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CurrentHSS (Strengthening)3.0
The project aims to address the unfinished business of pediatric and adolescent HIV in KwaZulu-Natal by using a quality improvement and KidzAlive strategies to accelerate the identification and enrollment of HIV positive children and adolescents on treatment, and ensuring that they are retained in care.

The project works alongside the SA SURE project and community partners and supports 62 project-linked health facilities in three KwaZulu-Natal districts.
Unfinished Business project on Paediatric and Adolescent HIV, TB andhttp://www.hst.org.za/projects/Projects%20Details/Unfinished%20Business%20nj.pdf2018-05-04 12:00 AMYes
  
CurrentHSS (Strengthening)4.0
The VCT II Project (“The Power of Knowing”) collaborates with private service providers (NGOs, general practitioners, nurses and pharmacies) to provide efficient and effective HIV counselling and testing (HCT) and supplemental services such as TB screening as part of an “HCT franchise network”. This three-year initiative which was endorsed by the National Department of Health) ran from October 2014 to September 2017 and was then extended to December 2018. The project uses a franchise model which promotes formal collaboration among public, private and non-governmental sectors, in order to increase the HCT coverage in two provinces: Northern Cape and Limpopo. Service providers in this project provide testing for free, and refer clients who do not have private medical insurance to the public sector for ART initiation and treatment. This model facilitates continuous training and quality control for all service providers who join the franchise.
Implementation of HIV Counselling and Testing Services in the private and non-governmental sectors (VCT II Project)http://www.hst.org.za/projects/Projects%20Details/VCT%20II%20project%20description%2010%20January%202018%20for%20Website%20+nj.docx2018-04-04 12:00 AMYes
  
CurrentHSS (Strengthening)6.0
The SA SURE Plus project strengthens and supports capacity to provide sustainable HIV and TB-related care and treatment in South Africa through training, mentoring, coaching and direct service delivery. Currently, the project deploys over 300 staff members to support seven districts (including over 600 facilities) spread over three provinces (Eastern Cape, Free State and KwaZulu-Natal).

The project focuses primarily on strengthening of health systems in the areas of Ideal Clinic Realisation and maintenance, change management within the 90-90-90 initiative, expanding the rollout of alternative access to chronic medication (CCMDD) and supporting Universal Test and Treat (UTT) initiatives in the supported districts, including two hosting the DREAMS project.

The approach is focused on sustainable capacity development at the lowest level within the district health system. This will not only integrate national health priority actions such as 90-90-90, Primary Health Care Re-Engineering, National Health Insurance, the National Core Standards and the Ideal Clinics initiative but also focus on improving the quality of care.

The activities are accompanied by a monitoring and evaluation framework to track changes in service delivery and monitor and evaluate the impact of the project interventions. This approach allows the project to adapt, improve and innovate and also includes support for the implementation of Integrated TIER.NET and WEB DHIS.
http://www.hst.org.za/projects/Projects%20Details/SA%20SURE%20Plus%20'one-pager'_15Dec2016.pdf2018-04-04 12:00 AMYes
  
ArchivedHST2.0
The aim of the project is to develop a training manual on research methodology and to conduct training in the Northern Cape and Gauteng provinces. The manual has been finalised on 4 October. URC have requested another week to have a final look; however they seem happy with the product. The training will be completed in the first half of 2012.
Development of a Research Training Manual2017-11-16 12:00 AM
  
CurrentHSR (Research)1.0
2017-06-28 12:00 AM
  
ArchivedHSS (Strengthening)2.0
The Soul City Institute of Health and Development Communication (Soul City Institute) is a social change project which uses mass media combined with social mobilisation and advocacy to bring about social change and improved health outcomes.

The Soul City Institute was awarded a grant to develop programme interventions to strengthen the demand for quality health services by the South African population in order to increase access to improved quality health care.

