Adolescent Girls & Young Women (AGYW) Male Sexual Partners Programme Principal Recipient (PR): AFSA Sub- Recipient (SR): SABCOHA 28-30 May 2019

History of the Programs SABCOHA completed a 5 year Global Fund Grant under PR NRASD in March 2016 with most of the health screening and training of micro enterprises done in Mpumalanga Published a comprehensive case study. The success achieved in this grant facilitated further funding for 3 years from Global Fund s 2016 to 2019 under the PR’s Soul City Institute and AIDS Foundation South Africa working with AYWG and training of micro enterprises in Mpumalanga and Limpopo SABCOHA as SP successfully completed NDOH TB grant under SR NRASD in peri-mining districts During this grant we focussed primarily on empowering micro enterprises through the BizAIDS training programme and provided training for 21 614 micro enterprise owners and HCT to 114 452 individuals The success achieved in this grant assisted us to secure further funding for 3 years from Global Fund starting April 2016 under the PR’s Soul City Institute and AIDS Foundation South Africa.

Principal Recipient: AIDS FOUNDATION SA. Sub-Recipient: SABCOHA Adolescent Girls & Young Women (AGYW) Male Sexual Partners Program. 2019 - 2022 Donor: Global Fund Principal Recipient: AIDS FOUNDATION SA. Sub-Recipient: SABCOHA Sub- Sub Recipient: 31 May 2019(currently finalizing documentations). Period of Implementation 1 April 2019 – 31 March 2022 (3 years)

Eleven AGYW Districts

AIM SABCOHA is called upon to coordinate private sector input towards Health, more specifically the HIV and TB epidemics. SABCOHA is guided by its member companies and business organizations with a strong interest in health in South Africa and the African continent. SABCOHA PROJECTS EMBEDDED WITHIN SABCOHA Power of Partnerships in the world of work  Objectives :  1. To understand the SABCOHA history / evolution / strategy of the organization in line with changing business environment, changing health profiles , emergence of ncds, TB As an old disease that we have not conquered  2. To understand USAID - URC strategy and how aligned to National and global health agenda 3. To use the partnership and provincial strategy to highlight how a toolkit can be launched  4. To illustrate by example why business should focus on tv.. Also how business can benefit from implementation of this toolkit- suggest we provide some cost benefit analysis / business case  5. To share the preliminary outcomes and recommendations of the TB round table discussion 

Implementation Arrangements Donor – GF PR – AFSA SR – SABCOHA SSR- (local implementers) Private Service Provider (50% co-funding) Sekhukhune District Municipality- Fetakgomo Greater Tubatse Local Municipality

Workflow Diagram ROAD SHOW (district and sub district level) STRATEGIC PARTNERSHIP (PCA, Private Sector, GPs, works places, Taxi Associations, DOH, Men's Sector, other stakeholders) SITUATIONAL ASSESMENT IMPLEMENTATION MONOTORING, EVALUATION & REPORTING Concern identification, required interventions, appropriate delivery time and personnel. Who should provide services to male partners? Who are the male partners of AGYW, where can they be reached? Where are GPs and private male clinics? Where do male partners of AGYW work? How many health facilities are there?

Structural Interventions Health Screening HIV testing & Supervised HIV self-screening Condoms distribution and education STI screening & investigation TB screening Access to ART HIV in the work place policy Referrals to GPs for care and support Public Health Facility Workplaces IPO’s GPs GBV prevention dialogues in communities targeting traditional leaders, young men Health Education messaging for men using tailored IEC materials Demand Creation Case Finding through door to door visits Referrals to GPs for care and support Health Screening HIV testing & Supervised HIV self-screening Condoms STI screening & investigation TB screening Distribution of IEC materials Referral Centralised Chronic Medication Dispensing and Distribution (CCMDD Site) Health Screening Access to ART VL Monitoring STI Screening and Testing HIV testing & Supervised HIV self-screening Condoms STI screening & investigation TB screening Centralised Chronic Medication Dispensing and Distribution (CCMDD Site)

LAYERS CORE Initiation on TB treatment STI Test Access to ART HEALTH ENTRY POINTS GPs Workplaces NGOs Taxi Ranks Public spaces Initiation on TB treatment STI Test Access to ART Viral load monitoring Health Screening HIV testing & Supervised HIV self-screening Offered condoms HIV, SRH & GBV information BEHAVIOURAL SRH knowledge & behaviour GBV prevention Adherence support

Program Indicators : Reach Grant Target Year 1 Target Year 2 Target Year 3 Target Comments Number of other vulnerable populations (male partners/clients) reached with an HIV prevention package 55,080 Limpopo Province Fetakgomo- Greater Tubatse Local Municipality 6155 71,497 7989 128,688 14380 Male sexual partners of the AGYW will be provided with a comprehensive prevention package and linkage to care, using health screening as the entry point. The outcomes of the men reached through the use of HIV self-­screening will be tracked throughout the implementation of the grant, using cascades. The aim of this intervention is to add an additional layer of innovative activities to remove gender-­related barriers to accessing HIV services for men and the expected outcome is increased ART access and viral load suppression among the male sexual partners of AGYW.

