GLOBAL FUND IN THE WESTERN CAPE 13 February 2019 NACOSA Q12 Metro - PowerPoint PPT Presentation

GLOBAL FUND IN THE WESTERN CAPE 13 February 2019 NACOSA Q12 Metro CFM

AGENDA • Purpose of meeting • NACOSA Update • Reflection on 90-90-90 • Overview of New GF Grant • GF Community Responses and Systems (CRS) – Selection Criteria and process • Human Rights Programme • Discussion, Q and A 2

PURPOSE OF THE MEETING 1) Inform Communities and stakeholders about the Global Fund Services 2) To promote the participation of local civil society organisations in the GF programmes 3) To get buy in from a provincial and district stakeholders, in order to make implementation more seamless and to try and negotiate MOUs from the on-set. 4) To inform key stakeholders on the Global Fund Implementation in their relevant districts and sub-districts

NACOSA UPDATE • GF Grant Ending March 2019 • New GF Grant – April 2019 - 2022 • PCA – • First PCA scheduled for 22 Feb - • New calls for nominations to serve on PCA has been circulated • Local Coordination Structure Workshop 12 and 13 July 2018 • Follow up meeting will all sector leaders -16 Nov 2018 • National CSF called for a meeting on 22 Feb - discuss CSF Governance • Need for a WC SANAC sector meeting with LCS leaders - October

Global targets for HIV treatment scale-up with the aim of ending AIDS by 2030. 90 % 90 % 90 % virally diagnosed on treatment suppressed

90 % of all people living with HIV will know their HIV status . TESTING of all people with diagnosed HIV 90 % infection will receive sustained antiretroviral therapy (ART) . TREATMENT of all people receiving ART 90 % will have viral suppression . END OF AIDS ADHERENCE

Viral suppression is when ART reduces the amount of HIV in a person’s blood to an undetectable level. DETECTABLE UNDETECTABLE

SOUTH AFRICA Where are we? TESTING TREATMENT SUPPRESSION 85 % 82 % 62 %  of those of the estimated living with number of adults HIV are virally living with HIV, suppressed. know their status – an increase of estimated people living from 66.2 % in with HIV are on antiretroviral Source: HSRC National HIV Prevalence, Incidence, 2014. treatment. Behaviour and Communication Survey 2017

SOUTH AFRICA South Africa has the largest treatment programme in the world, accounting for 20% of people 63.1 on antiretroviral therapy globally. 49.3 49.4 49.5 49.6 49.0 49.2 48.9 Life expectancy

Current Metro Strategic Objectives of DOH - aligned to 90-90-90 1. Metro has targets for HTS done in each sub district 2. Targets for people retained on ARV treatment (each month) 3. Targets for people retained on ARVs after 12 months 4. Targets for people retained on ARVs after 48 months 5. Male condom distribution targets 6. TB patients 5 years and older initiated on treatment 7. TB Client treatment success rate (Number of people cured) 8. TB (MDR) treatment success rate (Number of people cured) 9. Targets for reducing TB patient loss to follow up 10. Male Medical Circumcision targets

90 % 90 % 90 % STRATEGIES virally diagnosed on treatment suppressed • Linking with district health facilities for outreach events • Targeting hard to reach populations • Providing community-based testing and adherence support • Having youth or key population sensitive services • Linking with local schools for HIV awareness and prevention • Mobilizing communities for testing, treatment adherence and viral load testing.

Critical documents to align HIV/TB/STI services to: • Nationally – NSP • Provincially – PIP • District and sub district level - DHP ( and MDIPs when developed) • Find out where to get it, to use in programme planning by NGO’s • Community needs assessments, etc. needed to inform programming

New GF Grant will bring metro opportunities relating to: • AYWG, • PWID, • TB, • Human right, • CRS and possible small grants funding

GLOBAL FUND FUNDING CYCLE

THE GLOBAL FUND GRANT • 1 April 2019 – 31 March 2022 • Total budget: USD$353,321,121

PRINCIPAL RECIPIENTS Department of AIDS Foundation of Health South Africa www.health.gov.za www.aids.org.za Networking HIV & Beyond Zero AIDS Community of www.beyondzero.org.za Southern Africa www.nacosa.org.za