A literature review on the Revitalisation of Primary Health Care was commissioned, with a key focus on the role of communities in strengthening PHC and improving quality of care.  This literature review will contribute towards the development of the Soul City series 12, and the Soul  Buddyz Clubs. The purpose of the drama series is to model greater engagement of  communities with PHC delivery, and to promote accountability.
2017-06-23 12:00 AM
  
ArchivedHSR (Research)2.0
This exciting project explores a new avenue of research for HST as the team aims to conduct an in-depth health sector market needs and implementer landscape analysis of four pre-selected Southern African countries. The project lasts a period of 60 days and the project team is conducting fieldwork which entails visiting the four countries for face-to-face key informant meetings. The relevant implementers and donors will be greeted by an ACHAP project team member who seeks to understand more about the constraints in the market and just what it takes to create an enabling environment for private-public partnerships’ to flourish. The ACHAP project team will provide interesting and useful information on how one can partner with ACHAP.
2017-06-23 12:00 AM
  
ArchivedHSS (Strengthening)2.0
Through the support of the Millennium Challenge Account, the Lesotho Ministry of Health and Social Welfare (MOHSW) has engaged a Health Systems Strengthening (HSS) firm to augment the Ministry’s efforts in implementing the ongoing National Health Sector Reform Programme. The design of the HSS-Technical Assistance serves to mitigate the negative economic impacts of poor maternal health, HIV and AIDS, Tuberculosis, and other diseases by substantially strengthening the country’s health-care infrastructure and its ability to deliver quality health services to the Basotho.
2017-06-23 12:00 AM
  
ArchivedHSR (Research)3.0
Evidence informed guidance is needed for decision makers. PEECHi lays out the framework to develop a South African initiative to make the connection between evidence and decisions on public spending that would spell out the opportunity costs of one decision versus another. HST’s role is to conduct a systematic literature review. The PEECHi team will follow this with a literature review of cost-effectiveness data pertaining to maternal and child health, selection of interventions for costing, collection and modelling of data required for costing related to maternal and child health interventions in South Africa, development of costing models, costing of interventions and cost-effectiveness analysis of selected interventions. This step wise approach fulfils the over-arching objective to develop a South African initiative to make the connection between evidence and decisions on public spending that would spell out the opportunity costs of one decision versus another.
2017-06-23 12:00 AM
  
ArchivedHSS (Strengthening)2.0
Rx Solution is a software programme that supports regulation of stock control within public health facilities in addressing the perennial issue of drug stock-outs in South Africa.



Poor stock management leads to inefficiencies in the health service delivery cycle and value chain. These inefficiencies contribute to inadequate care of patients, especially those diagnosed with HIV, AIDS and TB, and to dissatisfaction among related support groups. Drug stock-outs result in patients having to travel to other health facilities or private sector institutions, thus incurring undue and often unaffordable expense. Patients may not receive the medicines they need, or they may obtain alternative medication that is not necessarily effective or appropriate, all of which undermines their health status. Such circumstances result in society losing confidence in the public health system’s capacity to meet the needs of patients.



The Rx Solution system is implemented by Health Systems Trust (HST) in the following districts:
• Pixley ka Seme (Northern Cape Province)
• Fezile Dabi, Xhariep, Mangaung, Lejweleputswa and Thabo Mofutsanyana (Free State Province)
• eThekwini, uMgungundlovu, Amajuba and uMzinyathi  (KwaZulu-Natal Province)
• OR Tambo (Eastern Cape Province)
• Waterberg (Limpopo Province)
2017-06-23 12:00 AM
  
ArchivedHST2.0
The overall project, of which this project forms but a part, aims to enhance the capacity of the provinces to meet the health-related Millennium Development Goals, specifically goals 4, 5 and 6, in all 18 priority districts identified by the Department of Health (NDoH) for the improvement of maternal and child health outcomes using facility-based, quality improvement strategies and community-based interventions.
HST entered into a project co-operation agreement with UNICEF to support seven districts in implementing a package of key interventions in Maternal, Neonatal and Child Health and Nutrition (MNCH&N) in order to improve health outcomes and to monitor progress in these focus areas.