Program Indicators : Testing Grant Target Year 1 Target Year 2 Target Year 3 Target Comments HIV-Other 1: Number of other vulnerable populations (male partners/clients) who were tested for HIV and received their results during the reporting period Limpopo Fetakgomo Greater Tubatse Local Municipality 6155 7989 14380 These targets set are base on HIV screening and testing through workplace programs, GP visits for men, and matching funds request pilot for HIV SS. For the grant, the program covers 12,000 men through workplace programs (4000 each year), and results-based agreements (fee-for-service) with 36 GPs to cover 34,560 visits (11,520 per year, but assuming these will not be unique individuals and several follow ups visits. The assumption is 2 visits per unique man per year. The remaining numbers will be reached through matching funds for males partners in hotspot areas like taxi ranks, factories etc. Target allocation by year Y1 = 4000 + 1080 + 50,000 = 55,080 Y2 = 4000 + 3240 + 57,757 = 64,997 + 10% from private sector co-financing = 71,497 Y3 = 4000 + 3240 + 100,000 = 107,240 + 20% from private sector co-financing = 128,688

Program Indicators : Linkage Grant Target Year 1 Target Year 2 Target Year 3 Target Comments TCS-7: Percentage of newly diagnosed people linked to HIV care (individual linkage) Limpopo Province Fetakgomo- Greater Tubatse Local Municipality 277 360 414 Efforts will be made to collect the national ID number, linking Global Fund program data to the routine systems. Numerator = 90% linkage of HIV-positive people identified through HIV tests performed in the grant. Denominator = Anticipated positivity rate of key populations reached with HTS is: 5% for male partners of AGYW; Please note this indicator requires only % when setting targets, but FYI: Y1-3 N is .2479, 3575 and 6436.

Process Indicators Indicator Comments Number of Men who are sexual partners of AGYW tested HIV positive Target assumptions for linkage are aligned to the 90-90-90 strategy : By 2020, 90% of all people living with HIV will know their HIV status, 90% of those diagnosed with HIV infection will receive sustained ART, and 90% of all people receiving antiretroviral therapy will have viral suppression. These male sexual partners of the AGYW will be provided with a comprehensive prevention package and linkage to care ,fewer men (64%) are aware of their HIV status than women (80%) in South Africa. The outcomes of the men reached through the use of HIV self-­screening and testing will be tracked throughout the implementation of the grant, using cascades. The expected outcome is increased ART access and viral load suppression among the male sexual partners of AGYW. Number of Men who are sexual partners of AGYW referred for ART Number of Men who are sexual partners of AGYW initiated on ART Number of Men who are sexual partners of AGYW with a positive STI symptom successfully referred for STI treatment Number of Men who are sexual partners of AGYW with a positive TB symptom successfully referred for TB investigations

Planned activities prior commencement of the Male Sexual Partners program Introduce SABCOHA to PCA Secretariat and the Men's Sector Call for Applications of SSRs (Men's Sector) in 1 districts Screening and selection of SSRs Engagements with the Private Sector (ongoing) Engagements with Taxi Associations in targets provinces and districts Identity and forge partnerships GPs in 1 AGYW districts Conduct a situational assessments of workplaces in targeted districts Create work plans for the Workplace, GP, community outreach and Taxi rank programs Induction of SSRs using approved SOPs, Biometric System and GF Grant Regulations

The deadline for submission of a fully completed application and attachments is 7 May 2019. The key dates for the application process are shown in the table below. KEY DATES Stage Date/Period Briefing Meeting 07 June 2019 Publication of Call 10 June 2019 Deadline for submitting applications 21 June 2019 Evaluation period (indicative) during which additional 26- 28 June 2019 details may be requested and an on-site visit may be done to evaluate SSR capacity. Final SSR selection decision (Followed by feedback to Week ending 12 July 2019 applicants)

Areas of support Forums where we will meet with:- Mapping GP’s Tribal Authority Representatives of the male partners Representatives of GP’s, etc. Mapping Taxi Rank Workplace formal & informal Communities, etc.

Questions and Discussion Thank You!