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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
South Africa Transition Plan

Track 1.0 Implementers Meeting

August 11 – 12, 2008

aidsrelief in south africa
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
the transition plan
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
preparation for transition financial management
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
preparation for transition monitoring and evaluation
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
preparation for transition quality of clinical services
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
preparation for transition collaboration with sa government
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
progress on transition
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