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South Africa Transition Plan Track 1.0 Implementers Meeting August 11 – 12, 2008

South Africa Transition Plan Track 1.0 Implementers Meeting August 11 – 12, 2008. AIDSRelief In South Africa. AIDSRelief has supported 2 indigenous umbrella partners and their sites throughout the first 5 years of PEPFAR IYD/SA with 5 sites in the Eastern Cape province

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South Africa Transition Plan Track 1.0 Implementers Meeting August 11 – 12, 2008

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  1. South Africa Transition Plan Track 1.0 Implementers Meeting August 11 – 12, 2008

  2. AIDSRelief In South Africa • AIDSRelief has supported 2 indigenous umbrella partners and their sites throughout the first 5 years of PEPFAR • IYD/SA with 5 sites in the Eastern Cape province • SACBC AIDS Office with 20 ART sites in 8 of the 9 provinces SACBC currently receives CDC funds directly for OVCs (agreement ends August 2008) St. Mary’s Hospital (an SACBC treatment site) currently receives CDC funds directly for PMTCT, in-patient palliative care, and for supporting down-referrals to community sites (agreement ends 2012) • Both SACBC and IYD/SA applied directly for the local PEPFAR APS for 2009-2013

  3. The Transition Plan • IYD/SA to graduate from AIDSRelief Consortium and receive funds directly • SACBC to graduate from AIDSRelief, receive both ART and OVC funds directly in one grant • SACBC to subcontract CRS to support M&E, technical training, clinical coordination, and some aspects of financial management • St. Mary’s to add ART to its current COP and function independently from the SACBC umbrella

  4. Preparation for Transition:Financial Management • AIDSRelief partners [SACBC, IYD/SA and their sites] participated directly in CRS/USG financial compliance trainings • IYD/SA received funds directly through CAF [an AIDSRelief consortium international partner] • SACBC has received AIDSRelief funds directly from CRS/HQ and procures drugs, pays for lab, and pays all salaries and other expenses at treatment sites • SACBC had clean audits from the USG approved audit firm and from CRS auditors • SACBC successfully managed funds received directly from CDC

  5. Preparation for Transition:Monitoring and Evaluation • AIDSRelief has good track record: Successful PEPFAR audit of stats; PEPFAR Award for excellence in M&E Annual training for M&E staff at treatment sites • Intensive hands-on support to treatment sites to correct weaknesses in reporting • Reporting relationship with South Africa MOH • Introduction of electronic Patient Data System, reviewed and approved by CDC

  6. Preparation for Transition:Quality of Clinical Services • Utilizes local clinical experts • Ongoing program of training, mentoring and retraining using in-countryCDC staff; local PEPFAR partners; Georgetown Nursing School (HRSA), etc. • SACBC has collaborative relationship with 4 local universities that provide support, including training, evaluation of clinical outcomes, etc: U of Wits, U of Pretoria, U of Free State, and U of Cape Town

  7. Preparation for Transition:Collaboration with SA Government • Working with SA government health officialsat all levels is a high priorityPatient stats reported monthly to government • Collaboration varies according to facility, district and province • Some services on government premises • Some provinces provide drugs and lab • Some provinces pay salaries of staff • Some accept patient referrals and transfers

  8. Progress on Transition • Only 2 expatriates in AIDSRelief South Africa • Local partners SACBC and IYD/SA have been equal implementing and decision-making partners with AIDSRelief, CDC and other stakeholders from day 1 • Transition is now complete and local partners are ready to provide leadership • AIDSRelief will continue to provide technical support to SACBC throughout the continuation of PEPFAR

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