Periodic Review ccm request template

Please provide a rationale and justification for the rating.

On the basis of a comparator of the first 2 performance quarter targets against actual, RTC achieves a minimal rating of 77% (B1). However, improvements demonstrated in the first month of the third quarter, which falls just after the cut-off date of December 2012, and a detailed modelling of likely target attainment for the first 4 quarters demonstrates a percentage score of 90% which correspond to an A2 rating.

The modelling clearly demonstrates that despite the delayed start, performance is exceeding expectations.

5.2 Financial Performance

5.2.1 Financial situation at cut-off date

Whilst the information requested below has been provided, it is emphasised that RTC’s grant completion date is

30 September 2013 and that the planned budget will be fully utilised. RTC is not included in the extension phase requested by other PRs and no Phase 2 funds are requested in advance of the Phase 2 commencement date.

RTC has minimal liabilities for goods and services ordered/delivered prior to the cut-off date and for which payment had not been made. These are US$ 97,435 and include equipment purchases by the NHLS and the park home for CHAPS.

Have all liabilities at cut-off date been taken into account in the post-cut-off date budget? Yes

5.2.2 Analysis of expenditures versus budget

With reference to the latest available EFR at cut-off date, please summarize the main reasons for any under-spending or over-spending against budget.

• 
  Grant renegotiations following GFATM imposed budget reductions including withdrawal of some SRs
  
• 
  Late receipt of funds resulted in delayed contract signing with SRs
  
• 
  Slowed activity during the SA summer (December) holidays
  
• 
  Refurbishment work requirements
  
• 
  Tender processes and delivery times
  
• 
  Recruitment processes take time
  
• 
  Revisions and delays in the locations for the placement of GeneXpert machines in DCS facilities, supplier calibration availability within the context of a large-scale national rollout plan
  
• 
  Revisions in the modality of ICF for eThekwini
  
• 
  Missed peak MMC periods (June/July)
  

The under-expenditure reported is consistent with the achievement of targets.

SECTION 6: CCM REQUEST FOR RENEWAL (PR 5 – RTC)

6.1 Programmatic Proposal

6.1.1 Programme Objectives, SDAs, Indicators and Targets

Table 45: Performance Framework RTC

Objective & Indicator Number	Service Delivery Area	Output/coverage indicator	Latest available baseline/result				Targets
							Period 1		Period 2		Period 3		Period 4		Period 5
			N #	%	Year	Source	1-Oct-13		1-Apr-14		1-Oct-14		1-Apr-15		1-Oct-15
			D #				31-Mar-14		30-Sep-14		31-Mar-15		30-Sep-15		31-Mar-16
OBJ 2: OPI04	Prevention - Low socio-economic	Number of individuals from key populations (low socio-economic) reached with HIV prevention combination package	23 626	58.7%	Dec-2012	PR results	30 000	#VALN/A!	60 000	#VALU N/A	90 000	#####N/A #	120 000	### N/A ###	150 000	#VA N/A LUE!
			N/A				N/A		N/A		N/A		N/A		N/A
OBJ 2: OPI05	Prevention - Low socio-economic	Number of individuals from key populations (low socio-economic) that received an HIV test and know their results.	23 626	58.7%	Dec-12	PR results	24 000	80.0%	48 000	80.0%	72 000	80.0%	96 000	80.0%	120 000	80.0%
			40 260				30 000		60 000		90 000		120 000		150 000
OBJ 2: OPI06	Prevention - MSM	Number of individuals from key populations (MSM) reached with HIV prevention combination package	TBD		2013	Special survey	25 338	TBD	50 676	TBD	76 014	TBD	101 352	TBD	126 690	TBD
							TBD		TBD		TBD		TBD		TBD
OBJ 2: OPI08	Prevention - Prisoners	Number and percentage of individuals from key populations (Prisoners) reached with HIV prevention combination package	TBD		2013	PR results	123 472	69.0%	123 472	69.0%	123 472	69.0%	123 472	69.0%	123 472	69.0%
							179 000		179 000		179 000		179 000		179 000
OBJ 2: OPI09	Prevention - Prisoners	Number and percentage of individuals from key populations (Prisoners) that received an HIV test and know their results.	11 480	41.1%	Dec-12	PR results	98 778	80.0%	98 778	80.0%	98 778	80.0%	98 778	80.0%	98 778	80.0%
			27 928				123 472		123 472		123 472		123 472		123 472
OBJ 2: OPI10	Prevention - Uncircumcised men	Number of men who underwent Voluntary Medical Male Circumcision (VMMC)	3 888	4.8%	Dec-12	PR results	21 000	N/A	42 000	N/A	63 000	N/A	84 000	N/A	94 500	N/A
			80 450				N/A		N/A		N/A		N/A		N/A
OBJ3; OPI11	Care and support for chronically ill	Number of active ART support groups	N/A				7 200	TBD	8 640		10 080		11 520		11 520
							N/A		N/A		N/A		N/A		N/A
OBJ3; OPI12	Care and support for chronically ill	Number of people living with HIV/TB reached with adherence sessions	-				201 600	68%	241 920	81.6&	293 632	90%	322 995	90%	355 295	90%
							296 598		296 598		326 258		368 884		394 772

The detail on the Objectives, SDAs and Activities can be found as the RTC Annex 1 called Description of Activities– RTC. During the development of the Performance Framework all indicators and targets were aligned with the NSP, other national programme strategies, plans and systems.

The Monitoring and Evaluation Plan is attached at RTC Annex 3.

Seven of the output indicators utilized are prevention orientated and support the Programme Goal 1 Objective(Reduce new HIV infections by at least 50% using combination prevention approaches) and inform three of the four impact indicators (SW are excluded). The remaining two output indicators inform impact indicators aligned to Programme Goal 2 (Initiate at least 80% of eligible patients on antiretroviral treatment (ART), with 70% alive and on treatment five years after initiation).

During phase 1 of Programme implementation active measures have been put in place (monitoring tool design, effective systems and staff training) to ensure reliable, timely and accurate reporting of Programme results. These measures will continue to be employed under the next phase of the Programme and will be rolled-out in new or expanded areas of the programmes focus. Currently there are no reliable national systems in place for the collection of MSM/LGBTI data and established systems within the DCS require further strengthening. Systems for these two SDAs will be established or strengthened utilizing an approach that is consistent with the national M&E framework to ensure consistency and sustainability.

MSM/LGBTI target groups often remain hidden due to prejudice and stigma. Limited baseline data is available. Ethnographic mapping will be used to identify specific locations for targeted interventions that achieve maximum impact. Data collection at sites (government clinics in many cases) cannot require service users to disclose their sexual orientation. Hence, whilst service promote open access to MSM/LGBTI people and some may disclose this fact, others may chose not to do so. Knowledge, attitudes and practice studies will therefore be undertaken at Programme commencement, mid-term and end to further inform Programme output, outcome and impact.

6.1.2 Pharmaceutical and Health Product Management (if applicable)