Welcome to the Publication Archives of USAID-funded Health Policy Projects.

Browse Health Policy Project (2010-2016) Materials

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South Africa

  • Based on the UTETEZI Project curriculum, Advocacy for Improved Access to Services for MSM: A Workshop Curriculum for a Multi-Stakeholder Policy Advocacy Project, this advocacy for policy change guide is designed for use by MSM (men who have sex with men) groups, community-based organizations (CBOs), civil society organizations (CSOs), and individuals working in HIV and MSM health to help them advocate regionally, nationally, and locally for improved HIV and health-related MSM policies. In particular, this guide can serve as an important tool for CSOs working on MSM issues in hostile legal environments.

  • The Health Policy Project (HPP) helped countries achieve their health goals by building capacity for policy, advocacy, governance, and finance at multiple levels. The project developed global tools and best practices for policy work, promoted South-South sharing and collaboration, and carried out regional and country-specific policy initiatives. The files included in this zip document provide brief program overviews for each country highlighting key accomplishments. Individual briefs are available from the country pages.

  • The USAID and PEPFAR-funded Health Policy Project team, at the request of and in collaboration with the National Department of Health, conducted a detailed study in 2015 of the costs of providing medical male circumcision in South Africa. The objectives of this study were to:

    • Derive the unit cost of delivering medical male circumcision in South Africa at the facility level

    • Assess costs from a client perspective

    • Identify the level of spending currently incurred for demand creation

    The study’s findings, presented in this report, provide a detailed investigation, through a comprehensive bottom-up approach, of the costs to providers in offering medical male circumcision, as well as the cost to clients in receiving medical male circumcision. Results from the study will assist the South African government to assess the actual unit costs of medical male circumcision delivery and scale-up and provide information about the financial barriers medical male circumcision clients might face. This analysis will also support the National Department of Health, development partners, and implementing partners to better project resources needed for medical male circumcision service delivery and to understand cost drivers and cost variances across provinces and different modes of medical male circumcision service delivery (e.g., circumcision provided at fixed sites vs. circumcision provided as part of outreach programs). The cost data from this report will also inform the second round of South Africa’s investment case analysis.

  • In support of the Global Fund’s New Funding Model, the President’s Emergency Plan for AIDS Relief (PEPFAR) worked in coordination with the United States Agency for International Development (USAID) through the Health Policy Project (HPP) to provide technical assistance to select high-impact countries. HPP supported the South Africa National AIDS Council (SANAC) and provincial health authorities in KwaZulu-Natal (KZN) on a proposal to map estimated HIV prevalence using routinely collected facility-level data and other related data in KZN province and the metro municipality of eThekwini (formerly known as Durban). These efforts were intended to help inform the country’s Concept Note submission, scheduled for June 2015. In addition to providing technical assistance in support of the analysis, HPP documented the methodology (Judice and Datar, 2014)—adapted from Dr. Frank Tanser’s work in Mpumalanga Province—so that SANAC might include a request to replicate this analysis in multiple municipalities throughout the country as part of the funding application to the Global Fund.This report documents the methodology, data sources, and statistical methods used to map and analyze routine data to examine HIV variation at subnational levels.

  • As part of the USAID-led PEPFAR Sustainable Financing Initiative to increase domestic resources for HIV, the USAID- and PEPFAR-funded Health Policy Project created 31 macro-fiscal and health financing profiles for 18 countries that are transitioning to a higher income status, have high HIV burdens, and/or rely heavily on donor funding. These country profiles assess past trends and future projections in key indicators related to a country's ability to grow economically and dedicate more financial resources to health, including HIV.

    The macro-fiscal profiles provide overviews of each country's economic growth, political economy, and government revenue and expenditure. The health financing profiles analyze government, external, and out-of-pocket spending on health; health financing functions, including revenue contribution and collection, pooling, and purchasing; and HIV financing trends.

    You may download individual briefs on this page.

  • Investing for impact is an explicit goal of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The institution’s strategy for 2012 to 2016 focuses on countries and populations where interventions promise maximum rewards for public health. As part of this “New Funding Model,” the Global Fund is asking applicant countries seeking financing to more accurately  demonstrate where and how their HIV programs will yield significant, measurable improvements in limiting the spread of the virus. Accomplishing this will depend to a great extent on each country’s ability to use geospatial analysis of epidemiological data to target resources to areas with the greatest need.

    Not all countries seeking Global Fund support have extensive experience with geospatial analysis. To address this gap, the Health Policy Project (HPP)—funded by the United States Agency for International Development (USAID) and the President’s Emergency Plan for AIDS Relief (PEPFAR)—is working with 9 countries eligible for Global Fund support to strengthen their use of geospatial analysis in HIV policymaking and in strategic, financial, and program planning.