Adolescent Young Women and Girls (AGYW) Male Sexual Partners Programme

1. Adolescent Young Women and Girls (AGYW)Male Sexual Partners Programme Sub Recipient (SR): SABCOHA Principal Recipient (PR): AIDS Foundation SA 22 May 2019

2. Workflow Diagram • Concern identification, required interventions, appropriate delivery time and personnel. • Who should provide services to male partners? • Who are the male partners of AGYW, where can they be reached? Where are GPs and private male clinics? • Where do male partners of AGYW work? • How many health facilities are there?

3. Eleven AGYW Districts Male partners of AGYW KZN: Zululand: Abaqulusi KC: UMhlathuze MPL: GertSibande: Govan Mbeki EHL: City of Mbombela GAU: City of Tshwane LMP: Greater Sekhukhune NW: Bojanala WC: City of Cape Town EC: OR Tambo & Nelson Mandela Bay FS: Thabo Mofutsanyane

4. Public-Private Mix Approaches • This is a programmes for male sexual partners of AGYW and seeks to increase uptake of HIV services among male sexual partners of AGYW. • Formal and informal workplace programmes will reach factory workers, government employees, taxi drivers, and business owners. • Linkage to care will then be strengthened through capitation-based agreements with general practitioners (GPs) and specialized men’s health service providers to support visits. • In addition, the rationale for this activity is based on evidence that PPM approaches may help remove gender-related barriers to care. • A South African study found high-risk men are twice more likely to seek private healthcare than women. • Research and stakeholder reports indicate PPM can effectively and efficiently improve enrolment of men in HIV services. • These PPM approaches will be implemented and co-financed by SABCOHA. The approach is in line with the National Development Plan, which includes bringing in additional capacity and expertise to strengthen results-based health systems through partnerships between the private and public sector.

5. LAYERS HEALTH ENTRY POINTSGPsWorkplacesNGOsTaxi RanksPublic spaces Initiation on TB treatment STI Test Access to ART Viral load monitoring CORE Health Screening HIV testing &Supervised HIV self-screening Offered condoms HIV, SRH & GBV information BEHAVIOURAL SRH knowledge & behaviour GBV prevention Adherence support

6. Structural Interventions • Health Screening • HIV testing &Supervised HIV self-screening • Condoms distribution and education • STI screening & investigation • TB screening • Access to ART • HIV in the works place policy • Referrals to GPs for care and support • Health Screening • HIV testing &Supervised HIV self-screeningCondomsSTI screening & investigation • TB screening • HAART Initiation • Distribution of IEC materials • Referrals to GPs for care and support • Health Screening • Access to ART • VL Monitoring • STI Screening and Testing • HIV testing &Supervised HIV self-screeningCondomsSTI screening & investigation • TB screening • Centralised Chronic Medication Dispensing and Distribution (CCMDD Site) • GBV prevention dialogues in communities targeting traditional leaders, young men • Health Education messaging for men using tailored IEC materials • Demand Creation • Case Finding through door to door visits • Referrals to GPs for care and support

7. Program Indicators : Reach

8. Program Indicators : Testing

9. Program Indicators : Linkage

10. Process Indicators

11. Planned activities prior commencement of the Male Sexual Partners program