Operational Plan Report



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Total Funding: 641,936




Funding Source

Funding Amount

GHP-State

641,936



Sub Partner Name(s)

(No data provided.)


Overview Narrative

The goal of American Health Placements (AHP) is improved access to quality healthcare for people living in rural and under-served areas of South African through the South African government's public healthcare system and its HIV, TB and primary healthcare treatment programs. Objectives include: (a) Improve access to health workers for people living in under-served rural aead of South Africa, (b) Improve the orientation, rentention and efficacy of rural doctors - those placed by AHP and their colleagues, and (c) Inform human resources in health policy, improve systems and enable rural South Africa to compete more effectively for scarce and mobile health workers. AHP is responsible for maintaining the existing foreign recruitment program in the Eastern Cape, KwaZulu-Natal, North West Province and Limpopo Provinces with expansion of the existing foriegn recruitment program into Mpumalanga and Free State Provinces. AHP has developed a unique and proven model that is structured to promote the recruitment and retention of foreign skills from developed nations in a manner which attracts and retains local skills and builds sustainable hospital capacity. This model which is already delivering sustainable change in public healthcare facilities, combining long term thinking with short term pragmatism and involves the development of working partnerships between national governements, regulatory agencies, civil society and medical training institutions to ensure that the systems and process that support human resources in health are efficient and effective.


Cross-Cutting Budget Attribution(s)

Human Resources for Health

74,239



TBD Details

(No data provided.)


Key Issues

(No data provided.)



Budget Code Information

Mechanism ID:

Mechanism Name:

Prime Partner Name:

16981

Africa Health Placements NPC

Africa Health Placements

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Governance and Systems

OHSS

641,936

0

Narrative:

AHP is responsible for (1) maintaining the existing foreign recruitment program in Eastern Cape, KwaZulu-Natal, North West Province and Limpopo, (2) expanding the existing foreign recruitment program into Mpumalanga and the Free State, (3) developing the orientation component of the foreign recruitment function into a comphrehensive program that is aligned with the Department of Health (DOH) priorities and recources and builds government capacity, and (4) extracing AHP's in-house experience and knowledge on best practice models and human resource staffing and retention, and communicating these so as to inform policy and improve current systems.



Implementing Mechanism Details


Mechanism ID: 16982

TBD: Yes

REDACTED



Implementing Mechanism Details

Mechanism ID: 16984

Mechanism Name: South Africa Executive Leadership Program for Health

Funding Agency: U.S. Agency for International Development

Procurement Type: Cooperative Agreement

Prime Partner Name: South Africa Partners

Agreement Start Date: Redacted

Agreement End Date: Redacted

TBD: No

New Mechanism: Yes

Global Fund / Multilateral Engagement: No

G2G: No

Managing Agency:




Total Funding: 1,500,000




Funding Source

Funding Amount

GHP-State

1,500,000



Sub Partner Name(s)


Harvard University

University of Fort Hare

University of Pretoria, South Africa


Overview Narrative

ASELPH is a partnership between the University of Pretoria (UP), the University of Fort Hare (UFH) and the Harvard School of Public Health in collaboration with the South African National Department of Health. ASELPH aims to strengthen three key components of health transformation in South Africa: 1) Service Delivery Improvements - targeting the management and leadership capability of current and emerging executive leadership at district level within the South African Public Health System and those managers at provincial and national level responsible for district level services, as well as hospital CEOs at the tertiary and health complex levels; 2) Human Resource Capacity Development – focused on the National Health Insurance Initiative transformation process through the selection and training of executive level management responsible for successful implementation; 3) Excellence in Executive Level Training – a longer-term effort to build critical capacity at two leading South African universities to establish and deliver executive leadership courses in health that will address the country’s immediate need for an effective pipeline for the training of senior health managers capable of successfully addressing key current challenges at all levels of service delivery within the country.


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:

16984

South Africa Executive Leadership Program for Health

South Africa Partners

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Governance and Systems

OHSS

1,500,000

0

Narrative:

This program will be responsible for a number of interventions designed to support National Department of Health's ability to meet its health transformation goals, particularly at district level, while simultaneously building needed capacity to deliver high quality, effective executive health management training.It will increase knowledge of health system work, sharing this knowledge through teaching, training and technical dissemination, and to applying tools and methods that are evidence based to improving the health outcomes. This will also include establishing and maintaining a critical mass of knowledge skills, competencies and leadership among current and emerging leaders. Improving policy development and implementation strategies, promoting and maintaining quality service delivery to all. Building capacity among South African faculty and educational institutions so that they are capable of strengthening senior management and leadership skills.



