Operational Plan Report


Implementing Mechanism Details



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Implementing Mechanism Details

Mechanism ID: 13634

Mechanism Name: PHC Evaluation

Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention

Procurement Type: Cooperative Agreement

Prime Partner Name: Columbia University Mailman School of Public Health

Agreement Start Date: Redacted

Agreement End Date: Redacted

TBD: No

New Mechanism: No

Global Fund / Multilateral Engagement: No

G2G: No

Managing Agency:




Total Funding: 300,000




Funding Source

Funding Amount

GHP-State

300,000



Sub Partner Name(s)

(No data provided.)


Overview Narrative

The Department of Health is committed to enhancing PHC, and a PHC task team has noted specific opportunities for improvement, including strengthening the district health system, placing more emphasis on population-based health and outcomes, and focusing on a selected number of health priorities. In this context, a drive to “re-engineer” PHC has been launched, and the idea of a sub-district demonstration project is gaining momentum. This project’s approach is guided by partnerships with DOH in support of the National Strategic Plan (NSP) 2012-2016 and the US-SA PEPFAR Partnership Framework. The approach is also aligned with the PHC re-engineering document, including the themes of capacity building at the district health system / district management team (DMT) level, emphasizing population-based health outcomes and community-based services, and focusing on a selected number of health priorities. It is also aligned with the Eastern Cape Department of Health’s emphasis on “revitalization” of primary health care (r-PHC). The project is to support the Eastern Cape Department of Health in its efforts to design, develop, and pilot expanded primary health services, with a particular focus on enabling PHC outreach teams and community health workers (CHW) and Specialist Teams focusing on MCH to provide the PHC package as defined by DOH, and to link facility- and community-based services. In partnership with DOH, the project will support a model network within King Sabata Dalindyebo KSD sub-district, supporting the sub-district management team to enhance health workforce management, referral systems, service integration, and quality improvement.


Cross-Cutting Budget Attribution(s)

(No data provided.)


TBD Details

(No data provided.)


Key Issues

(No data provided.)



Budget Code Information

Mechanism ID:

Mechanism Name:

Prime Partner Name:

13634

PHC Evaluation

Columbia University Mailman School of Public Health

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Care

HBHC

100,000

0

Narrative:

The goal of this project is to undertake the full implementation of the revitalization of primary health care initiative at King Sabata Dalindyebo Sub-district (KSD) in the OR Tambo District of the Eastern Cape Province. The workplan will be strongly aligned with the KSD Plan, consistent with priorities and themes of ECDOH’s vision for revitalizing primary health care in the Eastern Cape Province. The key components of the project are:1. Mapping/GIS of health systems outlets; assessment of existing linkage and referral systems; rapid site assessments focusing on key domains including leadership, resources, infrastructure development and needs, clinical systems, equipment and supplies needs, laboratory capacities, supply chain management systems and monitoring, evaluation and quality assurance activities), information about staffing; training needs analysis and existing cadres of health workers including assessment and review of a comprehensive Community Health Worker program. 2. Intensive capacity building efforts to support EC provincial, district and sub-district DOH staff. Activities will include providing support for convening and workshops, train and build skills on implementing r-PHC. Didactic, webinar-based and distance learning platform training and mentoring on germane areas such as health systems strengthening, integration of services and implementation science will also start in this phase and continue throughout the length of the project. The project will also support training and mentoring for DOH staff members (provincial, district and sub-district) who are specifically responsible for the implementation of r-PHC for the province.3. Focus on implementing the M&E strategy and framework and ensuring quality assurance for implementation activities that will make KSD a model network. In collaboration with DOH, activities include: collation and review of available M&E tools, registers and reporting mechanisms; development and implementation of an M&E framework with key stakeholders; development/adaptation of needed tools, databases, analytic frameworks, training and mentorship protocols; support for the development and dissemination of findings.

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Governance and Systems

HVSI

200,000

0

Narrative:

The goal of this project is to undertake the full implementation of the revitalization of primary health care initiative at King Sabata Dalindyebo Sub-district (KSD) in the OR Tambo District of the Eastern Cape Province. The workplan will be strongly aligned with the KSD Plan, consistent with priorities and themes of ECDOH’s vision for revitalizing primary health care in the Eastern Cape Province. The key components of the project are: 1. Mapping/GIS of health systems outlets assessment of existing linkage and referral systems; rapid site assessments focusing on key domains including leadership, resources, infrastructure development and needs, clinical systems, equipment and supplies needs, laboratory capacities, supply chain management systems and monitoring, evaluation and quality assurance activities), information about staffing; training needs analysis and existing cadres of health workers including assessment and review of a comprehensive Community Health Worker program. 2. Intensive capacity building efforts to support EC provincial, district and sub-district DOH staff. Activities will include providing support for convening and workshops, train and build skills on implementing r-PHC. Didactic, webinar-based and distance learning platform training and mentoring on germane areas such as health systems strengthening, integration of services and implementation science will also start in this phase and continue throughout the length of the project. The project will also support training and mentoring for DOH staff members (provincial, district and sub-district) who are specifically responsible for the implementation of r-PHC for the province. 3. Focus on implementing the M&E strategy and framework and ensuring quality assurance for implementation activities that will make KSD a model network. In collaboration with DOH, activities include: collation and review of available M&E tools, registers and reporting mechanisms; development and implementation of an M&E framework with key stakeholders; development/adaptation of needed tools, databases, analytic frameworks, training and mentorship protocols; support for the development and dissemination of findings.