FINANCIAL COMMITMENT MODULE AND INTERVENTION AMOUNT 1 Prevention programmes for adolescent girls and young women $84,6 ,609,774 Comprehensive prevention programmes for sex workers and $24,663,671 2 their clients 3 Comprehensive programmes for men who have sex with men $18,169,284 Comprehensive programmes for transgender people $3,391,655 4 Co Compreh ehensiv ive programmes for or people who inject drugs and $9,6 ,683,666 5 their th eir part rtners Programmes to o red educe human rights -related ed barriers to o HI HIV 6 $5,6 ,655,649 ser ervices Treatment Care and Support $44,999,921 7 TB Care and Prevention $40,427,581 8 Multidrug Resistant TB $19,563,247 9 TB/HIV $4,638,758 10 Community Responses and Systems $30,8 ,852,714 11 Health Management Information System and Monitoring and $21,075,747 12 Evaluation 13 Procurement and Supply Management Systems $13,677,414 Programme Management $31,912,038 14 TOTAL $353, 321, 121

STRATEGIC THRUSTS • Increasing district-level saturation of programs to levels that will result in HIV and TB epidemic control • Improving quality of care by augmenting and layering packages along the full case cascade • Maximizing alignment and additionally to government and partner investments.

WESTERN CAPE PEOPLE WHO INJECT DRUGS ADOLESCENT GIRLS & YOUNG WOMEN WEST COAST COMMUNITY RESPONSES & SYSTEMS CENTRAL KAROO HUMAN RIGHTS CAPE WINELANDS EDEN * TUBERCULOSIS TRANSGENDER OVERBERG CAPE TOWN * Klipfontein sub-district

PACKAGE OF SERVICES COMMUNITY RESPONSES & SYSTEMS PROGRAMME

• PR Coordination • Strategic partnerships SOCIAL COMMUNITY SMALL GRANTS • Multi-sectoral coordination MOBILISATION • Recruit & contract SRs • Reporting to PCAs & • Human rights & key • Consultative Forum Meetings COORDINATION populations focused • PLHIV & KP network engagement • Limited period • Community dialogues • CRS-CSO review meetings NATIONAL STRATEGIC • Updating & costing of PIPs & PLAN MDIPs • Capacity Assessments • Feedback & review with PCA & Development Plans Heads of Secretariat • CAPACITY GOVERNANCE Accredited & non- • Review PIP implementation BUILDING accredited & LEADERSHIP • Workshops & technical programmatic training assistance with DACs, LACs • Organisational & sector leaders Development training • Leadership development • Mentoring & TA

SOCIAL MOBILISATION PR COORDINATION CONSULTATIVE FORUM • Improved linkages between GF PR • Theme based approach – following the and SR’s provincial Health calendar • Ensure that GF programmes • Link to District Plans implemented by SRs/ CSOs are • Work with PCA Secretariat & local govt. aligned to MDIPS and District Health and involve CS sector leaders Plans • Discuss PCA reporting; format, dates • Create platform for sector coordination of submission, feedback • Develop toolkits and distribute IEC • Linking with the M&E/FFI Manager materials

GOVERNANCE & LEADERSHIP STRENGTHEN GOVERNANCE AND LEADERSHIP OF PCAs • Consultants to support to the PCAs with updated and costed Provincial Implementation Plans (PIPs) and Multi-sectoral District Plans (MDIPs) • Quarterly meetings with PCA Heads of Secretariat and M&E Managers to review PIP implementation • Training for PCA teams (5 per province) on governance, programme management, leadership, stakeholder engagement, etc. • Support civil society coordination structures at provincial, district and local levels • Site visits for program oversight, coordination and data review meetings • Quarterly reporting to the PCA

TARGETS INDICATOR CUMMULATIVE IN WESTERN CAPE Y1 Y1 Y2 Y2 Y3 Y3 4 8 12 Number of GF Reports submitted to the PCAs 2 4 6 Number Of MDIPS developed and costed 10 20 10 Number of organisations received capacity building

OPPORTUNITIES TO BE INVOLVED (CRS) • 10 CSOs targeted in WC (1 st intake and again 10 in 2 nd intake) • Capacitate CSOs to contribute to GF Programme outcomes, MDIPS and PIPS and champion work with key and vulnerable populations within the selected grant districts • Package of Capacity Building Services include:  Detailed Capacity Assessment and Capacity Development Plan  Organisational Development Training  Programmatic Training  Mentoring and Technical Assistance

OPPORTUNITIES TO BE INVOLVED (CRS) Organisational capacity will be developed on four levels: • In Institutional capacity includes the ability to create an organisational mission, vision, strategic and operational plan • Knowledge and skil ills of f in individuals in the organisation includes technical skills and knowledge on specific programme areas. • In Infl fluencing abili lity of organisations – focusing on the organisation’s ability to form partnerships, be part of local advocacy campaigns and joint planning at different levels. • Adaptive capacity of organisations - focusing on the organisation’s ability to review current operations and models, stay relevant and remain sustainable over time.