A baseline assessment was conducted from September to November 2009 on the health and nutritional status of women and children and their access to MNCH&N services. Based on the results, integrated MNCH&N plans were developed in collaboration with other development partners and these were incorporated into the District Health Plans.

The project also focused on prevention of mother-to-child transmission (PMTCT) and community-based interventions, as current research shows that HIV and AIDS-related illness are the major causes of maternal and under-five childhood mortality.

The capacity of managers, health professionals and community health workers to use information that assisted in improving the quality of MNCHN interventions was enhanced in all supported districts.
2017-06-07 12:00 AM
  
CurrentHSR (Research)2.0
As part of the dialogue on improving public expenditure management and spending for results in South Africa, the World Bank is coordinating a public expenditure tracking survey and quantitative service delivery survey (PETS-QSDS) in the Gauteng Province for HIV and AIDS spending. The PETS component tracks the flow of finances from treasury to the final destination i.e. health facilities, highlighting the leakages, bottlenecks or diversion in finances. The QSDS component collects information (inputs, outputs, quality, incentives, challenges, etc.) to understand facility level performance and associated factors.



The aim of the study is to conduct the PETS-QSDS study in approximately 200 public primary health clinics and a number of public hospitals in Gauteng, including administrative levels within the supply chain of public health facilities. It is expected that the study will contribute to improving efficiencies in the use of public resources for health.
2017-06-05 12:00 AM
  
CurrentHSR (Research)2.0
The DHB is a flagship publication of HST produced annually. It provides a summary of socioeconomic, health and health-related data for each district in South Africa.
2017-06-05 12:00 AM
  
ArchivedHST1.0
This project aimed to reduce missed opportunities for HIV identification and the spread of HIV infection, and to support a network of service outlets providing routine voluntary HIV testing and counselling. The project focused on facility-based nurses, HIV and AIDS Counselling and Testing (HCT) Programme Managers and Lay Counsellors. The focus later moved beyond client-initiated, voluntary counselling and testing (VCT) to provider-initiated counselling and testing (PICT).
2017-06-05 12:00 AM
  
ArchivedHST1.0
The Treatment Monitor is an established inter-cluster project within the Health Systems Trust. The aim of the Treatment Monitor is to support the implementation of the National Strategic Plan 2007-2011 (NSP) in South Africa through a variety of activities including monitoring, information dissemination and research that will contribute to strengthening the development of an equitable, effective and efficient health. Ultimately it aims to identify and share information on models of best practice and lessons learnt in order to stimulate and promote the ongoing improvement of effective and efficient HIV treatment and care and health services in general.

The Monitor is working towards the creation and strengthening of networks between important role-players across the various health sectors, disseminating relevant information obtained through meetings and workshops with key stakeholders. Dissemination of information is conducted through the HST publications and electronic communication systems. It is envisaged that strong links and collaborative initiatives will emerge to share information, strengthen debate and enhance the process of policy development. The Treatment Monitor also aims to work closely with all stakeholders to identify gaps in health systems research, and to support the development of essential health systems research to strengthen the health system in providing comprehensive HIV/AIDS prevention, treatment and care at all levels. We have a specific interest and focus on human resources.

We are also particularly interested in exploring the impact of HIV and AIDS on women and their ability to access services. We acknowledge that the HIV epidemic is feminised with most infections infecting and affecting women. We support integrated services that are decentralised and as such we would want to advocate for provision of women receiving HIV care within a sexual and reproductive health and rights framework.

For further information and details, click on any of the topics on the right of the screen to take you to your area of interest.

We would also welcome contributions and suggestions of material for this website.

Treatment as part of a continuum of care.

We acknowledge the vast field that can be viewed as part of treatment in the process of mitigating the impact of HIV and AIDS. As AIDS is treatable with ARVs, there is a need to also unpack the greater picture that is needed to support and sustain this effort.

