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

2. 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 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.

3. Principal Recipient: AIDS FOUNDATION SA. Sub-Recipient: SABCOHA
Adolescent Girls & Young Women (AGYW) Male Sexual Partners Program
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)

4. Eleven AGYW Districts

5. 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 

6. 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

7. 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?

8. 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)

9. 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

10. 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.

11. 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 = ,000 = 55,080
Y2 = ,757 = 64, % from private sector co-financing = 71,497
Y3 = ,000 = 107, % from private sector co-financing = 128,688

12. 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.

13. Process Indicators Indicator Comments
Number of Men 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 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

14. 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

15. The deadline for submission of a fully completed application and attachments is 7 May The key dates for the application process are shown in the table below.
KEY DATES
Stage Date/Period
Briefing Meeting June 2019
Publication of Call June 2019
Deadline for submitting applications June 2019
Evaluation period (indicative) during which additional 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)

16. 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.

17. Questions and Discussion
Thank You!