Implementing Mechanism Details


Mechanism ID: 16985

TBD: Yes

REDACTED



Implementing Mechanism Details

Mechanism ID: 16987

Mechanism Name: Service Delivery and Support for Families Caring for Orphans and Vulnerable Children (OVC) - Childline Mpumalanga & Limpopo

Funding Agency: U.S. Agency for International Development

Procurement Type: Cooperative Agreement

Prime Partner Name: Childline Mpumalanga

Agreement Start Date: Redacted

Agreement End Date: Redacted

TBD: No

New Mechanism: Yes

Global Fund / Multilateral Engagement: No

G2G: No

Managing Agency:




Total Funding: 2,101,366




Funding Source

Funding Amount

GHP-State

2,101,366



Sub Partner Name(s)


Childline Limpopo








Overview Narrative

Childline Mpumalanga and its sub-partner Childline Limpopo have a good integrated program with strong child protection, psychological support and family oriented interventions. The program is expanding services to border areas and confronting issues of children from neighboring countries (Swaziland and Mozambique) and this expansion is in collaboration with International Organization for Migration (IOM). The focus will be reunifying migrant children with their families and increase access to services. The child protection expertise of the program allows early identification of abused children; specialized counseling for abused children and their families; support with proceedings of children’s court; arrangement of appropriate alternative care as well as prevention of separation of siblings. The program will implement a gender sensitive awareness program for girl and boy child with focus on reproductive health and condom use. The risk of sexual and physical violence against women will be reduced through the innovative men and boys’ gender based violence program. Psychological intervention will be provided to OVC and their families using therapeutic group sessions as well as mobile therapy service to expand to the hard to reach areas. Childline Mpumalanga family centered approach include strengthening families through parenting skills and family support. CLMPU will scale up the Caring for Crèches program that capacitates crèche teachers in the needs of children below 6 years old and increases access to quality ECD Programmes and Services for young children. Food gardens component will include a Nutritional Assessment Counseling and Support (NACS) intervention; Nutritional support will be provided through clinics, hospitals and other health professionals.


Cross-Cutting Budget Attribution(s)

Gender: GBV

210,137

Gender: Gender Equality

210,137



TBD Details

(No data provided.)


Key Issues

(No data provided.)



Budget Code Information

Mechanism ID:

Mechanism Name:

Prime Partner Name:

16987

Service Delivery and Support for Families Caring for Orphans and Vulnerable Children (OVC) - Childline Mpumalanga & Limpopo

Childline Mpumalanga

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Care

HKID

2,101,366

0

Narrative:

The goal of the program is to improve the well-being of families and their vulnerable OVC through comprehensive and coordinated evidence-based interventions that strengthen the capacity of families and communities to care for vulnerable OVC in sub-districts and districts with high HIV prevalence, high maternal mortality, and a high number of orphans and vulnerable children. The program will be informed by an independent baseline evaluation underway in 2013. Childline Mpumalanga and its sub-partner Childline Limpopo will continue to provide child protection interventions and specialized counseling services. Childline Mpumalanga's program is covering areas which are closer to the border of neighboring countries (Swaziland and Mozambique) and there is an influx of migrant children who needs services. The program will expand its services to the border areas with the aim of servicing the migrant children and reunifying them with their families.



Implementing Mechanism Details

Mechanism ID: 16988

Mechanism Name: Kheth''Impilo Pharmacist Assistant PPP

Funding Agency: U.S. Agency for International Development

Procurement Type: Cooperative Agreement

Prime Partner Name: Kheth'Impilo

Agreement Start Date: Redacted

Agreement End Date: Redacted

TBD: No

New Mechanism: Yes

Global Fund / Multilateral Engagement: No

G2G: No

Managing Agency:




Total Funding: 993,620




Funding Source

Funding Amount

GHP-State

993,620



Sub Partner Name(s)

(No data provided.)


