DHHS-CGH: Strengthening Combination Prevention and Testing Services among Inmates to Reduce HIV Infections in the South Africa Under PEPFAR

Deadline: 30 October 2018

The Department of Health and Human Services, Centres for Disease Control is seeking applications for its grant program entitled “Strengthening Combination Prevention and Testing Services among Inmates to Reduce HIV Infections and to Reduce Morbidity and Mortality in the Republic of South Africa under the President’s Emergency Plan for AIDS Relief (PEPFAR)”.

This award will focus on strengthening HIV combination prevention within all correctional facilities in South Africa. Innovative combination prevention interventions will address HIV risk and increase protective behaviors among inmates, accompanied by voluntary medical male circumcision, and HIV Testing Services (HTS).

Program Outcomes

Short-Term Outcomes:
- Increased knowledge, awareness, and self-risk perception of HIV, STI, and OI risk behaviors among prison populations
  - Examples of other OIs include TB and viral hepatitis
  - Improved knowledge and recognition of high-risk activities leading to HIV, STI, and other infections
  - Improved health literacy
- Increased adoption of HIV prevention behaviors among detainees
  - Increased adoption of protective and lower risk behaviors among detainees
  - Improved uptake of treatment and prevention services
- Increased demand for and uptake of VMMC services among detainees
  - Increased education on VMMC
  - Increased access to VMMC services
  - Increased peer-based education on the values of circumcision
  - Increased medical follow-up of circumcised clients
- Increased uptake of regular testing and successful linkages of HIVpositive (HIV+) persons to treatment and HIV-negative (HIV-) persons to prevention programs
  - Increased offer and uptake of regular HTS among inmates
  - Increased linkages to treatment
  - Increased support group uptake for adherence to treatment
- Increased awareness among key stakeholders about stigma and discrimination against remanded prison populations
  - Improved transitional services
  - Decreased stigma in DoH facilities
- Increased awareness among staff and implementation of relevant prevention packages
  - Increased training among staff on HIV, STI, and OI prevention interventions
  - Decreased transmission through medical or dental devices
  - Increased provision and support for relevant prevention interventions
Intermediate Outcomes:
- Reduced HIV/STI and OI transmission among at risk prison populations and surrounding communities
- Increased retention and adherence to treatment for HIV+ detained and released prison populations
- Improved and increased delivery of non-judgmental and respectful HIV/STI and OI services

Funding Information

The Award Ceiling of this NOFO is $5,000,000.

Eligibility Criteria

Government Organizations:
- Political subdivisions of States (in consultation with States)
Non-government Organizations:
- Alaska Native health corporations
- Tribal epidemiology centers
- Urban Indian health organizations
- Nonprofit with 501C3 IRS status (other than institution of higher education)
- Nonprofit without 501C3 IRS status (other than institution of higher education)
- Research institutions (that will perform activities deemed as non-research)
Colleges and Universities
Community-based organizations
Faith-based organizations
For-profit organizations (other than small business)
Hospitals
Small, minority, and women-owned businesses
All Other