1. Adolescent Young Women and Girls (AGYW) Male Sexual Partners Programme
Sub Recipient (SR): SABCOHA
Principal Recipient (PR): AIDS Foundation SA
15 & 16 May 2019

2. Workflow Diagram
Road Show (district and sub district level)
Strategic Partnerships (PCA, Private Sector, GPs, works places, Taxi Associations, DOH, Men's Sector, other stakeholders)
Situational Assessment
Implementation
Monitoring, Evaluation and 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?

3. Eleven AGYW Districts Male partners of AGYW KZN: Zululand: Abaqulusi
KC: UMhlathuze
MPL: Gert Sibande: Govan Mbeki
EHL: City of Mbombela
GAU: City of Tshwane
LMP: Greater Sekhukhune
NW: Bojanala
WC: City of Cape Town
EC: OR Tambo & Nelson Mandela Bay
FS: Thabo Mofutsanyane

4. Public-Private Mix Approaches
This is a programmes for male sexual partners of AGYW and seeks to increase uptake of HIV services among male sexual partners of AGYW.
Formal and informal workplace programmes will reach factory workers, government employees, taxi drivers, and business owners.
Linkage to care will then be strengthened through capitation-based agreements with general practitioners (GPs) and specialized men’s health service providers to support visits.  
In addition, the rationale for this activity is based on evidence that PPM approaches may help remove gender-related barriers to care.
A South African study found high-risk men are twice more likely to seek private healthcare than women.
Research and stakeholder reports indicate PPM can effectively and efficiently improve enrolment of men in HIV services.
These PPM approaches will be implemented and co-financed by SABCOHA. The approach is in line with the National Development Plan, which includes bringing in additional capacity and expertise to strengthen results-based health systems through partnerships between the private and public sector.
Public-Private Mix Approaches

5. 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

6. 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 works place policy
Referrals to GPs for care and support
Public Health Facility
Workplaces
Taxi Ranks
Men's Sector CSO
GPs
Health Screening
HIV testing & Supervised HIV self-screening Condoms STI screening & investigation
TB screening
HAART Initiation
Distribution of IEC materials
Referrals to GPs for care and support
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)
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

7. 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
255,265
55,080
KC:5,264
ZUL:2,786
71,497
KC:6,833
ZUL:3,617
128,688
KC:12,299
ZUL:6,510
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.

8. 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
255,265
55,080
KC:5,264
ZUL:2,786
71,497
KC:6,833
ZUL:3,617
128,688
KC:12,299
ZUL:6,510
These targets set are base on HIV screening and testing through place 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 = ,000 = 55,080
Y2 = ,757 = 64, % from private sector co-financing = 71,497
Y3 = ,000 = 107, % from private sector co-financing = 128,688

9. 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)
11,487
2,479
KC:237
ZUL:125
3,575
KC:307
ZUL:163
6.436
KC:553
ZUL:293
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.

10. Process Indicators Indicator Comments
Number of YM who are sexual partners of AGYW tested HIV positive
Target assumptions for linkage are aligned to the 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 YM who are sexual partners of AGYW referred for ART
Number of YM who are sexual partners of AGYW initiated on ART
Number of YM who are sexual partners of AGYW with a positive STI symptom successfully referred for STI treatment
Number of YM who are sexual partners of AGYW with a positive TB symptom successfully referred for TB investigations

11. 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 11 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 11 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