USAID SHIPP

2 The PARTNERSHIPP SANAC, DPSA, NDOH & NDOE PRESIDENCY

3 IMPACT REDUCTION IN SOUTH AFRICA SHIPP will adopt a Combination Sexual Prevention 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

4 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 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).

5  DATA Research data Programme data Surveillance data LOCAL EPIDEMIC ASSESSMENT *BUILDING LOCAL JOINED UP RESPONSE Develop 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 PROGRAMME MIX 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 MANAGEMENT 7-10 KEY Variables For programme management and monitoring All NSP, PSP & DISTRICT PLANS ALIGNED Small Grants Programme COMMUNITY PARTNERSHIPS Small Grants Programme COMMUNITY PARTNERSHIPS AT DISTRICT AND SUB-DISTRICT LEVELS *DEVELOP LOCAL EPIDEMIC ASSESSMENT TOOL (LEA) Closing the gaps between HIV risk and prevention services HIV PREVENTION – LOCAL EPIDEMIC ASSESSMENT PROCESS

6 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

7 GEOGRAPHIC FOCUS PROVINCEDISTRICT SUB DISTRICTS/ MUNICIPALITIES 1. GAUTENG 1. Region A 2. Region G 2. KWA ZULU NATAL 1.Zululand 2.TBC  eDumbe  uPhongolo  aBaqulisi  Nongoma  uLundi 3. MPUMALNGA 1.TBC 2.TBC

8 LEVEL OF FOCUS LEVEL % OF FOCUS NATIONAL20% PROVINCIAL20% DISTRICT30% COMMUNITY30%

9 PARTNERSHIPS SANAC-NSP PRESIDENCY- NSDA KZN MP GP NDoH NDBE DPSA SHIPP CIVIL SOCIETY COMMUNITY MOBILISATION SMALL GRANTS

10 ACHIEVING OUR OBJECTIVES

11 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;

12 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

13 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

14 谢谢 bedankt tesekkürle Ευχαριστώ takk Dziękuję Shukriyâ kiitos aitäh tack tack ありがとう Danke Obrigada Grazie Muchas gracias 너를 감사하십시요 mange tak díky díky tack så mycket Thank you köszi hvala Ďakujem شكرًا תודה Спасибо Mulţumesc Thank yu salamat salamat faleminderit děkuji vam nandri Дякую köszönöm köszönöm anugurihiitosumi dhanya-waad go raibh maith agat Merci Merci ačiû Terima Kasih Many THANKS for Your Attention Asantesana Siyabonga Hi nkhensile Ndiyabulela Baie Dankie