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USAID SHIPP
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The PARTNERSHIPP 2010-2015
SANAC, DPSA, NDOH & NDOE
PRESIDENCY
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IMPACT REDUCTION IN SOUTH AFRICA
SHIPP will adopt a SHIPP will adopt a Combination Sexual Prevention Combination Sexual Prevention Approach: 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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DATA• Research data • Programme data• Surveillance data
LOCAL EPIDEMICASSESSMENT
*BUILDING LOCAL JOINED UP RESPONSEDevelop 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 PROGRAMMEMIX 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
MANAGEMENT7-10 KEY Variables
For programme management and
monitoring
All NSP, PSP & DISTRICT PLANS ALIGNEDAll NSP, PSP & DISTRICT PLANS ALIGNED
Small Grants Programme
COMMUNITY PARTNERSHIPSSmall Grants Programme
COMMUNITY PARTNERSHIPS
AT DISTRICT AND SUB-DISTRICT LEVELS
*DEVELOP LOCAL EPIDEMICASSESSMENT TOOL (LEA) Closing the gaps
between HIV risk and prevention services
HIV PREVENTION – LOCAL EPIDEMIC ASSESSMENT PROCESS
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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
PROVINCEPROVINCE DISTRICTDISTRICT SUB DISTRICTS/ SUB DISTRICTS/ MUNICIPALITIESMUNICIPALITIES
1. GAUTENG1. GAUTENG 1. Region A1. Region A2. Region G2. Region G
2. KWA ZULU NATAL2. KWA ZULU NATAL 1.1. ZululandZululand2.2. TBCTBC
eDumbeeDumbe uPhongolouPhongolo aBaqulisiaBaqulisi NongomaNongoma uLundiuLundi
3. MPUMALNGA3. MPUMALNGA 1.1. TBCTBC2.2. TBCTBC
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LEVEL OF FOCUS LEVEL OF FOCUS
LEVELLEVEL % OF FOCUS% OF FOCUS
NATIONALNATIONAL 20%20%
PROVINCIALPROVINCIAL 20%20%
DISTRICTDISTRICT 30%30%
COMMUNITYCOMMUNITY 30%30%
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PARTNERSHIPS
SANAC-NSP
PRESIDENCY-NSDA
KZN
MP
GP
NDoH
NDBE
DPSA
SH
IPP
CIVIL SOCIETY
COMMUNITY MOBILISATION
SMALL GRANTS
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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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谢谢谢谢bedanktbedankt tesekkürletesekkürle
Ευχαριστώ Ευχαριστώ takk takk
DziękujęDziękuję
ShukriyâShukriyâ kiitoskiitos
aitähaitäh tacktack
ありがとうありがとう
DDankeankeObrigadaObrigada
GrazieGrazieMuchas graciasMuchas gracias너를 감사하십시요너를 감사하십시요
mange takmange tak
díkydíky
tack så mycket tack så mycket Thank you
köszi köszi
hvalahvala
ĎakujemĎakujem
شكشكا اًر� ًر�
תודהתודה
СпасибоСпасибо
MulţumescMulţumesc
Thank yuThank yu
salamatsalamat
faleminderitfaleminderit
děkuji vamděkuji vam
nandrinandri
ДякуюДякую
köszönömköszönömanugurihiitosumianugurihiitosumi
dhanya-waaddhanya-waad
go raibhgo raibh maith agatmaith agat
MerciMerci
ačiûačiû Terima Kasih
ManyMany THANKS for Your AttentionTHANKS for Your AttentionAsantesanaSiyabonga Hi nkhensile
Ndiyabulela Baie Dankie