics are reported daily to DoH DHIS, and monthly narrative reports are submitted.QMS is in place, counsellors are de-brief on a quarterly basis and annual evaluated in counselling technique and attend monthly ongoing training. Test kits are checked when each batch is opened by using HIV+ and negative blood samples. Storage and transport of test kits are closely monitored, room temperature monitored daily.We encourage farm workers to attend HCVT days on the farms with their partners. We do preparatory meetings with health talks, community talk circles to market and promote all aspects of HVCT. Promotional material is distribute in local languages or images for low literacy areas.

Subpartners Total: $0
Gelduldspan HBC: NA
Kraaipan Community Project: NA
Lifeline: NA
Tlamelo TB and HIV and AIDS HBC: NA
Tshwaraganang Barolong Project: NA
Key Issues Identified in Mechanism