Mogale City, South Africa (PressExposure) April 25, 2014 -- FPD has successfully sourced funding from USAID for implementation of the Communities forward rant over the period January 2014 to January 2019. FPD is the only prime recipient on this grant and 3 sub-recipients have been contracted; SFH, FHI360 and Humana People to People. USAID has identified 14 priority districts for implementation of the grant.
Community forward program is a comprehensive community-based HIV prevention, counselling and testing program for reduced HIV incidence. The strategic goal of the program is to expand and strengthen high quality community-based HIV Counselling and Testing (CBCT) models supported with effective and sustainable linkage and referral systems with an aim to increase the knowledge of HIV status, as well as access to appropriate and effective HIV and TB prevention, care and treatment services in high incident communities and key populations in South Africa.
The proposed strategic approach designed to:
Ensure effective linking of those who test positive to care, support and treatment services for early initiation of Anti Retroviral Therapy (ART) and sustained engagement in care, as well as those who test negative into prevention and appropriate services such as voluntary family planning.
Develop, implement and evaluate and disseminate different models of CBCT customised to the needs of the target populations.
Strengthen capacity to implement quality HIV Counselling and Testing (HCT) services at both community based (CB) and clinic-based services within target geographic areas and communities. This would include providing training, technical advice and quality improvement support to: targeted South African Government (SAG) HCT testing facilities, health related NGOs/CBOs (including those working with SW, MSM, truck drivers, etc.) and CBOs that engage with the target community for other service provision i.e. job creation, youth programmes, nutrition.
The strategy is designed to be responsive to the South African context with regard to HIV prevention and is designed to ameliorate five interlinked problems which contribute to inadequate HIV prevention, in particular in high HIV incident geographic areas and amongst high risk populations including women and girls, students, MSM, SWs, migrant and informal sector workers.
The strategy is also designed to coordinate with Sector 1 and Sector 2 partners and other partners (SAG, DAC , USAID&CDC partners) to ensure that activities are implemented in a coordinated and mutually reinforcing manner.
FPD will develop an "App" (application) on a Mxit (or similar near-zero-cost, feature-phone accessible platform) to: link CBCT clients to existing health promotional material and text-based counselling support (e.g. LoveLife's text-based counselling app; hi4LIFE); link Sector 3 CBCT clients to Sector 1 and 2 health messaging and communication campaigns; track CBCT referral completion and client retention; push and pull clients into appropriate HIV and TB prevention, care and treatment services, as required; solicit confidential client-experience feedback and self-reported exposure to Sector 1 and 2 activities; and assess self-reported knowledge, attitude, behaviour and practice (KABP) changes.
The intended impact of the proposed strategy will directly contribute to reduced incidence of HIV, increased coverage of effective biomedical prevention interventions including condoms, Voluntary Male Medical Circumcision (VMMC), Post Exposure Prophylaxis (PEP), Prevention of Mother to Child transmission (PMTCT), ART, increased uptake of voluntary family planning and improved coordination of relevant SAG departments, USG partners and communities around an integrated and comprehensive HIV and TB prevention, care and treatment strategy.