BRHC’s past and future work in adult treatment is driven by evidence, experience and a deep understanding of the SA health system. TA in Adult Treatment will focus on strengthening DHMT, sub-district and facility managers’ management and leadership capacity to successfully implement the national treatment program aligned to budget and national targets. Activities will include delivery of management and leadership training coupled with continued mentorship to address key treatment service delivery challenges. We will support districts to ensure that health workers effectively test and then refer all persons testing HIV positive for related HIV and TB treatment services, including IPT, CTX and PMTCT, without losing individuals along the health service chain. BRHC will also deliver district-wide TA improve the availability and use of strategic information, ensuring collection, analysis and distribution of treatment data in a timely manner to inform the precision and efficiency of treatment interventions. We will facilitate the development of functional linkages between the community and health services for early identification and treatment initiation through community systems strengthening, including adherence support and tracking of defaulters, as well as facilitate the development of integrated patient management systems and referral networks for holistic treatment. BRHC will support existing health service delivery innovations such as NIMART and PHC reengineering, as well as support districts in identification, development, implementation and measurement of new innovations to address challenges in HIV treatment service delivery such as early diagnosis and rapid referral to treatment and care. For optimum treatment outcomes BRHC will support identification and introduction of new diagnostic technologies to facilitate faster, simpler and more accurate screening and diagnosis. District-wide TA to strengthen the HR information system, address issues of recruitment/retention and performance management, and alignment to national staffing norms will result in appropriate staffing for the effective delivery of treatment services. BRHC will provide TA to districts to facilitate better integration of HIV & TB programs at structural, organizational and management levels (including the promotion of joint planning, budgeting and financing). BRHC will facilitate the availability treatment by providing TA to pharmacy staff in forecasting, quantifying, ordering and procuring drugs, and the introduction/installation of DoH mandated automated pharmacy systems. Health financing TA and supportive supervision at the district level to increase capacity in financial management and budgeting will benefit treatment services as a component of overall health services in the district. Clinical quality of treatment services will be maintained through expansion of effective mentorship programs, use of replicable quality improvement models, and support for implementation of the National Core Standards district-wide. In addition to intensive support for operationalization of Tier.net and overall strengthening of DHIS, TA will be provided in development of M&E plans, research & evaluation design, surveillance, and application of research findings.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Treatment
PDTX
1,788,669
0
Narrative:
TA in Pediatric Treatment will focus on strengthening DHMT, sub-district and facility managers’ management and leadership capacity to successfully implement the national treatment program aligned to budget and national targets. Activities will include delivery of management and leadership training coupled with continued mentorship to address key treatment service delivery challenges. We will support districts to ensure that health workers effectively test and then refer all persons testing HIV positive for related HIV and TB treatment services, including IPT, CTX and PMTCT, without losing individuals along the health service chain. BRHC will also deliver district-wide TA improve the availability and use of strategic information, ensuring collection, analysis and distribution of treatment data in a timely manner to inform the precision and efficiency of treatment interventions. We will facilitate the development of functional linkages between the community and health services for early identification and treatment initiation through community systems strengthening, including adherence support and tracking of defaulters, as well as facilitate the development of integrated patient management systems and referral networks for holistic treatment. BRHC will support existing health service delivery innovations such as NIMART and PHC reengineering, as well as support districts in identification, development, implementation and measurement of new innovations. BRHC will support DHMT’s to develop district capacity to provide training and mentorship to clinicians to gain skill & confidence in pediatric HIV treatment. Pediatric treatment is anchored on prevention and will track/improve PCR rates of exposed infants at 6 weeks, HIV rapid testing at 18 months and early testing in all children with signs and symptoms suggestive of HIV infection. This will involve support for onsite mentorship in diagnosis and management of pediatric HIV care and treatment including how to identify and deal with treatment failure.
District-wide TA to strengthen the HR information system, address issues of recruitment/retention and performance management, and alignment to national staffing norms will result in appropriate staffing for the effective delivery of treatment services. BRHC will provide TA to districts to facilitate better integration of HIV & TB programs at structural, organizational and management levels (including the promotion of joint planning, budgeting and financing). BRHC will facilitate the availability treatment by providing TA to pharmacy staff in forecasting, quantifying, ordering and procuring drugs, and the introduction/installation of DoH mandated automated pharmacy systems. Health financing TA and supportive supervision at the district level to increase capacity in financial management and budgeting will benefit treatment services as a component of overall health services in the district. Clinical quality of treatment services will be maintained through expansion of effective mentorship programs, use of replicable quality improvement models, and support for implementation of the National Core Standards district-wide. In addition to intensive support for operationalization of Tier.net and overall strengthening of DHIS, TA will be provided in development of M&E plans, research & evaluation design, surveillance, and application of research findings.
Implementing Mechanism Details
Mechanism ID: 17024
Mechanism Name: Comprehensive District-Based Support for Better HIV/TB Patient Outcomes (Hybrid)
Funding Agency: U.S. Agency for International Development
Procurement Type: Cooperative Agreement
Prime Partner Name: Foundation for Professional Development
FPD is implementing the Comprehensive District Health Team Support (CDHTS) TA model. The goal is to foster a public sector management culture that is based on effective leadership by professional managers who are committed to: providing integrated high quality services based on SAG policy; working in partnership with civil society; using strategic information to guide decision making; and improving the quality of services and patient outcomes. In partnership with SAG, FPD will: i) develop and inform strategies to help Districts realise the 10 Point Plan, including NSP on HIV/AIDS, PHC Re-Engineering Strategy, NHI and the Minister of Health’s NSDA in line with the PIPF; ii) support district management to draft, implement and monitor progress against District Health Plans, related plans and expenditure reviews; and iii) support districts to achieve and maintain targeted levels of performance for PEPFAR’s priority areas, in particular TB/HIV. The target population includes district management teams (DMT) in Gr. Sekhukune (LP), Cacadu, NMM, Amatole and Buffalo City (EC) over est. pop of 3,678,244. Primary investment will be strengthening systems related to routine management with scale-back of TA investment and energy once processes are adopted and ingrained. 4. FPD’s CDHTS TA will ensure successful transition to SAG by: involving DMT in the conceptualization, planning and implementation of SS TA within the districts, and negotiating roles and responsibilities regarding program milestones, sustainability measures and transition timelines. Key outcomes include: increased district management capacity; improved district expenditure in line with approved budget; increased health systems efficiency and effectiveness; and improved program performance for key indicators