We have grouped the following areas for monitoring and sharing of information. In each section there may be a brief explanation and linkages to individuals or organizations working in that area:

    Treatment Monitor Processes:
        60% roundtables 2008 – PHASA and WBS
        UNGASS Special Session on HIV/AIDS - Monitoring the Declaration of Commitment on HIV/AIDS
        Tools
            A guide to Measuring Advocacy and Policy. Prepared for the Annie E. Casey Foundation by Organizational Research Services. 2007
            Just the facts, ma’am…A Women’s Guide for Understanding Evidence about Health and Health Care. National Coordinating Group on Health Care Reform and Women. 2005. http://www.cewh-cesf.ca/healthreform/index.html
            The Just Enough Planning Guide - A Roadmap to Help Nonprofits Reach Their Campaign Goals
            The Just Enough Planning Guide - Planning Tool
    Monthly Denosa column:
        Do you remember Beijing and Cairo? May 2010
        Aids is a human rights issue. April 2010
        My fertility was stolen from me. March 2010, pg46-47
        Medical Abortion. February 2010
        Developing Treatment Guidelines for Women of Reproductive Age May 2009, pg36-39
        Women’s Day: Be the Change April 2009, pg32-33
        Tuberculosis – a women’s health issue March 2009, pg30-31
        From the nurses’ point of view. December/January 2008/09, pg28
        Lesbian health: more than screening for breast cancer and mental health: October 2008, pg30-31
        In support of the diaphragm: September 2008, pg25
        Creating awareness of womens issues: September 2008, pg22
        Medical Male Circumcision: thinking through the impact for a feminised epidemic: August 2008, pg36
        Civil Society Report-back on dialogue on Male Circumcision: Implications for Women: August 2008, pg39
        Dealing with Anxiety and Depression - challenges of mental health: July 2008, pg32-33
        Adolescent sexual and reproductive care: June 2008, p36-37
        Cervical cancer - is vaccination the way to go? May 2008, pg37
        The importance of choice: April 2008, pg32-33
    Abortion
    Cervical Cancer
    Children and Youth
    Clinic Sites
    Contraception
    Displaced Persons and Access to Treatment
    Drugs
    Drugs for Women
    Focus on Human Resources
    Health Systems
    HIV/AIDS Treatment Guidelines for Women of Reproductive Age
    Human and Socio-Economic Rights
    Information and Communication Strategies
    Lesbian, Gay, Bisexual & Transgender Health Issues
    Male Circumcision
    Nutrition
    Palliation
    PPTCT plus/PMTCT/Perinatal Transmission
    Prevention
    Private sector and HIV/AIDs in the Workplace
    Sexual and Reproductive Health and Rights
    Sexual and Reproductive Intentions
    Sex Workers
    Treatment
    Tuberculosis
    Violence
    Useful Links
    Archived information
        Activities
        Public HAART Sites
        Documents, News, Links
2017-06-05 12:00 AM
  
ArchivedHST1.0
This PEPFAR-funded study, the Maternal Events in Pregnancy (MEP) study, enrolled 300 women who conceived on ART. They were followed up for the duration of their pregnancy and where applicable, until their infant was one year of age. The last infant was seen in December 2012. The main manuscript was submitted for review in December 2013.
2017-06-05 12:00 AM
  
ArchivedHST1.0
This PEPFAR-funded study, the Maternal Events in Pregnancy (MEP) study, enrolled 300 women who conceived on ART. They were followed up for the duration of their pregnancy and where applicable, until their infant was one year of age. The last infant was  seen in December 2012. Manuscript preparation is underway.
2017-06-05 12:00 AM
  
ArchivedHST1.0
Through the support of the Millennium Challenge Account, the Lesotho Ministry of Health and Social Welfare (MOHSW) has engaged a Health Systems Strengthening (HSS) firm to augment the Ministry’s efforts in implementing the ongoing National Health Sector Reform Programme. The design of the HSS-Technical Assistance serves to mitigate the negative economic impacts of poor maternal health, HIV and AIDS, Tuberculosis, and other diseases by substantially strengthening the country’s health-care infrastructure and its ability to deliver quality health services to the Basotho.
2017-06-05 12:00 AM
  
