Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014

Details for Mechanism ID: 7221
Country/Region: South Africa
Year: 2013
Main Partner: University Research Corporation, LLC
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $5,320,000

The URC TB Project is a provincial support partner working in Northwest, Limpopo, Northern Cape, Free State, Eastern Cape, KwaZulu Natal, and Mpumalanga. The target population includes PLHIV. The projects objective is to strengthen TB/HIV collaboration and provide PLHIV with continuum of care. The activities for FY 2012- 2014 have been amended in line with the functions of a PEPFAR provincial partner as per the Partnerships Framework between the USG and SAG and the NSP. Activities include: 1: Health systems strengthening in public and private sectors: together with NDoH, URC will strengthen TB/HIV M&E through review of TB/HIV policies and monitoring of referral systems for TB/HIV services between NDOH facilities and private sector. 2. Prevention of new TB, HIV and STI infections through the adaptation and dissemination of TB/HIV IEC material with messages of prevention, early presentation, and treatment adherence. URC will monitor the scale-up of IPT to all PLHIV. 3: Adult Care and treatment: Together with DOH, URC will monitor implementation of the 5Is. PLHIV will be screened to exclude TB, and will be started on IPT and ART as per guidelines. Co-infected patients will be monitored for CD4 counts, CPT, and ART initiation. Local NGOs will be engaged to improve adherence to treatment and reduce treatment default. 4: Reduce stigma and discrimination: URC will support grassroots advocacy to counter stigma and promote a supportive environment for co-infected people. 5: Monitoring and evaluation and surveillance: Jointly with DOH, URC will conduct district TB/HIV review exercises and provide technical support supervision. 6: Training: Together with RTC, URC will coordinate and trainings and post training mentoring.

Funding for Care: TB/HIV (HVTB): $5,320,000

The University Research Co. (URC) is now a provincial partner, following the PEPFAR realignment process. With the realignment, URC supports seven provinces: Northwest, Limpopo, Northern Cape, Free State, Eastern Cape, KwaZulu Natal, and Mpumalanga

With a view toward sustainability and the overall transition, 10 nurse mentors will be employed on a temporary contract basis to support new districts allocated in the seven provinces. These nurses will be capacitated to provide mentoring for NIMART trained nurses. Construction: infection control implementation remains a challenge in facilities which have infrastructure challenges. The project will provide additional park homes to improve infection control in facilities which have infrastructure that compromise implementation of infection control. Park homes will also be utilized to serve as TB focal points in Kwazulu Natal. TB focal points will ensure that patients diagnosed with TB receive counseling on TB disease and management, counseling and testing for HIV, and appropriate referral for follow up care.

Subpartners Total: $0
Health Systems Trust: NA
International Union Against Tuberculosis and Lung Disease: NA
Johns Hopkins University: NA
Cross Cutting Budget Categories and Known Amounts Total: $1,000,000
Human Resources for Health $1,000,000
Key Issues Identified in Mechanism
Increasing women's access to income and productive resources
Workplace Programs