USAID SHIPP. 2 The PARTNERSHIPP 2010-2015 SANAC, DPSA, NDOH & NDOE PRESIDENCY.

USAID SHIPP

2

The PARTNERSHIPP 2010-2015

SANAC, DPSA, NDOH & NDOE

PRESIDENCY

3

IMPACT REDUCTION IN SOUTH AFRICA

SHIPP will adopt a SHIPP will adopt a Combination Sexual Prevention Combination Sexual Prevention Approach: Approach:

Address primary drivers – sexual transmission in all its manifestations and enabling factors

Know your epidemic and context at local level

Construct joined up prevention response at local level

Set lofty goals but achievable targets

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SHIPP APPROACH

• Engage with leadership in health, education and communities.

• Focus on key drivers and use evidence-based interventions.

• Enhance enabling environment at national, provincial and district levels to build the local (district & sub-district) responses, e.g. NSP 2012-2016

• Seize opportunities to increase coverage, depth and quality of HIV prevention interventions.

• Enhance coordination and synergies with other PEPFAR funded partners (HIV prevention, treatment, and care).

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DATA• Research data • Programme data• Surveillance data

LOCAL EPIDEMICASSESSMENT

*BUILDING LOCAL JOINED UP RESPONSEDevelop tool that spits out composition of

Local programme based on LEA

SHIPP M&E and IMPACT ASSESSMENT

•

• HIV & AIDS Programming• HIV & AIDS Service Delivery• Building DAC capacity• Building LAC capacity

PROPOSED PROGRAMMEMIX OF METHODS

TOOLS Spatial Mapping

of Risks, services

and populations MARP

Assessment KEY DOCUMENTS KYE/KYR NASA Provincial Strategic

Plans Annual Operational

Plans PEPFAR

Combination Prevention Guidelines

Programme EVALUATION

• Key indicators and targets• Align with LEA and

Dashboard as data sources

• Model or estimate infections averted

•

*DASHBOARD FOR DAC & LAC

MANAGEMENT7-10 KEY Variables

For programme management and

monitoring

All NSP, PSP & DISTRICT PLANS ALIGNEDAll NSP, PSP & DISTRICT PLANS ALIGNED

Small Grants Programme

COMMUNITY PARTNERSHIPSSmall Grants Programme

COMMUNITY PARTNERSHIPS

AT DISTRICT AND SUB-DISTRICT LEVELS

*DEVELOP LOCAL EPIDEMICASSESSMENT TOOL (LEA) Closing the gaps

between HIV risk and prevention services

HIV PREVENTION – LOCAL EPIDEMIC ASSESSMENT PROCESS

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LOCAL EPIDEMIC ASSESSMENT PROCESS (LEAP)

LEAP assesses the district-level epidemic, helps to model a tailored prevention response, and creates an action plan.

•Pre-Piloting Phase:

– Refine LEAP approach with stakeholders (national/province meeting)

– Generate a customized LEAP tool for target districts (desk work)

•Piloting Phase:

– After national/provincial buy-in, start LEAP in pilot districts (2-day meetings)

– Follow-up district level activities with national/provincial managers

– Review and modification of LEAP approach and modeling results

•Training and Full Implementation Phase:

– Train national/provincial planners on aggregating LEAP results

– Mentored roll-out of LEAP to all districts under SHIPP

– Continuous review of LEAP-generated district action plans

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GEOGRAPHIC FOCUS

PROVINCEPROVINCE DISTRICTDISTRICT SUB DISTRICTS/ SUB DISTRICTS/ MUNICIPALITIESMUNICIPALITIES

1. GAUTENG1. GAUTENG 1. Region A1. Region A2. Region G2. Region G

2. KWA ZULU NATAL2. KWA ZULU NATAL 1.1. ZululandZululand2.2. TBCTBC

eDumbeeDumbe uPhongolouPhongolo aBaqulisiaBaqulisi NongomaNongoma uLundiuLundi

3. MPUMALNGA3. MPUMALNGA 1.1. TBCTBC2.2. TBCTBC

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LEVEL OF FOCUS LEVEL OF FOCUS

LEVELLEVEL % OF FOCUS% OF FOCUS

NATIONALNATIONAL 20%20%

PROVINCIALPROVINCIAL 20%20%

DISTRICTDISTRICT 30%30%

COMMUNITYCOMMUNITY 30%30%

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PARTNERSHIPS

SANAC-NSP

PRESIDENCY-NSDA

KZN

MP

GP

NDoH

NDBE

DPSA

SH

IPP

CIVIL SOCIETY

COMMUNITY MOBILISATION

SMALL GRANTS

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ACHIEVING OUR OBJECTIVES

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PROGRAMMATIC HORIZON - 2 YEAR HORIZON

• NSP fully agreed and executed for enabling environment and barrier removal;

• Six districts with sub-districts engaged in three provinces;

• Provincial Strategic Plans agreed and executed;

• District Action Plans for prevention in process;

• LEAP process executed;

• Integrated prevention services delivered and coverage and quality monitored;

• Dashboard of key indicators reflecting program progress and success;

• HIV behavioral surveys and incidence surveys layered on;

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ISSUES AND PRIORITIES INFLUENCING PARTNER PROGRAMME

• PHC Re engineering:

shift focus in districts and sub districts to PHC and potential for increased sexual HIV prevention activities in hard to reach communities.

• Informal settlements

identified as key HIV priority. SHIPP will assist in defining best practice and identify key strategies and interventions for informal settlements inclusion in prevention activities

• Youth

Strengthen best practice approaches

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ALIGNING SHIPP’S OBJECTIVES WITH PEPFAR’S OBJECTIVES• PREVENT NEW HIV and TB INFECTIONS

– Expand biomedical and behavioral prevention that address the various drivers of the epidemic.

– Reduce vulnerability to HIV and TB infection

– Increase the number of person who know their HIV and TB status and link them to appropriate services

• STRENGHTEN THE EFFECTIVENESS OF THE HIV AND TB RESPONSE SYSTEMS

- Strengthen and improve access to institutions and services especially primary institutions

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谢谢谢谢bedanktbedankt tesekkürletesekkürle

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mange takmange tak

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