2. CDC Projects

CDC Projects

Programmatic implementation and TA for HIV/AIDS and TB Prevention, Care and Treatment Services (CDC): HIV Testing Services, Priority Population Prevention and below-the-line adherence communication strategy in support of 90-90-90; seven districts (Bojanala, NMM, Emalahleni, Gert Sibande, Nkangala and Waterberg) working with sub award grantees: Careworks, CCI, FPD acquired funding to develop a model for delivering of equitable and effective core PHC services to South African district populations in the NHI framework, with the assistance of PPO Serve in addition to the above.

US Centres for Disease Control and Prevention (CDC)

Programmatic implementation and Technical Assistance (TA) for HIV/ AIDS and Tuberculosis (TB) Prevention, Care and Treatment Services throughout the Health System in South Africa under the President’s Emergency Plan for AIDS Relief (PEPFAR). FPD secured funding on 29 September 2016 from CDC to implement this comprehensive programme over a period of five years. FPD is the prime recipient with CareWorks and Centre for Communication Impact (CCI), PPO Serve and OUT Wellness as sub recipients. FPD successfully applied for innovation funding, developed an android mobile phone application, and started implementation in October 2018. FPD secured funding to manage sub award grantee OUT Wellness, who implements a People Who Inject Drugs (PWID) programme in Tshwane and Ehlanzeni from October 2018.

The programme aims to implement priority population prevention (PP_Prev) and community-based HIV Testing Services (HTS) with an aim to identify People Living with HIV (PLHIV) and effectively link them into HIV and TB care and treatment programmes and link Prevention Yield into prevention programmes. The second goal is to develop and test a scalable below-the-line communication strategy to promote ART patient adherence and retention in support of the 90-90-90. The third goal is to explore the optimal path to an effective and efficient model for delivering core PHC services to district populations. The fourth goal is to provide comprehensive services to PWID. FPD and CareWorks provide HTS and PP_Prev services in ten sub-districts (seven districts) of three provinces while CCI works with National Department of Health in close collaboration with the PHILA national communication strategic team to develop the adherence communication strategy for people who live with HIV and healthcare workers.

PPO Serve developed and tested a comprehensive model for improved PHC service delivery. OUT Wellness PWID programme implementation started in Tshwane and Ehlanzeni.

Key statistics from CDC’s HTS and PP_Prev programmes include:

• 81 494 clients tested for HIV
• 3 613 PLHIV diagnosed with HIV at an aggregate positivity rate of 4.4%
• Sub-district HIV positivity rates ranged from 2.9% to 9.8%
• 2 424 (67%) of the PLHIV identified were successfully linked to care and treatment
• 1 356 (38%) of the PLHIV identified started on ART within 14 days
• 28 057 clients reached through prevention programmes

FPD, with the assistance of CCI, created the #Zenzele (The Future Is Ours) brand under which they developed eight adherence pamphlets and ten adherence-related videos. Messaging is distributed via social media platforms as well as a dedicated website (www.thefutureisours. co.za). Two murals were designed and placed in Nkangala and Ekurhuleni as part of community engagement on Zenzele programme. The adherence mentorship programme developed in 2017, was changed to an interpersonal psychosocial support program in March 2018. FPD implemented the peer to peer support programme in 12 facilities in Nkangala (five) and Ekurhuleni (seven)

Key statistics from Zenzele peer support program:

• 5 485 clients enrolled into the Peer Support programme between July and December 2018
• 351 of these clients had already graduated from the intensive phase to the light touch phase during that period

Key Statistics Innovation grant (Adolescent Adherence App)

• App development was completed in 2018 for roll out in January 2019 in seven facilities in the Ekurhuleni district.

Key statistics PWID program:

• 105 PWID clients tested for HIV between October and December 2018
• 25 PLHIV diagnosed with HIV at an aggregate positivity rate of 23.8% between October and December 2018
• Five (20%) of the PLHIV identified were successfully linked to care and treatment between October and December 2018
• One (4%) of the PLHIV identified started on ART within 14 days between October and December 2018
• 15 HIV+ PWID started on ARV treatment between October and December 2018
• 844 clients reached through key population prevention pro-grammes between October and December 2018