ArchivedHST1.0
The goal of the project is to consolidate capacity development and service provision of thirteen Community Based Organisations (CBOs) in Mpumalanga Province by: providing support to CBO registration as Non-Profit Organisations (NPOs); build CBO capacity for the sound business management of their organisations; strengthen capacity for service provision for health prevention and promotive strategies specifically relating to the key priority health programmes of HIV/AIDS, Maternal and Child Health; and Nutrition.

Achievements to date:
All CBOs have been trained in basic aspects of HIV and AIDS, treatment literacy, project management and financial management
Five of thirteen CBOs have been successfully registered as NPOs, while the rest are in the process of registration. The registration process as a NPO will ensure the sustainability of the CBO as it will then qualify the CBO to apply for funding
Thirteen Local Project Coordinators were recruited, hired and trained on team leadership, supervision, monitoring, evaluation and reporting
An organisational development training manual for CBOs has been developed and finalised

HST facilitators are currently running a series of onsite training sessions for CBO leadership teams using participatory training methodologies, as well as on-going mentoring and coaching, to improve the governance and organisational capacity of the CBOs. In addition, peer supporters also conduct training workshops for traditional health practitioners.
2017-06-05 12:00 AM
  
ArchivedHST1.0
  This one-year project aims to conduct an audit of public health facilities (including clinics, community health centres and district, regional, specialised and tertiary hospitals) in all nine provinces using existing, standardised measurement tools and capturing the collected data into the DHIS Core Standards for Health Establishments database.

The audit’s areas of assessment include:

    the range of health services provided by a public health facility
    the self-reported profile of each facility – including its location, catchment population, referral network, accessibility for patients, utilities available, and physical infrastructure and size – all to be verified on-site by an Audit Team
    the state of the physical infrastructure in terms of condition, safety and compliance with building regulations
    the availability and basic functionality of medical equipment and backups, including an age analysis of items requiring replacement
    the degree of compliance with national quality standards in the following priority areas: the values and attitude of staff; the cleanliness of facilities; patient waiting times; patient safety and security; infection prevention and control; and the availability of critical medicines and supplies (otherwise known as the six priority areas)
    the allocation and availability of human resources in the various categories of occupation and skills breakdown in the facility
    the status and utilisation of Health Information Systems (as applicable to regional, specialized and tertiary hospitals)
    the general utilisation rates of healthcare services and facilities (in order to develop norms and standards)
    the budget and expenditure reports for the health facilities

The overall outcome of this national health facilities’ audit is a full audit report on the services and conditions at all facilities in the country, based on the identified assessment areas, together with an estimate of the cost of closing the human resources, equipment and infrastructure gaps identified.

BASELINE AUDIT PROGRESS

Link to full report

The Baseline Audit project commenced in the Northern Cape Province on 3 May 2011 and the Western Cape was the last province to commence the audit on 20 July. There are 20 teams across all nine provinces that are supporting the implementation of the audit. These teams comprise members from HST and its Partners as well as designated provincial and district staff that have been trained on the National Core Standards process.

In total 4210 public health facilities are being audited nationally. The table below provides a breakdown of the number of facilities, per type, across the provinces.

Public Health Facilities

Province


PHC


District Hospital


Regional Hospital


Specialised Hospital


Tertiary Hospital


Central Hospital


Total

EC


808


45


2


18


6


1


880

FS


280


25


5


4


1


1


316

GP


421


10


12


6


0


4


453

KZN


591


37


12


18


2


1


661

LP


463


31


5


3


2


0


504

MP


305


23


3


5


2


0


338

NC


212


18


2


3


0


0


235

NW


363


18


4


2


0


0


387

WC


282


34


5


11


1


3


436

TOTAL


3825


241


50


70


14


10


4210

As at the end of July 2011, 21% of facilities were audited nationally. The progress and status of the audit as at the end of July 2011 in each of the provinces is presented in the table below. The estimated completion date of the Baseline Audit is May 2012.