Overview Narrative

The goal is to strengthen SAG health systems by facilitating training opportunities for 500 individuals to qualify as pharmacist assistants, thereby address the skills gap in the pharmacy sector. This innovative approach creates employment for the unemployed with a qualification to be absorbed at their own community health care facility. Pharmacy systems will be strengthened by allocating 10 designated supervisory pharmacists (DSP) to support 50 PHCs. The program supports 96 PHCs in 21 districts in the EC, KZN, MPL and WC provinces. 70% of target districts are rural with high unemployment rates and poorly skilled populations. The program become more cost effective as the DOH absorbs stipend learners over the life of the project. Ongoing capacity development is given to DOH through posts for Post Basic Pharmacist Assistants (PBPAs). 50 qualified PBPAs working under indirect supervision of a DSP will increase access to care and improve quality of ART and other pharmaceutical services, thereby accelerating the implementation of HIV and AIDS services and improving the quality of care according to the NSP and NHI. 50 000 patients benefit directly by this initiative while cost savings are ensured through the reduction of expired stock in PBPA-supported sites. KI will improve governance and supply chain improvement throughout district pharmacy services by attending regular district pharmacy supply meetings. Quarterly M&E reports are submitted and contain comparison of outcomes with the goals and objectives, analysis and explanation of cost overruns, and data collected according to the M&E plan and related analyses.


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:

16988

Kheth''Impilo Pharmacist Assistant PPP

Kheth'Impilo

Strategic Area

Budget Code

Planned Amount

On Hold Amount

Treatment

HTXS

993,620

0

Narrative:

KI, in keeping with its mission to support the NDOH achieve its goals for the scale up of quality services for HIV/AIDS and TB, has identified the need to increase pharmacy capacity at PHC level. To achieve this KI prioritises: the training of individuals to become Post Basic Pharmacist Assistants (PBPAs); training, support and mentoring of qualified PBPAs to work under indirect supervision of a pharmacist; and implementation of systems to continue the training of pharmacy support personnel.

The innovative KI pharmacist assistant training project aims to address the shortage of qualified PBPAs by identifying DoH employed unqualified pharmacist assistants unable to complete their training and facilitate their completion and by providing pharmacist assistant learnerships to unemployed individuals. This will increase the quality of clinical care by improving the quality of pharmacy services at the PHC level.

Training of PAs require full time placement within a South Africa Pharmacy Council (SAPC) registered training pharmacy. Placement capacity is limited by the availability of registered DOH training pharmacies as well as the number of SAPC registered pharmacist tutors at these facilities. KI works closely with DHMTs with registration of all training pharmacies.

PAs are trained with accredited training materials. The qualification prepares them to work with all aspects of pharmaceutical services in the health system. To obtain a Basic or Post Basic Qualification, learners have to be enrolled with SAPC for a period of at least 12 months per qualification.

The training program provides full training provider costs for basic and post basic courses, stipends for unemployed learners, SAPC registration and yearly fees, weekly facilitation sessions by pharmacists as per SAPC regulations, assessment by registered assessors, assistance with post qualification SAPC registration, and assistance with employment within the PHC once qualified and registered. KI has 14 pharmacists registered as assessors and 3 qualified moderators. Both learners and qualified PAs are sought by SAG to fill critical posts at PHCs and KI keeps the districts informed as to their availability for transition to SAG.

Qualified PBPAs are placed in PHC under the indirect supervision of a Designated Supervisory Pharmacist (DSP). The PBPAs are up skilled though a 3-6 month mentoring program. DSPs are allocated to mentor PBPAs to a high level of proficiency and professionalism, ensuring these mid-level workers are able to take full responsibility for the spectrum of pharmaceutical services from patient care at PHC level to district depots to ensuring adequate supply chain function. PBPAs, with the technical support provided by DSPs, work with other HCWs, facility and district management to develop sustainable SOPs and systems and conduct cost analysis and governance to ensure ongoing improvement of pharmaceutical care at facilities. The impact of the indirectly supervised PBPA model is measured by interventions done at the site as well as the reduction in stock losses. Data is collected on audit forms monthly by the DSPs and reviewed and reported back to DHMTs. KI will focus on developing course material for the newly introduced Pharmacy Technicians and Pharmacy Technical Assistant courses for possible distance learning to ensure it continues to meet the needs of the SAG pharmacy services.






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