Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015

Details for Mechanism ID: 14415
Country/Region: South Sudan
Year: 2013
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $2,900,000

To increase access to primary health care services in South Sudan, USAID plans to support a five year Service Delivery Project, beginning in April 2012 and ending in April 2017. The goal of the Service Delivery Project is to increase access to quality primary health care services for all people in Central and Western Equatoria States. Through increasing the capacity of health facilities to provide a minimum package of primary health care services and increasing community access to information and services through health education, mobilization, and community based service provision, the Service Delivery Project will support the Ministry of Health in its goal to provide comprehensive health care to all people in South Sudan.

The Service Delivery Project aims to expand access and increase the quality of health services through an integrated, standardized package of services, and increase demand through community mobilization. By increasing access to information and standardized, quality services, the project will ultimately improve health outcomes and reduce morbidity and mortality, especially among women and children under five. HIV prevention is part of the standard package of services, and, where appropriate, includes access to quality PMTCT and testing and counseling services. The objective of the HIV/AIDS program is to develop PMTCT services in selected counties, provide Testing and Counseling through Provider Initiated Counseling and Testing (PITC), facility based Care and Support services as well as TB/HIV referrals

Funding for Care: Adult Care and Support (HBHC): $600,000

South Sudan depended on Global Fund for the provision of ARVs in the whole Country. Given the fact that there is no treatment for new clients who are eligible for treatment in the next few years, there is need to strengthen care services both at community as well as facility levels. The Service Delivery Project will provide some facility based care services including cotrimoxazole prophylaxis and treatment of OIs. TB/HIV services and referrals will also be provided.

Funding for Health Systems Strengthening (OHSS): $50,000

In South Sudan, the human capacity for effective program management is constrained both at the central Ministry and State Ministry of Health. To address this, Jhpiego will participate in and support regular joint support supervision with the state Ministry of Health staffs to improve effectiveness of AIDS programs at the PHCCs. They will also support monthly state HIV/AIDS coordination meetings. At the national level the project will support relevant policy and guideline development through participation in SSAC and MoH National technical working groups for HIV/AIDS, especially PMTCT. Other activities involve support for national activities such as World AIDS Day.

Funding for Testing: HIV Testing and Counseling (HVCT): $1,000,000

The Service Delivery Project will continue to provide HIV testing and counseling (HTC) for pregnant women at the ANC Clinic as part and parcel of ANC services. PITC services will be coupled with treatment of and/or referrals for treatment of opportunistic infections (OIs). Linkages will be maintained between the facilities and other home and community based psychosocial and economic support.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $100,000

Other prevention services will be provided through this partner. These services will target vulnerable populations in the project sites both at community and facility level.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,150,000

The Service Delivery Project will support current PMTCT sites in Western and Central Equatoria States. PMTCT services will be provided to new clients in existing sites but in the next two years there will be no scale up of these services due to limitation of PMTCT funding in South Sudan. The PMTCT implementation utilizes national protocols and guidelines, with the four prongs of Primary prevention of HIV infection among pregnant women: prevention of unintended pregnancies among women living with HIV; prevention of HIV transmission from women living with HIV to their infants; and care, treatment and support for mothers living with HIV, their children and families.

Health workers will be trained in PMTCT provision including the provision of ARVs to pregnant mothers (OGAC is supporting provision of emergency commodities for PMTCT in the next 2 years) on site. Through routine data collection and supervision of the sites, the Service Delivery Project will ensure quality of service and standards are kept. The County Health Department will be involved in monitoring the provision of services at the facilities. The PMTCT sites shall be part of the routine antenatal care services at the sites and integrated with family planning services. Demand creation for services will be part of the community mobilization outreaches from the facilities. There will be continued coordination of activities with partners providing community related HIV/AIDS services.

Cross Cutting Budget Categories and Known Amounts Total: $40,000
Human Resources for Health $40,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support