Audit completion as at July 2011

Province


Provincial Total


Completed

June 2011


Completed

July 2011


Estimate

Completion date

EC


880


78


140


May 2012

FS


316


42


109


Feb 2012

GP


453


26


94


Feb 2012

KZN


662


59


135


April 2012

LP


504


6


64


March 2012

MP


38


18


73


Feb 2012

NC


235


120


161


Sept 2011

NW


387


28


93


March 2012

WC


435


0


7


April 2012

TOTAL


4210


337


876




TOTAL %





9%


21%




Estimated completion rate

MONTH


NUMBER


%

August 2011


1378


33%

September 2011


1794


43%

October 2011


2175


52%

November 2011


2556


61%

December 2011


2927


70%

January 2012


3318


79%

February 2102


3698


88%

March 2012


3962


94%

April 2012


4136


98%

May 2012


4210


100%

PROJECT TEAM MEMBERS:



Project Leader 

Ronel Visser

Project Director:


René English



Senior Project Manager: 

Rakshika Bhana




Project Managers


Nandy Mothibe (HST)
Theo Rencken (Exponant)
Mannini Makoa (Arup)




20 Audit teams:


Each team comprising a Team Co-ordinator, an Infrastructure Assessor and a Data Capturer



Technical Specialists 

Candy Day
TA from Partners
2017-06-05 12:00 AM
  
ArchivedHST1.0
A study of the implementation of the Health Rights Charter and the application of monitoring tools.
2017-06-05 12:00 AM
  
ArchivedHST1.0
HST was awarded a grant (January 2011 to February 2012) to support the NW in implementing the NDoH’s PHC re-engineering strategy. PHC re-engineering consists of three streams, viz, (a) the deployment of ward based PHC outreach teams; (b) strengthening of school health services; and (c) deployment of district clinical specialist teams aimed at improving maternal and child health. HST received positive feedback for its contributions from the NDoH and NW DoH at all levels. The NW is widely regarded as the province that has made the most systematic and sustained progress in implementing PHC outreach teams. In addition, an external evaluation conducted by The Public Health Agency revealed that HST had made a significant contribution to the planning for PHC re-engineering, particularly in the implementation of PHC outreach teams in 24 pilot sites around the province. The consensus was that continued HST support was both needed and desired to extend the project to other wards, to strengthen processes initiated in the pilot sites and provide ongoing mentoring, management and technical support.

HST was again granted further funding by Atlantic Philanthropies for two and a half years (2013-15) to continue to build on and strengthen the activities in the NW. This would involve continued support to the current pilot PHC outreach teams as well as supporting the roll-out of PHC outreach teams beyond the pilot sites using the lessons learned from the pilot. Furthermore, HST will use lessons learned in the NW to support the Mpumalanga Province in furthering the aim of implementing PHC Re-engineering.

The aim of the project is to provide continued support to the North West province and initiate support in the Mpumalanga province in terms of building and strengthening the capacity of districts and sub-districts to implement the PHC re-engineering strategy.

Case Study: Supporting CHWs with Mobile Technology in the North West Province

2017-06-05 12:00 AM
  
ArchivedHST1.0
1. Monitoring and Evaluation of the PMTCT programme
HST has been involved in ongoing monitoring and evaluation of the PMTCT programme since its inception in 2001. Our role has involved technical support for the development of guidelines, the development of a research framework and support to provincial PMTCT co-ordinators in terms of information management and training.

Over the period of 2002, three consultants were sub-contracted by HST to facilitate the collection and analysis of routine data from the 18 pilot sites. A PMTCT information systems module was created for the pilot sites using the DHIS software.

