GLOBAL FUND IN THE WESTERN CAPE 13 February 2019 NACOSA Q12 Metro - - PowerPoint PPT Presentation

13 February 2019 NACOSA Q12 Metro CFM

GLOBAL FUND IN THE WESTERN CAPE

AGENDA

2

• Purpose of meeting
• NACOSA Update
• Reflection on 90-90-90
• Overview of New GF Grant
• GF Community Responses and Systems (CRS) – Selection

Criteria and process

• Human Rights Programme
• Discussion, Q and A

PURPOSE OF THE MEETING

1)Inform Communities and stakeholders about the Global Fund

Services

2)To promote the participation of local civil society organisations in the

GF programmes

3)To get buy in from a provincial and district stakeholders, in order to

make implementation more seamless and to try and negotiate MOUs from the on-set.

4)To inform key stakeholders on the Global Fund Implementation in

their relevant districts and sub-districts

NACOSA UPDATE

• GF Grant Ending March 2019
• New GF Grant – April 2019 - 2022
• PCA –
• First PCA scheduled for 22 Feb -
• New calls for nominations to serve on PCA has been circulated
• Local Coordination Structure Workshop 12 and 13 July 2018
• Follow up meeting will all sector leaders -16 Nov 2018
• National CSF called for a meeting on 22 Feb - discuss CSF Governance
• Need for a WC SANAC sector meeting with LCS leaders - October

Global targets for HIV treatment scale-up with the aim of ending AIDS by 2030.

90%

diagnosed

90%

• n treatment

90%

virally suppressed

90%

• f all people with diagnosed HIV

infection will receive sustained antiretroviral therapy (ART).

90%

• f all people living with HIV

will know their HIV status.

90%

• f all people receiving ART

will have viral suppression.

END OF AIDS

TESTING TREATMENT ADHERENCE

Viral suppression is when ART reduces the amount of HIV in a person’s blood to an undetectable level.

DETECTABLE UNDETECTABLE

Where are we?

SOUTH AFRICA

TESTING

85%

• f the estimated

number of adults living with HIV, know their status – an increase from 66.2 % in 2014.

TREATMENT

82%

• f estimated people living

with HIV are on antiretroviral treatment.

SUPPRESSION

62%



• f those

living with HIV are virally suppressed.

Source: HSRC National HIV Prevalence, Incidence, Behaviour and Communication Survey 2017

SOUTH AFRICA

48.9 49.0 49.2 49.3 49.4 49.5 49.6 63.1 Life expectancy

South Africa has the largest treatment programme in the world, accounting for

20% of people

• n antiretroviral

therapy globally.

Current Metro Strategic Objectives of DOH - aligned to 90-90-90

• 1. Metro has targets for HTS done in each sub district
• 2. Targets for people retained on ARV treatment (each month)
• 3. Targets for people retained on ARVs after 12 months
• 4. Targets for people retained on ARVs after 48 months
• 5. Male condom distribution targets
• 6. TB patients 5 years and older initiated on treatment
• 7. TB Client treatment success rate (Number of people cured)
• 8. TB (MDR) treatment success rate (Number of people cured)
• 9. Targets for reducing TB patient loss to follow up

10.Male Medical Circumcision targets

90%

diagnosed

90%

• n treatment

90%

virally suppressed

STRATEGIES

• Linking with district health facilities for outreach events
• Targeting hard to reach populations
• Providing community-based testing and adherence support
• Having youth or key population sensitive services
• Linking with local schools for HIV awareness and prevention
• Mobilizing communities for testing, treatment adherence and

viral load testing.

Critical documents to align HIV/TB/STI services to:

• Nationally – NSP
• Provincially – PIP
• District and sub district level - DHP ( and MDIPs when

developed)

• Find out where to get it, to use in programme planning by

NGO’s

• Community needs assessments, etc. needed to inform

programming

New GF Grant will bring metro

• pportunities relating to:
• AYWG,
• PWID,
• TB,
• Human right,
• CRS and possible small grants funding

GLOBAL FUND FUNDING CYCLE

THE GLOBAL FUND GRANT

• 1 April 2019 – 31 March 2022
• Total budget: USD$353,321,121

PRINCIPAL RECIPIENTS

AIDS Foundation of South Africa

www.aids.org.za

Networking HIV & AIDS Community of Southern Africa

www.nacosa.org.za

Department of Health

www.health.gov.za

Beyond Zero

www.beyondzero.org.za

FINANCIAL COMMITMENT

MODULE AND INTERVENTION AMOUNT

1

Prevention programmes for adolescent girls and young women $84,6 ,609,774

2

Comprehensive prevention programmes for sex workers and their clients $24,663,671