Implementing Mechanism Details

Mechanism ID: 13644

Mechanism Name: University of Cape Town

Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention

Procurement Type: Cooperative Agreement

Prime Partner Name: University of Cape Town

Agreement Start Date: Redacted

Agreement End Date: Redacted

TBD: No

New Mechanism: No

Global Fund / Multilateral Engagement: No

G2G: No

Managing Agency:




Total Funding: 480,000




Funding Source

Funding Amount

GHP-State

480,000



Sub Partner Name(s)

(No data provided.)


Overview Narrative

University of Cape Town prioritizes pharmacovigilance approaches that are most efficient at assessing the burden of drug-related morbidity and mortality on the healthcare system. The focus is on Adverse Drug Reaction (ADR) in HIV infected patients, but the proposed multicentre hospital surveys will also evaluate serious ADRs in HIV uninfected patients. The aim wherever possible is to strengthen pharmacovigilance for all medicines. The approaches are intended to identify gaps and future priorities of the national drug policy, strengthen and evolve the existing national pharmacovigilance structure and strengthen the link between drug safety surveillance and improving the quality of care for patients infected with HIV/AIDS. The goals are to develop systems to assess the burden of clinically significant adverse drug reactions and to create a sustainable and responsive system for reporting of ADRs, which links ADR reporting to provision of information and clinical advice. The objectives are: to perform a gap analysis and landscaping exercise of existing pharmacovigilance structures and activities, in collaboration with the NDOH; to describe the frequency, nature and preventability of ADRs which result in hospital admission, and ADRs occurring during admission; to determine to what extent ARV and antitubercular medicines contribute to the burden of adverse drug reactions resulting in hospitalisation and occurring in hospital; and to strengthen the capacity to collect ART program surveillance data by establishing reasons for treatment-limiting toxicities in treating adults and children, broadly representative of the national programme, with the possibility of expansion to further sites.


Cross-Cutting Budget Attribution(s)

(No data provided.)


TBD Details

(No data provided.)


Key Issues

(No data provided.)



Budget Code Information

Mechanism ID:

Mechanism Name:

Prime Partner Name:

13644

University of Cape Town

University of Cape Town

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Governance and Systems

HVSI

480,000

0

Narrative:

"The Division of Clinical Pharmacology at the University of Cape Town has been at the forefront of ADR surveillance and drug policy for many years. The Medicines Information Centre of the Division of Clinical Pharmacology at the University of Cape Town was allocated funding by the Department of Health in 2004 to run an HIV medicines information service (HIV Hotline) and to support the passive reporting of ARV adverse drug reactions of the National Adverse Drug Event Monitoring Centre of the Medicines Control Council. All of the objectives of the proposal were met. These activities have been sustainable and have expanded with subsequent funding of the National HIV Hotline from the Foundation for Professional Development (who are funded largely by PEPFAR), and an enhanced ARV passive reporting system was set up in collaboration with the Western Cape provincial government with funding from the Global Fund. Adverse event reporting was nested within routine program monitoring requirements with all facilities reporting serious ADRs as a monthly reporting requirement. The proposal prioritises pharmacovigilance approaches that are most efficient at assessing the burden of drug-related morbidity and mortality on the healthcare system. The focus is on ADRs in HIV infected patients, but the proposed multicentre hospital surveys will also evaluate serious ADRs in HIV uninfected patients. The aim wherever possible to strengthen pharmacovigilance for all medicines. The approaches are intended to identify gaps and future priorities of the national drug policy, strengthen and evolve the existing national pharmacovigilance structure and strengthen the link between drug safety surveillance and improving the quality of care for patients infected with HIV/AIDS.



Implementing Mechanism Details

Mechanism ID: 13682

Mechanism Name: Health Information Systems Program

Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention

Procurement Type: Cooperative Agreement

Prime Partner Name: Health Information Systems Program

Agreement Start Date: Redacted

Agreement End Date: Redacted

TBD: No

New Mechanism: No

Global Fund / Multilateral Engagement: No

G2G: No

Managing Agency:




Total Funding: 2,500,000




Funding Source

Funding Amount

GHP-State

2,500,000



Sub Partner Name(s)


Jembi Health Systems of Cape Town








Overview Narrative

Health Information Systems Program (HISP) is a new partner whose Cooperative Agreement is initiating at the end of Fiscal Year 2011, whose primary objectives are to provide technical assistance and build the capacity of the South African Department of Health (DOH) at national and provincial levels to strengthen the national health information system. The objectives of the HISP agreement align with the Partnership Framework by strengthening the health system, particularly by building capacity in the health information sector, and improving the information systems for use for management and decision making. The geographic coverage of the activities will be national, including directed activities within all nine provinces. Target populations to benefit are all patients receiving public healthcare in the country, as the project will impact all data collection and use of the routine health data information system, the District Health Information System (DHIS), which is utilized in all districts nationally. HISP is a local partner, who will hire staff to provide technical assistance to the health information division at each provincial DOH; the sustainability plan which will be developed in the first year of the agreement will outline the process to transition that technical expertise to the DOH staff before the agreement’s termination. The monitoring and evaluation plan for the five year project will be developed within the first year, with indicators targeted to health information capacity building in all provinces, the number of data capturers providing timely feedback reports to facilities, and the percentage of districts achieving data quality assessment scores of 80% or greater.


Cross-Cutting Budget Attribution(s)

Human Resources for Health

200,000


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