The first formal evaluation of the PMTCT programme was undertaken in 2001 and a report was release in early 2002. A second evaluation that includes the process underway in the provinces to expand this programme was conducted in late 2003 and a report is due to be released soon.

2. National PMTCT Cohort Study
The aim of this study is to investigate infant feeding patterns and behaviours of HIV+ and HIV- mothers postnatally and to describe and measure the impact of the PMTCT programme on the health of infants born to HIV positive mothers.

The study began recruiting women in September 2002. The study is being conducted in three purposively selected sites: Paarl (Western Cape), Umlazi (KwaZulu-Natal) and Rietvlei (Eastern Cape).

The cohort study is being coordinated and managed by the Health Systems Trust, under the direction of Ms Tanya Doherty. Technical input into the study design and project management has been provided by the Public Health Programme of the University of the Western Cape and the Medical Research Council.

Laboratory support (HIV testing) is being provided by the Virology Department of the University of Natal. Quality assurance of the field procedures is being managed by the Medical Research Council. Quality assurance of the laboratory procedures is being conducted by the Africa Centre.

3. Cohort Sub-studies

A number of sub-studies have been built into the national PMTCT cohort.

    An observational study of the quality of ante-natal counselling and education on infant feeding in all three cohort sites.
    An in-depth sociological study of the factors determining infant feeding behaviour in all three sites.

The first sub-study is an observational study of PMTCT counselling involving direct observation of counselling sessions and exit interviews with women. The study aims to provide a baseline on the quality of counselling provided in the PMTCT programme. Data collection for this study is complete and the final report is being written.

The second sub-study is a qualitative study of infant feeding decision-making. It will involve longitudinal interviews with index types of women recruited according to their antenatal infant feeding intensions. Regular interviews will be conducted with participants between birth and 4 months in order to track infant feeding decisions and to determine the impact of factors such as disclosure on decision making. The study will begin in September 2003.

These cohort sub-studies are being co-funded by the World Health Organisation.

4. PMTCT Capacity Development Tender
HST is part of a consortium together with the Women's Health Project and the University of the Western Cape that was awarded a tender by the DoH to assist provinces in developing plans for PMTCT training and to evaluate current training initiatives. As part of this work, the consortium has assisted in the development of a PMTCT training manual. The manual has been field tested in Kwazulu-Natal and Mpumalanga and is in the process of being finalised.

This tender is funded by the CDC and will be complete in September 2003.

Related Publications

    The Prevention of Mother-to-Child HIV Transmission - Costing the Service in Four Sites in South Africa (2004-09-20)
    HIV Voluntary Counselling and Testing: a gateway to prevention and care (2004-03-31)
    An Evaluation of PMTCT and Infant Feeding Training in Seven Provinces of South Africa (2003-10-01)
    An Evaluation of the Prevention of Mother-to-Child Transmission (PMTCT) of HIV Initiative in South Africa - Lessons and Key Recommendations (2003-12-03)
    Case Study Reports on Implementation and Expansion of the PMTCT Programme in the Nine Provinces of South Africa (2003-10-31)
    An Evaluation of the Quality of Counselling Provided to Mothers in Three PMTCT Pilot Sites in South Africa (2004-05-13)
    Bacterial Contamination and Nutrient Concentration of Infant Milk in South Africa:A Sub-study of the National PMTCT Cohort Study (2003-06-30)
    Interim Findings of the National PMTCT Pilot Sites: Summary of Lessons and Recommendations (2002-07-01)
    Interim Findings on the national PMTCT Pilot Sites (2002-02-26)

2017-06-05 12:00 AM
  
ArchivedHST1.0
 

The HIV Counselling and Testing (HCT) mapping assessment collects information at the identified Antiretroviral Treatment (ART) facilities on capacity of the sites to provide HCT and ART services in line with national strategic objectives and priorities.