3

Comprehensive programmes for men who have sex with men $18,169,284

4

Comprehensive programmes for transgender people $3,391,655

5

Co Compreh ehensiv ive programmes for

• r people who inject drugs and

th their eir part rtners $9,6 ,683,666

6

Programmes to

• red

educe human rights-related ed barriers to

• HI

HIV ser ervices $5,6 ,655,649

7

Treatment Care and Support $44,999,921

8

TB Care and Prevention $40,427,581

9

Multidrug Resistant TB $19,563,247

10

TB/HIV $4,638,758

11

Community Responses and Systems $30,8 ,852,714

12

Health Management Information System and Monitoring and Evaluation $21,075,747

13

Procurement and Supply Management Systems $13,677,414

14

Programme Management $31,912,038 TOTAL $353, 321, 121

STRATEGIC THRUSTS

• Increasing district-level saturation of programs to

levels that will result in HIV and TB epidemic control

• Improving quality of care by augmenting and layering

packages along the full case cascade

• Maximizing alignment and additionally to

government and partner investments.

WESTERN CAPE

PEOPLE WHO INJECT DRUGS ADOLESCENT GIRLS & YOUNG WOMEN COMMUNITY RESPONSES & SYSTEMS HUMAN RIGHTS TUBERCULOSIS TRANSGENDER

EDEN CENTRAL KAROO CAPE WINELANDS OVERBERG WEST COAST CAPE TOWN

*

* Klipfontein sub-district

COMMUNITY RESPONSES & SYSTEMS PROGRAMME PACKAGE OF SERVICES

• Recruit & contract SRs
• Human rights & key

populations focused

• Limited period
• Capacity Assessments

& Development Plans

• Accredited & non-

accredited programmatic training

• Organisational

Development training

• Mentoring & TA
• Updating & costing of PIPs &

MDIPs

• Feedback & review with PCA

Heads of Secretariat

• Review PIP implementation
• Workshops & technical

assistance with DACs, LACs & sector leaders

• Leadership development
• PR Coordination
• Strategic partnerships
• Multi-sectoral coordination
• Reporting to PCAs
• Consultative Forum Meetings
• PLHIV & KP network engagement
• Community dialogues
• CRS-CSO review meetings

SOCIAL MOBILISATION &

COORDINATION

GOVERNANCE & LEADERSHIP CAPACITY BUILDING

COMMUNITY SMALL GRANTS

NATIONAL STRATEGIC PLAN

PR COORDINATION

• Improved linkages between GF PR

and SR’s

• Ensure that GF programmes

implemented by SRs/ CSOs are aligned to MDIPS and District Health Plans

• Discuss PCA reporting; format, dates
• f submission, feedback
• Linking with the M&E/FFI Manager

CONSULTATIVE FORUM

• Theme based approach – following the

provincial Health calendar

• Link to District Plans
• Work with PCA Secretariat & local govt.

and involve CS sector leaders

• Create platform for sector coordination
• Develop toolkits and distribute IEC

materials

SOCIAL MOBILISATION

• Consultants to support to the PCAs with updated and costed Provincial Implementation

Plans (PIPs) and Multi-sectoral District Plans (MDIPs)

• Quarterly meetings with PCA Heads of Secretariat and M&E Managers to review PIP

implementation

• Training for PCA teams (5 per province) on governance, programme management,

leadership, stakeholder engagement, etc.

• Support civil society coordination structures at provincial, district and local levels
• Site visits for program oversight, coordination and data review meetings
• Quarterly reporting to the PCA

STRENGTHEN GOVERNANCE AND LEADERSHIP OF PCAs

GOVERNANCE & LEADERSHIP

IN INDICATOR CUMMULATIVE WESTERN CAPE Y1 Y1 Y2 Y2 Y3 Y3

Number of GF Reports submitted to the PCAs 4 8 12 Number Of MDIPS developed and costed 2 4 6 Number of organisations received capacity building 10 20 10

TARGETS

OPPORTUNITIES TO BE INVOLVED (CRS)

• 10 CSOs targeted in WC (1st intake and again 10 in 2nd intake)
• Capacitate CSOs to contribute to GF Programme outcomes, MDIPS and PIPS and

champion work with key and vulnerable populations within the selected grant districts

• Package of Capacity Building Services include:
• Detailed Capacity Assessment and Capacity Development Plan
• Organisational Development Training
• Programmatic Training
• Mentoring and Technical Assistance

OPPORTUNITIES TO BE INVOLVED (CRS)

Organisational capacity will be developed on four levels:

• In

Institutional capacity includes the ability to create an organisational mission, vision, strategic and operational plan

• Knowledge and skil

ills of f in individuals in the organisation includes technical skills and knowledge on specific programme areas.

