PREVENTION COP 2012 PLANNING
MEETING
23 SEPTEMBER 2011
MPADI MAKGALO
USAID SHIPP
The PARTNERSHIPP 2010-2015
SANAC, DPSA, NDOH & NDOE
PRESIDENCY
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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
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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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AT DISTRICT AND SUB-DISTRICT LEVELS
HIV PREVENTION – LOCAL EPIDEMIC ASSESSMENT
PROCESS
LOCAL EPIDEMIC
ASSESSMENT
 DATA
• Research data
• Programme data
• Surveillance data
 TOOLS
 Spatial Mapping
of
 Risks, services
and populations
 MARP
*DEVELOP
LOCAL EPIDEMIC
Assessment
ASSESSMENT TOOL (LEA)
 KEY DOCUMENTS
 KYE/KYR
 NASA
 Provincial Strategic
Plans
 Annual Operational
Plans
 PEPFAR
Combination
Prevention
Guidelines
*BUILDING LOCAL JOINED UP RESPONSE
Develop tool that spits out composition of
Local programme based on LEA
•
•
•
•
HIV & AIDS Programming
HIV & AIDS Service Delivery
Building DAC capacity
Building LAC capacity
PROPOSED PROGRAMME
MIX OF METHODS
Closing the gaps
between HIV risk
and prevention services
Small Grants Programme
SHIPP M&E and IMPACT
ASSESSMENT
 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
COMMUNITY PARTNERSHIPS
All NSP, PSP & DISTRICT PLANS ALIGNED
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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
PROVINCE
DISTRICT
1. GAUTENG
1. Region A
2. Region G
2. KWA ZULU NATAL
1. Zululand
2. TBC
3. MPUMALNGA
1. TBC
2. TBC
SUB DISTRICTS/
MUNICIPALITIES





eDumbe
uPhongolo
aBaqulisi
Nongoma
uLundi
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LEVEL OF FOCUS
LEVEL
% OF FOCUS
NATIONAL
20%
PROVINCIAL
20%
DISTRICT
30%
COMMUNITY
30%
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SANAC-NSP
NDoH
DPSA
PRESIDENCYNSDA
KZN
CIVIL
SOCIETY
GP
SMALL
GRANTS
SHIPP
PARTNERSHIPS
NDBE
MP
COMMUNITY
MOBILISATION
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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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Many THANKS for Your Attention
Siyabonga Hi nkhensile Asantesana Baie Dankie
Dziękuję Ďakujem Ndiyabulela Дякую
bedankt ありがとう go raibh maith agat
tesekkürle Спасибо ‫شكرا‬
Thank yu
ً
Merci köszi tack så mycket
Thank you faleminderit
Shukriyâ Danke hvala díky kiitos
takk Obrigada
Mulţumesc nandri
Ευχαριστώ Grazie anugurihiitosumi ‫תודה‬
Muchas gracias dhanya-waad
tack
너를 감사하십시요 ačiû Terima Kasih
aitäh mange tak
salamat
děkuji vam
谢谢
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