Based on the findings of the mapping assessment, a monitoring and evaluation (M&E) framework will be developed with a list of agreed key indicators. The subsequent intervention for capacity development will target the provinces with the highest need first.  The project will thus prioritise the Northern Cape, Eastern Cape and Mpumalanga provinces from the onset and, thereafter, provide support to the other provinces.  Information Officers and programme managers at district and provincial level will be trained, after which they will be expected to support the M&E system in their own districts. Training will focus on all aspects of data management at local level, as well as on the use of information for effective management
2017-06-05 12:00 AM
  
ArchivedHST1.0
This project, centred around a cluster randomized trial and conducted in two districts in KwaZulu-Natal, aims to assess the feasibility and effectiveness of economic incentives in patients with TB in South Africa. The intervention is a monthly voucher aimed at improving patients’ adherence to anti-tuberculous medication.
2017-06-05 12:00 AM
  
ArchivedHST1.0
The aim of the Mid-term Review is to provide the Principal Recipient (PR) of global funding – the National Department of Health (NDOH) – and its key stakeholders with useful, objective, good quality assessments of programme supported initiatives and their impact that will help the programme to deliver quality results and health impacts. At the same time the Mid-term Review aims to assess the management and institutional arrangements of the programme implementation and identify lessons learnt that may inform recommendations for the improvement of the programme for the remaining period.
2017-06-05 12:00 AM
  
ArchivedHST1.0
 

This project centres on developing tools for assessing site or provider readiness to provide antiretroviral-based HIV prevention interventions currently under development.
2017-06-05 12:00 AM
  
ArchivedHST1.0
In 2008 HST received a grant from Atlantic Philanthropies (AP) to implement a Strengthening Management and Planning Capacity of District and Sub-District Health Teams project. This was implemented in selected sub-districts in four districts in three of South Africa’s nine provinces: KwaZulu-Natal (eThekwini district), Mpumalanga (Ehlanzeni and Nkangala districts) and North West (Dr Ruth Segomotsi Mompati district).The selected sub-districts were Bushbuckridge in Ehlanzeni, Thembisile in Nkangala, Kagisano in Dr Ruth Segomotsi Mompati, whilst in eThekwini the project was implemented in the whole district as there are no functional sub-districts in the province. Following the success of the project in the primary sites and also on the recommendations of external evaluators, HST sought further funding from AP to consolidate and deepen interventions in the provinces where the project was implemented.  North West and KwaZulu-Natal were selected as sites in the continuation project. The overall goal of the project is to build and strengthen capacity of district and sub-district health levels for management, planning and measurement of primary health care service performance.
2017-06-05 12:00 AM
  
ArchivedHST1.0
The Women and HIV/AIDS Gauge is an inter-unit project within Health Systems Trust.  The project focuses on the impact of HIV and AIDS on women, noting the lack of a sexual and reproductive health and rights (SRHR) approach in addressing prevention, treatment and care in the country. This focus is informed by an acknowledgement that the HIV epidemic is feminized, with most infections infecting and affecting women. The project has a further specific interest and focus on human resources, noting the gendered burden of care.

The purpose of the project is to raise awareness of the importance of comprehensive management of women with respect to HIV and AIDS. The project aims to deliver a set of guidelines to assist health workers to provide better quality care to women.
2017-06-05 12:00 AM
  
ArchivedHST1.0
The SA Sure Bloemfontein Office and SA SURE Evaluations Unit, in collaboration with the Free State Department of Health, conducted a rapid assessment of the capacity of a number of government facilities in the Mafube sub-District in preparation of ART patient handover from the PEPFAR-funded Topsy Foundation’s wellness clinic in Grootvlei. The clinic’s PEPFAR grant will come to an end in 2014 and will terminate its services by March 2014. All the clinic’s ART patients should be transferred to government facilities by then. At the end of October 2013 (Topsy Clinic registers) there were a total of 1,247 adults and 91 children on ART that had to be transferred to Free State government facilities. Based on the assessment of government facilities in Mafube sub-District, a patient transition plan was developed for those patients that have to be transferred.
2017-06-05 12:00 AM
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