• In

Infl fluencing abili lity of organisations – focusing on the organisation’s ability to form partnerships, be part of local advocacy campaigns and joint planning at different levels.

• Adaptive capacity of organisations - focusing on the organisation’s ability to

review current operations and models, stay relevant and remain sustainable over time.

CAPACITY BUILDING

ORGANISATIONAL DEVELOPMENT TRAINING

NON-ACCREDITED ACCREDITED Risk Management – 3 days Finance Management – 5 days Governance Human Resource Management (Labour legislation) – 4 days Sustainability Monitoring and Evaluation Project Management (4 days) Procurement and Supply Management

CAPACITY BUILDING

TECHNICAL TRAINING

NON-ACCREDITED ACCREDITED RTQCI HTS Adherence support (Iact) incl TB screening HIV/TB Prevention Stigma and Discrimination Health promotion (18-month full qualification). Identify unit standards that could be provided.

Mentoring and Technical Assistance

• Organisations receives monthly or Bi monthly Mentoring visits
• Visits are facilitated as site visits, via telephone/skype or via

cluster mentoring

• Mentoring used to help implement Capacity Building Plan
• Mentoring specialists used for specialised facits e.g. specialist

M&E mentor if such capcity need exists

• Technical assistance also provided regarding programme, health

products and services, e.g. Non medical testing site set up and compliance

SMALL GRANT SCHEME

• CSOs capacitated through the capacity building component eligible to apply
• Geographic alignment to the districts of the other KP programmes to support uptake of

services, linkage to care , lost to follow up and adherence.

• Proposed amount of between R250 000 – R300 000 over a 12 month grant period ($19

000-$23 000)

• CSOs targeted over the grant period Phase 1: September 2019- August 2020
• Phase 1: September 2019- August 2020
• Phase 2: April 2021- March 2022
• Purposeful integration of Stigma and Discrimination Reduction activities in Small Grants

Programme building on achievements from current grant.

PACKAGE OF SERVICES HUMAN RIGHTS PROGRAMME

Human Rights Interventions

REDUCE STIGMA & DISCRIMINATION SENSITIZATION & TRAINING OF HEALTH FACILITY STAFF SENSITIZE LAW-MAKERS & LAW ENFORCEMENT AGENTS LEGAL LITERACY MATERIALS FOR KEY POPULATIONS, PLHIV & PEOPLE WITH TB

NATIONAL HIV & TB HUMAN RIGHTS ACCOUNTABILITY SCORECARD

TIMELINES FOR CRS SELECTION

STAGE DATE 1.

• 1. Publi

lication of

• f call

all 01 February 2019 2.

• 2. Brie

riefing at t quar arterly CFM FM meetings in in eac ach 11 February – Garden Route(Eden) 13 February (Metro) 3.

• 3. De

Deadlin line for

• r su

submittin ing ap appli lications 22 February 2019 at 13h00 4.

• 4. Se

Sele lection peri riod of

• f CSO

SOs for cap apacity build ildin ing bas ased on

• n scr

screening of

• f proposals

ls 25 February to 8 March 2019 5.

• 5. Feedback to ap

appli licants) From mid-March 2019 after receiving endorsement from CCM 6.

• 6. Cap

apacity ass assessments of

• f se

sele lected CSO SOs an and fin final l con

• nfir

irmation of

• f se

sele lection 13 – 27 March 2019

CONTACT PEOPLE

PROGRAMME PR CONTACT PERSON EMAIL ADDRESS

People Who Inject Drugs

NACOSA Leora Casey leora@nacosa.org.za

Adolescent Girls & Young Women

NACOSA Erica Jacobs erica@nacosa.org.za

Community Response Systems

NACOSA Riaan Grobbelaar riaan@nacosa.org.za

Human Rights

AFSA Phumelele Ncgobo phumelele@aids.org.za

TB, MDR TB and TB/ HIV

NDOH Donald Demana Donald.Demana@health.gov.za

Transgender

BZ Dr Sisanda Gaga sisandag@beyondzero.org.za

Nacosa.org.za

THANK YOU

We’re stronger, together.